Welcome to Inspire from AHP!
We created the Inspire blog to have a positive impact on both the health care system and its clients.
Perverse Incentives in ACA’s Risk Adjustment
Introduction There has been significant discussion in the past several weeks about ACA’s risk adjustors, the New Mexico court decision halting risk adjustment and CMS’ response to that. However, the perverse incentives embedded in [...]
Resource Based Pricing
Introduction Some of the confusion about the US health care system is directly tied to prices. How much does it cost? What will my insurer pay? What will I have to pay? Pricing transparency [...]
Leveling the Playing Field: How Actuaries Can Help Provider Organizations Negotiate Fair and Effective Risk Contracts with Insurers
“What You Don’t Know Will Hurt You” – Jim Rohn, American entrepreneur, author and motivational speaker. Introduction As risk contracting becomes more prevalent, the best practices skillset and knowledge base for provider organizations to [...]
An AHP Round Table: The Proposed Amazon, Berkshire, J.P. Morgan Health Benefits and Delivery Alliance
Anytime Amazon enters a new marketplace they make waves. Their recent acquisition of Whole Foods shocked the grocery industry and now Amazon has announced plans to join with Berkshire and JPMorgan to create [...]
Defining a Winning Health Care Growth Strategy
One of the most challenging tasks in today's highly competitive marketplace is defining a winning strategy. This is particularly critical in the dynamic health care market. The morphing of lines of separation between health [...]
Mastering the Actuarial Tool Kit
Quick, what's your favorite Excel formula? Is it the tried and true old faithful "SUMPRODUCT" formula we've all grown to love, or maybe once Microsoft added the "SUMIFS" formula in Excel 2007 you [...]