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Mental Health Ramifications of COVID-19
Almost a year after the beginning of the COVID-19 outbreak a lot has changed. New phrases like “social distancing” and “new normal” have entered the lexicon. Everywhere you go there are stickers [...]
The ACA’s Silver Bulletin
What if I told you that two sentences in a rate filing guidance could potentially add $5 billion of federal subsidies to the individual market and bring substantial premium relief to low-income consumers [...]
It Didn’t Cost a Pennie
“With a one-line regulatory change, Pennsylvania has transformed its ACA marketplace. The measure is probably the most impactful single step a state has taken to improve its marketplace. And the move won't [...]
An Actuary’s Role in Healthcare Mergers & Acquisitions
While health insurers and health plans have historically assumed most of the risk associated with managing the healthcare dollar, recent trends towards capitation and bundled payments show providers having an increased appetite for [...]
2nd Annual ACA Consumer Value State Rankings
Last year I developed a ranking system for analyzing consumer value in ACA markets across all 50 states[1]. It was a fun and enlightening exercise. Please see the link below for last year’s [...]
History of Competition Between “Blues” Health Plans and a Recent Antitrust Settlement
Many people think Blue Cross and Blue Shield is the name of a health insurance company. When asked, we often hear people say, “My health insurance is through Blue Cross”. They get confused [...]