Welcome to Inspire from AHP!
We created the Inspire blog to have a positive impact on both the health care system and its clients.
AI, Artificial Intelligence or Actuarial Intelligence?
Before we can jump into the conversation about Artificial Intelligence (AI) and its effect on healthcare and the actuarial world, we need to define what artificial intelligence is. The field of Artificial Intelligence [...]
Should Care Management Be Expanded To Include Impacting Social Determinants of Health?
IntroductionSocial Determinants of Health (SDOH) were highlighted in a 2008 report published by the World Health Organization.1 Several initiatives have been developed since then to create social and physical environments that promote good health [...]
So How Much Health Care Is Too Much?
We continue to observe increasing health care costs here in the US, although since 2010, health care costs as a percentage of the GDP have flattened out as shown in the chart below. [...]
New Section 1332 Flexibility: State Relief and Empowerment Waiver Opportunities
As citizens and stakeholders in the health care arena, Axene Health Partners, LLC consultants are actively informing policymakers on strategies to develop and preserve sustainable health care markets. In that regard, we prepared a [...]
Thoughts on Developing an Effective ACA Rate Filing
Defining a “Successful Rate Filing” For purposes of this writing, a successful rate filing: a) Is accepted by the rate reviewers and regulators without changes and with no, or very little, questions or [...]
When is the Right Time to Move to Risk Sharing?
With all of the discussion today about Alternate Payment Methods, Value Based Reimbursement, MACRA, MIPS, etc., talk very quickly turns to questions about risk sharing. For example: What are the benefits of transitioning? When [...]