Consulting Actuary Greg Fann’s actuarial report on the implications of reducing ACA risk adjustment transfer payments in the Alabama individual marketplace appear in regulatory comments submitted by Blue Cross and Blue Shield of Alabama (BCBSAL) on the Proposed 2023 Notice of Benefit and Payment Parameters. ACA rules allows states to reduce risk adjustment transfer payments up to 50%; Alabama has been the only state to implement this mechanism, and the proposed rule would eliminate [...]

AHP Consulting Actuaries, Joan Barrett and Stephanie Entzminger, have co-authored a SOA Research Report. Read the full report 'How Does Where You Live Impact Your Health?' and download it at the link below. Read Report

Consulting Actuary Greg Fann, FSA, FCA, MAAA was quoted in a recent Bloomberg Law article focusing on innovation in retaining customers. He noted that despite the ACA ideal of insurers competing on quality and efficiency rather than risk selection, they still care as much about enrollment mix as they do about overall enrollment levels. “I would say insurers are probably more focused on trying to understand which of their members are profitable versus which are not. [...]

Axene Health Partners (AHP) today announced that Greg Warren, FSA, FCA, MAAA, formerly Senior Vice President and Chief Actuary of Optum Advisory Services, will join AHP as partner and consulting actuary and lead the opening of the new AHP Denver office. “Greg brings with him a wealth of knowledge, actuarial expertise, and a shared commitment to AHP’s core philosophy of making a positive impact on the healthcare system,” said David Axene, President and Managing Partner of [...]

AHP Consulting Actuary Greg Fann recently spoke with Gayle Brekke of the Descant podcast. Their discussion centered on the measurement of the uninsured rate. The interview follows his recent completion of a research report for the Society of Actuaries entitled “Uninsured Rate” Measurements and Health Policy Considerations. Listen to the episode at the link below. Listen to Full Episode

In response to a recent CMS technical paper acknowledging formal allegations that the current ACA risk adjustment methodology is leading to premium misalignment and harming consumers in the individual health insurance marketplace, a Health Affairs blog post referenced a research report and state tutorial to foster premium alignment by Consulting Actuary Greg Fann . CMS is accepting comments through November 26th; please contact greg.fann@axenehp.com with any relevant feedback or insights. Read Full Article