Axene Health Partners in the News

AHP Consulting Actuary Greg Fann, FSA, FCA, MAAA was quoted in a recent Bloomberg Law article focused on the upholding of a rule preserving insurer payments under the Affordable Care Act. “There are some unresolved items that aren’t going to go away with this rule being finalized,” Greg Fann, a senior consulting actuary with Axene Health Partners LLC in Temecula, Calif., told Bloomberg Law Dec. 7. “Some of the smaller, less established plans have been [...]

A divided Congress will likely stall federal efforts to repeal the Affordable Care Act, and state level action may take center stage. AHP Senior Consulting Actuary, Greg Fann, FSA, FCA, MAAA was quoted in a recent article about the new Section 1332 waiver guidance (State Relief and Empowerment Waivers) and the expanded opportunities that states have to strengthen their health insurance markets. Read the full article at the link below. Read the Article [...]

The Society of Actuaries has released a research report analyzing the cost of care for terminally ill cancer patients. The report was authored by William Bednar, FSA, FCA, MAAA, Joshua Axene, FSA, FCA, MAAA and Richard Lilliedahl, MD of Axene Health Partners, LLC. The full article and PDF are available to read and download at the SOA website by clicking the link below. Read the Article

AHP Senior Consulting Actuary, Greg Fann, FSA, FCA, MAAA, was quoted in a recent article about ACA risk adjustment payments for years 2014 to 2018 being invalidated by to a New Mexico district court. Greg notes that the ruling temporarily prevents further collections and payments from being made, and while the ruling and the CMS announcement do not reference 2019, any future changes to risk adjustment methodology will impact insurer rate levels in both [...]

AHP Senior Consulting Actuary, Greg Fann, FSA, FCA, MAAA, was quoted in a recent article, highlighting net premium levels as a greater predictor of market enrollment than government advertising, outreach, and navigator funding. Greg points to 2018 as a prime example. The number of people enrolled in the ACA individual market increased 3% due to additional premium subsidies driven by President Trump’s CSR action (https://axenehp.com/cost-sharing-reduction-paradox-defunding-help-aca-markets-not-make-implode), despite drastically lower government funding to promote 2018 open enrollment. [...]

AHP Senior Consulting Actuary, Greg Fann, FSA, FCA, MAAA, was quoted in a recent article about ACA risk adjustment payments being frozen due to a New Mexico court decision. Greg urged a tempered perspective and noted that prior ACA-related news has been negatively overblown initially and ultimately resulted in changes beneficial to the market. The New Mexico case stems from commonly noted alleged inequities in the ACA Risk Adjustment methodology, which Greg detailed in [...]