Consulting Actuary Greg Fann and Actuary Daniel Cruz were referenced in a recent Health Affairs blog post illustrating how President Biden can improve consumer value through enforcing ACA regulations. Fann and Cruz are actuarial pioneers nationally recognized for their work championing adherence to ACA rules which requires insurers to price benefit plans in proportion to their actuarial value. They have demonstrated the consumer value benefits resulting from President Trump’s regulatory action and the adverse implications to low-income ACA enrollees due [...]

William Bednar, FSA, FCA, MAAA was quoted in recent article covering the Anthem antitrust settlement. He also authored an Inspire article looking at the history of competition between Blues health plans. “If I was a director or CEO of a small Blue plan and this settlement now gives Anthem the opportunity to compete with us, I’d be very scared,” said Bill Bednar, principal and consulting actuary at Axene Health Partners in Southern California. “In [...]

Consulting Actuary Greg Fann was recently quoted in Inside Health Policy on opportunities to enhance ACA markets. "Greg Fann a consulting actuary with Axene Health Partners has also been working to get the word out about the potential to raise the subsidies to gold level. He and a colleague first raised the issue in a 2019 blog. Fann says that at the time he also thought, since the ACA is such a regulated market, [...]

Axene Health Partners is proud to announce participation as a founding member of IMPACT – Virtual First Medical Practice Collaboration. The founding members of IMPACT are working to enable expanded access to high quality, evidence-based virtual care for patients, healthcare providers, and payers in order to improve clinical and health economic outcomes, enhance access, and provide a better overall patient experience. Read more about IMPACT at the link below. Read More [...]

The discovery of misaligned ACA metal-level premiums by Consulting Actuary Greg Fann and Actuary Daniel Cruz was referenced in a recent Health Affairs blog post. They noted the resulting adverse implications for ACA enrollees due to premium misalignment and have advocated for more focused state reviews of premium rates. The blog post continues a theme expressed in The Actuary this summer: “President-elect Biden doesn’t need to rely on Congress” and new legislation to accomplish the continuing trend of ACA market improvements. Read Full Article [...]