The Importance of IBNR in Self-Funded and Traditional Health Plans
Understanding and accurately predicting future liabilities is crucial to the sustainability and success of insurance companies and self-insured employer-sponsored health plans...
Health Actuary vs Data Scientist: What is the difference?
Our firm recently hired its first data scientist to complement the consulting team of health actuaries and clinicians. The Actuarial profession is very small and niche, with many people outside of the insurance and pension industries...
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...
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 rankings which will include the details of...
The Joe Pesci Option
There are many unknowns in the future of health care funding and costs given the current crisis faced by our country. With unemployment rising at an unprecedented rate and...
Economics and Healthcare
When making important business decisions it is critical to evaluate them in economic terms, oftentimes boiled down to supply and demand. According to www.investopia.com[1], demand...
Being Actuarial, Actuarially Sound, Or Just Plain Faking It…
Being an actuary has been a very enjoyable career for the last 16 years. I have worked on many different projects from the smallest review of data to multi-billion-dollar litigations...
What Is The “Total Cost Of Care” And Why Does It Matter?
If you work in the healthcare space, you often hear the term “Total Cost of Care”. The more you hear the term the more you may wonder what it means and why it is important...
Defining the Modern Actuary
Introduction When many people think of an actuary their mind immediately goes to a very nerdy introverted [...]