Are Copper Plans the Solution for Affordability?
President Trump introduced the concept of a copper plan as a solution to healthcare affordability. But is it a solution? Yes, copper premiums will be lower than what is currently offered...
Denial Rates: Fact or Fiction?
The killing of the CEO of a major health plan has again highlighted the issue of denials and denial rates in today’s healthcare marketplace. It is fairly common in today’s marketplace to criticize those plans with higher than average denial rates.
Healthcare Affordability Index: 2024
Reducing Healthcare costs continues to be a national topic of concern. Medicare’s expansion of value-based care initiatives will likely help improve healthcare affordability...
Measuring Health Care Innovator Value
The US healthcare system is known for its high costs compared to other developed countries. Several factors contribute to this, including administrative expenses, pharmaceutical prices, and the...
Differentiating Virtual Education to Optimize Outcomes
Prehospital medicine/patient care is a newer profession still being defined and, in many ways, redefining its role in today’s healthcare system. Prehospital medical/EMS education is...
Absence of Variation in Health Care
As we try to identify key causes of high US healthcare costs, the topic of variation, specifically variation in practice style, often emerges. It is an accepted fact that in manufacturing quality...
It’s a Bird! It’s a Plane! No, Just Another Healthcare Disruptor!
As with many things in life, change is challenging, often undetected when it starts, many times mislabeled as an aberration, but always important. As John F. Kennedy once said...
Provider Contracting Trends – Déjà vu All Over Again
About 30 years ago I met with my then-business partner to think into the future and try to anticipate what we might see in terms of changes in the healthcare system. The results of this challenging process were...
Are We In For Some Significant Health Cost Increases?
Health care costs continue to increase faster than the rest of the economy. Recent projections by the CMS Office of the actuary show that US health care is pushing towards a 20% share of overall GDP, an all-time record...
David Axene to Present Webinar at 2021 Conference of Consulting Actuaries
Axene Health Partners' President and Managing Partner David Axene will be presenting a webinar focusing on Professionalism for [...]