The Game You Thought You Knew: Inside ACA Baseball
The game of baseball underwent a 21st-century change when advanced analytical computations changed the way players were valued. Important measures in the individual health insurance market went...
Meaningful Field Measures: Counting What Matters in ACA Markets
When a colleague and I wrote Fields of Gold in April last year, the imagery seemed perfect. The Gold Rush of 1849 led many prospectors to California; the “Golden State” has also been the most visible to...
Focused ACA Rate Review: Tangible Ways for States to Address Metalball
Rate review in the Affordable Care Act (ACA) markets was built on traditional measures. A large focus of the initial federal guidance was greater scrutiny on proposed increases of 10% or more. The holistic...
Erasing ACA Rate Review Vanity: It’s About What You Do, Not How You Look
What do you want to accomplish through rate review? It’s a question that state regulators should ask themselves. The question is threatening, because the answer may expose that what is...
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...
The Platinum Public Option
The Platinum Public Option…it’s more than just a catchy slogan. It’s a solution to coordinate the political semantics and financial dynamics of the Affordable Care Act (ACA) without...
A Hard Pill to Swallow: Appreciating the Mathematical Dynamics of the Affordable Care Act
The pivotal moment[2] in the 1999 science fiction action film The Matrix involves the central character having to choose between irrevocable binary options. He can elect to swallow...
Trust the Prophets, Not the Spin Doctors
In January 2019, Clemson defeated Alabama 44-16 in the College Football Playoff championship game. As a Clemson football fan, I was thrilled with the result. I was also surprised...
The Tip of the ACA Iceberg
Casual observers of a recent Congressional hearing that included Seema Verma as its only witness might have mistaken the administrator of the Centers for Medicare and Medicaid Services...
Medicare for All’s $600 Billion Question
“Medicare for All” is a term that can assume many different meanings and its lenient usage tends to generate confusion or misinformation. To provide some clarification, AHP has provided...