Journey Through 30 Years of Healthcare Data Analytics
I recently hit a major career milestone of 30 years in healthcare. With my youngest daughter Kendall joining me in the office as our marketing intern...
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...
History of Competition Between “Blues” Health Plans and a Recent Antitrust Settlement
Many people think Blue Cross and Blue Shield is the name of a health insurance company. When asked, we often hear people say, “My health insurance is through Blue Cross”. They get confused when followed-up with...
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 Gold Rush and the Lionfish: Optimizing the Unique Dynamics in ACA Markets
The Affordable Care Act (ACA), colloquially known as “Obamacare”, recently began its 7thopen enrollment period, the first with premiums based on claims experience after...
Question: Should We Do This or Not? Answer: We Need an Assessment of Value!
Sometimes the hardest business questions have the simplest of answers. This is also true for the many nagging questions we encounter in healthcare. Too often the decision making process...