Health Insurer Claim Denial Rates and the Kaiser Outlier
Following the recent shooting death of UnitedHealthcare’s (UHC) CEO, claim denial rates have recently become a highly scrutinized statistic in the news and on social media.
Health Insurer Capital: How Much Surplus Should a US Health Insurer Hold?
Health insurers are required to hold minimum levels of surplus each year. However, the exact amount a health insurer chooses to hold can vary significantly from one insurer to the next...
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...
Pandemic Lessons: Healthcare Versus Health Insurance
There’s been debate in political and healthcare circles about the President’s decision to not open a Special Enrollment Period for ACA markets in the midst of the 2020 global coronavirus...
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...
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...