Catastrophic Claim Volatility and Stop-Loss Considerations for Self-Funded Plans
In response to a prior article I recently authored, Risk-Based Capital Considerations for Self-Funded Plans, I had a [...]
Transparency: How Important Is It Anyway?
The November 15, 2019 release of a final rule on Transparency has raised the awareness of transparency. For [...]
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 [...]
Transforms: a la Health Care Style
Students of mathematics are familiar with the concepts of transforms or transformations (e.g., LaPlace or Fourier transforms). Essentially these [...]
Physician Fee Schedules: How Do They Compare and What’s Next?
When you visit your doctor, you will typically be charged a small copay, coinsurance amount, or may not [...]
Streamline Your Healthcare Analytics by Embedding Benchmarking
Too often meaningless and unnecessarily complex healthcare analysis is prepared and presented to leadership without explaining what it [...]
RBC in an ACA World: Determining an Optimal Surplus Range
The Patient Protection and Affordable Care Act (ACA) brought new risks and volatility to the world of [...]
What You Need to Know About Shared Savings Financial Targets
What You Need to Know About Shared Savings Financial Targets A Brief History of Risk-Based Contracting Risk [...]