The ACA Underwriting Cycle
Then a left will take you to the interstate But a right will bring you right back [...]
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 [...]
Pandemic Reserves
As I sit at my desk looking out the window at the rain covered streets, barely a person [...]
Economics and Healthcare
When making important business decisions it is critical to evaluate them in economic terms, oftentimes boiled down to [...]
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 [...]