Healthcare Affordability Index: 2024
Reducing Healthcare costs continues to be a national topic of concern. Medicare’s expansion of value-based care initiatives will likely help improve healthcare affordability...
Measuring Health Care Innovator Value
The US healthcare system is known for its high costs compared to other developed countries. Several factors contribute to this, including administrative expenses, pharmaceutical prices, and the...
Understanding Provider Financial Losses in Value-Based Contracts
The shift from fee-for-service (FFS) healthcare models to value-based care (VBC) has been a monumental transformation in the healthcare industry. However, as this transition unfolds, it has added significant complexity to the healthcare system...
Thoughts on Kaiser Acquiring Geisinger
A former colleague came across an article I wrote last year, 'My Recent Experience with Kaiser Health System' – Axene Health Partners, LLC. After reading the article, she reached out to ask my thoughts...
It’s a Bird! It’s a Plane! No, Just Another Healthcare Disruptor!
As with many things in life, change is challenging, often undetected when it starts, many times mislabeled as an aberration, but always important. As John F. Kennedy once said...
Time to Talk About Trend
There have been a number of market-changing dynamics over the last few years affecting healthcare with COVID unsurprisingly being the most notable. There was a steep decline in healthcare utilization in...
My Recent Experience with Kaiser Health System
I moved from the east coast to the west coast seven years ago. My employer had several options to choose from for my healthcare benefits. In addition to options with national insurers, such as...
A Provider’s Primer for Shared Savings Arrangements
Shared savings arrangements have increased in popularity as healthcare shifts towards value-based care. In its most basic form, the total healthcare costs of members associated (i.e., or those attributed)...
An Actuarial Guide to Medicare Direct Contracting
On April 1, 2021, the Global and Professional Direct Contracting (GPDC) Model began its first performance year. Effective through 2026, the CMS GPDC Model introduces risk sharing arrangements with the goal of reducing...
The Calm Before (After) the Storm
Sitting here in early June it is hard to know what the future holds. We are about 3 months since the COVID-19 pandemic officially hit the US, we just finished 8-10 weeks of quarantine and...