Axenehp.com

Axene Health Partners

WEBAxene Health Partners is a unique firm offering highly specialized healthcare consulting and software solutions for the healthcare space. The firm provides a unique blend of …

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URL: https://axenehp.com/

Joshua W. Axene, FSA, FCA, MAAA – Axene Health Partners, LLC

WEBJosh Axene joined Axene Health Partners, LLC in 2003 as one of its first employees. Through personal health history and family legacy, he brought with him a desire to …

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International Healthcare Systems: The US Versus the World

WEBThe United States is the only industrialized country in the world that does not have Universal Health Coverage for all citizens. While the Affordable Care Act (ACA) was a …

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Health Insurer Capital: How Much Surplus Should a US Health …

WEBHealth 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 …

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Accountability of Members/Patients to Maintain a Healthy Lifestyle

WEBThe only way to achieve and maintain good physical and mental health is through a lifelong commitment of personal investment, sacrifice, self-motivation, and accountability …

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Healthcare Resource Planning: The Importance of Balancing …

WEBA quick internet search will produce dozens of articles talking about the shortage of healthcare providers. One report presents 15 key concerns about physician shortages …

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The Role and Application of Health Care Best Practices

WEBProviding timely feedback to health care professionals and institutions regarding their care experience. When fully engaged, patients can positively affect clinical service quality and …

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Implementing Value-Based Reimbursement – Pathway to Success

WEBA health plan’s transition from fee-for-service to value-based reimbursement (i.e., VBR) can be very challenging. This article provides a pathway to successful implementation of …

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Medical IBNR; Traditional Approach with a New Twist

WEBMedical claims reserving has remained relatively unchanged for decades. The traditional approach to calculating IBNR reserves, that will be defined later in this article, has …

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Defining a Winning Health Care Growth Strategy

WEBOne of the most challenging tasks in today's highly competitive marketplace is defining a winning strategy. This is particularly critical in the dynamic health care market. The …

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News – Axene Health Partners, LLC

WEBSOA Research Report: Reimagining Pharmacy Financing. Recently AHP consulting actuaries Joan Barrett, Tony Pistilli, Nathan Stokes, and Gregory Warren, teamed up to …

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US Pharmaceutical Pricing: An Overview

WEBPharmaceutical pricing is a topic rife with contradictions: Pills that cost pennies to produce may cost thousands of dollars to purchase. Two pills with identical ingredients, but …

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Level Funding: An Alternative to the ACA for Small Groups

WEBLevel Funding Basics. Level Funding is an ASO product with integrated stop loss coverage offered by insurance companies, brokers, and TPAs. Level Funding products are …

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History of Competition Between “Blues” Health Plans and a Recent

WEBMany 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”. . …

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Cost Disparities in Employer-Sponsored Health Insurance

WEBFigures 1 and 2 demonstrate that in every region of the US, on average, the highest earners pay less than the lowest earners do for their health insurance. For family coverage, the …

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Risk-Based Capital Considerations for Self-Funded Plans

WEBFor group sizes of 2,500-10,000 beneficiaries, there is a 40%-60% reduction of risk, which may have a large influence on the decision whether to fully-insure or self-insure. For …

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The Health Insurance Premium Dollar: Who Gets What

WEB180M. 320M. PMPM. $8.56. $543.54. 8.0%. This 8% average annual total health care trend over the past 50+ years has led to the United States spending a higher % of GDP on …

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Accountability: Hospital and Health System Pricing

WEBIntroduction In a traditional economic business model, the tension and interaction between supply and demand in a competitive environment usually leads to rational pricing and …

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