Article
04 March 2026 - by Kevin M. Frodsham, Cameron Gleed, Daniel Henry, Atman Thakrar
We analyzed six years’ worth of large group health filings in California, yielding key insights on allowed costs as a percentage of Medicare and other findings.
Article
30 January 2025 - by Kathleen E. Ely, Cameron Gleed, Katrina Sevilla
With limits on the number of non-standardized plan options in the ACA, we show some actuarial value impacts by cost sharing changes for each metal level.
Article
16 January 2025 - by Madison V. Pendleton, Cameron Gleed
As high-cost events and treatments increase in frequency, Affordable Care Act issuers must consider how the high-cost risk pool interplays with their strategy.
Article
18 January 2024 - by Rebekah Bayram, Kevin M. Frodsham, Cameron Gleed, Daniel Henry
We summarize key statistics from the first four years of required annual rate filings in California for large employer group health issuers.
Article
07 November 2023 - by Kathleen E. Ely, Cameron Gleed, Katrina Sevilla
It can be difficult to keep up with the complexities, limitations, and annual changes in the U.S. Department of Health and Human Services' Actuarial Value (AV) Calculator, so we offer a reference to better estimate AV impacts.
Article
13 September 2023 - by Cameron Gleed, Peter Fielek
As high-cost-risk-pool (HCRP) program becomes a larger component of ACA premiums over time, issuers need to consider the HCRP when developing pricing and strategy.
Article
27 February 2020 - by Cameron Gleed, Jason Karcher, Jason J. Petroske
This white paper evaluates the implications of the risk adjustment data validation program from the perspective of issuer results with an eye for what the actual impacts say about the program’s performance.
Article
24 October 2019 - by Jason Karcher, Jason J. Petroske, Cameron Gleed
This article breaks down the purpose and technical details of the Patient Protection and Affordable Care Act risk adjustment data validation audit.
Article
22 February 2019 - by Deana Bell, Cameron Gleed
An increasing number of payers and healthcare organizations are turning to ride-sharing services such as Uber or Lyft for non-emergency medical transportation.
