Axene Health Partners

Focused on the health care system, our clients and the community at large while assuring affordable, high-quality, cost-effective, patient-centered care for all

[Axene Health Partners @AxeneHP]

Read the latest Inspire article in the Biosimilar series from Greg Warren!

https://t.co/oqIVyhHW1W

[Axene Health Partners @AxeneHP]

Healthcare Disruptors: A critical change that is occurring right now in today’s health care system, and frankly, one that is improving it, is the introduction of new entrances to the system itself.

https://t.co/9L8Pe5MOHM

[Axene Health Partners @AxeneHP]

Healthcare Disruptors: Emerging changes provide a new path to improve the system, although opening new avenues to the system that need careful management and oversight.

https://t.co/9L8Pe5MOHM

[Axene Health Partners @AxeneHP]

So how are payers thinking through Medicare bids? Actuaries know bids for 2024 coverage are due soon. As of now, there is only Humira and Amjevita approved on the market. Read more about how timing matters! #humira #pharmacy #pbm

https://t.co/gGWpMVsuwo

[Axene Health Partners @AxeneHP]

In today’s market the question often comes up, “when is the right time to go self-funded?”, actuaries can help you know that answer and help you be set up for success.

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https://t.co/LK9dnnbpiz

[Axene Health Partners @AxeneHP]

"By working with an actuary, you can design benefit plans that meet the unique needs of your organization, while also keeping costs under control."

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https://t.co/LK9dnnbpiz

[Axene Health Partners @AxeneHP]

"When it comes to fully insured groups, it’s important to have a complete understanding of your employee benefit plans."

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https://t.co/LK9dnnbpiz

[Axene Health Partners @AxeneHP]

Whether you’re a self-funded group looking to manage your employee benefits more effectively or a fully insured group exploring the possibility of self-funding, there are practical reasons to seek out the service of an actuary.

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https://t.co/LK9dnnbpiz

[Axene Health Partners @AxeneHP]

3 Reasons Self-Funded Groups Should Consult an Actuary:

1. Assessing Risk
2. Plan Design
3. Fiscal Planning

Read more in the AHP Inspire blog »»
https://t.co/LK9dnnbpiz

[Axene Health Partners @AxeneHP]

3 Reasons Fully Insured Groups Should Consult an Actuary:

1. Renewal Analysis
2. Cost Management
3. Claims Analysis

Read more on the AHP Inspire blog:
https://t.co/LK9dnnbpiz

[Axene Health Partners @AxeneHP]

In addition to avoiding regulatory interference, health insurers can use the RBC benchmark to understand their potential risk exposure. Read more about health insurer capital in the latest Inspire article »» https://t.co/lyuAZVXNkj

[Axene Health Partners @AxeneHP]

“Hospitals saw margins they were retaining through 340(b) in some ways disappear as they were being rerouted to contract pharmacies.” – Tony Pistilli, Consulting Actuary

Find out more on the SOA podcast! #340b #Pharmacy

Listen to episode: https://t.co/9wWfilN81X

[Axene Health Partners @AxeneHP]

"Providers can overcome many of the barriers to VBC, particularly lack of resources and unpredictability of revenue streams, by consolidating with other groups and benefiting from economies of scale."

Read more on the Inspire blog! https://t.co/curuYsgrA7

[Axene Health Partners @AxeneHP]

"Fair targets reward high-performing groups for lowering the cost of care relative to a reasonably achievable goal, which accounts for the group’s attributed population and operating environment." Read the latest on the Inspire blog!

https://t.co/NyY1rzt1ij

[Axene Health Partners @AxeneHP]

Some big news today over on the AHP website! https://t.co/c4Q1eWkQbZ

[Axene Health Partners @AxeneHP]

A significant change observed since the pandemic began is the portion of companies choosing to self-fund their benefits. According to the Kaiser Family Foundation 2020 Employer Health Benefit Survey, 67% of covered workers are in a self-funded plan. https://t.co/q57EWOi7jw

[Axene Health Partners @AxeneHP]

For much of the past, larger companies have self-funded their health benefit plans, but more recently we are seeing an increased number of the smaller companies being open to taking on these insurance risks as well. https://t.co/q57EWOi7jw

[Axene Health Partners @AxeneHP]

Reductions in inpatient care can be achieved through effective implementation of evidence-based clinical decision-making and are often related to alternative venues of care where quality outcomes and patient satisfaction have been observed. Find out more: https://t.co/r0vvlbLjvS

[Axene Health Partners @AxeneHP]

An effective manner to lower total health care costs is not accomplished by lowering utilization across all categories. Significant savings can be achieved by emphasizing managed care and office visits over facility claims. Read more! https://t.co/EGOXnXHUA0

[Axene Health Partners @AxeneHP]

A few ways actuaries are relied upon during due diligence by insurance companies are:

• Actuarial Appraisals
• Reserves and Reinsurance
• Regulation
• Interest Rates

Read more!
https://t.co/gN2iMbVScK