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Search: Posts Made By: exponentialpi
Forum: Health - Disability 04-10-2020, 01:05 PM
Replies: 15
Views: 1,942
Posted By exponentialpi
Or 2022 pricing. Base data is going to be noisy.

Or 2022 pricing. Base data is going to be noisy.
Forum: Health - Disability 04-02-2020, 12:41 PM
Replies: 15
Views: 1,942
Posted By exponentialpi
That seems to align with newspaper articles...

That seems to align with newspaper articles indicating hospitals are losing 50%+ of their revenue. It's going to be a whipsaw year for claims.
Forum: Health - Disability 03-21-2020, 02:09 PM
Replies: 15
Views: 1,942
Posted By exponentialpi
Lots of uncertainty in the estimations at this...

Lots of uncertainty in the estimations at this point. Most of the work being delegated on my side has been the impacts from financially stressed employers. Add in SEP's for the Individual QHP...
Forum: General Actuarial 02-24-2020, 02:40 PM
Replies: 17
Views: 2,389
Posted By exponentialpi
Yes. That being said, I have also seen people...

Yes. That being said, I have also seen people who are excellent at programming get stuck with making some items too complex. Stepping back and looking at the bigger picture sometimes allows another...
Forum: General Actuarial 02-15-2020, 04:38 PM
Replies: 29
Views: 3,624
Posted By exponentialpi
Or having to deal with a recession and RIF.

Or having to deal with a recession and RIF.
Forum: General Actuarial 02-13-2020, 10:43 AM
Replies: 29
Views: 3,624
Posted By exponentialpi
Lots of this. Take it one exam at a time.

Lots of this. Take it one exam at a time.
Forum: Health - Disability 11-15-2019, 12:57 PM
Replies: 14
Views: 2,441
Posted By exponentialpi
There are a multitude of reasons. The biggest...

There are a multitude of reasons. The biggest driver I have seen in some markets is a new competitor coming in that squashes the silver gap a sole carrier may have had as a strategy and provided...
Forum: Health - Disability 11-15-2019, 12:49 PM
Replies: 14
Views: 2,441
Posted By exponentialpi
The one other dynamic is the family glitch that...

The one other dynamic is the family glitch that uses the income cap as well. If a family member is employed and receives affordable single coverage under the income cap but the entire family is not,...
Forum: Health - Disability 11-05-2019, 02:33 PM
Replies: 70
Views: 19,354
Posted By exponentialpi
Hold on. You mean people are different. Maybe...

Hold on. You mean people are different. Maybe we can risk adjust the population. Everyone can pay the same rate and we shift funds from those who don't need care to those who do.

Groundbreaking...
Forum: Health - Disability 11-05-2019, 11:34 AM
Replies: 70
Views: 19,354
Posted By exponentialpi
I remember a certain ACA plan that was copay...

I remember a certain ACA plan that was copay only. It had a $6,350 inpatient hospital copay. That also happened to be the regulated maximum OOP that year. That's one way to avoid inpatient usage....
Forum: Health - Disability 11-04-2019, 02:38 PM
Replies: 14
Views: 2,441
Posted By exponentialpi
Benchmark premiums in aggregate are decreasing. ...

Benchmark premiums in aggregate are decreasing. Bronze and gold are not. As a result, the net subsidy premium will be leveraged up. Some brokers were chiming in with massive rate increases for low...
Forum: Health - Disability 11-04-2019, 02:36 PM
Replies: 70
Views: 19,354
Posted By exponentialpi
Novel! You're a prime candidate for upper...

Novel! You're a prime candidate for upper management.
Forum: Health - Disability 11-04-2019, 11:10 AM
Replies: 70
Views: 19,354
Posted By exponentialpi
Innovation. Adding a wellness plan and shifting...

Innovation. Adding a wellness plan and shifting from deductible and coinsurance to copays for 2020.

Haven's New Insurance Plan for 2020...
Forum: Health - Disability 11-04-2019, 10:45 AM
Replies: 14
Views: 2,441
Posted By exponentialpi
Subsidy leveraging is going to be interesting...

Subsidy leveraging is going to be interesting this time around.
Forum: General Actuarial 10-29-2019, 08:31 AM
Replies: 92
Views: 13,213
Posted By exponentialpi
I’m not too concerned. Politicians are irrational...

I’m not too concerned. Politicians are irrational when it comes to healthcare.
Forum: Careers - Employment 10-04-2019, 04:16 PM
Replies: 24
Views: 2,131
Posted By exponentialpi
This. I started at 24 after getting my Masters...

This. I started at 24 after getting my Masters in theoretical math. I received my fellowship at 33.
Forum: Health - Disability 09-26-2019, 12:34 AM
Replies: 30
Views: 6,184
Posted By exponentialpi
He has resigned. ...

He has resigned.

https://twitter.com/ddiamond/status/1177058986916569088
Forum: Health - Disability 09-09-2019, 09:50 PM
Replies: 1
Views: 1,519
Posted By exponentialpi
Statutory Definitions for Claims vs Admin and Vendors

Fun topic that I am dealing with currently. There are a number of contracts with vendors currently in place and there is ongoing discussion of how they should be allocated on the statutory blank.
...
Forum: Careers - Employment 09-09-2019, 09:39 PM
Replies: 108
Views: 13,289
Posted By exponentialpi
3 exams, 2012. I had been working in a...

3 exams, 2012.

I had been working in a external reporting unit with underwriting and finance for a number of years and the recession made things difficult for awhile to get transferred.
Forum: Health - Disability 08-22-2019, 11:57 AM
Replies: 9
Views: 3,522
Posted By exponentialpi
I will third that DoctorNo is a resource in this...

I will third that DoctorNo is a resource in this area.

From a pricing perspective, it depends on the level of detail. Some markets have significant participation in a third party proxy that...
Forum: Health - Disability 08-09-2019, 10:56 AM
Replies: 23
Views: 3,851
Posted By exponentialpi
I do wonder where they got the Medicaid data...

I do wonder where they got the Medicaid data though, since not every state has Medicaid MCO's. Yet...
Forum: Health - Disability 08-09-2019, 10:54 AM
Replies: 16
Views: 2,746
Posted By exponentialpi
My mind immediately went to a disability product...

My mind immediately went to a disability product when I saw the post. The number of companies that size is short.
Forum: Health - Disability 07-25-2019, 08:39 AM
Replies: 23
Views: 3,851
Posted By exponentialpi
Add another check mark for growth in self-funded...

Add another check mark for growth in self-funded reflecting the commercial losses.



Single payer advocates have to get the provider systems on board, which I don't think will happen without a...
Forum: Health - Disability 06-14-2019, 01:44 PM
Replies: 81
Views: 9,842
Posted By exponentialpi
I hear Seersucker is in season. :popcorn: I...

I hear Seersucker is in season. :popcorn:

I looked at the attendee listing and it looks like a good group going. I will have to miss it this year for other commitments. The annual meeting...
Forum: Health - Disability 06-05-2019, 12:25 PM
Replies: 81
Views: 9,842
Posted By exponentialpi
The 2020 Valuation Actuary Symposium is in New...

The 2020 Valuation Actuary Symposium is in New Orleans. :guitar:
Showing results 1 to 25 of 300

 

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