

What Is Going On with Risk Adjustment Payments?
You may have seen news coverage recently about changes to something called the “risk adjustment program.” In this blog, I’ll explain what that means and whether or not it will affect you.
You may have seen news coverage recently about changes to something called the “risk adjustment program.” In this blog, I’ll explain what that means and whether or not it will affect you.
Last fall, the President signed an executive order that REQUIRES three federal agencies to formalize some Affordable Care Act (ACA) escape routes. The agencies recently started to issue final rules on those orders, and I have some thoughts on these things now that they are more concrete. Let me Straighten this out a bit…
Sometimes we get emails and communications from our members that project a ton of uncertainty and fear. Like this one:
Every two weeks, I have the distinct pleasure of speaking to a group of Blue Cross’ newest hires in a class we call Health Insurance 101. The crux of the lesson is a simple one: What’s the point of Blue Cross and Blue Shield of Louisiana? Why are we here?
Brilliant! Occasionally, I get to work with someone whose grasp of technology and the real possibilities of data and modeling just blow me away.
When I was a little boy growing up in the 1960s, there was an elderly widow who lived next door to us whom all the kids loved. Miss Elaine had been married to an Army staff sergeant who traveled the world with her in tow. She was a tough cookie! She taught all of us kids to play poker and pinochle (her favorite) and was constantly giving us advice in her raspy, smoky voice (about two packs a day by my recollection).