I'm a research associate at Duke University Margolis Center. I used to be Richard Mayhew, a mid-level bureaucrat at UPMC Health Plan. I started writing here and have not found a reason to stop.
In Health Affairs, Joe Antos and James Capretta wrote in support summarizing of the Senate BCRA. I want to reply to a single point that I think is wrong and expensive. It is a smarter version of Avik Roy’s argument that Medicaid is not being eliminated as poor people will be able to buy subsidized […]
The Health Care Cost Institute is a valuable data resource. It collects data from four major commercial insurers: Kaiser, United Healthcare, Humana and Aetna. This data is for commercial/ESI and it provides a good but uneven insight into pricing variation in the individual, group and Medicare Advantage spaces. Usually we just see Medicare Fee for […]
First thing, tonight, enjoy it. If you like to partake in a recreational, legal intoxicant, enjoy one in moderation. And then tomorrow get back on the phone and get back to pressuring the Senate. New goal: Consensus on plan by Friday, score over break & vote on Obamacare repeal following week – @burgessev & me […]
Good news Big: Senate Republicans won't vote on the health care bill this week at all, a Senate GOP source tells @TheIJR — Haley Byrd (@byrdinator) June 27, 2017 Now keep on calling
Bob Herman of Axios was paying attention to the other important healthcare related CBO report yesterday: There was another CBO health care release today. Similarly important/riveting. It's all about physician prices: https://t.co/ffUFwdQNt2 — Bob Herman (@bobjherman) June 27, 2017 This is an important report as it illustrates the spread between Medicare and Commercial rates. Unfortunately […]
Part of the Senate bill invites states to file waivers that basically would allow a state to do whatever it wanted. One of the elements of the ACA that can be waived is the requirement that insurers spend at least 80% of the premium dollars on claims. That is known as the Medical Loss Ratio […]
The Senate’s Better Care Reconciliation Act (BCRA)[1] is a significant modification to the current Patient Protection and Affordable Care Act (PPACA)[2] exchange structure in a variety of ways. One major change is the designation of the benchmark plan which determines the level of subsidy that the federal government provides to individual buyers on a health […]
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