Entries by David Anderson

Tennessee’s Medicaid block grant

Earlier this week, Tennessee unveiled a partial Medicaid block grant/shared savings proposal.  I don’t think it will be going anywhere as the proposal has significant legal hurdles but we should look at the high points. Block grants shift Medicaid from an entitlement with open federal match funding to chunks of cash with far less marginal […]

Churn, baby, churn

At the Health Affairs blog, Jamie Daw, Katy Kozhimannil and Lindsay Admon examine insurance churn among mothers in the time surrounding the birth of a child. An analysis of the 2005–13 Medical Expenditure Panel Survey found that prior to implementation of the Affordable Care Act (ACA), nearly 60 percent of pregnant women experienced a month-to-month change in […]

Fixing Medicare Part D

At the New England Journal of Medicine, Drs. Stacie Dusetzina, Nancy, Keating and Haiden Huskamp review several of the possible redesigns for Medicare Part D.  Right now Medicare Part D is not truly insurance.  It is a payment assistance program that has insurance like features for broad segments of the population but there is ongoing catastrophic exposure.  […]

Humberto and the East Coast

The most recent ECMWF model has a dramatic shift in Invest 95L track. Gone is any hint of Gulf of Mexico, instead developing a powerful Hurricane off the Southeast Coast in 3-5 days. This is a surprising turn of events. pic.twitter.com/xXAmuClLEJ — Ryan Maue (@RyanMaue) September 12, 2019 Right now, there is a possible tropical […]