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.
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 […]
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 […]
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. […]
Gold plans in the ACA are higher actuarial value plans than non-CSR silver and all bronze plans. The benefit design should be better for people with high costs. The trade-off is that these plans have higher premiums. More protection for higher monthly premiums is a standard trade-off. But this is not always true. Gold can […]
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 […]