Entries by Richard Mayhew

Entrenching Medicaid Expansion

Just a pair of notes on the political entrenching of  Medicaid Expansion into the political and policy processes of the United States. First in Arkansas:   Arkansas officials should consider transferring more high-cost enrollees from the private option to the traditional, fee-for-service Medicaid program, a sponsor of the law that created the program said Monday. […]

Resiliency or fragility

Just to pile onto what Betty is saying below: Western civilization survived two global wars and nuclear brinkmanship. (And McVeigh who killed 168 with a truck). https://t.co/pfLez1olLh — Zeynep Tufekci (@zeynep) July 15, 2016 Nice is a tragedy for the people who died, their families and friends but it is not an inherently system transforming […]

Practice spreads at a single price point

Yesterday I argued that the fundamental point of most liberal health policy wonkery is to drive more people to coverage that pays providers closer to Medicare rates than employer sponsored insurance (ESI) rates. The Exchange subsidy design forces a convergence, Exchange risk adjustment encourages a convergence, Medicare buy-in removes a significant chunk of the non-Medicare […]

Medicare reimbursement, public options and Medicare buy-in

There has been a flurry of liberal health wonk reform proposals this week. love that the JAMA article is signed Barack Obama, JD, https://t.co/lcMEhtmefI #aca #Obamacare — Joanne Kenen (@JoanneKenen) July 11, 2016 Clinton formally endorses public option and Medicare for under-55s by @citizencohn https://t.co/Fg3bdcVsWa pic.twitter.com/iV5u66YNHD — HuffPost Politics (@HuffPostPol) July 10, 2016 I want […]

Bayh Humbug

Evan Bayh to announce bid for Indiana Senate seat, replacing the current Democratic nominee https://t.co/o5PLgQdAEo pic.twitter.com/IfT4JH3X30 — Talking Points Memo (@TPM) July 11, 2016 This is intriguing especially as it moved a reach race into a toss-up race for Democrats. With Bayh expected to get into #INSen, the Crystal Ball now has it as a […]

Risk adjustment and degree of difficulty

@sacksdaniel @larry_levitt @onceuponA yep, it’s an adventure. RA skill least needed for ESI large group > Medicare Adv. >Medicaid>ACA QHP — Richard Mayhew (@bjdickmayhew) July 6, 2016 I am going down the risk adjustment rabbit hole as another co-op bit the dust in Oregon over the weekend. They expected to get a net inflow of […]