Entries by David Anderson

ACHA review

Here are a few lowlights of the AHCA Congressional Budget Office score. I’ll try to keep this non-technical. Medicaid is still getting changed from an entitlement that is responsive to changing needs to a block grant 23 million people will lose coverage compared to current law projections The MacArthur/Upton waivers are expected to destroy the […]

CBO on the AHCA

This will be a running and updated post on the cost estimates of the AHCA by the Congressional Budget Office (CBO) and Joint Committee on Taxation (JCT) 17:20 TLDR It is about the same bill that got scored in March with marginal changes. CBO does not think MacArthur/Upton will have large net effects 16:22 The […]

Incentives from caps in Medicaid

I was on a webinar this afternoon listening to analysis and “analysis” of the Medicaid proposals in the AHCA. One of the things that I wish they brought up was the incentives that a cap structure gives state Medicaid directors to severely limit care that patients with outlying care requirements can receive. Let’s assume that […]

California single payer

California is studying a single payer system. It is doing the homework to make explicit the assumptions that are needed to make the system work. Modern Healthcare has some details: SB562 would guarantee health coverage with no out-of-pocket costs for all California residents, including people living in the country illegally. The state would contract with […]

AHCA and Autoenrollment

There has been talk that the Senate is talking about auto-enrollment as the Senate Republican caucus is chewing over the AHCA bill that the House passed. I think there are two major show stoppers to auto-enrollment in a Senate Republican reconciliation bill. Let us assume that any auto-enrollment process looks something like that in Cassidy-Collins. […]

Auto-enrollment trade-offs

Sarah Kliff at Vox highlights one area of plausible discussion among liberals and some conservative Senators on health care. She looks at the idea of automatic enrollment with opt-outs from a catastrophic plan. This idea is part of Cassidy-Collins state option. Republican legislators and policy experts are kicking around a novel way to increase health […]

Market power strikes again

An interesting paper in Health Services Research by Dr. Seidu Dauda* looks at market power between payers and providers to tease out the effects of increasing concentration on prices. The effect that is actually being measured is how does the changing relationship of market power between payers and providers change prices. The results aren’t surprising. […]