Entries by David Anderson

MLR and Risk Adjustment games (a cynical take)

I was talking with another health insurance nerd last night.  We talked about the risk adjustment pause and a very cynical thought was developed — what if the Center for Medicare and Medicaid Services (CMS) instructs insurers to exclude risk adjustment flows from their Medical Loss Ratio (MLR) calculations that are due on July 31? […]

Tax, Trade and Health Policy

Incentives to change behavior need to be targeted to be effective. House Ways and Means is now marking up a bill to let taxpayers write off up to $1000 per year on gym memberships, fitness classes + other exercise efforts. JCT says it’d cost $3.5 billion over 10 years https://t.co/bKJoltqFry — Ryan McCrimmon (@RyanMcCrimmon) July […]

Revisiting Alexander-Murray copper

Alexander-Murray was a fairly straightforward proposal.  It was an honest attempt to solve problems.  Almost every section I could read through the bill and do the following: Identify what problem the new language was attempting to address Identify a clear pathway to resolve that problem Assess a reasonable likelihood that the identified problem would be […]