A few weeks ago as the Senate introduced the BCRA, I made a note on the cost equivalence of using the baseline 58% Actuarial Value (AV) subsidy funds for Medicaid. Medicaid pays providers a lot less than most commercial plans in most states. The AV difference is meaningful and significant. The cost effectiveness is the […]
About David Anderson
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.
Entries by David Anderson
Block grants offer a fixed sum of money that may be indexed to a predetermined growth rate. They provide the granting entity with a predictable cash outflow. They don’t offer flexibility to accommodate changes in subgroup patient mixture or new technologies that are more effective and more costly than current best choice treatments. Cystic Fibrosis […]
My reaction on health care right now. Sen. Lisa Murkowski told reporters she is a No on the motion to proceed vote @CQnow — Mary Ellen McIntire (@MelMcIntire) July 18, 2017 And that's three. https://t.co/USCFtyF9ec — Adrianna McIntyre (@onceuponA) July 18, 2017
For the West Virginians in the audience, give Senator Capito a call: My latest statement on the Senate health care bill & planned vote to repeal Obamacare: pic.twitter.com/yAVIxgptCu — Shelley Moore Capito (@SenCapito) July 18, 2017 And thank her.
Iowa has Exchange problems. It has a single insurer, Medica, planning to be on-Exchange in 2018. Its prices are comparatively high which is mainly a problem off-Exchange. There are real problems in Iowa. Yet Iowa is in a stable, sub-optimal equilibrium of a single carrier taking on all actuarial risk without taking on strategic competition […]
The Cruz and Trump plan is to restore the insurance industry to the pre-ACA status quo: WOW: @SecPriceMD admits Senate bill would basically permit insurers to operate like they did before ACA: deny coverage, price folks out pic.twitter.com/GCPaFKO3wB — igorvolsky (@igorvolsky) July 16, 2017 And what does that look like? Here is a brochure targeted […]
The BCRA is getting pulled but the healthcare fight is not over. Senate Majority Leader McConnell wants the Senate to vote on a Find and Replace version of the reconciliation bill that President Obama vetoed in 2016. That bill would repeal every funded element of the ACA on 12/31/19 and cut taxes effective immediately. My […]