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.
An insurer in New York state that offered plans for 2014 will not be on the 2015 Exchange: American Progressive Life & Health Insurance Company of New York has become the first company to withdraw from the New York State Health Exchange after failing to file a 2015 rate proposal. The company, also known as […]
I am in Minniapolis for my brother’s wedding. My wife and I have a good six hour hole in tomorrow’s schedule of events. What do you recommend?
Obamacare is many things. One of which is an interesting natural experiment in determining whether states shooting themselves in the foot makes it harder or easier to walk than states that don’t shoot themselves in the foot. When PPACA passed in March 2010, the basic cash flow model would have seen increased taxes (income tax […]
So what does the Halbig decision in the DC Circuit mean for the Exchanges? On a practical matter, not much at the moment. And longer term, probably not much unless there are five assholes on the Supreme Court who decide that fucking with Obamacare is worth fucking with one hundred years of administrative law precedent. […]
Jane Jacobs is my second favorite economist or economics writer (Herb Simon is #1). In her thoughts on how an urban neighborhood unslums itself, she has a core insight. Unslumming is the process of people who have the option to leave a neighborhood, deciding to stay instead. This leads to local maitenance investment, it leads to social […]
Forbes Magazine is using little words to explain to its readers that hospitals in states that are rejecting Medicaid Expansion are hurting: financial issues are emerging for medical care providers in the two dozen states that didn’t go along with the expansion under the Affordable Care Act. Reports out in the last week indicate the […]
JC wrote last night as he got kicked in the balls by the world: Do you have any idea how hard it is to deal with addiction and get treatment in America? I have gold plated insurance, am comfortably middle class, and I have been going through sheer hell trying to get into a facility. […]