Entries by David Anderson

Elections have consequences: Louisiana edition

Via the New Orleans Time Picayune elections have consequences. And for once in the South they are good outcomes:   Department of Health and Hospitals will begin the massive task Wednesday (June 1) of enrolling 375,000 people into the state’s expanded Medicaid program. The department’s goal is to get Medicaid insurance cards into the hands of […]

Risk adjustment limitations

Risk adjustment on Exchange is supposed to minimize the cherry picking incentive of insurers to only try to cover healthy people.  Insurers with healthy populations pay net transfer payments to insurers with comparatively unhealthy populations.  However there are significant problems with counting on risk adjustment to solve all problems.  The biggest issue is the use […]

Good news everybody

We’ve looked through four decades of data, and the share of people who are uninsured has never been this low. pic.twitter.com/UPvLtA8NtR — Larry Levitt (@larry_levitt) May 17, 2016 The interesting thing to me in this chart besides the final outcome is that the introduction and proliferation of government sponsored insurance after 1980 to 2010 basically […]

Paying for expensive cures

The Incidental Economist at Academy Health  is examining the next wave of very expensive therapies that could be cures for rare but extremely expensive diseases: most diseases which are the focus of gene therapy research are relatively rare. Most of these conditions affect children. In addition, gene therapy is more like a procedure than a […]