Holy mother of god, the catch-up care in the co-ops was worse than I thought, and I thought it was already really bad: At Arches, only 200 people—or 0.3% of its 63,000 members—accounted for 50% of its claims. Oncology care and organ transplants, in particular, hit Arches and many co-ops hard. Green said there was […]
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
Two recent posts are the epitome of Balloon Juice commentariat baiting: From Lawyers, Guns and Money, just the headline: “Arizona GOP taps creationist chemtrail truther to lead Senate [blank] committee” I guessed it was the Science Committee And Kevin Drum linked to an article on vocabulary development: “A voluminous taboo lexicon may better be considered […]
There is talk of a proposal to limit risk corridor payments for qualified health plans in the individual market to no more than 2% of an insurer’s revenue for each state/band combination. The plan would install a so-called circuit breaker to prevent companies from paying more than 2% of their premium revenue into the program […]
From the Center for Medicare and Medicaid Services regarding Healthcare.gov enrollment for policies that go live on 1/1/16: Through the deadline for January 1, 2016 coverage, almost 6 million people signed up for health coverage through HealthCare.gov, compared to last year when about 3.4 million had signed up by the first enrollment deadline. Of the […]
One of the things that puzzled me about the Flint lead poisoning is why the problem took so long to identify. Medicaid gives strong incentives to managed care organizations to test their pediatric members for lead poisoning. Michigan has their own lead policy: All Medicaid enrolled children are considered to be at high risk for […]