The Wall Street Journal reports on the new CMS regulations and fines concerning bad provider directories: Starting Friday, they could be costly for insurers. New regulations allow the Centers for Medicare and Medicaid Services to fine insurers up to $25,000 per beneficiary for errors in Medicare Advantage plan directories and up to $100 per beneficiary […]
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
New York is doing something very unusual on 1/1/16. It is making pregnancy a qualifying event that opens up a special enrollment period for women to either get insurance on the state Exchange or change their policy on the exchange. As of January 1, pregnancy will be a qualifying event in New York’s exchange. […]
My last post was a fairly technical dive into Wyden waivers, subsidy bundling and actuarial value calculations. It was an effort to explore a plausible future possibility space that in my opinion would lead to more people who are in the bottom half of our society to be made better off than they are today. […]
Wyden or Section 1332 State Innovation Waivers can go into effect on 1/1/17. These waivers would allow states to rework their insurance markets (excluding interaction effects with Medicaid) as long as the resulting coverage was federal deficit neutral or better, covered at least the same services, covered at least the same number of people (with […]
This is a good example of the process of how the Republican base has come to like Trump so much. Their elites either don’t know what they are talking about or are lying to them, repeatedly. @reihan @ptbrennan11 @KipPiper or more to the point, he’s included autos in the denominator but not the numerator. Assumes […]