Entries by David Anderson

Florence check in

The earliest reasonable time that tropical-storm-force winds could arrive in the United States from #Florence is late Wednesday, and the most likely time is Thursday morning. Wednesday should be the last full day to prepare, so plan accordingly. https://t.co/tW4KeGdBFb pic.twitter.com/eD2onAT1sd — National Hurricane Center (@NHC_Atlantic) September 11, 2018 Be careful, be smart, be safe.

SDoH, NNT and discount rates

Social Determinants of Health (SDoH) are the non-medical but highly critical mileau of experiences and environments which can drive health care needs and spending. From a public health and cost control point of view, it is a fancy way of saying that if basic life needs are not met, individuals are likely to have complex […]

Florence is coming

Now it is time to worry and activate hurricane preparation plans if you live anywhere north of the Georgia/South Carolina line to Delmarva Pennisula:   Hurricane #Florence Update, 4pm: Mid-day models continue to be unanimous: Florence is on track to landfall in the Carolinas on Thursday, likely as a Cat 4. Longer-range models are still […]

Florence prep

The latest “Key Messages” from the 11am advisory update from @NHC_Atlantic. Tropical Storm #Florence is expected to gather strength and become a major hurricane as it approaches the eastern seaboard of the US. Still too early to forecast direct impacts across central #NCwx. pic.twitter.com/pCJp0ofb38 — NWS Raleigh (@NWSRaleigh) September 8, 2018 Florence looks likely to […]

Mining the Silver Lode At Health Affairs

At the Health Affairs Blog, Andrew Sprung and I try to figure out the differential impact of Silver-Loading Cost Sharing Reduction (CSR) costs into premiums and messaging/outreach environment on enrollment. We find a couple of different things. Enrollment gains due to Silver Loading is a 200-400% Federal Poverty Level (FPL) event Aggressive and well funded […]

Work requirements working as intended

Arkansas has instituted Medicaid work requirements.  A subset of Medicaid beneficiaries have to report monthly online their work or work-search or community engagement activities. September 5th was the end of the third reporting period. They are working as their advocates have intended.   Over 4,500 #AR #Medicaid enrollees just lost coverage. This is first cohort […]

Escher has nothing on healthcare

The New England Journal of Medicine** publishes a doctor’s lament on practice restrictions: Many strategies for the containment of medical costs have emerged from systems of managed care — gatekeeping by a primary care physician, prior authorization and utilization review, assumption of financial risk through capitation payments to the provider with financial disincentives for hospitalization […]