Entries by David Anderson

If that is what you say it is, I love it this summer

The New York Times reports on the ongoing exhumation of the festering boil of fraud that is Trump and the Trump administration: New York State regulators have issued an expansive subpoena to the Trump Organization’s longtime insurance broker, the first step in an investigation of insurance policies and claims involving President Trump’s family business, according […]

Silver or Gold benchmarks

Aang asked a great question in comments yesterday: How difficult would it be to make the benchmark plan the second cheapest gold plan? Would it be worthwile? Seems it would give bigger subsidies and less cost sharing for those who don’t qualify for CSR. This is an important question because there is a wide variety […]

Industry’s proposal to use CSR

Late last week, the Blue Cross and Blue Shield Association released a three page proposal to for an ACA 2.0 bill. This proposal identifies the biggest issues as not enough young people in the pool, idiosyncratic risk and premiums being too high for folks who currently are not eligible for premium subsidies. The pay-for is […]

New Dems and revisiting Alexander-Murray

The New Democratic Coalition wants to revive Alexander-Murray again. Modern Healthcare has the details: The 101-strong New Democrat Coalition wants to fund reinsurance and cost-sharing reduction payments in a package that closely resembles the deal struck last Congress by Senate health committee leaders Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.)…. To prod leadership into action, […]

Medicaid Partial Expansion and the Counterfactual

What is the counterfactual? That is the critical question in evaluating any policy. What are the policy outcomes being compared against? Is the counterfactual current law/current guidance of the law? Is the counterfactual current local policy? Is the counterfactual something else? These are all valid counterfactuals for a variety of questions. Choosing one counterfactual over […]