Yesterday, we briefly talked about Delaware receiving approval for a 1332 reinsurance waiver. This waiver will reduce non-subsidized premiums. It will make insurance for folks earning above 400% FPL more affordable. State regulators expect a 20% decline in premiums. Some of that decline is from the state funding and some of it is from reduced […]
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
Delaware just had their ACA Section 1332 reinsurance waiver approved by the Center for Medicare and Medicaid Services (CMS). This plan is one of two flavors of public re-insurance for the ACA market. This flavor is the external money flavor. In it, an external source of state based money is added to the pool of […]
Samual Trachtman’s fascinating paper** on the feedback loop between political polarization and ACA premiums just got released by the Journal of Health Politics, Policy and Law (JHPPL). The headline finding is fascinating on multiple levels: Insurers have increased marketplace premiums at higher rates in areas with more Republican voters. In the preferred model specification, a […]
Health Services Research has selected an article by Coleman Drake and Jean Abraham that I then commented on for a visual abstract. This all should be familiar to Balloon-Juice readers: This is mathed up Balloon-Juice and my obsession on silver spread games that insurers can play to choose their own markets. The more competitive a […]
The big problem in US healthcare spending is that we don’t spend enough on social services and as social services can act as an upstream substitute of expensive medical services. This is a core assumption of the social determinants of health argument. A new article in Health Affairs by Irene Papanicolas and others explodes this […]