Entries by David Anderson

Actual good news

This is interesting.   Senate Majority Leader Mitch McConnell, a Kentucky Republican, says he will introduce legislation to raise the minimum age to buy tobacco products from 18 to 21, reports @LauraLitvan — Anna Edney (@annaedney) April 18, 2019 Treating all forms of tobacco like alcohol would be a major public health improvement.  The initial […]

2020 Exchange expectations

Insurers are currently preparing their initial rate filings for 2020 right now. Submissions will be due in a few weeks. So what should we expect? I think we should expect stability as the rule set if fairly constant going from 2019 to 2020. Insurers know that the only major potential policy shock is an adverse […]

Public option policy analyis

Robert Camner asked a good, broad question yesterday that I want to respond to: I’d be even more interested in your analysis of whether a public option that is designed to compete with private insurance plans in a standardized manner is (or is not) good public policy, which I would define as “the greatest good […]

Idaho, Medicaid Expansion and optionality

Idaho’s voters passed an unrestricted Medicaid Expansion last November as state law. Idaho’s Republican led legislature passed a convoluted Medicaid Expansion this week. Idaho’s Republican governor signed the convoluted bill on Tuesday. There is a lot going on in the law that requires significant policy waivers from the federal government. Work requirements are de rigeur […]