• Menu
  • Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

Before Header

  • About Us
  • Lexicon
  • Contact Us
  • Our Store
  • ↑
  • ↓
  • ←
  • →

Balloon Juice

Come for the politics, stay for the snark.

Whoever he was, that guy was nuts.

A dilettante blog from the great progressive state of West Virginia.

T R E 4 5 O N

If senate republicans had any shame, they’d die of it.

Consistently wrong since 2002

Incompetence, fear, or corruption? why not all three?

Is it irresponsible to speculate? It is irresponsible not to.

A democracy can’t function when people can’t distinguish facts from lies.

Republicans do not pay their debts.

Presidents are not kings, and Plaintiff is not President.

Accountability, motherfuckers.

An almost top 10,000 blog!

Too often we confuse noise with substance. too often we confuse setbacks with defeat.

We’ve had enough carrots to last a lifetime. break out the sticks.

Second rate reporter says what?

We are aware of all internet traditions.

“More of this”, i said to the dog.

I did not have this on my fuck 2022 bingo card.

The willow is too close to the house.

Come on, man.

All your base are belong to Tunch.

Republican obstruction dressed up as bipartisanship. Again.

A Senator Walker would also be an insult to reason, rationality, and decency.

My years-long effort to drive family and friends away has really paid off this year.

Mobile Menu

  • Winnable House Races
  • Donate with Venmo, Zelle & PayPal
  • Site Feedback
  • War in Ukraine
  • Submit Photos to On the Road
  • Politics
  • On The Road
  • Open Threads
  • Topics
  • Balloon Juice 2023 Pet Calendar (coming soon)
  • COVID-19 Coronavirus
  • Authors
  • About Us
  • Contact Us
  • Lexicon
  • Our Store
  • Politics
  • Open Threads
  • War in Ukraine
  • Garden Chats
  • On The Road
  • 2021-22 Fundraising!
You are here: Home / Anderson On Health Insurance / Eligibility frictions and data sharing

Eligibility frictions and data sharing

by David Anderson|  April 1, 20219:13 am| 19 Comments

This post is in: Anderson On Health Insurance

FacebookTweetEmail

I want to highlight two very interesting little stories that are quite valuable in how we can conceptualize our interactions with government and the social safety net.

First, the Wall Street Journal reports on how the IRS will deal with the ARA’s tax exemption of the first $10,200 in unemployment income:

 

News: Today the IRS updated its guidance on the new tax break for $10,200 of unemployment-payments.

The agency says it will automatically redo the taxes of people who already filed and send refunds–if any–starting in May. https://t.co/cggl7F3NFy

— Laura Saunders (@Saunderswsj) March 31, 2021


Secondly, Maryland is looking to expand the reach of their health insurance data sharing for outreach and enrollment purposes:

Groundbreaking bill moving forward in MD! HB1002, w/lead sponsors @LCharkoudian & @SenRosapepe, just passed Senate unanimously, soon going to governor. Lets UI claimants check box, share info with health exchange to get free or low-cost health insurance. First in US! pic.twitter.com/9lOm6gQFg3

— Stan Dorn (@standorn) March 30, 2021

Multiple levels of government have a whole lot of data on us. Multiple levels of government share a whole lot of routine financial data on residents who are accessing one part or another of the social safety net. Government bureaucracies know the eligibiltiy rules of various programs usually far better than the typical American as the bureaucracy is the organization that drafts the implementation rules and then builds up the knowledge by repeated doing of how things work while an individual citizen is often facing an interaction with little to no lived experience.

Shifting administrative burden to the state as described by Herd et al in a 2013 Public Administration Review article massively lowers transaction and hassle costs of accessing benefits that individuals are legally eligible for but may not have been able to navigate through a thicket of complex regulations, varying definitions of income and different redetermination periods.

Instead, a state can use the data that it already has through a triggering event such as filing and being determined eligible for an unemployment claim to connect individuals to the services that they are eligible for. The IRS is taking on the administrative burden of revising tax returns and likely sending out revised refunds instead of asking taxpayers to figure out a potentially complex tax change that occurred in mid-filing season. Maryland currently allows people to opt-in to a data sharing program between the state insurance marketplace and state tax authorities to increase health insurance enrollment. The proposed unemployment tickler is, again, in response to a mid-year change where anyone who is UI eligible for a week or more will be deemed to be earning 138% federal poverty level and thus eligible for a zero premium CSR-94 silver plan for the rest of the year.

Over the next several years, quite a bit of the Biden Administration’s efforts could conceivably be made on reducing administrative burden by having the professionally staffed entities that have deep subject area expertise and the relevant data interconnections share that data to make reasonable assumptions about comprehensive program eligibility and respond to unusual and odd circumstances on a systemic basis. I think states will be more likely to engage in these types of behaviors when the parts of the social safety net are mostly if not entirely federally funded but again, I think reducing administrative burden in the ACA markets is likely to have larger impacts than adding modest subsidies.

FacebookTweetEmail
Previous Post: « Thursday Morning Open Thread: Another Big Biden Deal
Next Post: Elections Have Consequences Open Thread: And There Was Much Rejoicing… »

Reader Interactions

19Comments

  1. 1.

    raven

    April 1, 2021 at 9:18 am

    Whoa!

  2. 2.

    guachi

    April 1, 2021 at 9:24 am

    IRS employees are going to need a big raise for all the mess the COVID bills have caused.

  3. 3.

    stinger

    April 1, 2021 at 9:37 am

    I’ve never understood why individuals have to fill out tax returns since the govt calculates it anyway and will send me a check/demand more payment based on ITS calcs and not mine.

  4. 4.

    Ken

    April 1, 2021 at 9:45 am

    @stinger: What I’ve heard is that the tax-prep and tax-software companies lobby heavily against having the IRS compute our taxes, and absolutely no one lobbies for the idea.

    As a minor factor, they don’t have all the information for people who itemize, but I’d be willing to enter that much in an IRS website or app each year.

  5. 5.

    David Anderson

    April 1, 2021 at 9:54 am

    @Ken: Right, there is a strong lobby for complexity as that means paid help is needed.

    I would bet that the IRS can do 80% of peoples’ taxes based solely on administrative data and get the amount within 1% or 2% of optimal.

    That would be a massive win if everyone got a pre-populated 1040 with the option of accepting as is or updating with itemization and odd-stuff.

  6. 6.

    OzarkHillbilly

    April 1, 2021 at 10:01 am

    @David Anderson: Oooopps, repeat tweet up top.

  7. 7.

    TomatoQueen

    April 1, 2021 at 10:03 am

    Erm. As nobody who goes through the system understands the first time, or even the second, eligibility standards in federally-operated benefit systems are not all the same. First obvious example is the VA vs Social Security disability(my job). The VA disability standards, determination processes, and procedures are not the same as Social Security’s, in spite of what you’d like to think, and the one does not determine eligibility in the other (SSA spends a lot of energy on this). SSI and Medicaid are NOT portable from state to state (this causes a lot of trouble all the time, including death). The states may do their safety net stuff with some comparability, but in some cases, say New York vs Connecticut, rules and benefits are very different.  As to data sharing–years ago SSA told NIH to fuck right off with their demands and assumptions about direct access to SSN data on the Master Death List. I’d like to see more reciprocity along the order of the Interstate Compact (child support), but it’s still going to be a heavy lift.

  8. 8.

    Cheryl Rofer

    April 1, 2021 at 10:07 am

    @David Anderson: And now we will have an example to point to of how the government can do our taxes for us.

  9. 9.

    stinger

    April 1, 2021 at 10:12 am

    @Ken:

    Of course! Someone’s making money off it!

  10. 10.

    Another Scott

    April 1, 2021 at 10:13 am

    Good post and great points.

    I always do our taxes, and I (somehow) usually end up calculating that we owe more than we do. (I blame J’s stock dividends and the convoluted capital gains stuff.) The IRS always refigures the taxes and makes adjustments that show up a few weeks later.

    I think there’s even a check box on the 1040 form “I request that the IRS calculate my taxes for me” or some such. Of course, 90% of the work is collecting the data and putting it in the right places on the forms – not the math. But, still. The IRS has all the data except for the charity deductions, they should just do the figuring and paperwork for us automatically. As you say, the administrative burden on people is usually much more aggravating than the actual taxes.

    Don’t get me started on the Virginia income tax form. If filing jointly, one has to figure taxes as a couple, then in order to claim a measly $259 credit for both taxpayers working, one has to figure the taxes for each individual separately. It’s infuriating…

    Cheers,
    Scott.

  11. 11.

    Cowboy Diva

    April 1, 2021 at 10:26 am

    There are a couple of challenges for universal automatic calculation of individual income taxes: there are a LOT of self-employed people in this country, and the IRS collects not only income taxes from them but also their FICA taxes. Quarterly tax payments help with that but those aren’t mandatory and even then there are industries (e.g., farming and fishing) where a year-over-year recalculation is allowed. The other joy of the IRC is the amount of social engineering that has been shoe-horned into it: the child tax credit and the earned income tax credit do a great deal to bring people (especially those with children) out of poverty, but let’s be honest. Giving away money is exactly the opposite of taking money, and asking one agency to do both can be schizophrenic, even before you suggest the computations be completely systemic. It doesn’t help that the same agency has to monitor due diligence for the rest of the federal government, and it’s easier to audit an individual claiming EITC/CTC funds than any tax liability determined by a member of the 1%, but that’s a different rant.

  12. 12.

    Omnes Omnibus

    April 1, 2021 at 10:34 am

    @Another Scott: The IRS has all the data except for the charity deductions,

    Not true.  They don’t know filing status, number of dependents, medical expenses, or any about self-employment.  In addition, they are unlikely to know the cost basis of any capital assets you might sell during the year (even if the proceeds are reported to them).  That’s just off the top of my head.

  13. 13.

    Ken

    April 1, 2021 at 10:40 am

    @Another Scott: in order to claim a measly $259 credit for both taxpayers working, one has to figure the taxes for each individual separately. It’s infuriating…

    But I’ll bet Virginia saves a lot of money, because people don’t bother claiming the credit.

  14. 14.

    Another Scott

    April 1, 2021 at 10:47 am

    @Omnes Omnibus:  Well, if you want to get technical about it…

    Cheers,
    Scott.

  15. 15.

    dnfree

    April 1, 2021 at 10:55 am

    You’re not just the health coverage and policy guy, you’re also the administrative burden and friction guy.

  16. 16.

    David Anderson

    April 1, 2021 at 11:28 am

    @dnfree: My health insurance coverage work over the past few years is going into an administrative burden and behavioral economics perspective.  I’ve definitely evolved over the past several years away from pricing uber-alles to a more nuanced view of the consumer choice process which means really getting into the weeds of choice structures and choice frictions.

    Right now, I have 3 papers I’m working on at some stage of development that are pure behavioral econ, another couple of papers that are fuzzy on anything that resembles micro-foundations of economic behavior, and a lot of descriptive work on quality and market entry.

    The work that has been deeply engaging to me (zero premium and dominated plans) are really admin burden and choice complexity papers.  Those are fun :)

  17. 17.

    JaneE

    April 1, 2021 at 1:14 pm

    When I retired my company provided Cobra information, and conversion information for my health insurance, one was expensive but no change to coverage and the other was cheaper but came with different benefits and co-pays.  Using unemployment signups would do the same for temporary layoffs and offer cheaper coverage options with possible subsidies.  I can’t see a down side for the person collecting benefits, and a lot of potential benefit.  It must be socialism at work.

  18. 18.

    dnfree

    April 1, 2021 at 1:52 pm

    @David Anderson: well, I for one am enjoying it!

  19. 19.

    David Anderson

    April 1, 2021 at 2:03 pm

    @dnfree: This might be tomorrow’s post as putting together how my thinking has changed over time is likely to be valuable.

Comments are closed.

Primary Sidebar

🎈Keep Balloon Juice Ad Free

Become a Balloon Juice Patreon
Donate with Venmo, Zelle or PayPal

2023 Pet Calendars

Pet Calendar Preview: A
Pet Calendar Preview: B

*Calendars can not be ordered until Cafe Press gets their calendar paper in.

Recent Comments

  • Kay on COVID-19 Coronavirus Updates: Monday / Tuesday, Jan. 30-31 (Jan 31, 2023 @ 8:07am)
  • eclare on On The Road – BigJimSlade – Hiking in the Alps, Chamonix and Grindelwald 2022 (Jan 31, 2023 @ 8:02am)
  • eclare on On The Road – BigJimSlade – Hiking in the Alps, Chamonix and Grindelwald 2022 (Jan 31, 2023 @ 8:01am)
  • Amir Khalid on COVID-19 Coronavirus Updates: Monday / Tuesday, Jan. 30-31 (Jan 31, 2023 @ 8:01am)
  • New Deal democrat on COVID-19 Coronavirus Updates: Monday / Tuesday, Jan. 30-31 (Jan 31, 2023 @ 8:01am)

Balloon Juice Posts

View by Topic
View by Author
View by Month & Year
View by Past Author

Featuring

Medium Cool
Artists in Our Midst
Authors in Our Midst
We All Need A Little Kindness
Favorite Dogs & Cats
Classified Documents: A Primer

Calling All Jackals

Site Feedback
Nominate a Rotating Tag
Submit Photos to On the Road
Balloon Juice Mailing List Signup

Front-pager Twitter

John Cole
DougJ (aka NYT Pitchbot)
Betty Cracker
Tom Levenson
TaMara
David Anderson
ActualCitizensUnited

Shop Amazon via this link to support Balloon Juice   

Join the Fight!

Join the Fight Signup Form
All Join the Fight Posts

Balloon Juice Events

5/14  The Apocalypse
5/20  Home Away from Home
5/29  We’re Back, Baby
7/21  Merging!

Balloon Juice for Ukraine

Donate

Site Footer

Come for the politics, stay for the snark.

  • Facebook
  • RSS
  • Twitter
  • YouTube
  • Comment Policy
  • Our Authors
  • Blogroll
  • Our Artists
  • Privacy Policy

Copyright © 2023 Dev Balloon Juice · All Rights Reserved · Powered by BizBudding Inc

Share this ArticleLike this article? Email it to a friend!

Email sent!