1: This is it. This is everything. Next week, Trumpcare will live or die. And it depends on you. Some resources follow in this thread => https://t.co/B3pHCd309i — Topher Spiro (@TopherSpiro) May 26, 2017 We know the AHCA is horrendous policy. We know the AHCA is extraordinarily unpopular. We know that it is unpopular even …
Have that conversation
We’re all going to die someday. Let’s talk about how you as an individual want to die. Some people won’t make the choice. They will be slicing onions in the kitchen and suffer a massive cerebral hemorrhage that will effectively kill them before they are on the ground. Most of us will have time to …
Hidden good news in the Blue Cross Blue Shield of North Carolina rate filing
Blue Cross and Blue Shield of North Carolina just filed their initial rates for the ACA individual market for 2018. The headline will be that they are asking for a 22.9% average rate increase. The second headline is that they assume that Cost Sharing Reduction subsidies will not be paid. That assumption drives 61% of …
Hidden good news in the Blue Cross Blue Shield of North Carolina rate filingPost + Comments (12)
Care costs money
The most important concept in health finance is simple; sick people are expensive to cover. Let’s keep that in mind for the rest of the post. The Independent Journalism Review captures the reaction of Rep. Mark Meadows (R-NC), head of the House Freedom Caucus, to the CBO score. When reporters pointed out the portion of …
How the CBO projects market failure
The Congressional Budget Office projects that the AHCA will lead to 15 % of the population living in destablized insurance markets because of the MacArthur/Upton amendments. he agencies estimate that about one-sixth of the population resides in areas inwhich the nongroup market would start to become unstable beginning in 2020. That instability would result from …
States, single payer and recessions
New York and California are both advancing single payer plans through their legislatures. I have a lot of questions. They both assume incredible waiver authority will be given to them. These hypothetical waivers would direct federal program funding** to a state operated pass through entity to pay for healthcare. But each of these proposals will …
ACHA review
Here are a few lowlights of the AHCA Congressional Budget Office score. I’ll try to keep this non-technical. Medicaid is still getting changed from an entitlement that is responsive to changing needs to a block grant 23 million people will lose coverage compared to current law projections The MacArthur/Upton waivers are expected to destroy the …