One of the projects I’m working on is simulating the patient’s cost of treatment for several types of diseases with multiple clinical pathways. We’re assuming the patient is on-Exchange and subsidized at various levels. Part of this research project means we need to categorize every single benefit design. I think I’m done with that part …
CSR non-payment and a silly Silver Gap idea
The Cost Sharing Reduction Sword of Damocles hanging over the Exchanges for 2017. If CSR blows up in before December 2017, the Exchanges are destroyed for 2017. However if insurers assume that CSR will not be paid in 2018, they might have a very strange incentive set that hacks the exchanges in the direction of …
CSR non-payment and a silly Silver Gap ideaPost + Comments (11)
Tell me the story please
I’m guilty of my daily schradenfreude as I fire up Twitter every morning before my coffee for tweets like this: Last 72 hrs:1 Russian hacker arrested in Spain.2 Page had FISA warrant on him. 3 Manafort received $1.2M payment from pro-Putin stooge. https://t.co/FlPPhXkr6R — Michael Ian Black (@michaelianblack) April 12, 2017 Michael Reynolds, in comments …
CSR, hostage taking and the blame game
President Trump is threatening to shoot hostages in order to start negotiations with parties that don’t have significant power: The President now openly admits he's willing to crash the exchanges to force Dems to negotiate on ACA. Unacceptable. https://t.co/uVnhPts9mf pic.twitter.com/KemWqMo97p — Rachel Sachs (@RESachs) April 12, 2017 The Cost Sharing Reduction subsidies are at dispute. …
Carrier Assumptions for filing
Carriers that want to participate in the Exchanges need to make very strong assumptions for their actuaries in the next couple of weeks. What will actuaries assume if 2018 CSRs aren't decided by April 30. "That it's not getting paid and we price accordingly." 11 — Andy Slavitt (@ASlavitt) April 6, 2017 This is the …
Healthcare and KS-04
A loss can contain very useful information. Kansas-04 is such a loss. Last week, Dems outperformed president margin in CA-34 by +19. Tonight, outperforming in KS-04 by +22. There's a signal in all this noise. — Matt McDermott (@mattmfm) April 12, 2017 There are half a dozen tactical decision making fights going on Twitter that …
Trust Issues
Here is the United Airlines video of them dragging a paying passenger off the plane as they did not want to spend more than $800 to correct for their own mistake in overbooking the flight: United is about to catch a nice healthy lawsuit after this one. pic.twitter.com/YmjO1W1p6I — Evan (@evanlefft) April 10, 2017 And …