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 …
Medicaid expansion in North Carolina?
The North Carolina state House Republicans have introduced a bill to expand Medicaid in the state. It is an interesting bill that models a committment to draft a waiver that will include work requirements. I wonder if there is a deal to get a one year traditional expansion in quickly that the governor wants and …
Carve-outs, uprates and the bad old days
Wonkblog at the Washington Post has a good graphic on the typical distribution of healthcare spending in this country. It is super concentrated, and it has almost always been super-concentrated. This is the key challenge for an insurance based system of health care finance. Most people don’t use a lot of resources in a given …
Carve-outs, uprates and the bad old daysPost + Comments (10)
Is there a there there (New AHCA amendment edition)
The House Rules Committee introduced a new amendment to the AHCA this morning. What does it do and does it matter? SEC. 2205. FEDERAL INVISIBLE RISK SHARING PROGRAM. (a) IN GENERAL.—There is established within the Patient and State Stability Fund a Federal Invisible Risk Sharing Program (in this section referred to as the ‘Program’), to …
Is there a there there (New AHCA amendment edition)Post + Comments (12)
Individualized risk adjustment and process flow failures
There has been an idea floating in the background of health policy to allow for insurers to underwrite policies against medical history but subsidize people based on their medical history. MVP: If insurers are permitted to risk rate, the premiums for the healthy will fall and more healthy people will voluntarily buy insurance – let’s …
Individualized risk adjustment and process flow failuresPost + Comments (13)
Good News for People Who Love Bad News
And now for some more bad news via the New York Times reporting on the Centers for Disease Control: One in 10 pregnant women in the continental United States with a confirmed Zika infection had a baby with brain damage or other serious birth defects, according to the most comprehensive report to date on American …