Kevin Drum flagged a good Wall Street Journal article on how low interest rates will probably lead to higher medical malpractice insurance premiums. Over the past year, several major insurers have notified tens of thousands of people of higher costs to keep their policies in force, with increases ranging from midsingle-digit percentages to more than …
A policy analysis question
Later on today, I’m meeting up with two referees to go to Middle of Nowhere State College for a soccer game tonight. One of my colleagues is a public policy post-doc at the local policy school and the other is a business prof focusing on economic development issues. I work with this crew once or …
A note on Colorado Care
I’m still trying to get my head around the Colorado Care single payer initiative. One of the big questions is how would it be financed and a subquestion is how would the 1332 Wyden State Innovation Waiver apply as well as how 1115 Medicaid waivers would move funds. Yes, your eyes should glaze over here …
Teens these days
Via the Incidental Economist a fascinating study from the Journal of Adolescent Health that attempts to decompose the reasons behind the continual slow down in the teen birth rate. Teenagers are having just as much sex at the end of the study period as at the beginning. They are just having much smarter and safer …
Risk adjustment overcharging
Public Integrity has a good report on Medicare Advantage over-coding. The Center for Medicare and Medicaid Services (CMS) conducts annual audits of Medicare Advantage carriers to see if the chart data supports the diagnosis codes that build a case that a member is more expensive and needs a bump payment from CMS to make the …
Meaningful difference, APTC Hacking and optimization problems
The loose meaningful difference regulation produces some desirable, from Center for Medicare/Medicaid Services (CMS) point of view, outcomes. The biggest positive outcome from CMS’s point of view and the point of view of PPACA supporters is a good Congressional Budget Office (CBO) score. The subsidies are based on the price of the second lowest Silver. …
Meaningful difference, APTC Hacking and optimization problemsPost + Comments (3)
From Silver Spam to Silver Gap — APTC Hacks
A Tweep sent me word that Blue Cross and Blue Shield is engaging in a Silver Gap strategy in rural Georgia. @wcsanders even better zip code 30503 is currently a Silver Spam zip code — Richard Mayhew (@bjdickmayhew) August 26, 2016 I went to Health Sherpa to look at what is currently being offered in …
From Silver Spam to Silver Gap — APTC HacksPost + Comments (6)