I'm a research associate at Duke University Margolis Center. I used to be Richard Mayhew, a mid-level bureaucrat at UPMC Health Plan. I started writing here and have not found a reason to stop.
It is becoming clear that there is a strategy to hamstring and hamper the ACA so there will be less public opposition to repeal because the law won’t be seen as delivering any benefits. But the hamstringing and hampering will not be great acts that immediately cripple the Exchanges but instead, small jabs and lances […]
Please RT: NC Senator Burr on fence about Devos nomination and instructing interns to count constituent responses. Call 202-224-3154. — Pamela Alexander (@jeditigger) January 26, 2017 Let’s politely destroy his voice mail box.
The Boston Globe is reporting on some very interesting news: The state agency that spends more than $2 billion a year to provide health coverage to 436,000 public employees, retirees, and their families is pushing changes that would allow it to slash what it pays the most expensive hospitals, a drastic move to try to […]
This is a follow-up from yesterday’s post on the pragmatic barriers to effective and equitable individualized risk adjusted subsidies in a risk-rated individual market. There is another major problem, claims and diagnoses don’t come in instantly. Individual providers/hospitals/physician groups do not have a universal timeline to file claims. My kids’ pediatrician files claims within two days and […]
The Healthcare Blog has a great interview with Mark Pauly. One part made me laugh, all of it made me think long and hard through multiple states on my drive back to North Carolina. There is one part that left me scratching my head that I want to work through a bit here. Here […]
From last night’s very long live blog of my first read through of Cassidy-Collins, there are two comments I really want to highlight: First from Archteryx: Admittedly, my view on this is strictly selfish, but it does have some larger utility. “Does this kill me?” is pretty much how I judge any Potemkin Village “replacement”. […]
Actuaries love dealing with risk. Actuaries hate dealing with uncertainty. Their tool kit of creating well structured problems with defined probability distributions and parameters falls apart when dealing with uncertainty. Barry Ritholtz had a good discussion on this distinction in 2012 regardin the stock market and political risk: When we don’t know what any future […]
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