Michal Horný's Avatar

Michal Horný

@michalhorny.bsky.social

Assistant Professor of Health Policy and Management at @umassamherst.bsky.social * Health care affordability * Private insurance * Patient cost-sharing * Price transparency * Medical billing * (personal account)

830 Followers  |  709 Following  |  99 Posts  |  Joined: 29.10.2023  |  1.742

Latest posts by michalhorny.bsky.social on Bluesky

Annual premium of $26,211.60, plus $8,000 deductible, plus co-insurance (most likely 20%). That is brutal!

29.10.2025 13:33 — 👍 1    🔁 0    💬 0    📌 0

Important: this is exactly how propagandists operate.

15.10.2025 18:25 — 👍 772    🔁 393    💬 15    📌 17

Postdoc @emilydore.bsky.social @hsph.harvard.edu provided an interview to @healthyfutures.bsky.social discussing the findings of this study, highlighting the importance of social policy design for improving #healthequity. www.healthyfutures.blog/p/how-social... @rwjf.org @policies4action.bsky.social

08.10.2025 18:19 — 👍 6    🔁 2    💬 0    📌 0

This is why we fund scientists to study things like oyster slobber even if you don’t think it sounds important

30.09.2025 22:34 — 👍 17023    🔁 6430    💬 165    📌 96

Contrary to what Trump is saying, there is a “down side” to separating MMR into three separate vaccines. That’s three unnecessary office visits and three unnecessary copays.

This type of policy puts up more barriers to vaccination.

22.09.2025 20:57 — 👍 368    🔁 91    💬 20    📌 4

I’m so sad to hear this! Allan was such a wonderful colleague and mentor, and I am glad I had the honor to work with him. Rest in peace, Allan!

14.09.2025 13:00 — 👍 4    🔁 0    💬 2    📌 0

Some of y’all forget the reason we have food safety regulations is because companies used to do things like adding chalk to spoiled milk so it looked normal.

Regulations don’t exist because governments enjoy them. They exist because pure unadulterated capitalism would kill us.

08.09.2025 17:02 — 👍 479    🔁 175    💬 13    📌 9

Or Simpson's paradox? Even the metal tiers are *groups* of plans...

10.08.2025 00:53 — 👍 0    🔁 0    💬 0    📌 0
A screenshot of the abstract of the article.

A screenshot of the abstract of the article.

Our new study shows that policy changes to the Temporary Assistance for Needy Families (TANF) program that increased access during the COVID-19 pandemic increased breastfeeding: tinyurl.com/ycxpf2cn
@ritahamad.bsky.social @hsph.harvard.edu @pamherd.bsky.social @urbaninstitute.bsky.social

08.08.2025 15:12 — 👍 5    🔁 2    💬 1    📌 0
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Our latest study @jamahealthforum.com shows the harms of work requirements for safety net programs. Women who were subject to harsher requirements and who received less cash assistance from TANF were less likely to breastfeed. jamanetwork.com/journals/jam... @donmoyn.bsky.social @hsph.harvard.edu 1/

08.08.2025 16:18 — 👍 88    🔁 31    💬 1    📌 4

I imagine “design hell” as place where all signs are written in rainbow-colored 3D Comic Sans font, and all bathrooms have the terrible design described above 👆

01.08.2025 11:29 — 👍 0    🔁 0    💬 0    📌 0

The designer who created the terrible (but now ubiquitous) design of public bathrooms where the faucet, soap, and hand dryer are all hidden behind a mirror (so everyone has to bend over to find where these things are) should be sentenced to life in design hell.

01.08.2025 11:29 — 👍 2    🔁 0    💬 1    📌 0
Preview
Trump Administration Puts New Chokehold on Billions in Health-Research Funding The National Institutes of Health can’t award grants to outside researchers under a new White House restriction.

NEW
The White House is blocking the NIH from awarding new research grants for the rest of the fiscal year

Chokes off billions in research funding

Gift link www.wsj.com/politics/pol... with @nidhisubs.bsky.social

29.07.2025 23:58 — 👍 544    🔁 380    💬 39    📌 114
01.07.2025 05:35 — 👍 501    🔁 108    💬 21    📌 2
10:30am:

"Brevard County Sheriff Sheriff Wayne Ivey: "If you throw a brick, a firebomb, or point a gun at one of our deputies, we will be notifying your family where to collect your remains at, because we will kill you graveyard dead."

10:49am:


law enforcement officials say they made a proactive check at Rep. Hortman's home after a lawmaker who lived nearby was shot and found a "police vehicle in the driveway with emergency lights and what appeared to be a police officer at the door coming out of the house." He was actually the gunman.

10:30am: "Brevard County Sheriff Sheriff Wayne Ivey: "If you throw a brick, a firebomb, or point a gun at one of our deputies, we will be notifying your family where to collect your remains at, because we will kill you graveyard dead." 10:49am: law enforcement officials say they made a proactive check at Rep. Hortman's home after a lawmaker who lived nearby was shot and found a "police vehicle in the driveway with emergency lights and what appeared to be a police officer at the door coming out of the house." He was actually the gunman.

Jesus.

The juxtaposition of these two posts back to back is just...

14.06.2025 15:06 — 👍 17277    🔁 6200    💬 474    📌 371
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BREAKING: A few minutes ago, a vehicle of three people was rammed by a truck belonging to federal immigration authorities in Boyle Heights, CA. According to security footage shown to me, they deployed chemical munitions & detained the driver at gunpoint. All are US citizens according to the wife.

11.06.2025 18:00 — 👍 34414    🔁 17029    💬 2252    📌 2505
Shitbag tweet: Illegal in Hawthorne, California, is arrested for deportation. Angry protesters demand ICE releases her because she’s pregnant.

Being pregnant doesn’t exempt women from following the law.

And if this pregnant woman cared at all about her baby she would’ve self-deported.

Shitbag tweet: Illegal in Hawthorne, California, is arrested for deportation. Angry protesters demand ICE releases her because she’s pregnant. Being pregnant doesn’t exempt women from following the law. And if this pregnant woman cared at all about her baby she would’ve self-deported.

A pregnant U.S. citizen went to the hospital after immigration agents detained her
Cary López Alvarado, who's nine months pregnant, said that after being released from immigration custody she experienced sharp stomach pains and was hospitalized.

A pregnant U.S. citizen went to the hospital after immigration agents detained her Cary López Alvarado, who's nine months pregnant, said that after being released from immigration custody she experienced sharp stomach pains and was hospitalized.

Turns out the "illegal" pregnant woman was a US citizen, and she's since been hospitalized.

11.06.2025 18:34 — 👍 1695    🔁 568    💬 26    📌 45
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Does it matter when patients don’t speak the same language as their physician, especially in critical situation such as ICU stays? It does! They tend to be admitted longer.

Come check out my @umassamherst.bsky.social colleague’s (David Chin) poster A-283 at @academyhealth.bsky.social

08.06.2025 13:07 — 👍 3    🔁 2    💬 0    📌 0

Let's try it! If you're (a representative of) an innovative health plan or a large self-funded employer, DM me!

04.06.2025 17:17 — 👍 1    🔁 0    💬 0    📌 0
Preview
an older woman wearing glasses is sitting at a table with a caption that says " looks like a win win " ALT: an older woman wearing glasses is sitting at a table with a caption that says " looks like a win win "

Advantages for patients: financial predictability, increased access to care, reduced medical debt, and empowerment to make better value-based care decisions.

Advantages for health care providers: improved revenue collection and reduced administrative burden.

04.06.2025 17:17 — 👍 1    🔁 0    💬 1    📌 0
Preview
a man says " very accurate information " in front of a blue background ALT: a man says " very accurate information " in front of a blue background

Episode-based cost-sharing would provide patients with
a prospectively guaranteed out-of-pocket cost amount for a defined episode of care. There would be no unexpected surcharges if a patient were to experience complications.

04.06.2025 17:17 — 👍 1    🔁 0    💬 1    📌 0

🚨🚨🚨 New white paper on Episode-based cost-sharing 🚨🚨🚨
Unpredictable out-of-pocket costs are a major problem for BOTH patients AND providers. When patients can't afford to pay unexpectedly high medical bills, it means that health care providers are not getting paid.

vbidhealth.com/wp-content/u...

04.06.2025 17:17 — 👍 1    🔁 1    💬 1    📌 0
Preview
Claim Denials: Low-Income Patients From Disadvantaged Racial And Ethnic Groups Experienced The Largest Burdens | Health Affairs Journal Insurance claim denials are a common source of administrative burden, especially for patients with private health insurance. Contesting denied claims requires considerable investment from physicians a...

"Patients with household incomes less than $50,000 annually were least likely to have denied claims contested and, conditionally, have cost-sharing obligations reduced."

www.healthaffairs.org/doi/10.1377/...

03.06.2025 08:21 — 👍 19    🔁 10    💬 1    📌 0
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Are politicians who mismanage a public health crisis held accountable in the next election cycle?

No, not really. People don’t seem to remember or care.

(Štěpán Jurajda, @cerge-ei.bsky.social, at Public Health Conference & Policy Forum, Prague, Czechia)

02.06.2025 10:39 — 👍 3    🔁 1    💬 0    📌 0

It seems like someone’s scared of peer review.

28.05.2025 13:00 — 👍 5    🔁 1    💬 0    📌 0

🤯🤯🤯

23.05.2025 18:54 — 👍 0    🔁 0    💬 0    📌 0

The land of the free

22.05.2025 19:24 — 👍 0    🔁 0    💬 0    📌 0

This is the stuff of authoritarian regimes. There isn't even the pretense that this is anything but persecution, unbound by law.

22.05.2025 18:06 — 👍 380    🔁 120    💬 8    📌 4

The original House bill would have led to about 10 million more uninsured people, according to CBO. The amended version that passed would lead to more people losing health insurance. If this bill gets enacted, it would represent the biggest rollback in federal support for health care ever.

22.05.2025 13:48 — 👍 123    🔁 81    💬 8    📌 7

Weird how we don’t have discussions of work requirements for the substantial government subsidies of employer-sponsored insurance for spouses and dependents, either…

21.05.2025 01:51 — 👍 22    🔁 4    💬 0    📌 0

@michalhorny is following 20 prominent accounts