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)

804 Followers  |  698 Following  |  96 Posts  |  Joined: 29.10.2023  |  2.0019

Latest posts by michalhorny.bsky.social on Bluesky

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 — 👍 1    🔁 0    💬 1    📌 0
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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 — 👍 547    🔁 387    💬 39    📌 119
01.07.2025 05:35 — 👍 508    🔁 111    💬 22    📌 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 — 👍 17429    🔁 6274    💬 485    📌 377
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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 — 👍 34782    🔁 17269    💬 2292    📌 2554
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 — 👍 1711    🔁 576    💬 27    📌 46
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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    💬 1    📌 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
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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
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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 — 👍 384    🔁 122    💬 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 — 👍 124    🔁 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
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Patients’ Reported Preferences for Episode-Based Cost-Sharing Models: A Survey Study Episode-based cost sharing (EBCS), defined as prospectively set patients’ cost-sharing obligations for an entire episode of care, is proposed to reduc…

"Health care consumers prefer cost-sharing models that prospectively guarantee out-of-pocket costs for entire care episodes."

www.sciencedirect.com/science/arti...

20.05.2025 20:16 — 👍 0    🔁 0    💬 0    📌 0

All those DOGE "savings" come at a significant cost.

18.05.2025 00:21 — 👍 1    🔁 1    💬 0    📌 0

To be fair, they are cutting health care (just not health care costs).

13.05.2025 15:58 — 👍 1    🔁 0    💬 0    📌 0
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UnitedHealthcare sued by shareholders over reaction to CEO's killing The group of investors alleged that the company misled them by not adjusting its forecast after Brian Thompson's killing.

Investors are suing UnitedHealthcare because "the public backlash prevented [UnitedHealthcare] from pursuing 'the aggressive, anti-consumer tactics that it would need to achieve' its earnings goals."

www.nbcnews.com/business/bus...

09.05.2025 00:46 — 👍 0    🔁 0    💬 0    📌 0

"If this is true, it is concerning evidence..." 🤦‍♂️

06.05.2025 18:08 — 👍 0    🔁 0    💬 0    📌 0

Implement a 100% tariff and ruin a movie

A Hundred Shades od Grey

05.05.2025 14:58 — 👍 0    🔁 0    💬 0    📌 0
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'We're citizens!': Oklahoma City family traumatized after ICE raids home, but they weren't suspects A woman says her family’s fresh start in Oklahoma turned into a nightmare after federal immigration agents raided their home, taking their phones, laptops, and life savings – even though they were …

Please highlight this story.

ICE stormed into the wrong house, trashed the place, and made women/girls stand outside in the rain in their underwear. ICE also stole phones, laptops, and cash savings from the family, who moved to OKC two weeks ago.

kfor.com/news/local/w...

29.04.2025 14:15 — 👍 22207    🔁 13960    💬 1319    📌 2263

Most countries around the world do not have birthright citizenship and so it would probably be some emulation of what they do.

26.04.2025 13:04 — 👍 0    🔁 0    💬 0    📌 0
A new fully online Master of Healthcare Administration program at the University of Massachusetts Amherst

A new fully online Master of Healthcare Administration program at the University of Massachusetts Amherst

My department at UMass Amherst just launched a new, fully online MHA degree program. More info: www.umass.edu/public-healt...

24.04.2025 20:09 — 👍 1    🔁 0    💬 0    📌 0
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Striking stat from @kellycnbc.bsky.social on this:

The rise in treasury yields since Trump’s tariffs were announced leads to an increase in US debt interest payments that is larger than all the DOGE savings.

22.04.2025 13:41 — 👍 2023    🔁 833    💬 53    📌 97

@michalhorny is following 20 prominent accounts