“If you have a problem with car thieves in your community, the policy solution is not to make cars more expensive for residents to buy,” @sabrinacorlette.bsky.social said.
www.politico.com/news/2025/12...
Apropos of nothing except every other news article
It sure would have been nice to have AI to talk about identification strategies with in grad school. It is SO good at this!
@adrianna.bsky.social @michalhorny.bsky.social @coveredca.bsky.social @markmeiselbach.bsky.social @mattdeisenberg.bsky.social @steveparente.bsky.social @davidslusky.bsky.social @tradeoffs.org
Sorry if I missed you not sure who's on here these days!
Do you have a paper on health insurance policy in the Marketplace, MA, or group markets that you would like to present @ashecon.bsky.social in a panel with @dmaanderson.bsky.social @paulshafer.bsky.social sky.social and me? If so, please shoot me an email or DM!
❗NEW RAPID POLICY ANALYSIS RESEARCH ❗
With @colemandrake.bsky.social & Dylan Nagy we analyzed the affordability implications of the new 9/4/25 announcement that all individuals with incomes >250% FPL can purchase CATASTROPHIC plans in the ACA
academic.oup.com/healthaffair...
1/4
Tagging those who might be interested
@charlesgaba.com @louisenorris.bsky.social @xpostfactoid.bsky.social @dmaanderson.bsky.social @adrianna.bsky.social @dgorenstein.bsky.social @coveredca.bsky.social @cynthiaccox.bsky.social @kffhealthnews.org @kff.org @emily-gee.bsky.social
TLDR: Direct subsidies to <200% FPL enrollees where cost effectiveness is highest at increasing coverage. Returns diminish substantially above that point, and state budgetary constraints increase.
~10 states are now supplementing federal premium subsidies, yet no prior study has examined the best way to do this to maximize coverage. Using data from Maryland, we find that subsidies targeted to lower income enrollees are most cost effective.
🔥NEW WORKING PAPER ALERT🔥
Efficient Subsidy Targeting in the Health Insurance Marketplaces with @markmeiselbach.bsky.social & Dan Polsky, supported by @commonwealthfund.org & AHRQ.
We study how states can efficiently allocate supplemental marketplace premium subsidies
arxiv.org/abs/2510.13791
Decreasing the cost of purchasing coverage and reducing administrative burdens should lead to a substantial increase in zero claim enrollees
balloon-juice.com/2025/08/18/z...
#HealthPolicy
#ACA
😆
The latest Pitt HPM newsletter did a nice profile of the work that my colleague @colemandrake.bsky.social and I do on administrative burdens in health insurance, and why this is such an important area of health policy to understand. (No bias whatsoever.) heyzine.com/flip-book/77...
On the folly of relying too heavily (and overly narrowly) on OHIE — well-tread ground if you were on health policy Twitter in 2013
Glad @citizencohn.bsky.social posted this response letter when WSJ would not
www.thebulwark.com/p/one-big-de...
Hard to overstate how useful this resource is.
A few more fiddly Marketplace policies didn't make it into the Senate bill (e.g., SEP verification requirements) — probably because of Byrd concerns — but most consequential policies (including ending automatic re-enrollment with subsidies) remain
It’s possible to just help people.
New paper out with Andrew Anderson, @laurasamuel.bsky.social, and Kali Thomas in
@jamahealthforum.bsky.social on "Medicare Advantage Part B Premium Givebacks and Enrollment"
jamanetwork.com/journals/jam...
@bsph-hpm.bsky.social @johnshopkinssph.bsky.social
More below.
Another day, another reviewer at a major medical journal rejecting my difference-in-difference study because of time-invariant differences between treated and control groups
New RESEARCH with @colemandrake.bsky.social @dludwinski.com Sarah Avina and Dylan Nagy in @jama.com #HealthForum
Examining #ZeroPremium plan turnover leads to less re-enrollment and more active choices to plan switch
jamanetwork.com/journals/jam...
The editorial boards of seven leading health econ journals are taking a stand today against political influence and ideological attacks on peer review and academia. No matter what you study we want to see your scholarship and will NEVER collaborate with suppression. Please repost.
turns out the GOP budget bill adds so much to deficits that it will automatically trigger cuts to Medicare (not just Medicaid).
Older voters unlikely to be happy about this when word gets out
democrats-budget.house.gov/news/press-r...
Latest House bill text includes another blow to the ACA, ending “silver loading.” That would increase premiums by $350 for a hypothetical family. Here’s why: www.brookings.edu/articles/und...
Republicans have given up on repealing “Obamacare,” but apparently they are still interested in significantly cutting it. Buried in reconciliation, provisions producing at least a 1/3 reduction in marketplace enrollment:
Also if they weren't "pausing" a regulation that makes it easier for elderly and disabled people to dually enroll in Medicare and Medicaid.
This policy is projected to result in 1.3 million fewer such people getting extra financial assistance from Medicaid to help pay for their meds and care.
If there is one thing to know this week, it’s this: The combined impact of proposed #Medicaid changes, reduced premium tax credits, and the establishing of new enrollment barriers would erode ACA coverage gains to the tune of 13.7 million more Americans being uninsured by 2034.
#Section1332 #Reinsurance #ACA waivers would become much more expensive for states in a no #Silverload scenario
@colemandrake.bsky.social @egolberstein.bsky.social @dludwinski.com @adrianna.bsky.social
@standorn.bsky.social @charlesgaba.com
balloon-juice.com/2025/05/08/s...
New today @healthaffairs.bsky.social w/ @dmaanderson.bsky.social, Naomi Zewde, and Adam Biener on how states can implement #BasicHealthPlan to continue offering quality, affordable coverage to low income subsidized Marketplace enrollees. @commonwealthfund.org
www.healthaffairs.org/content/fore...
Well these are the most appropriate and reasonable award winners in the history of award winners. Congrats! @johnmullahy.bsky.social @edwardnorton.bsky.social
