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Mostly about the ACA: Obamacare to Trumpcare to Bidencare.

Saturday, January 31, 2015

When employers drop coverage: Two brokers' perspectives on the individual market in the ACA era

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I am shopping an article (update - it's up on SHRM.org) that looks at how small businesses that provide employees with health insuranc...
1 comment:
Thursday, January 29, 2015

HHS expected *more* low-income ACA buyers to select silver plans

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In my multi-stage exploration of the data on ACA private plan buyers' metal level selections, I have been pleasantly surprised to deter...
Tuesday, January 27, 2015

Will Republicans now learn to hate Medicare payment reform?

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HHS and CMS yesterday announced a major expansion of efforts to move Medicare payments away from fee-for-service and toward so-called valu...
Friday, January 23, 2015

The ACA provision that should kill King, updated

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[Update, 1/23: The ACA provision discussed below, which directs the federal as well as state exchanges to report to the Treasury tax credit...
Wednesday, January 21, 2015

Bronze ACA plans are skimpy, but compared to what?

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As a relative newbie to the wonderful world of U.S. health insurance, I have been troubled by the skimpy coverage of the lowest-tier bronze...
3 comments:
Tuesday, January 20, 2015

How is the ACA affecting employer-sponsored insurance?

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I am working on a reported piece that looks at how employer-sponsored insurance (ESI) is changing and how it compares to insurance offered ...
Sunday, January 18, 2015

Reagan Revolution rollback

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Here's how Matt O'Brien, the Washington Post/Wonkblog economics reporter, characterizes Obama's new tax proposals: The stat...
Wednesday, January 14, 2015

Maryland's low income ACA customers benefit from Connecticut's site design

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Maryland's ACA exchange was a disaster last year, so the state started over, creating a freely offered clone of the highly successful C...
Tuesday, January 13, 2015

If King is upheld, what will Congress do?

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Congressional Republicans, who have promised and failed to come up with a legislative alternative to the Affordable Care Act for five year...
1 comment:
Saturday, January 10, 2015

Stuck with Billy Pilgrim

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When I was very little, I watched all or part of a movie on TV -- I think with a babysitter -- that I remember as a kind of combination wes...
Friday, January 09, 2015

The ACA: Good policy, tough politics

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Three charts may explain in part why the ACA is working as designed, improving life in America, and hurting Democrats politically. First,...
4 comments:
Thursday, January 08, 2015

In Rhode Island, low-income ACA buyers chose silver

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From Rhode Island comes fresh evidence that a very high percentage of lower-income private plan buyers nationwide who bought silver plans, ...
Wednesday, January 07, 2015

The ACA's invisible deductible discounts

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The healthcare Twittersphere was riveted yesterday by Robert Pear's spotlight on Harvard professors up in arms about comparatively mode...
Tuesday, January 06, 2015

Not quite the Harvard plan, but....

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The NYT's Robert Pear reports that Harvard profs are up in arms because a small deductible and copays have been added to the universit...
Sunday, January 04, 2015

In which Obama rhetorically contains the Islamic State

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Remember the brouhaha late last summer over Obama's rapidly evolving language with respect to the aim of military action against the I...
Thursday, January 01, 2015

Tapped out in Kentucky, cont.

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Yesterday, I took a look at what induced David Elson, a 60 year-old advanced diabetic in Louisville, Kentucky earning $28,000 "in a go...
3 comments:
Wednesday, December 31, 2014

Tapped out in Kentucky: Back story to an ACA hardship case

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It's not quite an iron rule, but it's a fair bet: When a newspaper reports an Obamacare hardship tale, involving someone who's ...
2 comments:
Friday, December 26, 2014

On bronze-smithing the ACA

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A couple of days ago I wrote about three conservative ways to change the ACA that would arguably increase viable options for individuals, ...
Wednesday, December 24, 2014

How conservatives might amend (rather than destroy) the ACA

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The Affordable Care Act is by any rational assessment a conservative plan to expand access to healthcare -- relying in large part on priva...
Sunday, December 21, 2014

New data: health exchange design matters

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Why was there such huge variation among states in the proportion of ACA private plan buyers in the first open season who bought bronze plan...
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About Andrew Sprung

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I'm a freelance writer focused mainly on the unfolding drama of Affordable Care Act implementation and health reform more generally.
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