Adrianna McIntyre (@adrianna.bsky.social)

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Adrianna McIntyre (@adrianna.bsky.social)

Adrianna McIntyre (@adrianna.bsky.social)

@onceuponA

I study administrative burdens in health insurance coverage, strategies to reduce these barriers, and the politics of health reform also @adrianna.bsky.social

Boston Katılım Ocak 2010
435 Takip Edilen20K Takipçiler
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Adrianna McIntyre (@adrianna.bsky.social)
When we talk about health insurance premiums, we typically frame them as financial burdens, because they often are! But—absent auto-pay—paying premiums is also a hassle, and I had this nagging question: what do tiny premiums do to enrollment? We try to answer that here. 🧵
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Leora Horwitz
Leora Horwitz@leorahorwitzmd·
The Agency for Healthcare Research and Quality has just officially canceled nearly all of its grant mechanisms, and awarded only ONE new grant last year. Congress, you appropriated $202M in FY26 for #AHRQ research grants - tell HHS to act as you directed! grants.nih.gov/grants/guide/n…
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Loren Adler
Loren Adler@LorenAdler·
Helpful explainer to compare the MedPAC & CMS estimates of coding intensity, accounting for the new risk adjustment model's implementation: healthaffairs.org/content/forefr…
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Matt Fiedler
Matt Fiedler@MattAFiedler·
In a letter to the editor, @ben_ippolito and I argue that the federal government spends much more to cover a beneficiary via Medicare Advantage than via traditional Medicare, contra the WSJ's recent editorial. Link: wsj.com/opinion/the-hi…
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Adrianna McIntyre (@adrianna.bsky.social)
@adamcancryn SEO game is on point, I searched "kennedy restructure hhs" four minutes ago looking for headlines from months ago about the proposed MAHA/AHA reorg and this was the second result
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Adam Cancryn
Adam Cancryn@adamcancryn·
News: The White House is shaking up the top-most ranks of HHS, as it takes tighter control of the dept’s priorities ahead of the midterms. CHRIS KLOMP will be HHS senior counselor and the new de facto chief of staff, alongside 3 other new sr counselors cnn.com/2026/02/12/pol…
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Brian Blase
Brian Blase@brian_blase·
@onceuponA You realize that this is completely at odds with the president’s commitment to not increase subsidies to health insurers. And it is just patently unserious given all the fraud and waste in the ACA exchanges. Plus the huge price tag.
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Adrianna McIntyre (@adrianna.bsky.social)
Happy ninth birthday to this headline. The closest we have to a Trump health care plan is OBBBA, which is projected to increase the number uninsured by 10 million over the next decade while increasing the deficit by over $3 trillion.
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Adrianna McIntyre (@adrianna.bsky.social)
It has been pointed out to me that I should be using a different set of 2025 numbers for a cleaner comparison (as of Jan. 4, 2025, not as of Jan. 15, 2025). The SBM/FFM difference holds/is more pronounced: a 4.3% decline in FFM states compared to a 1.8% decline in SBM states.
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Adrianna McIntyre (@adrianna.bsky.social)
You have to exclude Illinois, which transitioned to SBM this year. But if my quick back-of-the-envelope estimates are right, we're talking about a decline of 6.6% in FFM states compared to 3.8% in SBM states, which is pretty sizeable on a relative basis.
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Adrianna McIntyre (@adrianna.bsky.social)
An observation about the new open enrollment numbers: The decline from 2025 appears to be more pronounced among FFM states than among those with state-based marketplaces. Not necessarily surprising; some SBMs worked to at least partially shield enrollees from premium increases.
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Adrianna McIntyre (@adrianna.bsky.social)
Weedy but important: Even "effectuated enrollment" counts shared in a few weeks or months won't shed light on this. Those autorenewed with the same carrier as the prior year are considered to have effectuated enrollment, even if they did not pay their January premium.
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Adrianna McIntyre (@adrianna.bsky.social)
Note that this would number would *include* people who were auto-renewed but declined to pay their January premium. The full fallout will play out over months, but the earliest we'd have any data on nonpayment-related attrition — because of the 3-month grace period — is April.
Larry Levitt@larry_levitt

The federal government has announced that 22.8 million people have signed up for ACA marketplace coverage for this year, down 1.5 million from last year with enhanced tax credits expiring. The coverage loss will likely grow as people don’t actually make their premium payments.

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Larry Levitt
Larry Levitt@larry_levitt·
If you want to focus on insurance company overhead and profit, Medicare Advantage is the market that stands out as an outlier.
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Jake Sherman
Jake Sherman@JakeSherman·
🚨BREAKING — 3 year extension of Obamacare subsidies passes the house. 17 Rs in favor. List coming shortly.
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Loren Adler
Loren Adler@LorenAdler·
CBO: clean 3-year extension of ACA premium tax credit enhancements would lead to: • $80.5 billion in ↑ deficits • 4 million more ppl with health insurance in 2028 • ↓ gross premiums The subsidies also further ↓ net OOP spending for enrollees. cbo.gov/system/files/2…
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