Chaos Revisited: What's New In The Health Insurance Marketplace?

Source: Daily Kos

For those interested in keeping track of the ever moving (and one might say disintegrating) health insurance marketplace, one great place to follow is Austin Frakt and Aaron Carroll's webpage entitled the Incidental Economist. Recently, they have published a number of fascinating articles related to contemporary health policy and health insurance markets.

1. Administrative actions that "improve/confuse/destruct" (you choose) health insurance markets.

2. Why adding work requirements to Medicaid eligibility will neither pass a cost-benefit test nor appreciably change the number of people covered by Medicaid.

3. An illuminating discussion, presenting in video form by Aaron Carroll, of how the CBO re-estimated the annual cost of funding CHIP (Children's Health Insurance Program) and found that it declined from $8 billion to $800 million as a result of the tax policy changes passed in December.

4. In the spirit of the exchange that Bill and I highlighted in our talk to the Fox Valley League of Women Voters, in "Above 400% FPL is SOL," Nicholas Bagley illuminates how those individuals or families who earn more than 400% of the Federal poverty line and can't attach themselves to a large group for purchasing health insurance, face premiums (and probably high deductibles) that absorb a huge percentage of their income. In short, their contribution is not capped at 9.7% of income as is the case for those who qualify for premium tax credits under the ACA.

5. Finally, Bill Gardner explains why the notions of population health and evidence-based medicine hide much more than they reveal.