Relevant and even prescient commentary on news, politics and the economy.

Income Uncertainty and ACA marketplace Application

by Andrew Sprung xpostfactoid Brian Blase, a conservative healthcare scholar at the Paragon Institute, is out with an analysis of 2024 ACA marketplace enrollment (summarized in this WSJ op-ed) claiming that millions of enrollees have mis-estimated their incomes to claim benefits to which they are “not entitled.” Here are the core claims: In nine states (Alabama, Florida, Georgia, […]

An Upcoming White House Decision May Jeopardize Americans’ Access to Life-Saving Drugs

I have been picking up more healthcare commentary which depicts the difficulty in providing healthcare at a sustainable cost. This brief commentary depicts one of the problematic issues for people. I believe this sentence makes the issue very clear. Copay accumulators are programs health plans use to prevent copay assistance from counting toward patients’ deductibles […]

Biden Administration Proposes Rule To Ban Medical Debt From Credit Reporting 2

by Sheela Ranganathan, Maanasa Kona Health Affairs There is a growing interest among policymakers to protect patients from medical debt and its negative downstream effects, in April 2023. Three of the three credit reporting agencies (CRAs)—Equifax, Experian, and TransUnion voluntarily agreed to stop reporting any medical debt under $500. In April of this year the Consumer […]

Large Percentage of Rural Hospitals Are at Risk of Closure

What if you had an accident and the closest Emergency Room was over 30 minutes away or what if you were sick and there were no physicians or hospital beds in your community? Millions of Americans are facing this situation because rural hospitals are being forced to close. Why More Than 30% of Rural Hospitals […]

The Cost of Delivering Rural Emergency Department Services

This is the boring stuff on healthcare. How to consider the costs of a rural emergency department care in a small rural hospital when it is not in constant use? And what happens when the population is small and the costs equal or exceed the funds taken in by its operation. The article provides a […]

What difference did the COVID vaccine and masking make in the US?

The US economy appears to be emerging from the recent recession (pace the Fed interest rate decisions). There’s a general consensus that that recession was largely caused by the COVID-19 pandemic and consequent supply chain disruptions. What lessons might be learned on how to maximally blunt the impact of future pandemics while minimizing negative economic […]