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Charles Gaba @charles_gaba
, 3 tweets, 2 min read Read on Twitter
BREAKING: Here’s the actual #RiskAdjustment freeze announcement from CMS which @StephArmour1 and @annawmathews reported on last night: cms.gov/Newsroom/Media…
Total amount of money we’re talking about here: $10.4 billion for 2017.
Here’s where @SeemaCMS falsely tries to pin the blame for their decisions the judge in the New Mexico case, which is utter bullshit according to the experts I’ve heard from so far.
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More from @charles_gaba see all

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⚠️ THREAD: When the dust settles on the 2019 Open Enrollment Period, total enrollments will likely be ~11.4M on exchange, plus perhaps 3M off-exchange. Of the 14.4M total, around 13M (90%) will actually pay their premiums. 1/
Of those 13M people, around 4.2 million will be unsubsidized & have to pay full price...and that full price will average around $49/month higher in 2019 than it would have been if Trump & the GOP hadn't repealed the individual mandate & opened the floodgates on #ShortAssPlans. 2/
This is the case even in states where 2019 premiums are *dropping* in 2019 (or staying flat)...they would have gone down *even more* without those changes. Many of the carriers have stated this specifically in rate filings, w/many including actuarial data to support it. 3/
Read 24 tweets
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🚨 Holy Smokes.
Let me repeat that: 4.2 MILLION currently uninsured Americans could get #ACA-compliant healthcare policies FOR FREE.

(yes, they'd have high deductibles, but they'd include FREE preventative services, such as, blood/drug screenings, mammograms, vaccinations, etc)
THREAD: Here's the full list of FREE preventative services (regardless of deductible) included with every #ACA marketplace policy (as long as it's done in-network): 1/

healthcare.gov/coverage/preve…
--Abdominal aortic aneurysm screening
--Alcohol misuse screening and counseling
--Aspirin use to prevent cardiovascular disease and colorectal cancer =
--Blood pressure screening
--Cholesterol screening
--Colorectal cancer screening for adults 50 to 75
--Depression screening
2/
Read 25 tweets
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⚠️ MICHIGAN: THE POLLS CLOSE IN LESS THAN 48 HOURS. VOTE FOR:
@gretchenwhitmer & @garlin
@SenStabenow
@JocelynBenson
@dananessel
@Bagenstos4MI
@megankcavanagh
@KellyforMSU
@Brianna4MSU
@JordanAckerMI
@GoBlueVoteBrown
@DrKumarMichigan
1/
⚠️ MICHIGAN: THE POLLS CLOSE IN LESS THAN 48 HOURS. VOTE FOR:
#MI01: @MorganForMI
#MI02: @VoteRobDavidson
#MI03: @CathyAlbro
#MI04: @HilliardForCong
#MI05: @DanKildee
#MI06: @MattLongjohn
#MI07: @GDriskell
#MI08: @ElissaSlotkin
#MI09: @Andy_Levin
#MI10: @ElectBizon2018
2/
⚠️ MICHIGAN: THE POLLS CLOSE IN LESS THAN 48 HOURS. VOTE FOR:
#MI11: @HaleyLive
#MI12: @RepDebDingell
#MI13: @RashidaTlaib
#MI14: @RepLawrence

#MISD01: @Stephanielily
#MISD02: @Adamant4Detroit
#MISD06: @EMSGeiss
#MISD07: @DaynaForSenate
#MISD09: @PaulWojno
3/
Read 15 tweets

Related threads

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Since money used to primarily take the form of coins stamped by the government, people just assumed that gov controlled the total amount of money. Seems logical, right? And that assumption has continued.

But it's wrong. Nobody controls the money supply. It's on auto-pilot. (1/n)
First, let's see where most money comes from. While the coins and notes in your pocket did come from the gov (you can tell because they're signed by the Treasury Secretary), most money is actually "bank money," that has no physical form, but only exists on your bank's ledger (2/)
How does bank money get created? There are several ways, but the main one is when banks make loans. For instance, if you draw on a line of credit at your bank, the bank will add dollars to your account, created from thin air. This also happens when you use a credit card. (3/)
Read 16 tweets
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Trump Administration Gives Medicare New Tools to Negotiate Lower Drug Prices for Patients

@drawandstrike @ThomasWictor @HNIJohnMiller @jihadaeon1 @rising_serpent @_ImperatorRex_ @Debradelai @LarrySchweikart

hhs.gov/about/news/201…
Today, delivering on proposals in President Trump’s American Patients First blueprint, HHS announced that Medicare Advantage plans will be able to use tools employed by private-sector insurers to negotiate lower prescription drug prices for patients.
HHS Secretary Alex Azar issued the following statement:

“President Trump promised better Medicare negotiation and lower drug prices for the American people. Today, we are taking an important step in delivering on that promise.
Read 33 tweets
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The Trump administration has issued regulations that pave the way for an expansion of "short-term" insurance plans that can last up to 36 months and don't follow any of the ACA's rules. A few thoughts to follow.
cms.gov/Newsroom/Media…
The short-term plans the Trump administration is expanding can deny coverage to people with pre-existing conditions, do not have to cover the ACA's essential benefits, and can cap coverage on an annual basis.
The Trump administration cannot eliminate the ACA's insurance rules. Instead, they are using short-term insurance plans to create a parallel market of insurance plans that do not have to follow any of the ACA's rules.
Read 17 tweets
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BREAKING: Trump Administration officially suspends ACA risk adjustment payments.

More details in next post. Follow if interested.

cms.gov/Newsroom/Media…
This was the thread I sent last night.

The effect of this would be higher premiums and fewer insurers if not resolved.

The Administration says in its release that it wasn’t a a speedy resolution.
Read 5 tweets
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What the actual hell. Risk adjustment was a permanent feature of the ACA because you can't have a functional regulated insurance market without it.
Risk adjustment is necessary in a market-based insurance system because some plans—maybe because of benefit design, maybe by chance—are going to attract sicker (more expensive) beneficiaries, and shouldn't be punished for that. Punishment encourages cream skimming.

And yet.
The Trump administration may suspend risk adjustment payments—which help stabilize the marketplaces—"because of" lawsuits brought by co-ops in 2016.

CMS refined the risk adjustment formula since the damages claimed in those lawsuits.

Make no mistake, this is more sabotage.
Read 4 tweets
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#BREAKING: @FIU's new pedestrian bridge just collapsed onto SW 8th Street. This company proudly "performed structural monitoring."
#BREAKING: Multiple fatalities reported in @FIU pedestrian bridge collapse. @BDITest just deleted this tweet from 3 days ago in which they said they were "thrilled to have performed structural monitoring" on the project.
#BREAKING: 2 days ago @FIU President Mark B. Rosenberg said in story about new pedestrian bridge now deleted from the school's website “FIU is about building bridges and student safety. This project accomplishes our mission beautifully."
Read 33 tweets

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