If you need health insurance, now is a great time to start shopping. It’s open enrollment season on healthcare.gov and state insurance exchanges.
If your family income is below 400% of the federal poverty level (about $105k for a family of four), you can get subsidies to help you pay your premiums.

If you earn more, prices are down this year in many markets.
If your monthly income is below 133% of the poverty level--possible if you just lost your job--you can qualify for Medicaid in most (but not all) states. If you think that's you, your best bet is going right to your state's Medicaid enrollment site.
If you're not sure what you qualify for, healthcare.gov is a great first stop.
Picking the right insurance plan can be hard. If you're not sure what's right for you, here are a few ideas:

1) Peruse this delightful flow chart: nytimes.com/2016/11/02/ups…
2) Talk to a local broker or a nonprofit assister. Here's a list: localhelp.healthcare.gov

You can filter results if you just want to look at one type of helper. Brokers and agents may be most helpful if you don't qualify for subsidies. Assisters may be better if you do.
An advantage of shopping on healthcare.gov is that all the plans there have to follow the same rules--they protect people with preexisting conditions, and cover the same set of basic benefits. "Metal" tiers, like silver or gold, tell you how generous the plans are.
If you're shopping on the phone or on another site, make sure you know what you're buying. So-called "short-term" plans can be cheaper that Obamacare-complaint plans, but they tend to have more benefit holes. nytimes.com/2018/08/01/ups…
The enrollment window is relatively small for Obamacare plans, so shop now if you need insurance now.

But if you lose your coverage because you lose your job outside the enrollment period, you can still sign up then.

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More from @sangerkatz

1 Nov
The yarn store would like you to vote. nytimes.com/2020/10/31/ups…
And Craigslist would like you to vote. And Peace Tea. And Framebridge. And Snapchat. And the deli would also like you to vote. nytimes.com/2020/10/31/ups…
There have always been companies and groups dedicated to voter turnout. But if these messages seem more ubiquitous to you this year, you’re not wrong. nytimes.com/2020/10/31/ups…
Read 5 tweets
29 Oct
The Trump administration finalized a really interesting and potentially consequential policy today: Requiring insurers to tell you what your health care is actually going to cost in advance. cms.gov/CCIIO/Resource…
If you are surprised that you can't already learn these prices, perhaps you haven't been to the doctor in a while. Real prices for health care services are typically kept secret from patients until the bills come. And they can range widely. nytimes.com/2019/04/30/ups…
This is one of a bunch of rules the administration has finalized that aim to improve the transparency of health care prices. A similar, related rule, that asks hospitals to publish negotiated prices, is now the subject of litigation. nytimes.com/2020/06/23/ups…
Read 14 tweets
22 Sep
The real toll of Covid-19 is even higher than 200,000. Between mid-March and late August, 259,000 more Americans have died than would in a normal year. nytimes.com/interactive/20… @DeniseDSLu @jshkatz
The statistics in this article are based on CDC estimates for *all* deaths, so they don't depend on the availability of covid tests or the accuracy of death certificate reporting.
Not all of these deaths are necessarily from the virus itself. But they appear to be related to the pandemic and the ways it is changing our lives and health.

The regional patterns in deaths from all causes are tracking the movement of virus outbreaks across the country.
Read 7 tweets
21 Sep
There’s a big Obamacare challenge being argued before the Supreme Court right after the election. Here’s a primer on how it might go, now that Ginsburg has died. nytimes.com/2020/09/21/ups… with @sarahkliff
A few things of note.

Several people we spoke with said that this case may not split along the usual lines. Even though Obamacare itself is a partisan issue, the underlying legal questions don't divide the court ideologically.
nytimes.com/2020/09/21/ups…
If there is no new justice in time, and the court splits 4-4, that means the case has years more litigation to go. This case is unusual for SCOTUS, because the appellate court didn't decide the case. If its ruling stands, that means the trial judge will need to start over.
Read 7 tweets
18 Sep
The White House and Pharma were *this close* to a deal to lower Medicare drug spending by $150 billion over 10 years. But it blew up because the White House wanted to mail discount cards to Medicare beneficiaries before the election. nytimes.com/2020/09/18/us/… @jmartNYT @maggieNYT
Pharma balked at "Trump cards," which is why the president, for the second time, signed an executive order that says it will lower Medicare drug prices to the lowest price paid by foreign countries. whitehouse.gov/presidential-a…
As you may remember, the president signed such an order in July, too. But the White House never published the order in the Federal Register, as required by law. nytimes.com/2020/08/24/us/…
Read 9 tweets
8 Sep
Let’s go back in time to consider the performance of various epidemiological models for the shape of the coronavirus epidemic. nytimes.com/interactive/20… @qdbui @ParlaP @jshkatz Image
@qdbui @ParlaP @jshkatz Looking at the charts in this article should make you wary about:
1) Relying too much on the precision of any one model.
2) Assuming any of these models can look out more than a few weeks in the future.
3) The IMHE model in particular.
@qdbui @ParlaP @jshkatz You can look at the outputs from a large number of epi models here: cdc.gov/coronavirus/20…
Read 4 tweets

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