Bright Health has some interesting nuggets in its most recent (Aug. 15 2022) 10-Q report. It has questions about its capacity to remain a "going concern"

The first half of the year has losses of $432 million dollars

1/6 2/N Between commercial and Medicare there are about 1.1 million covered lives in Q2-22. That works out to a loss of just over $65 per member per month assuming every covered life has 6 months of enrollment and no attrition. Other estimates likely ups PMPM loss

🚨🚨 NEW RESEARCH ALERT 🚨🚨

@petrasmussen and I have published "When All that Glitters is Gold: Dominated Plan Choice on @CoveredCA for the 2018 Plan Year" in the @MilbankFund Quarterly

We look at consumer choices after #Silverload

TLDR: People are confused

1/13 Dominated choices happen when on all relevant attributes Item A meets or beats Item B.

In a rational framework no one should ever choose Item B as it is dominated by A.

Our research is part of a growing literature that shows many people choose Item B for health insurance

2/N

1/n #ACA Premiums and landscape files are out so here are the first thoughts:

Headline: Gross Premiums down 4% YoY

@dylanlscott @leonardkl @sangerkatz @sarahkliff @bobjherman @caitlinnowens @rachanadixit 2/N Lots of things are happening.

The biggest one is that 2018 was so massively overpriced that 2020 (these rates) are still reflecting that problem. 2 different pricing scenarios get us to the same point with different stories

1/23 Tweetstorm incoming
Congressional Democrats need to realized that #CSR termination is a net enrollment booster on the #ACA.

Riffing on @pauldemko great article about the new Democratic House's health policy oversight and agenda.

The decreased subsidies are CSR. 2/N CSR applies to people earning between 100-250% Federal Poverty Level (FPL) and was designed as a narrow, tightly targeted means tested program to reduce out of pocket expenses. Only applies to people who buy a Silver plan on the Exchange.

1/N Tweetstorm on insurer decisions to fund CSR through premiums or explicit appropriation per #MurrayAlexander

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2/n Florida allowed insurers to build CSR into their premium rates but also required that if CSR was funded/paid insurers to pay back CSR