#PAPER #ACCEPTED

Awesome grad student led the project and I was able to provide some support, insight and chocolate

Can't wait to see if go to press.

*Takes a deep inhale like the guy singing Teenage Dirtbag*

🎶That's just some path dependency baby🎶

🎶You can't just easily change institutions baby🎶

🎶You're just a constrained actor like everyone else oooooooo🎶

Structural things are structural, Argentina edition

Is ONeil Cruz actually putting things together in a coherent offensive package or is this just a hot streak

Do HDHP adaption change birth rates?

Is Danish Concrete relevant?

www.journals.uchicago.edu/doi/10.1086/...

Inverse problem on health policy for Republicans

JUST NO.... THAT IS NOT HOW THAT WORKS AT ALL......

Among the items both chambers of the SC legislature are agreeing on in their budgets: raising starting K-12 teacher salaries in SC to $50,500 & freezing in-state tuition at the University of South Carolina for the 8th straight year!

First three responses in the snark response draft are some variant of "Of course, this is a good point" OR "Yeah, this makes sense...." OR "Damnit, they're right how did I miss that...."

The 28th Virginia battle flag is a Confederate battle flag that belonged to the 28th Virginia Infantry Regiment. Captured by the 1st Minnesota Infantry Regiment at the Battle of Gettysburg, the flag was brought to Minnesota and exhibited at the state's capitol for several years before passing into the permanent collection of the Minnesota Historical Society after 1896 where it has remained since.

Happy Confederate Surrender Day from Minnesota where we still have your goddamn flag and we’re not giving it up.

en.wikipedia.org/wiki/28th_Vi...

a despicable me character is standing in front of a full moon Alt: a despicable me character is standing in front of a full moon

PAPER #ACCEPTED

Lead author is an awesome 2nd year grad student and I had the pleasure and joy of being the senior author on a piece that integrates my interests in the #ACA and the interests of her and several other colleagues on #SubstanceUseDisorder

a cartoon of the seven dwarfs from snow white and the seven dwarfs standing next to a tree . Alt: a cartoon of the seven dwarfs from snow white and the seven dwarfs standing next to a tree .

#ReviseAndResubmit on a dissertation paper

All reviewers were hyper thoughtful, a couple of method thoughts I need to think through but the question/reasoning makes sense. Lots more explaining needed but I have word count.

#ACA
#Silverload

Armageddon delayed long enough to find out what is in Trump’s health plan.

Lots of limits, we only look at 1 year and product design cycles are multi-year with even longer contracts that shape product. There were also a premium stabilization demonstration in 2025 but the big thing in this research funded by PCMA Foundation is insurers will respond to benefit changes
7/7

We were surprised at the network and high tier drug results. We saw no change in utilization management nor did we see any significant change in pharmacy network sizes.

I was surprised by this result.

6/7

So we look at deductibles, and utilization management and formulary composition and pharmacy network sizes

Deductibles in 2025 were higher than 2021-2024 trend in both #MedicareAdvantage and #StandAlonePlans ⬆️

Premiums were lower ⬇️
Smaller formularies for low tier and protected drugs ⬇️

5/7

But insurers might not want to run, but they can dodge risk and that is what we looked at.

We know from Lavetti and Simon that insurers can tweak formularies, Geruso and Layton that insurers select for profitable folks
Cai shows plan designs attract differentially by health on same AV

4/7

Insurer Exits After the Inflation Reduction Act Part D Redesign This cross-sectional study examines the number of beneficiaries affected by insurance plans exiting the market following the Inflation Reduction Act redesign of Medicare Part D.

Several other researchers have done a great job describing other insurer reactions to the IRA

Cai et al described insurer exits from the market jamanetwork.com/journals/jam...

More recently Meiselbach et al showed large #MedicareAdvantage exits 10.1001/jama.2026.0028

3/7

We know that Cost Sharing is capped at $2000 MOOP for Part D and that the reinsurance for high cost drugs changed dramatically.

This shifts risk around a lot and could plausibly influence benefit design as insurers have to manage new risk and new costs. Either dodge, narrow or run.

2/7

Health Affairs Journal

🎈🎈🎈NEW RESEARCH 🎈🎈🎈

With Sarah Petry PhD Matt McEnany & @kellyanderson.bsky.social

We looked at the impacts of #Medicare Part D changes on plan design and features in 2025 due to the #InflationReductionAct in #HealthAffairs
www.healthaffairs.org/doi/full/10....

Insurers have agency
1/7

Disheveled bear exits cave after hibernation

Gus exited his cave this morning and we accidentally started a new religion.

Sites for the 2027 NCAA Mens Basketball Tournament with opening round games in both Charlotte NC and Pittsburgh PA

I think I know what I am doing next March

Glad to see the World Medical & Health Policy journal’s publication of my analysis with @hjarman.bsky.social on the tariffs’ harmful effects on health, examining tariffs’ intersection with SNAP, WIC, and beyond. onlinelibrary.wiley.com/doi/10.1002/...

my parents on the moon launch

mom: why are they going to the moon

dad: same reason we go to your brother in Australia- some people like going very far away to a place where you die if you go outside

South Carolina upsets defending champion UConn to advance to women's NCAA Tournament title game: Live updates and reaction The Huskies’ 54-game winning streak and bid to repeat as national champions came to an end against the Gamecocks

From @theathletic.com: South Carolina upsets defending champion UConn to advance to the women's NCAA tournament title game.

A full disc image of Earth, as seen from the Orion Crew Module. The planet is a pale blue, swirling with white clouds and glowing slightly lighter blue in place from reflected light. At lower left, a large brown landmass is Africa, with Spain and Portugal with twinkling lights where the planet curves. At top right, auroras glow in a thin green glow, just barely separated from the planet's surface. Earth is set against the black of space (pic: NASA/R.Wiseman)

More context on this #Artemis II image:

* This is the night side, lit by moonlight. You can see city lights in Spain & Portugal, & a sliver of day at lower right

* The Sun is entirely behind Earth, which makes it a kind of solar eclipse, but w/ Earth doing the eclipsing instead of the Moon:
☀️🌍🚀🌕

Weird things happen at Waffle House

Iran Imposes New ‘Cash, Grass, Or Ass’ Fee For Strait Of Hormuz

Iran Imposes New ‘Cash, Grass, Or Ass’ Fee For Strait Of Hormuz

Got take the little wins with a nice surprise