I wonder if we can think about #ZeroPremium #ACA plans as a de facto back door subsidy to full premium paying Off-Exchange enrollees as ZP pulls in a lot of low to no claim enrollees which drops average risk and average premium
@colemandrake.bsky.social @adrianna.bsky.social
It's rare but not unheard of for companies to provide #ZeroPremium #HealthInsurance to employees. But that doesn't mean it's free. #EmployeeBenefits
CP3's @colemandrake.bsky.social co-authored a study that found losing automatic reenrollment into a #ZeroPremium plan on HealthCare.gov caused a quarter million people to become uninsured.
www.upmc.com/media/news/0...
@dmaanderson.bsky.social @dludwinski.com
Millions of HealthCare.gov participants face coverage loss due to burdensome reenrollment policies medicalxpress.com/news/2025-05... #AutomaticEnrollment #ZeroPremium #Marketplace #Reenrollment #HealthInsurance #AffordableCareAct #CoverageLoss
Why does this matter?
Administrative frictions are hyper common tripping points. #ZeroPremium plans reduce frictions. #AutomaticReenrollment reduce frictions.
Little things trip people up.
The House Reconciliation bill installs massive amounts of friction that will lead to disenrollment.
New RESEARCH with @colemandrake.bsky.social @dludwinski.com Sarah Avina and Dylan Nagy in @jama.com #HealthForum
Examining #ZeroPremium plan turnover leads to less re-enrollment and more active choices to plan switch
jamanetwork.com/journals/jam...
How many insurers are offering cash cards with unrestricted usage on #ZeroPremium #ACA plans?
I heard an ad this afternoon offering de facto neg premium plan -- this is #ODD
balloon-juice.com/2024/08/12/c...
#ACA
#HealthPolicy
@adrianna.bsky.social @colemandrake.bsky.social
Trying to frame out my "Where have I been" and the "Where am I going" chunks of my job talk today
I think this is a good way of thinking about where I have been
Some papers can be double-counted (APM and Medicaid for instance) and others are just single topics #ZeroPremium #NothingMattersALot