RT @JoshGray_hcit: Wow: Half the 14 million peopl…

RT @JoshGray_hcit: Wow: Half the 14 million people w individual health insurance market will get a cancellation letter . bit.ly/HA4HeT

@JoshGray_hcit @2healthguru I agree, co-pays are t…

@JoshGray_hcit @2healthguru I agree, co-pays are too often blunt, ineffective, even counter productive tool. Too crude.

RT @JoshGray_hcit: Some observations on Pioneer AC…

RT @JoshGray_hcit: Some observations on Pioneer ACO cost savings results (1/5) on.wsj.com/1aLzulN

@JoshGray_hcit Absolutely, good point. Costs are m…

@JoshGray_hcit Absolutely, good point. Costs are much bigger, long term issue and ACA addresses only on margins.

@JoshGray_hcit @brycewatch Of course, fed mandated…

@JoshGray_hcit @brycewatch Of course, fed mandated benefits and community rating can also push up cost for many too. Depends. (3/3)

@JoshGray_hcit @brycewatch Plus adjust for effect…

@JoshGray_hcit @brycewatch Plus adjust for effect of adj. community rating. Combo of all can signif reduce net cost. (2/3)

@JoshGray_hcit @brycewatch Silver’s actuarial valu…

@JoshGray_hcit @brycewatch Silver’s actuarial value is 70% of EHB but then adjust for premium sub, cost sharing sub (<250%), total OOP cap