Gabriel McGlamery
mcglamery.bsky.social
Gabriel McGlamery
@mcglamery.bsky.social
Health insurance policy wonk, lawyer, pragmatist, risk adjustment enthusiast, and pathological optimist. I’m here for individual market issues and cute dog pictures.
All opinions and messages are my own.
@kff.org needs annual PUF Of The Year Awards for great Public Use Files.

They can give out Puffy Awards so agency staff know we appreciate and depend on their work.

@cynthiaccox.bsky.social
@larrylevitt.bsky.social
@charlesgaba.com
@pahlkadot.bsky.social
September 24, 2025 at 3:50 PM
Risk Adjustment Epiphany!

I’ve heard concerns about higher-risk insurers getting overcompensated in states with 1332 waiver reinsurance programs. But when I compared risk transfers to difference-in-claims in 1332 waiver states, they looked accurate.

I just realized why!

1/2
February 19, 2025 at 12:31 AM
I’m just going to post this pic of another table that’s almost done.

Meanwhile I have a box of mechanical keyboard PCBs, switches, soldering tools, LEDs, processors, all in various stages of assembly.
February 12, 2025 at 10:50 PM
Reposted by Gabriel McGlamery
Open Enrollment is over (in most states) so I finally had time to transition! Let’s go Blue Sky!
January 19, 2025 at 10:01 PM
Reposted by Gabriel McGlamery
Thank you @mcglamery.bsky.social for these masterpieces #kffdogs
January 10, 2025 at 3:07 PM
Since ChatGPT was rolled out the only thing I wanted was to use it to make art that has my dogs in it. I finally got what I wanted.
January 8, 2025 at 8:25 PM
Why didn’t anyone tell me the 2023 MLR PUF was posted? Despite its faults, it is my absolute favorite Public Use File! Time to update some scatter plots!

www.cms.gov/marketplace/...
Medical Loss Ratio Data and System Resources | CMS
The Affordable Care Act requires health insurance companies to disclose how much they spend on health care and how much they spend on administrative costs, such as salaries and marketing. If an insura...
www.cms.gov
January 6, 2025 at 1:47 PM
Can we call enhanced ACA premium subsidy proposals “ARPternatives”?

Oh, and I still think HIMAA, fixing ACA age bias, is a good idea.

www.congress.gov/bill/116th-c...

@cynthiaccox.bsky.social @charlesgaba.com @louisenorris.bsky.social @dmaanderson.bsky.social
www.congress.gov
November 23, 2024 at 2:55 PM
“SVI had significantly better discriminative performance…than ADI…”

There are certainly caveats and context for those that want them. But someone said they wanted more oddly specific arguments in their social media. @jamesleckie.bsky.social @cynthiaccox.bsky.social
ADI and SVI often get discussed as potential forms of risk-adjustment. Important work out this month in
@jamacurrent.bsky.social surgery led by Dr. KimRollingsPhD
demonstrates how they stratify quite differently for surgical outcomes. #SurgSky #MedSky #healthpolicy jamanetwork.com/journals/jam...
November 22, 2024 at 9:45 PM
My wife said Kababa means “little prince” in Swahili. Her friend said it means “spoiled man-child”. Both are totally appropriate for an 8lb dog with 200lb of confidence and entitlement.
November 22, 2024 at 4:16 PM
We have a special guest star that we are puppy sitting - and the emphasis is on “puppy”. She was up at 5am trying to find someone to play with.
November 22, 2024 at 2:45 PM
Headed home from Rise Risk Adjustment Forum, where I try explain ACA risk adjustment, what’s wrong, and how to make it less wrong.

The frenchie, Bear, stole the show. Didn’t say much about health policy, but he looks like a wiggly loaf of bread. Nobody can compete with that.
November 19, 2024 at 3:55 PM
Hazel, aka, The Ginger Fairy. She is shy, but wants to be a ballerina when she grows up. We believe in her!
November 19, 2024 at 3:45 PM
Benny, AKA Kababa, looking like a dandelion, a derp, and a wolf.

Fun fact - Kababa is the main character in the story that is our lives.
November 19, 2024 at 3:42 PM
Rocky P Mitten, AKA Master P, looking like a cartoon.
November 19, 2024 at 3:40 PM