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alextheis.bsky.social
@alextheis.bsky.social
Baker, gardener, cook, amateur photographer, special educator, father, husband, son, birder, cat dude. I have limited patience for conspiracy theories and arguments not based in logic. Best evening? A nice bourbon in front of the fire pit.
Reposted
Last week I explained how wonky stuff like #SilverLoading and #PremiumAlignment have been used by some states to significantly *reduce* the price of GOLD and BRONZE plans while simultaneously boosting the amount of federal subsidies which can be used to buy them.

acasignups.net/25/11/06/pre...
Premium Alignment, or how a dozen states are quietly providing ACA enrollees w/better options even in the face of expiring tax credits
I've written multiple times in the past about "Silver Loading," the ACA health insurance policy pricing strategy in which insurance carriers load the extra cost of their Cost Sharing Reduction financi...
acasignups.net
November 12, 2025 at 12:34 PM
Reposted
The Dem-controlled house passed a bill to make them permanent several times before 2021, and a permanent version was included in the original Build Back Better bill.

Manchin said he’d only agree to a 3-year extension so they had to cut it to that to get his vote.
November 12, 2025 at 3:14 AM