1332 waivers can lower state average premium.

State average premium is the measure used to scale risk adjustment transfers.

Using external funding to lower premium would cause risk adjustment to under compensate higher-risk issuers, balancing the overcompensation from 1332 reinsurance.

2/2

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

After sanding, painting, and wiring a Dactyl Manuform and soldering various minimalist split keyboards, my hands were hurting a lot and I just broke down and bought a glove80.

The Model F looks nostalgic, but I really can’t go back to unsplit keyboards. Where would I put my sandwich?

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.

Yup.
To put it more politely, the 1980’s shift from sucrose to high fructose corn syrup correlates with our obesity crisis and lower life expectancy.

Solving our obesity crisis by taking drugs is the second most American thing I’ve ever imagined.

These were some of my favorites. Can you spot the one that isn’t AI?

This art deco style portrait of Rocky is the only one that remotely looks like him. It really doesn’t want to give him his underbite or will give him breed-standard characteristics.

I haven’t been able to get a good version of Hazel at all.

It needs some work, but I’ve had the most success with Benny, probably because when he’s well groomed, he looks like a pretty standard poofy floof of a dog.

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.

In hindsight, that’s pretty reasonable, given the average employee age and relative morbidity.

With access to ACA data, I’ve seen that even subsidized younger enrollees don’t enroll when they are expected to pay more than the coverage is worth. So it’s an adverse selection issue. ARP fixed it.
2/4

Wow. I was not expecting Sielgelman & Baker’s Tontine paper.

It relied on dated assumptions and is way outside the Overton Window. Pre-ACA literature created the “young invincible” concept because younger employees wouldn’t enroll in community rated self-only group coverage.
1/4

Are we showing off our little fluffy dogs?

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.

This is Hazel at 5am. She is not having any of this puppy nonsense.

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.

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.

Hazel, aka, The Ginger Fairy. She is shy, but wants to be a ballerina when she grows up. We believe in her!

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.

Rocky P Mitten, AKA Master P, looking like a cartoon.