xpostfactoid
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xpostfactoid.bsky.social
xpostfactoid
@xpostfactoid.bsky.social
Blogging mostly healthcare policy at http://xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.
The more nuanced but still fallacious claim: because enrollments without claims are far more prevalent in the individual market than in ESI (35% vs. 15%), the enrollments must be largely fraudulent. But that ignores the high incidence of short-term enrollments in the marketplace
Health Affairs Journal
www.healthaffairs.org
November 10, 2025 at 9:54 PM
Let your marketplace premium eat its tail
November 10, 2025 at 6:05 PM
Reposted by xpostfactoid
This is apparently a 7 week or so CR. I'll remind everyone that the first-ever extended shutdown, the Newt one, was a two-parter; a short-ish fall shutdown, followed by a CR, followed by a longer winter shutdown. Will this be a two-parter? We don't know yet. *They* may not know yet.
November 9, 2025 at 10:08 PM
If Rs vote down enhanced subs in Dec, that's political suicide, unless they go all in on stealing/abrogated elections.
November 9, 2025 at 10:12 PM
Reposted by xpostfactoid
Update: Welp. It looks like the Senate GOP is already running with Trumps “HSAs for All!” rant.

It’s 2017 all over again, but even meaner and dumber.

youtu.be/ZBAsIq9UUsg?...
'A Novel Idea': Marshall Proposes Giving ACA Subsidies Directly To People Instead Of Health Insurers
YouTube video by Forbes Breaking News
youtu.be
November 9, 2025 at 2:48 AM
Please don't treat Cassidy's warmed-over snake oil with any more respect than this.
November 8, 2025 at 9:06 PM
Except us non-experts are now learning the border patrol is worse, and its leadership will make ICE worse.

Useful knowledge. Time to revise our priors and our language.
November 8, 2025 at 6:51 PM
The resemblance between Greenblatt and Miller struck me long ago.
November 8, 2025 at 1:01 PM
I dunno. Some say less exhaust, but there's not a lot of car traffic at other times I occasionally run. Lower humidity, I think, which may help even in cool months.
November 8, 2025 at 1:17 AM
..As even the Supreme Court is implicitly acknowledging today.
November 5, 2025 at 8:14 PM