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sarahkliff's profile
Sarah Kliff
Sarah Kliff
Sarah Kliff
Verified account
@sarahkliff

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Sarah KliffVerified account

@sarahkliff

Senior Policy Correspondent @voxdotcom. Running a year-long project on emergency room billing. Help out by sharing your bill!

Washington, DC
erbills.vox.com
Joined January 2009

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    1. David Anderson‏ @bjdickmayhew 18 May 2017
      Replying to @LouiseNorris @billywynne77 @onceuponA

      Not at all 🤔🌋🎆🎪

      2 replies 1 retweet 2 likes
    2. Wesley Sanders‏ @wcsanders 18 May 2017
      Replying to @bjdickmayhew @LouiseNorris and

      Jeepers... and the areas without insurers are likely to be high cost rural areas

      1 reply 0 retweets 1 like
    3. Charles Ghoul-ba‏Verified account @charles_gaba 18 May 2017
      Replying to @wcsanders @bjdickmayhew and

      I made exactly this point in my write-up: http://acasignups.net/17/05/18/claire-mccaskill-has-interesting-idea-re-bare-countieswith-three-potential-problems …pic.twitter.com/poLupZwIWu

      1 reply 1 retweet 2 likes
    4. Charles Ghoul-ba‏Verified account @charles_gaba 18 May 2017
      Replying to @charles_gaba @wcsanders and

      Not just that--their risk pool AND total potential enrollment pool would change dramatically year to year.

      1 reply 1 retweet 1 like
    5. Charles Ghoul-ba‏Verified account @charles_gaba 18 May 2017
      Replying to @charles_gaba @wcsanders and

      It could include 16 counties in Tennessee next year, 5 counties in Arizona in 2019... they wouldn't know which ones until late in the year.

      1 reply 0 retweets 1 like
    6. rebeccastob‏ @rebeccastob 18 May 2017
      Replying to @charles_gaba @wcsanders and

      And the Risk adjustment would be so hard to manage

      1 reply 0 retweets 1 like
    7. Wesley Sanders‏ @wcsanders 18 May 2017
      Replying to @rebeccastob @charles_gaba and

      Yeah how the hell do you set the GCFs?

      1 reply 0 retweets 0 likes
    8. rebeccastob‏ @rebeccastob 18 May 2017
      Replying to @wcsanders @charles_gaba and

      Well with SHOP it's all the location of the business right - don't know how that would even work all these areas charged the same?

      2 replies 0 retweets 0 likes
    9. Wesley Sanders‏ @wcsanders 18 May 2017
      Replying to @rebeccastob @charles_gaba and

      Yeah that's what baffles me. What rating area do you assign someone buying a D.C. plan who lives in rural TN??

      2 replies 0 retweets 1 like
    10. Wesley Sanders‏ @wcsanders 18 May 2017
      Replying to @wcsanders @rebeccastob and

      Or do you make the D.C. Plan risk adjust into the state of the person'a residence

      4 replies 0 retweets 1 like
      Sarah Kliff‏Verified account @sarahkliff 18 May 2017
      Replying to @wcsanders @rebeccastob and

      So my understanding is that the DC Shop exchange already handles Congressional staff out of state? So possibly equipped for this?

      7:45 PM - 18 May 2017
      • 2 Likes
      • ✭Becca✭ David Anderson
      3 replies 0 retweets 2 likes
        1. New conversation
        2. rebeccastob‏ @rebeccastob 18 May 2017
          Replying to @sarahkliff @wcsanders and

          Yeah but their employer is in DC and subsidizing their premiums plus they have a decent job and it's a known set of people/risk

          2 replies 0 retweets 1 like
        3. Wesley Sanders‏ @wcsanders 18 May 2017
          Replying to @rebeccastob @sarahkliff and

          Yeah it's just an adverse selection nightmare it would seem. Also how do you set APTC?

          3 replies 0 retweets 1 like
        4. Sarah Kliff‏Verified account @sarahkliff 18 May 2017
          Replying to @wcsanders @rebeccastob and

          I am hoping to do a bit of reporting on this in next few days - will try to track down some answers! :-D

          1 reply 0 retweets 5 likes
        5. rebeccastob‏ @rebeccastob 18 May 2017
          Replying to @sarahkliff @wcsanders and

          Key problem is rating for single risk pool defined as state/market combination where risk adjustment transfers total = 0

          2 replies 0 retweets 2 likes
        6. Erik Wheeler‏ @erikrwheeler 19 May 2017
          Replying to @rebeccastob @sarahkliff and

          It's even wonky when you consider DC has a merged risk pool.

          1 reply 1 retweet 3 likes
        7. rebeccastob‏ @rebeccastob 19 May 2017
          Replying to @erikrwheeler @sarahkliff and

          The CSR part seems like another unworkable complication

          1 reply 0 retweets 1 like
        8. Charles Ghoul-ba‏Verified account @charles_gaba 19 May 2017
          Replying to @rebeccastob @erikrwheeler and

          Obvious: Bare county? Medicaid.

          2 replies 1 retweet 1 like
        9. rebeccastob‏ @rebeccastob 19 May 2017
          Replying to @charles_gaba @erikrwheeler and

          Yeah Medicaid makes a lot more sense

          1 reply 1 retweet 3 likes
        10. 2 more replies
        1. New conversation
        2. Wesley Sanders‏ @wcsanders 18 May 2017
          Replying to @sarahkliff @rebeccastob and

          With that at least you know what rating area it is and it's somewhat more predictable, also not much adverse selection risk

          1 reply 0 retweets 1 like
        3. rebeccastob‏ @rebeccastob 18 May 2017
          Replying to @wcsanders @sarahkliff and

          How big is D.C. SHOP anyways? And you would dump all the most unattractive geographic areas with maybe 2-3x existing pop into that risk pool

          0 replies 0 retweets 1 like
        4. End of conversation
        1. David Anderson‏ @bjdickmayhew 18 May 2017
          Replying to @sarahkliff @wcsanders and

          There would be magic involved for a 1/1/18 launch

          0 replies 0 retweets 1 like
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