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Weekly analysis and insights on key health policy news from HTN
Apr 16, 2026
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6 min read
Why I like ACCESS even though I'm skeptical it will work and state level insurance experiments.
Apr 2, 2026
15 min read
Inferred risk for ACOs and tough choices for state legislators and Medicaid agencies.
Mar 26, 2026
13 min read
A pall over AHIP, managed care by default in Medicare, and retroactive Medicaid coverage.
Mar 19, 2026
14 min read
MedPAC recommendations, state directed payments, and the ESRD bundled payment.
Mar 12, 2026
12 min read
Bipartisan discontent with MA plans, a case study in work requirement implementation costs, and the twitchiness of ACA insurance investors
Mar 5, 2026
prior auth is back in the spotlight, Elevance's USB thumb drives, funding rounds for Greater Good Health and findhelp, and the MA edition of when to defect in a prisoner's dilemma type situation
Feb 26, 2026
fraud watch, provider shortages, the downsides of clever schemes like 340B, and more
Feb 19, 2026
regulatory risk premia, access rates, and laboratories of health care policy
Feb 12, 2026
20% growth for Humana's MA book during AEP, the 2027 payment rule for ACA plans, and the mother of all procurements for Indiana Medicaid.
Feb 5, 2026
11 min read
Insights on ACA, VBC, and PACE from public earnings, ACO updates from CMS, and one small step towards site neutral payments.
Jan 29, 2026
Advance rate notice, ACA enrollment, and the latest salvo in the what costs more, original Medicare or Medicare Advantage debate
Jan 22, 2026
PBM reform, the HHS appropriations deal, and a $40m Series B for virtual ABA platform AnswersNow
Jan 15, 2026
9 min read
Some JPM highlights, an ACA enrollment update, and pondering what the right % of household income is for healthcare spending
Jan 8, 2026
The rural transformation begins, an update on ACA subsidies and enrollment, and a big fundraising round for a business with Medicaid exposure.
Dec 18, 2025
Reading the ACA tea leaves, skin substitute determinations, and OIG audits.
Dec 11, 2025
ACA enrollment numbers come in hot, Medicaid infrastructure comes into focus, and the regulatory tailwind of the 21st Century Cures Act for ESRD
Dec 4, 2025
ACA open enrollment, final rules, and the sub-optimal policy trap
Nov 20, 2025
the ACA extension party lines, what enacted and imposted means, and a new strategy for CMS' innovation center
Nov 13, 2025
the HSA option, BearCare, and the trouble with policy making around the most or least sympathetic cases
Nov 6, 2025
tough choices for fragile state budgets, squeezing the Medicare balloon, and MA plans report earnings during a tricky year
Oct 30, 2025
16 min read
No one wants to be the cheapest ACA plan in 2026, Medicaid cuts as a headwind, and managing costs in the US health care system.
Oct 23, 2025
earnings season starts with Elevance and Molina, Cedar launches a digital safety net, and the ACA saved money but also made everyone angry
Oct 17, 2025
17 min read
The subsidy shutdown drags on, Deloitte is in the hot seat, and a brief but big scare for Medicare provider billing
Oct 10, 2025
a deal on enhanced subsidies is perhaps in the works, ICHRA legislation introduced, and Dr. Oz at the Aspen Institute
Oct 3, 2025
The actuarial math for ACA plans, a shutdown-induced potential cash crunch for hospitals, and MA enrollment stats
