HHS release

HHS Gruber 000003

HHS Gruber 000004

HHS Gruber 000005

HHS Gruber 000006

HHS Gruber 000007

HHS Gruber 000008

HHS Gruber 000009

HHS Gruber 000010

HHS Gruber 000011

HHS Gruber 000012

HHS Gruber 000013

HHS Gruber 000014

HHS Gruber 000015

HHS Gruber 000016

HHS Gruber 000017

HHS Gruber 000018

From: Jon GruberTo: Seshamani, Meena (HHS/ASPE); Lambrew, Jeanne (HHS/ASPE)Subject: my work on cadillac tax effectsDate: Friday, November 06, 2009 8:02:40 AMAttachments:

Meena -

Nice to talk to you.

Here are two versions of the memo I sent Jeanne. The first INCLUDES a

I also attach the spreadsheet that underlies these calculations

happy to talk further anytime about this

Jon

--Jonathan Gruber Professor of Economics MIT Department of Economics 50 Memorial Drive, E52-355Cambridge, MA 02142phone: 617-253-8892fax: 617-253-1330e-mail: [email protected]: http://econ-www.mit.edu/faculty/gruberj/

HHS Gruber 000019

(b)(5) - del berative process


From: Jon GruberTo: Seshamani, Meena (HHS/ASPE)Subject: Re: triggerDate: Monday, October 26, 2009 9:58:13 PM

Seshamani, Meena (HHS/ASPE) wrote:> Hi Jon,>> One follow-up question for you is, how do you break down by state/what> geographic cost variation are you using?>> Thanks and good talking to you today. I will touch base w Jeanne in the> morning.> Meena>> -----Original Message-----> From: Lambrew, Jeanne (HHS/ASPE)> Sent: Monday, October 26, 2009 12:23 PM> To: '[email protected]'; Seshamani, Meena (HHS/ASPE)> Subject: Re: trigger>> Hi Jon. In meetings. Can you and Meena go over the methodology? Thanks.>>> ----- Original Message -----> From: Jonathan Gruber > To: Lambrew, Jeanne (HHS/ASPE)> Sent: Mon Oct 26 11:15:07 2009> Subject: trigger>> Jeanne ->>>>>>> Jon>>>


HHS Gruber 000020

(b)(5) - deliberative process


From: Jon GruberTo: Seshamani, Meena (HHS/ASPE)Subject: Re: Quick questionDate: Tuesday, October 20, 2009 2:49:04 PM

Seshamani, Meena (HHS/ASPE) wrote:

Hi jon,

Jeanne asked me to shoot you a quick email. What rates do you use for cpi and premiumgrowth in your models (to try to match cbo?)

Thanks ans hope you're well. Meena

-- Jonathan Gruber Professor of Economics MIT Department of Economics 50 Memorial Drive, E52-355Cambridge, MA 02142phone: 617-253-8892fax: 617-253-1330e-mail: [email protected]: http://econ-www.mit.edu/faculty/gruberj/

HHS Gruber 000021


From: Jon GruberTo: Seshamani, Meena (HHS/IOS)Subject: Re: quick questionDate: Tuesday, September 29, 2009 9:14:04 AM

Seshamani, Meena (HHS/IOS) wrote:

From: Jon Gruber [mailto:[email protected]] Sent: Tuesday, September 29, 2009 9:04 AMTo: Seshamani, Meena (HHS/IOS)Subject: Re: quick question





Seshamani, Meena (HHS/IOS) wrote:Yes that is what I meant. Thanks as always! Hope you are well. Meena

From: Jon Gruber

HHS Gruber 000022



To: Seshamani, Meena (HHS/IOS) Sent: Mon Sep 28 20:51:41 2009Subject: Re: quick question

Hi Meena. I'm sure you are quite busy as well!

Seshamani, Meena (HHS/IOS) wrote:Hi Jon, I hope you are well. Busy, no doubt. J I just have a very quick clarificationquestion for you.

Iam sure we already had this discussion a few months ago which seemlike an eternity ago! but I cant for the life of me remember Thank you!Meena Meena Seshamani, MD, PhDDirector of Policy AnalysisOffice of Health ReformDept of Health and Human Services202.205.6466 (o)

m)



HHS Gruber 000023


(b)(6)

(b)(5) - deliberative process(b)(5) - del berative process

From: Jon GruberTo: Furman, Jason L.Cc: Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)Subject: Re: RequestDate: Thursday, August 06, 2009 12:53:15 PMAttachments:

Jason -

hope this is helpful

Jon

Furman, Jason L. wrote:

-- Jonathan Gruber

HHS Gruber 000024




From: Furman, Jason L.To: Jon Gruber; Seshamani, Meena (HHS/IOS)Cc: Lambrew, Jeanne (HHS/IOS)Subject: RE: RequestDate: Thursday, August 06, 2009 7:27:17 PM

Thanks for these.

From: Jon Gruber [mailto:[email protected]] Sent: Thursday, August 06, 2009 1:11 PMTo: Seshamani, Meena (HHS/IOS)Cc: Furman, Jason L.; Lambrew, Jeanne (HHS/IOS)Subject: Re: Request

Seshamani, Meena (HHS/IOS) wrote:Thank you Jon! Just to make sure I understand:

Is that right?Meena

From: Jon Gruber [mailto:[email protected]] Sent: Thursday, August 06, 2009 12:53 PMTo: Furman, Jason L.Cc: Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)Subject: Re: Request Jason -

HHS Gruber 000026





Jon


As always, sooner is better but Jeanne has a better understanding of the full priorities here.


-- Jonathan Gruber Professor of Economics MIT Department of Economics 50 Memorial Drive, E52-355Cambridge, MA 02142

HHS Gruber 000027



From: Jon GruberTo: Seshamani, Meena (HHS/ASPE); Lambrew, Jeanne (HHS/ASPE)Subject: my work on cadillac tax effectsDate: Friday, November 06, 2009 8:02:40 AMAttachments:

Meena -

Nice to talk to you.

Here are two versions of the memo I sent Jeanne. The first INCLUDES a

I also attach the spreadsheet that underlies these calculations

happy to talk further anytime about this

Jon


HHS Gruber 000029



From: Jon GruberTo: Seshamani, Meena (HHS/ASPE)Subject: Re: triggerDate: Monday, October 26, 2009 9:58:13 PM

Seshamani, Meena (HHS/ASPE) wrote:> Hi Jon,>> One follow-up question for you is, how do you break down by state/what> geographic cost variation are you using?>> Thanks and good talking to you today. I will touch base w Jeanne in the> morning.> Meena>> -----Original Message-----> From: Lambrew, Jeanne (HHS/ASPE)> Sent: Monday, October 26, 2009 12:23 PM> To: '[email protected]'; Seshamani, Meena (HHS/ASPE)> Subject: Re: trigger>> Hi Jon. In meetings. Can you and Meena go over the methodology? Thanks.>>> ----- Original Message -----> From: Jonathan Gruber > To: Lambrew, Jeanne (HHS/ASPE)> Sent: Mon Oct 26 11:15:07 2009> Subject: trigger>> Jeanne ->>>>>>> Jon>>>


HHS Gruber 000030



From: Jon GruberTo: Seshamani, Meena (HHS/ASPE)Subject: Re: Quick questionDate: Tuesday, October 20, 2009 2:49:04 PM

Seshamani, Meena (HHS/ASPE) wrote:

Hi jon,

Jeanne asked me to shoot you a quick email. What rates do you use for cpi and premiumgrowth in your models (to try to match cbo?)

Thanks ans hope you're well. Meena


HHS Gruber 000031


From: Jon GruberTo: Seshamani, Meena (HHS/IOS)Subject: Re: quick questionDate: Tuesday, September 29, 2009 9:14:04 AM







Seshamani, Meena (HHS/IOS) wrote:Yes that is what I meant. Thanks as always! Hope you are well. Meena

From: Jon Gruber

HHS Gruber 000032



To: Seshamani, Meena (HHS/IOS) Sent: Mon Sep 28 20:51:41 2009Subject: Re: quick question

Hi Meena. I'm sure you are quite busy as well!

Seshamani, Meena (HHS/IOS) wrote:Hi Jon, I hope you are well. Busy, no doubt. J I just have a very quick clarificationquestion for you.

Iam sure we already had this discussion a few months ago which seemlike an eternity ago! but I cant for the life of me remember Thank you!Meena Meena Seshamani, MD, PhDDirector of Policy AnalysisOffice of Health ReformDept of Health and Human Services202.205.6466 (o)

m)



HHS Gruber 000033


(b)(6)


From: Jon GruberTo: Furman, Jason L.Cc: Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)Subject: Re: RequestDate: Thursday, August 06, 2009 12:53:15 PMAttachments:

Jason -


Jon


-- Jonathan Gruber

HHS Gruber 000034




From: Furman, Jason L.To: Jon Gruber; Seshamani, Meena (HHS/IOS)Cc: Lambrew, Jeanne (HHS/IOS)Subject: RE: RequestDate: Thursday, August 06, 2009 7:27:17 PM

Thanks for these.

From: Jon Gruber [mailto:[email protected]] Sent: Thursday, August 06, 2009 1:11 PMTo: Seshamani, Meena (HHS/IOS)Cc: Furman, Jason L.; Lambrew, Jeanne (HHS/IOS)Subject: Re: Request

Seshamani, Meena (HHS/IOS) wrote:Thank you Jon! Just to make sure I understand:

Is that right?Meena

From: Jon Gruber [mailto:[email protected]] Sent: Thursday, August 06, 2009 12:53 PMTo: Furman, Jason L.Cc: Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)Subject: Re: Request Jason -

HHS Gruber 000036





Jon


As always, sooner is better but Jeanne has a better understanding of the full priorities here.


-- Jonathan Gruber Professor of Economics MIT Department of Economics 50 Memorial Drive, E52-355Cambridge, MA 02142

HHS Gruber 000037



Ezekiel J. Emanuel, M.D., Ph.D. Special Advisor for Health PolicyOffice of Management and Budget Phone: 202-395-5883Fax: 202-395-3174Cell: Best Cell: Personal Cell: Other email: [email protected]

-----Original Message-----From: Jon Gruber [mailto:[email protected]] Sent: Wednesday, July 29, 2009 8:57 AMTo: Emanuel, Ezekiel J.Cc: Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena(HHS/IOS)Subject: Re: results

Zeke -

HHS Gruber 000039

out of scope


(b)(6)

(b)(6)

(b)(6)

redacted for the following reason:- - - - - - - - - - - - - - - - - - - - -

Entire page withheld under (b)(5)., (b)(5) - deliberative process

> > Special Advisor for Health Policy> Office of Management and Budget> > Phone: 202-395-5883> Fax: 202-395-3174> Cell: > > Best Cell: > > Personal Cell: > Other email: [email protected]>>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]> Sent: Tuesday, July 28, 2009 9:51 PM> To: Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Lambrew, Jeanne > (HHS/IOS); Seshamani, Meena (HHS/IOS)> Subject: results>> Zeke, Jeff, Jeanne, Meena ->

t

> Jon>>

HHS Gruber 000041


(b)(6)

(b)(6)

(b)(6)

From: Lambrew, Jeanne (HHS/IOS)To: Ezekiel Emanuel; "Jon Gruber"; "Liebman, Jeffrey B."; Seshamani, Meena (HHS/IOS)Subject: RE: resultsDate: Wednesday, July 29, 2009 8:51:40 AM

I'll let Jon speak to the first few questions, but there are lots of other differences with Finance:

May be others but I am getting on a call.-----Original Message-----From: Ezekiel EmanuelSent: Wednesday, July 29, 2009 8:46 AMTo: Jon Gruber; Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)Subject: RE: results

Thanks for this help

Ezekiel J. Emanuel, M.D., Ph.D. Special Advisor for Health PolicyOffice of Management and Budget Phone: 202-395-5883Fax: 202-395-3174Cell: Best Cell:

HHS Gruber 000042



(b)(6)

(b)(6)

Personal Cell: Other email: [email protected]

-----Original Message-----From: Jon Gruber [mailto:[email protected]]Sent: Tuesday, July 28, 2009 9:51 PMTo: Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena(HHS/IOS)Subject: results

Zeke, Jeff, Jeanne, Meena -

here are the results from the latest runs you requested. As we discussed, the

Jon


HHS Gruber 000043

(b)(6)



From: John Graves on behalf of John A. GravesTo: Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Jonathan GruberCc: Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS)Subject: Re:Date: Monday, July 27, 2009 3:30:32 PMAttachments:

Here is our first crack at this.

John

On 7/27/09 3:07 PM, "Emanuel, Ezekiel J." wrote:

Thanks

From: John Graves To: Lambrew, Jeanne (HHS/IOS) ; Emanuel, Ezekiel J.; Jonathan Gruber Cc: Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS) Sent: Mon Jul 27 15:04:49 2009Subject: Re: Weve actually been working on this. Will send a full set of specs for you to verify injust a bit.

John

On 7/27/09 3:01 PM, "Lambrew, Jeanne (HHS/IOS)" wrote:

Hi, emails. Beth, can you take a first cut? Thanks, jml

From: Ezekiel Emanuel Sent: Monday, July 27, 2009 2:58 PMTo: Jon GruberCc: John A. Graves; Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS);

HHS Gruber 000044




Lambrew, Jeanne (HHS/IOS)Subject: RE:

Jon, One more thing.FPL.

Ezekiel J. Emanuel, M.D., Ph.D.

Special Advisor for Health PolicyOffice of Management and Budget

Phone: 202-395-5883Fax: 202-395-3174Cell:

Best Cell:

Personal Cell:Other email: [email protected]

From: Jon Gruber [mailto:[email protected]] Sent: Monday, July 27, 2009 2:21 PMTo: Emanuel, Ezekiel J.Cc: John A. Graves; Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS);Jeanne LambrewSubject: Re:

thanks

jon

Emanuel, Ezekiel J. wrote:

HHS Gruber 000045


(b)(6)

(b)(6)

(b)(6)



Hope this helps.



Phone: 202-395-5883Fax: 202-395-3174Cell:

Best Cell:


From: Jon Gruber [mailto:[email protected]] Sent: Monday, July 27, 2009 1:47 PMTo: Emanuel, Ezekiel J.Cc: John A. Graves; Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS);Jeanne LambrewSubject: Re:

Thanks Zeke. A few questions right off the bat:

HHS Gruber 000046



(b)(6)

(b)(6)

(b)(6)


thanks

jon




Phone: 202-395-5883Fax: 202-395-3174Cell:

Best Cell:


John A. GravesPhD Candidate in Health PolicyHarvard [email protected]


HHS Gruber 000047



(b)(6)

(b)(6)

(b)(6)

From: Jon GruberTo: Ezekiel Emanuel; Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)Subject: resultsDate: Tuesday, July 28, 2009 9:51:22 PMAttachments:

Zeke, Jeff, Jeanne, Meena -

here are the results from the latest runs you requested. As wediscussed,

Jon


HHS Gruber 000048




From: John Graves on behalf of John A. GravesTo: Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Jonathan Gruber; Seshamani, Meena

(HHS/IOS)Subject: Re: Zeke-Date: Friday, July 24, 2009 4:42:31 PMAttachments:

Hi,

Sorry for the confusion.

John

On 7/24/09 2:00 PM, "Emanuel, Ezekiel J." wrote:

You guys are fantastic. I am sure my brother would have a good fourletter compliment. Thanks a million from me.



Phone: 202-395-5883Fax: 202-395-3174Cell:

Best Cell:


From: John Graves [mailto: On Behalf Of John A. GravesSent: Friday, July 24, 2009 1:57 PMTo: Emanuel, Ezekiel J.; Jeanne Lambrew; Bafford, Elizabeth A.; Jonathan Gruber;Seshamani, Meena (HHS/IOS)Subject: Re: Zeke-

Hi Zeke,

I am attaching the runs as of this minute. As you can see a couple of the runs are notfilled in yet, but we wanted to get this to you by 2 oclock so well fill in as they finishup.

HHS Gruber 000049


(b)(5) - deliberative process(b)(5) - deliberative process

(b)(6)

(b)(6)

(b)(6)

b6



As always, please let us know if you have any questions.

Thanks,John

On 7/24/09 10:33 AM, "Emanuel, Ezekiel J." wrote:



HHS Gruber 000050



Phone: 202-395-5883Fax: 202-395-3174Cell:

Best Cell:


From: Lambrew, Jeanne (HHS/IOS) [mailto:[email protected]] Sent: Friday, July 24, 2009 10:27 AMTo: John A. Graves; Emanuel, Ezekiel J.; Bafford, Elizabeth A.; Jonathan Gruber;Seshamani, Meena (HHS/IOS)Subject: RE: Zeke-

Hi, one more clarification

From: John Graves [mailto: On Behalf Of John A. GravesSent: Friday, July 24, 2009 10:15 AMTo: Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; JonathanGruber; Seshamani, Meena (HHS/IOS)Subject: Re: Zeke-

Hi,

Here are the specs redone based on my interpretation of Zekes clarifications. I havehighlighted the changes I made in red.

John

On 7/24/09 9:50 AM, "Emanuel, Ezekiel J." wrote:Jon and I talked this morning to educate me. The runs being done are greatvery helpful. Peter and the higher powers asked us

1)

HHS Gruber 000051

(b)(6)

(b)(6)

(b)(6)

(b)(6)








2)

3)

4)

5)

Thanks for helping. Hope this is clear. And Peter asked for everything for 2 hours agoactually for 2 pm today if possible. should get priority. You are all extremely helpful and I greatly appreciate it.



Phone: 202-395-5883Fax: 202-395-3174Cell:

Best Cell:


From: Lambrew, Jeanne (HHS/IOS) [mailto:[email protected]] Sent: Friday, July 24, 2009 9:41 AMTo: Bafford, Elizabeth A.; [email protected]; Jon Gruber; Seshamani, Meena (HHS/IOS)Cc: Emanuel, Ezekiel J.Subject: RE: Zeke-

Hi, I want to make sure I understand. Yesterday, per our discussion, we started Jon working on the attached. Is what you sent this morning a substitute for these? If so, well stop this work. Also, if so, several questions.

HHS Gruber 000052





(b)(6)

(b)(6)

(b)(6)



Jon and John may have additional questions, but want to make sure that they areworking on exactly what you want. Thanks, jml

From: Bafford, Elizabeth A. [mailto:Elizabeth_A._Bafford

[email protected]



HHS Gruber 000054

From: John Graves on behalf of John A. GravesTo: Jon GruberCc: Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Seshamani, Meena (HHS/IOS)Subject: Re: Zeke- Date: Friday, July 24, 2009 6:51:06 PMAttachments:

Sorry again for the back and forth on this today.

John

On 7/24/09 6:04 PM, "Jon Gruber" wrote:

sorry about the mess up but this happens when we are running fast and furious - johnwill be sending new runs out soon.

I would like to have a heads up on your thought for the weekend. My email access issporadic and I would like to know what you anticipate happening next

thanks

Jon

John A. Graves wrote:

Re: Zeke- Hi,

HHS Gruber 000055




(b)(5)

Ill be in touch with these in just a bit, and sorry about that I knowyoure all under deadlines. John On 7/24/09 4:42 PM, "John A. Graves" wrote:

Hi,

Sorry for the confusion. John On 7/24/09 2:00 PM, "Emanuel, Ezekiel J."

wrote:

You guys are fantastic. I am sure mybrother would have a good four lettercompliment. Thanks a million from me. Ezekiel J. Emanuel, M.D., Ph.D. Special Advisor for Health Policy

HHS Gruber 000056



Office of Management and Budget Phone: 202-395-5883Fax: 202-395-3174Cell: Best Cell: Personal Cell:Other email: [email protected] From: John Graves [mailto:

As always, please let us know if you have anyquestions. Thanks,John On 7/24/09 10:33 AM, "Emanuel, Ezekiel J."

wrote:


HHS Gruber 000058



Special Advisor for Health PolicyOffice of Management and Budget Phone: 202-395-5883Fax: 202-395-3174Cell: Best Cell: Personal Cell: Other email: [email protected]

From: Lambrew, Jeanne (HHS/IOS)[mailto:[email protected]] Sent: Friday, July 24, 2009 10:27 AM To: John A. Graves; Emanuel, Ezekiel J.;Bafford, Elizabeth A.; Jonathan Gruber;Seshamani, Meena (HHS/IOS) Subject: RE: Zeke-

From: John Graves[mailto:

costs by 2pm today. Please edit/clarify asneeded. John On 7/24/09 9:50 AM, "Emanuel, Ezekiel J."

wrote: Jon and I talked this morning to educate me. The runs being done are greatvery helpful. Peter and the higher powers asked us asked todo some more variations.

Thanks for helping. Hope this is clear. AndPeter asked for everything for 2 hours agoactually for 2 pm today if possible. Variations on

You are all extremely helpful and I greatlyappreciate it. Ezekiel J. Emanuel, M.D., Ph.D. Special Advisor for Health PolicyOffice of Management and Budget Phone: 202-395-5883Fax: 202-395-3174

HHS Gruber 000060

(b)(5)



Cell: Best Cell: Personal Cell: Other email: [email protected]

From: Lambrew, Jeanne (HHS/IOS)[mailto:[email protected]]

Sent: Friday, July 24, 2009 9:41 AM To: Bafford, Elizabeth A.; [email protected]; JonGruber; Seshamani, Meena (HHS/IOS) Cc: Emanuel, Ezekiel J. Subject: RE: Zeke- Hi, I want to make sure I understand. Yesterday, per our discussion, we started Jonworking on the attached. Is what you sent this morning a substitute forthese? If so, well stop this work. Also, if so, several questions.

Jon and John may have additional questions,but want to make sure that they are working onexactly what you want.

HHS Gruber 000061

(b)(6)

(b)(6)

(b)(6)



Thanks, jml

From: Bafford, Elizabeth A.[mailto:Elizabeth_A._Bafford





HHS Gruber 000063

From: Jon GruberTo: Ezekiel EmanuelCc: John A. Graves; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Seshamani, Meena (HHS/IOS); "Jonathan

Gruber"Subject: Re: Zeke-Date: Friday, July 24, 2009 9:22:35 PM

Zeke -

sorry, this is actually right. here is what is going on.

Jon


Ezekiel J. Emanuel, M.D., Ph.D.Special Advisor for Health PolicyOffice of Management and BudgetPhone: 202-395-5883Fax: 202-395-3174

HHS Gruber 000064




Cell: Best Cell:

Personal Cell:Other email: [email protected] From: John Graves [mailto: On Behalf Of John A. GravesSent: Friday, July 24, 2009 6:50 PMTo: Jon GruberCc: Emanuel, Ezekiel J.; Jeanne Lambrew; Bafford, Elizabeth A.; Seshamani, Meena(HHS/IOS)Subject: Re: Zeke-

Sorryagainforthebackandforthonthistoday.

John

On7/24/096:04PM,"JonGruber"wrote:

sorryaboutthemessupbutthishappenswhenwearerunningfastandfurious-johnwillbesendingnewrunsoutsoon.

HHS Gruber 000065

(b)(6)

(b)(6)

(b)(6)

(b)(6)



Iwouldliketohaveaheadsuponyourthoughtfortheweekend.MyemailaccessissporadicandIwouldliketoknowwhatyouanticipatehappeningnext

thanks

Jon

JohnA.Graveswrote:Re:Zeke Hi,

Illbeintouchwiththeseinjustabit,andsorryaboutthatIknowyoureallunderdeadlines.JohnOn7/24/094:42PM,"JohnA.Graves"wrote:Hi,Intheattached

JohnOn7/24/092:00PM,"Emanuel,EzekielJ."wrote:You guys are fantastic. I am sure my brother would have a good fourletter compliment. Thanks a million from me.

HHS Gruber 000066




(b)(5)

Ezekiel J. Emanuel, M.D., Ph.D. Special Advisor for Health PolicyOffice of Management and Budget Phone: 202-395-5883Fax: 202-395-3174Cell: Best Cell: Personal Cell: Other email: [email protected] From: John Graves [mailto: OnBehalf Of John A. Graves Sent: Friday, July 24, 2009 1:57 PM To: Emanuel, Ezekiel J.; Jeanne Lambrew; Bafford, Elizabeth A.; Jonathan Gruber;Seshamani, Meena (HHS/IOS) Subject: Re: Zeke- HiZeke,Iamattachingtherunsasofthisminute.Asyoucanseeacoupleoftherunsarenotfilledinyet,butwewantedtogetthistoyouby2oclocksowellfillinastheyfinishup.

HHS Gruber 000067

(b)(6)

(b)(6)

(b)(6)

(b)(6)



Asalways,pleaseletusknowifyouhaveanyquestions.Thanks,JohnOn7/24/0910:33AM,"Emanuel,EzekielJ."wrote:

Ezekiel J. Emanuel, M.D., Ph.D. Special Advisor for Health PolicyOffice of Management and Budget Phone: 202-395-5883Fax: 202-395-3174Cell: Best Cell: Personal Cell: Other email: [email protected]

From: Lambrew, Jeanne (HHS/IOS) [mailto:[email protected]] Sent: Friday, July 24, 2009 10:27 AM To: John A. Graves; Emanuel, Ezekiel J.; Bafford, Elizabeth A.; Jonathan Gruber;Seshamani, Meena (HHS/IOS) Subject: RE: Zeke-

HHS Gruber 000068


(b)(6)

(b)(6)

(b)(6)




From: John Graves [mailto: On Behalf Of John A. Graves Sent: Friday, July 24, 2009 10:15 AM To: Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; JonathanGruber; Seshamani, Meena (HHS/IOS) Subject: Re: Zeke- Hi,HerearethespecsredonebasedonmyinterpretationofZekesclarifications.IhavehighlightedthechangesImadeinred.

JohnOn7/24/099:50AM,"Emanuel,EzekielJ."wrote:Jon and I talked this morning to educate me. The runs being done are greatvery helpful. Peter and the higher powers asked usasked to do some more variations.

Thanks for helping. Hope this is clear. And Peter asked for everything for 2 hours agoactually for 2 pm today if possible.

You are all extremely helpful and I greatly appreciate it.

HHS Gruber 000069

(b)(6)




Ezekiel J. Emanuel, M.D., Ph.D. Special Advisor for Health PolicyOffice of Management and Budget Phone: 202-395-5883Fax: 202-395-3174Cell: Best Cell: Personal Cell:Other email: [email protected]

From: Lambrew, Jeanne (HHS/IOS) [mailto:[email protected]] Sent: Friday, July 24, 2009 9:41 AM To: Bafford, Elizabeth A.; [email protected]; Jon Gruber; Seshamani, Meena (HHS/IOS) Cc: Emanuel, Ezekiel J. Subject: RE: Zeke- Hi, I want to make sure I understand. Yesterday, per our discussion, we started Jon working on the attached. Is what you sent this morning a substitute for these? If so, well stop this work. Also, if so, several questions.

Jon and John may have additional questions, but want to make sure that they areworking on exactly what you want. Thanks, jml

HHS Gruber 000070

(b)(6)

(b)(6)

(b)(6)



From: Bafford, Elizabeth A. [mailto:Elizabeth_A._Bafford





HHS Gruber 000072

From: [email protected]: Seshamani, Meena (HHS/IOS)Subject: RE: Evidence about employment effects of Mass. health reformDate: Monday, July 13, 2009 12:10:53 AM

Hey. Yeah, the call was good, thanks. And thanks for all the other stuff you sent. You are ever a life-saver.

-----Original Message-----From: Seshamani, Meena (HHS/IOS) [mailto:[email protected]]Sent: Sunday, July 12, 2009 9:44 PMTo: Levitis, JasonSubject: Re: Evidence about employment effects of Mass. health reform

Sucks! Do you think the phone call was prodcutive, in terms of driving the cliff issue home?

----- Original Message -----From: [email protected] To: [email protected] Cc: Seshamani, Meena (HHS/IOS)Sent: Sun Jul 12 21:23:55 2009Subject: RE: Evidence about employment effects of Mass. health reform

Jon,Thanks for getting me back to me.Jason

-----Original Message-----From: Jon Gruber [mailto:[email protected]]Sent: Sunday, July 12, 2009 7:44 PMTo: Levitis, JasonCc: [email protected]: Re: Evidence about employment effects of Mass. health reform

Jason -

sorry, was offline for the weekend. We really have no evidence in MA,partly because we didn't have a real pay or play, and partly because itis too early. sorry

[email protected] wrote:

HHS Gruber 000073


Thanks so much,

Jason

Jason Levitis

Senior Advisor

U.S. Treasury Department


HHS Gruber 000074

From: Cox, Donald R (HHS/ASPE)To: Seshamani, Meena MD, PHD (HHS/IOS)Subject: FW: HHSP23320094301ECDate: Monday, June 22, 2009 7:48:36 AMAttachments:Importance: High

Meena -- FYI, Jon is back in business again.

From: Druk, Clint (PSC/SAS/AMD/Acq/T6) Sent: Friday, June 19, 2009 10:52 AMTo: '[email protected]'; Cox, Donald R (HHS/ASPE)Cc: Druk, Clint (PSC/SAS/AMD/Acq/T6)Subject: HHSP23320094301ECImportance: High

Please find the subject, fully executed, contract attached. Clint DrukContracting OfficerU.S. Department of Health and Human ServicesPSC/SAS/Division of Acquisition Management(P) 301-443-0403(F) 301-443-8488 In an effort to evaluate customer service, the staff of PSC would appreciate your taking a few moments to completeour Customer Comment Card by clicking on the link below. Your time and effort in providing this valuablefeedback pertaining to products and services you received is greatly appreciated.

HHS Gruber 000075

(b)(6)

From: Jon GruberTo: Furman, Jason L.Cc: Lambrew, Jeanne (HHS/IOS); [email protected]; Hash, Michael M.; Seshamani, Meena MD, PHD

(HHS/IOS)Subject: Re: Specs I"m interested inDate: Tuesday, June 23, 2009 8:58:41 PM

got it. I'm out tomorrow but I will set these up for my RA and he will pass them ontomorrow


Also, the background data, which I believe is consistent with what you said is:

From: Furman, Jason L. Sent: Tuesday, June 23, 2009 6:09 PMTo: 'Jon Gruber'Cc: '[email protected]'; Gene Sperling ([email protected]); Hash,Michael M.; '[email protected]'Subject: Specs I'm interested in


HHS Gruber 000076



From: [email protected]: [email protected]; Jason_L._Furman Keith_J._Fontenot

Jeffrey_B._Liebman Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS);[email protected]; Michael_M._Hash [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; Foster, Richard S.(CMS/OACT); Ezekiel J. [email protected]; [email protected]; [email protected]

Cc: Avra_Siegel Elizabeth_A._Bafford Ryan_H._CoopeSarah_B._Fenn [email protected]; [email protected]

Subject: Follow-Up from Monday"s Health Reform Modeling MtgDate: Wednesday, May 06, 2009 12:48:53 AM

Hello, all. Thanks for the excellent turnout at the modeling discussion.

Thanks,Jason

From: Palomo, Victoria Sent: Tuesday, May 05, 2009 11:51 AMTo: 'Furman, Jason L.'; 'Fontenot, Keith J.'; 'Liebman, Jeffrey B.'; 'Lambrew, Jeanne (HHS/IOS)';'Seshamani, Meena (HHS/IOS)'; 'Jon Gruber'; 'Hash, Michael M.'; 'Aronson, Lauren'; Levitis, Jason;Mundaca, Michael; Silverstein, Gerald; Mackie, James III; Hunter, Gillian; McClelland, John; Iwry, Mark;'Foster, Richard S. (CMS/OACT)'; 'Emanuel, Ezekiel J.'; Sperling, Gene; Krueger, AlanCc: 'Avra_Siegel 'Bafford, Elizabeth A.'; 'Cooper, Ryan H.'; 'Fenn, Sarah B.'; Leibenluft,Jacob; Devlin, ChristineSubject: Confirmation - 12:30PM Health Reform Modeling Mtg Today @ Treasury (MT 3432) Dear all, Thanks again for your flexibility on such short notice. I am writing to confirm our meeting today at12:30pm on health reform modeling/specs issues at Treasury in Gene Sperlings office (MT 3432).If you require a wave request to enter the Treasury building but have not sent me your informationplease do so as soon as possible I will need your name, SSN, and DOB. Also, for those of youdialing in the conference number is code You may reach me at 202-622-2997 if you have any questions or issues getting in to the building.

HHS Gruber 000077

(b)(6)(b)(6)(b)(6)

(b)(6)(b)(6)

(b)(6)(b)(6)(b)(6)(b)(6)


(b)(6)

(b)(6) (b)(6)

Thanks so much,Victoria

From: Palomo, Victoria Sent: Monday, May 04, 2009 7:35 PMTo: Sperling, Gene; 'Furman, Jason L.'; 'Fontenot, Keith J.'; 'Liebman, Jeffrey B.'; 'Lambrew, Jeanne(HHS/IOS)'; 'Seshamani, Meena (HHS/IOS)'; 'Jon Gruber'; 'Hash, Michael M.'; 'Aronson, Lauren'; Levitis,Jason; Mundaca, Michael; Silverstein, Gerald; Mackie, James III; Hunter, Gillian; McClelland, John; Iwry,Mark; 'Foster, Richard S. (CMS/OACT)'; 'Emanuel, Ezekiel J.'; Sperling, Gene; Krueger, AlanCc: 'Avra_Siegel 'Bafford, Elizabeth A.'; 'Cooper, Ryan H.'; 'Fenn, Sarah B.'; Leibenluft,Jacob; Devlin, ChristineSubject: TIME CHANGE - Health Reform Modeling Mtg Tomorrow (5/5) *MOVED* to 12:30PMImportance: High Dear All, Thanks for your incredible patience in scheduling the health reform modeling meeting tomorrow atTreasury. I apologize for the short notice but we will need to move this meeting up 30 mins in orderto accommodate various last minute conflicts. To confirm the health reform modeling specs meeting will take place tomorrow (5/5) at 12:30pmin Gene Sperlings office (Main Treasury 3432). If you have not already responded with youravailability please do so at your earliest convenience. Also, if you require a wave request to enterthe Treasury building please also send me your vital information name, SSN, and DOB. For those of you that would like to join the meeting but are unable to attend in person you maydial in using the following conference number -- code Thanks again for your flexibility. I look forward to seeing everyone tomorrow @ 12:30PM. Best,Victoria

From: Palomo, Victoria Sent: Monday, May 04, 2009 12:29 PMTo: Sperling, Gene; Furman, Jason L.; Fontenot, Keith J.; Liebman, Jeffrey B.; Lambrew, Jeanne(HHS/IOS); Seshamani, Meena (HHS/IOS); Jon Gruber; Hash, Michael M.; Aronson, Lauren; Levitis,Jason; Mundaca, Michael; Silverstein, Gerald; Mackie, James III; Hunter, Gillian; McClelland, John; Iwry,Mark; Foster, Richard S. (CMS/OACT); Emanuel, Ezekiel J.; Sperling, GeneCc: 'Avra_Siegel Bafford, Elizabeth A.; Cooper, Ryan H.; Fenn, Sarah B.; Leibenluft,JacobSubject: Confirmation - 1:00PM Health Reform Modeling/Specs Meeting Tomorrow (5/5) @ Treasury(MT 3432) Dear all, I am writing to *confirm* the health reform meeting on specs and modeling issues from 1:00-

HHS Gruber 000078

(b)(6) (b)(6)

(b)(6)

(b)(6)

2:00PM tomorrow (5/5) in Gene Sperlings office (Main Treasury 3432). Please respond at yourearliest convenience to confirm your attendance. If you plan on attending and require a waverequest for the Treasury building please also send me your vital information full name, SSN, andDOB and I will make sure to expedite your clearance. For those of you that would like to join themeeting but are unable to attend in person you may dial in using the following conferencenumber -- code Please let me know if you have any questions or if I can be of any further assistance. You can reachme anytime at W: 202-622-2997 C: Thanks in advance,Victoria --Victoria PalomoExecutive AssistantDepartment of the [email protected]: 202-622-2997 C:

HHS Gruber 000079

(b)(6)

(b)(6) (b)(6)

(b)(6)

From: Lambrew, Jeanne (HHS/IOS)To: Seshamani, Meena MD, PHD (HHS/IOS)Subject: FW: facts on age ratingDate: Friday, June 05, 2009 7:22:41 PM

-----Original Message-----From: Jon Gruber [mailto:[email protected]]Sent: Friday, June 05, 2009 2:52 PMTo: Lambrew, Jeanne (HHS/IOS)Subject: facts on age rating

Jeanne -

Jon


HHS Gruber 000080


From: Jonathan GruberTo: Seshamani, Meena MD, PHD (HHS/IOS)Subject: RE: take-up rate assumptionsDate: Wednesday, June 17, 2009 10:16:33 PM

On Wed, 17 Jun 2009 22:10:21 -0400, "Seshamani, Meena MD, PHD (HHS/IOS)" wrote:> OK last question (I promise!) - do you know how those takeup rates> compare w CBO?>> -----Original Message-----> From: Jonathan Gruber [mailto:[email protected]]> Sent: Wednesday, June 17, 2009 10:07 PM> To: Seshamani, Meena MD, PHD (HHS/IOS)> Subject: RE: take-up rate assumptions>> sorry,>>> On Wed, 17 Jun 2009 22:03:49 -0400, "Seshamani, Meena MD, PHD> (HHS/IOS)"> wrote:>>>>>> Thank you so much for answering my questions, I know how crazy things>> are.>>>> Meena>>>> -----Original Message----->> From: Jonathan Gruber [mailto:[email protected]]>> Sent: Wednesday, June 17, 2009 10:00 PM>> To: Seshamani, Meena MD, PHD (HHS/IOS)>> Subject: RE: take-up rate assumptions>>>> Meena ->>>> >>> >> >>>> Jon>>>> On Wed, 17 Jun 2009 16:14:46 -0400, "Seshamani, Meena MD, PHD>> (HHS/IOS)">> wrote:>>> Sorry. >>>>>> -----Original Message-----

HHS Gruber 000081


(b)(5) - deliberative process(b)(5)




>>> From: Jonathan Gruber [mailto:[email protected]]>>> Sent: Wednesday, June 17, 2009 3:54 PM>>> To: Seshamani, Meena MD, PHD (HHS/IOS)>>> Subject: Re: take-up rate assumptions>>>>>> yes, I heard back today on the contract. Thanks Meena!>>>>>> I guess the> can>>>>> you be more precise about what you are looking for?>>>>>> Seshamani, Meena MD, PHD (HHS/IOS) wrote:>>>>>>> l>>>>>>>> Thanks Jon. Hope you are well. And I confirmed that they have moved>>> your>>>> contract forward and hopefully you will be hearing back from someone>>>> soon, if you haven't already. Love bureaucracy.>>>>>>>> Meena>>>>>>>> -----Original Message----->>>> From: Jonathan Gruber [mailto:[email protected]]>>>> Sent: Wednesday, June 17, 2009 3:33 PM>>>> To: Seshamani, Meena MD, PHD (HHS/IOS)>>>> Subject: Re: take-up rate assumptions>>>>>>>> Meena ->>>>>>>>>>> you have but I have not great starting point...>>>>>>>> jon>>>>>>>> Seshamani, Meena MD, PHD (HHS/IOS) wrote:>>>> >>>>> Hi Jon,>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>>>>>>>>>> >>>>>>>>>> Thank you->>>>>>>>>> Meena>>>>>

HHS Gruber 000082





>>>>> >>>>>>>>>> Meena Seshamani, MD, PhD>>>>>>>>>> Director of Policy Analysis>>>>>>>>>> Office of Health Reform>>>>>>>>>> Dept of Health and Human Services>>>>>>>>>> 202.205.6466 (o)>>>>>>>>>> (m)>>>>>>>>>> >>>>>>>>>> >>>>>>>>>>>>

--Jonathan GruberMIT Department of Economics50 Memorial Drive, Room 355Cambridge MA [email protected]: 617-253-8892

HHS Gruber 000083

(b)(6)

From: Jon GruberTo: Emanuel, Ezekiel J.Cc: Liebman, Jeffrey B.; Fontenot, Keith J.; Hash, Michael M.; Reilly, Thomas M.; Spuria, Lillian S.;

[email protected]; [email protected]; Furman, Jason L.; Lambrew, Jeanne (HHS/IOS);Seshamani, Meena (HHS/IOS); Aronson, Lauren; [email protected];[email protected]; [email protected]; [email protected];[email protected]; [email protected]; Foster, Richard S. (CMS/OACT);[email protected]; [email protected]; Siegel, Avra; Bafford, Elizabeth A.; Cooper, Ryan H.;Fenn, Sarah B.; [email protected]; [email protected]; Martin, Kathryn

Subject: Re: Date: Friday, May 08, 2009 5:13:21 PM

Ezekiel J. Emanuel, M.D., Ph.D.Special Advisor for Health PolicyOffice of Management and BudgetPhone: 202-395-5883Fax: 202-395-3174Cell:

Best Cell:

Personal Cell:Other email: [email protected] From: Liebman, Jeffrey B. Sent: Thursday, May 07, 2009 9:52 PMTo: Fontenot, Keith J.; Hash, Michael M.; Reilly, Thomas M.; Spuria, Lillian S.;'[email protected]'; '[email protected]'; Furman, Jason L.;'[email protected]'; '[email protected]'; Aronson, Lauren;'[email protected]'; '[email protected]';'[email protected]'; '[email protected]';'[email protected]'; '[email protected]'; '[email protected]';Emanuel, Ezekiel J.; '[email protected]'; '[email protected]'; Siegel,Avra; Bafford, Elizabeth A.; Cooper, Ryan H.; Fenn, Sarah B.;'[email protected]'; '[email protected]'; Martin, KathrynCc: '[email protected]'Subject:

FollowingupfromourmeetingonTuesday,JonandIwereaskedtowritedownJons

HHS Gruber 000084


(b)(6)

(b)(6)




HHS Gruber 000085


From: Jon GruberTo: Lambrew, Jeanne (HHS/IOS)Cc: Jonathan Gruber; nancy-ann_M._deparle Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden,

Neera (HHS/IOS); [email protected]; Furman, Jason L.; Abraham, Jean M.;[email protected]; rkocher Aronson, Lauren; Seshamani, Meena (HHS/IOS);[email protected]

Subject: Re: results for 3:00Date: Monday, April 27, 2009 9:08:29 PM

on your question

Lambrew, Jeanne (HHS/IOS) wrote:> > > > >> > > > > >> Thanks, Jeanne>> -----Original Message-----> From: Jonathan Gruber [mailto:[email protected]]> Sent: Monday, April 27, 2009 2:50 PM> To: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparl> Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS);> [email protected]; Furman, Jason L.; Abraham, Jean M.; 'Jonathan> Gruber'; [email protected]; rkocher Aronson,> Lauren; Seshamani, Meena (HHS/IOS); [email protected]> Subject: results for 3:00>> Folks ->> Here are almost all of the results for the new runs. > I have>>>>>>>>>>>>>>>>>>>> Jon Gruber

HHS Gruber 000086

(b)(6)



(b)(6)

(b)(6)


(b)(6)


>>


HHS Gruber 000087

From: Jonathan GruberTo: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle Emanuel, Ezekiel J.; Liebman, Jeffrey B.;

Tanden, Neera (HHS/IOS); [email protected]; Furman, Jason L.; Abraham, Jean M.; "JonathanGruber"; [email protected]; rkocher ; Aronson, Lauren; Seshamani, Meena (HHS/IOS);[email protected]

Subject: results for 3:00Date: Monday, April 27, 2009 2:49:17 PMAttachments:

Folks -

Here are almost all of the results for the new runs. the only thing

official number by COB.

couple notes:

Jon Gruber

--Jonathan GruberProfessor of EconomicsMIT Department of Economics50 Memorial Drive, E52-355Cambridge, MA 02142phone: 617-253-8892fax: 617-253-1330e-mail: [email protected]: http://econ-www.mit.edu/faculty/gruberj/

HHS Gruber 000088

(b)(6)

(b)(6)




From: Jon GruberTo: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparl Emanuel, Ezekiel J.; Liebman, Jeffrey B.;

Tanden, Neera (HHS/IOS); [email protected]; Furman, Jason L.; Abraham, Jean M.; "JonathanGruber"; [email protected]; rkocher Aronson, Lauren; Seshamani, Meena (HHS/IOS);Duggan, Mark G.; [email protected]; kfontenot

Subject: resultsDate: Wednesday, April 29, 2009 1:16:27 PMAttachments:

Jon


HHS Gruber 000089


(b)(6)

(b)(6)(b)(6)


From: Jon GruberTo: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle Emanuel, Ezekiel J.; Liebman, Jeffrey B.;

Tanden, Neera (HHS/IOS); [email protected]; Furman, Jason L.; Abraham, Jean M.; "JonathanGruber"; [email protected]; rkocher Aronson, Lauren; Seshamani, Meena (HHS/IOS);Duggan, Mark G.; [email protected]; kfontenot Hash, Michael M.

Subject: revised resultsDate: Wednesday, April 29, 2009 3:09:44 PMAttachments:

here are revised results, with two changes:

Jon


HHS Gruber 000090

(b)(6)

(b)(6)(b)(6)



From: Lambrew, Jeanne (HHS/IOS)To: "Jon Gruber"Cc: Seshamani, Meena (HHS/IOS)Subject: miscDate: Friday, April 24, 2009 10:51:43 AM

Hi Jon, Looping in Meena.

Lastly, Jason Furman does have He emailed about ityesterday. Could one of us be on the call when it happens? I dont think it is a high priority. Thanks, jml

HHS Gruber 000091



From: Jon GruberTo: Seshamani, Meena (HHS/IOS)Subject: Re: Exchange parametersDate: Friday, April 24, 2009 2:21:26 PM


So it is just for nongroup? But there is a voucher, right? What size firms can use thevoucher way to get employees in exchange?

From: Jon Gruber [mailto:[email protected]] Sent: Friday, April 24, 2009 2:18 PMTo: Seshamani, Meena (HHS/IOS)Subject: Re: Exchange parameters


Sorry to bother you jon but I just wanted toThanks and hope you are well. Meena



HHS Gruber 000092



(b)(5) - deliberative process(b)(5)

From: Jon GruberTo: Lambrew, Jeanne (HHS/IOS)Cc: DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)Subject: Re: new requestDate: Sunday, April 26, 2009 9:27:00 PM

OK, i'm running these tonight, will have by COB tomorrow -

Jon

Lambrew, Jeanne (HHS/IOS) wrote:

Hi, Here are the revised specs team, take a quick look to make sure I got them right. Jon, these are different than yesterday: pls call with questions. jml

From: DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParleSent: Saturday, April 25, 2009 4:31 PMTo: Lambrew, Jeanne (HHS/IOS); [email protected]: Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)Subject: Re: new requestImportance: High

Yes, but just to clarify: Thx

Nancy-Ann DeParle Counselor to the President Director, Office of Health Reform

HHS Gruber 000093

(b)(5)


(b)(6)


The White House ----------------------

Sent using BlackBerry

From: Lambrew, Jeanne (HHS/IOS) To: DeParle, Nancy-Ann M.; Jon Gruber Cc: Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS) Sent: Sat Apr 25 16:06:01 2009Subject: RE: new requestHi,

Thanks, jml

From: DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParleSent: Saturday, April 25, 2009 2:52 PMTo: Jon GruberCc: Lambrew, Jeanne (HHS/IOS); Emanuel, Ezekiel J.; Aronson, LaurenSubject: new requestImportance: High Jon:

Call me at f this does not make sense. Thanks, Nancy-Ann DeParleCounselor to the PresidentDirector, Office of Health ReformThe White House

-- Jonathan Gruber Professor of Economics MIT Department of Economics 50 Memorial Drive, E52-355Cambridge, MA 02142phone: 617-253-8892

HHS Gruber 000094

(b)(6)


(b)(6)


(b)(6)

(b)(6)

From: Jonathan GruberTo: Emanuel, Ezekiel J.Cc: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)Subject: Re: new requestDate: Monday, April 27, 2009 2:34:18 PM

fair points. I guess I just have two main points in response:

Jon

Emanuel, Ezekiel J. wrote:>> Jon,>> > >> > > >> > > >> > >> Ezekiel J. Emanuel, M.D., Ph.D.>> Special Advisor for Health Policy>> Office of Management and Budget>> Phone: 202-395-5883>> Fax: 202-395-3174>> Cell: >> Best Cell:>> Personal Cell:>> Other email: [email protected] >> *From:* Jon Gruber [mailto:[email protected]]

HHS Gruber 000096


(b)(6)

(b)(6)

(b)(6)


> *Sent:* Sunday, April 26, 2009 9:27 PM> *To:* Lambrew, Jeanne (HHS/IOS)> *Cc:* DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Aronson, Lauren;> Seshamani, Meena (HHS/IOS)> *Subject:* Re: new request>>>>>>>>>>>>>>>>>>>>>>>>>>>> Jon>>>> Lambrew, Jeanne (HHS/IOS) wrote:>> Hi,>> Here are the revised specs team, take a quick look to make sure I> got them right.>> Jon, these are different than yesterday: pls call with questions. jml>> ------------------------------------------------------------------------>> *From:* DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParle> *Sent:* Saturday, April 25, 2009 4:31 PM> *To:* Lambrew, Jeanne (HHS/IOS); [email protected]> > *Cc:* Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)> *Subject:* Re: new request> *Importance:* High>>>> Nancy-Ann DeParle> Counselor to the President> Director, Office of Health Reform

HHS Gruber 000097


(b)(6)


> The White House> ------------------------> Sent using BlackBerry>> ------------------------------------------------------------------------>> *From*: Lambrew, Jeanne (HHS/IOS)> *To*: DeParle, Nancy-Ann M.; Jon Gruber> *Cc*: Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)> *Sent*: Sat Apr 25 16:06:01 2009> *Subject*: RE: new request>> Hi,>>>>>>>>>>> Thanks, jml>> ------------------------------------------------------------------------>> *From:* DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParle> *Sent:* Saturday, April 25, 2009 2:52 PM> *To:* Jon Gruber> *Cc:* Lambrew, Jeanne (HHS/IOS); Emanuel, Ezekiel J.; Aronson, Lauren> *Subject:* new request> *Importance:* High>> Jon:>>>>>>>>>> Call me at if this does not make sense.>> Thanks,>> Nancy-Ann DeParle>> Counselor to the President>> Director, Office of Health Reform>> The White House>>>>>

HHS Gruber 000098

(b)(6)


(b)(6)


(b)(6)

(b)(6)

From: Jon GruberTo: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle Emanuel, Ezekiel J.; Liebman, Jeffrey B.;

Tanden, Neera (HHS/IOS); [email protected]; Furman, Jason L.; Abraham, Jean M.; "JonathanGruber"; [email protected]; rkocher Aronson, Lauren; Seshamani, Meena (HHS/IOS);Duggan, Mark G.; [email protected]

Subject: concern over low income numbersDate: Thursday, April 23, 2009 11:53:49 AM

I hope that resolves any difficulties.

Jon


HHS Gruber 000100


(b)(6)

(b)(6)

From: Jon GruberTo: Truffer, Christopher J. (CMS/OACT)Cc: Klemm, John D. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena (HHS/IOS); Foster, Richard S.

(CMS/OACT)Subject: Re: Medicaid data marts on the webDate: Wednesday, April 22, 2009 11:20:06 AM

too bad. thanks anyway

Jon

Truffer, Christopher J. (CMS/OACT) wrote:

Jon,

Chris From: Jon Gruber [mailto:[email protected]] Sent: Wednesday, April 22, 2009 11:13 AMTo: Truffer, Christopher J. (CMS/OACT)Cc: Klemm, John D. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena(HHS/IOS); Foster, Richard S. (CMS/OACT)Subject: Re: Medicaid data marts on the web Chris -

thanks. I wasn't asking about QMB/SLMB. I was asking about the rumors I hadheard that some states at least restrict benefits for adults, for example, by havinglimited inpatient days. So are you saying you guys have no info on this?

thanks

Jon

Truffer, Christopher J. (CMS/OACT) wrote:Jon,

We talked with Meena this morning and she will follow up with you on the otherquestions. Chris

HHS Gruber 000101



Christopher Truffer, F.S.A. Actuary Office of the Actuary Centers for Medicare & Medicaid Services (410) 786-1264 From: Jon Gruber [mailto:[email protected]] Sent: Tuesday, April 21, 2009 7:49 AMTo: Klemm, John D. (CMS/OACT)Cc: Truffer, Christopher J. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena(HHS/IOS); Lambrew, Jeanne (HHS/IOS)Subject: Re: Medicaid data marts on the web John, John & Christopher -

thanks again for your help last week. I was wondering if I could follow up withtwo questions:

thanks

Jon

Klemm, John D. (CMS/OACT) wrote: Jon The URL for the Medicaid data marts I mentioned on the phone is http://msis.cms.hhs.gov Dont worry about the registered users only warning. Also note the link to the usersguide. Hope you find this useful. --John

-- Jonathan Gruber Professor of Economics MIT Department of Economics

HHS Gruber 000102


50 Memorial Drive, E52-355Cambridge, MA 02142phone: 617-253-8892fax: 617-253-1330e-mail: [email protected]: http://econ-www.mit.edu/faculty/gruberj/



HHS Gruber 000103

From: Tanden, Neera (HHS/IOS)To: "Ezekiel J. [email protected]"; Seshamani, Meena (HHS/IOS); "[email protected]"; Lambrew,

Jeanne (HHS/IOS); "nancy-ann_M._deparle "Jeffrey_B._Liebman"[email protected]"; "Jason_L._Furma "Jean_M._Abraham"[email protected]"; "[email protected]"; "Robert_Kocher"Lauren_Aronson "Mark_G._Duggan "[email protected]";"Keith_J._Fonteno

Subject: Re: Medicaid runs take 2Date: Wednesday, April 22, 2009 9:01:24 AM

I think the idea is to bring in optimal people for the pool first with these runs to help ensure a goodpool, but I agree that building the pool is the most imp task, really of this whole exercise.

----- Original Message -----From: Emanuel, Ezekiel J. To: Seshamani, Meena (HHS/IOS); Jon Gruber ; Lambrew, Jeanne(HHS/IOS); DeParle, Nancy-Ann M.

Please get me comments, corrections by 9pm so we can start the runs.

Thanks everyone for your feedback.Meena

HHS Gruber 000105


From: Jon GruberTo: [email protected]: Seshamani, Meena (HHS/IOS); [email protected]; [email protected];

[email protected]: Re:Date: Wednesday, April 22, 2009 11:19:28 AM

[email protected] wrote:> Jon,> Yet another quick question:>>>> Thanks again,> Jason>> -----Original Message-----> From: Levitis, Jason> Sent: Tuesday, April 21, 2009 8:32 PM> To: 'Jon Gruber'> Cc: '[email protected]'; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: RE: >> Jon,> Another quick question:>>>>> Thanks,> Jason>> -----Original Message-----> From: Levitis, Jason> Sent: Tuesday, April 21, 2009 6:14 PM> To: 'Jon Gruber'> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: RE:>>>>> Thanks>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]> Sent: Tuesday, April 21, 2009 4:37 PM> To: Levitis, Jason> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: Re: >> neat! thanks Jason.

HHS Gruber 000106










>>> [email protected] wrote:>> Great, thanks. See artist's rendering attached.>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]> Sent: Tuesday, April 21, 2009 3:02 PM> To: Levitis, Jason> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: Re:>> >> > >> Jon>> [email protected] wrote:> >> > Thanks, Jon. That all sounds great. >>> >> >> > >> > >>>> Thanks again.> Jason>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]> Sent: Tuesday, April 21, 2009 2:40 PM> To: Levitis, Jason> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: Re>> Jason ->> > >> > > >

HHS Gruber 000107












>>>>>>>>>>>>>> Jon>> [email protected] wrote:>> > > >> > Hi, Jon.>> As a reminder, I?m on the Health Reform Team,> working> out of Treasury.>>>>>>>>>>>>>>>>>>> I know you?re swamped with other work for us,> but it> would be great if you could put some quick thoughts in an email, today> if> possible. Can be quite informal ? we?re all modeling junkies here.>> >> Thanks for all your help,> Jason>> Senior Advisor>> U.S. Treasury Department>

HHS Gruber 000108



> >> >> >>>>> > >> >> > >>>>>


HHS Gruber 000109

From: Jeanne LambrewTo: "Meena Seshamani"; Lambrew, Jeanne (HHS/IOS)Cc: Seshamani, Meena (HHS/IOS)Subject: RE: specsDate: Friday, April 24, 2009 6:11:17 AM

I read them and had the same response -- what are they thinking?

Will find out today. jml

-----Original Message-----From: Meena Seshamani [mailtoSent: Thursday, April 23, 2009 10:15 PMTo: Jeanne Lambrew; Jeanne LambrewCc: [email protected]: specs

Some thoughts:

I am not sure what the rationale is behind these benchmark specs, are they supposed to match w Gruber?

Meena

HHS Gruber 000110



From: Lambrew, Jeanne (HHS/IOS)To: Lambrew, Jeanne (HHS/IOS); "Jon Gruber"; "nancy-ann_M._deparle "Emanuel, Ezekiel J.";

"Liebman, Jeffrey B."; Tanden, Neera (HHS/IOS); "[email protected]"; "Furman, Jason L."; "Abraham,Jean M."; "Jonathan Gruber"; "[email protected]"; "rkoche "Aronson, Lauren";Seshamani, Meena (HHS/IOS); "Duggan, Mark G."; "[email protected]"

Subject: RE: Estimate and premiums/OOPDate: Tuesday, April 21, 2009 6:39:29 PMAttachments:

Hi,

Forgot attachment. Sorry, jml

-----Original Message-----From: Lambrew, Jeanne (HHS/IOS)Sent: Tuesday, April 21, 2009 1:01 PMTo: 'Jon Gruber'; 'nancy-ann_M._deparle 'Emanuel, Ezekiel J.'; 'Liebman, Jeffrey B.';Tanden, Neera (HHS/IOS); '[email protected]'; 'Furman, Jason L.'; 'Abraham, Jean M.';'Jonathan Gruber'; '[email protected]'; 'rkocher 'Aronson, Lauren'; Seshamani,Meena (HHS/IOS); 'Duggan, Mark G.'; '[email protected]'Subject: Estimate and premiums/OOP

Hi,

Two estimates:

HHS Gruber 000111


(b)(6)

(b)(6)

(b)(6)

(b)(6)


From: Jon GruberTo: [email protected]: Seshamani, Meena (HHS/IOS); [email protected]; [email protected];

[email protected]: Re: Modeling small business subsidies for health planDate: Tuesday, April 21, 2009 8:33:06 PMAttachments:

yes, that is in the model. The documentation that describes how thisworks, among other things, is attached

Jon Gruber

[email protected] wrote:> Jon,> Another quick question:> > > > > Thanks,> Jason>> -----Original Message-----> From: Levitis, Jason> Sent: Tuesday, April 21, 2009 6:14 PM> To: 'Jon Gruber'> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: RE: >>>>> Thanks>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]> Sent: Tuesday, April 21, 2009 4:37 PM> To: Levitis, Jason> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: Re: Modeling small business subsidies for health plan>> neat! thanks Jason. >>> [email protected] wrote:>> Great, thanks. See artist's rendering attached.>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]> Sent: Tuesday, April 21, 2009 3:02 PM> To: Levitis, Jason> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: Re:>

HHS Gruber 000112






(b)(5)

>>>>>> Jon>> [email protected] wrote:> >> > Thanks, Jon. That all sounds great. I don't want to make extra> work> for you, but if you have the exact phase-out parameters written up,> >> >> I'd> >> > love to see it. > > > > Thanks again.> Jason>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]> Sent: Tuesday, April 21, 2009 2:40 PM> To: Levitis, Jason> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: Re: Modeling small business subsidies for health plan>> Jason ->>>>>>>>>>>>>>>>>>>>>> Jon

HHS Gruber 000113





>> [email protected] wrote:>> > > >> > Hi, Jon.>> As a reminder, I?m on the Health Reform Team,> working> out of Treasury.>> > > > > > > > > > > > > > >> >> I know you?re swamped with other work for us,> but it> would be great if you could put some quick thoughts in an email, today> if> possible. Can be quite informal ? we?re all modeling junkies here.>> >> Thanks for all your help,> Jason>> Senior Advisor>> U.S. Treasury Department>> >> >> >>>>> > >> >

HHS Gruber 000114


> > >>>>>


HHS Gruber 000115

From: Jon GruberTo: Jeanne LambrewCc: Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS)Subject: Re: modificatoin to the runs for todayDate: Wednesday, April 22, 2009 8:09:18 AM

sounds fair!

Jeanne Lambrew wrote:

Thank you.

From: Jon Gruber [mailto:[email protected]] Sent: Wednesday, April 22, 2009 6:24 AMTo: Jeanne LambrewCc: 'Seshamani, Meena (HHS/IOS)'; [email protected]: Re: modificatoin to the runs for today Jeanne -

Jon

Jeanne Lambrew wrote:Hi,

HHS Gruber 000116




Thanks, jml



HHS Gruber 000117


From: Jon GruberTo: Seshamani, Meena (HHS/IOS)Cc: Lambrew, Jeanne (HHS/IOS)Subject: Re: Please reviewDate: Tuesday, April 21, 2009 8:27:02 PM


Thank you.

From: Jon Gruber To: Seshamani, Meena (HHS/IOS) Cc: Lambrew, Jeanne (HHS/IOS) Sent: Tue Apr 21 20:19:19 2009Subject: Re: Please review oh, also, we are doing health insurance units, not families - so many folksin the CPS who are in families above poverty are in health insurance unitsbelow poverty


Thinking through the numbers

Thank you Jon.Meena

From: Jon Gruber [mailto:[email protected]] Sent: Tuesday, April 21, 2009 5:24 PMTo: Seshamani, Meena (HHS/IOS)Cc: Lambrew, Jeanne (HHS/IOS)Subject: Re: Please review


HHS Gruber 000118






Thanks Jon.Meena

From: Jon Gruber [mailto:[email protected]] Sent: Tuesday, April 21, 2009 5:00 PMTo: Seshamani, Meena (HHS/IOS)Cc: Lambrew, Jeanne (HHS/IOS)Subject: Re: Please review

Jon


Thanks.Meena Hello everyone,

HHS Gruber 000119




Meena





HHS Gruber 000120


From: [email protected]: Seshamani, Meena (HHS/IOS)Subject: RE: Modeling small business subsidies for health planDate: Tuesday, April 21, 2009 4:45:10 PMAttachments:

Here you go. I'm not sure if the cool conditional formatting works inyour version.

-----Original Message-----From: Seshamani, Meena (HHS/IOS) [mailto:[email protected]]Sent: Tuesday, April 21, 2009 4:39 PMTo: Levitis, JasonSubject: RE: Modeling small business subsidies for health plan

Sorry to be a pain -I think this must be a newer version of excel thanwhat I have. Do you mind saving it as an older version and sending?

Thanks!Meena

-----Original Message-----From: [email protected] [mailto:[email protected]]Sent: Tuesday, April 21, 2009 4:05 PMTo: [email protected]: Seshamani, Meena (HHS/IOS); [email protected];[email protected]; [email protected]: RE: Modeling small business subsidies for health plan

Great, thanks. See artist's rendering attached.

-----Original Message-----From: Jon Gruber [mailto:[email protected]]Sent: Tuesday, April 21, 2009 3:02 PMTo: Levitis, JasonCc: [email protected]; Sperling, Gene; Palomo, Victoria;Leibenluft, JacobSubject: Re: Modeling small business subsidies for health plan

Jon

[email protected] wrote:> Thanks, Jon. That all sounds great.

> > > > Thanks again.> Jason>> -----Original Message-----> From: Jon Gruber [mailto:[email protected]]

HHS Gruber 000121





> Sent: Tuesday, April 21, 2009 2:40 PM> To: Levitis, Jason> Cc: [email protected]; Sperling, Gene; Palomo, Victoria;> Leibenluft, Jacob> Subject: Re: Modeling small business subsidies for health plan>> Jason ->>>>>>>>>>>>>>>>>>>>>> Jon>> [email protected] wrote:>> > > >> > Hi, Jon.>> As a reminder, I?m on the Health Reform Team,> working> out of Treasury.>> > > > > > > > > > > > > > >> >

HHS Gruber 000122



> I know you?re swamped with other work for us,> but it> would be great if you could put some quick thoughts in an email, today> if> possible. Can be quite informal ? we?re all modeling junkies here.>> >> Thanks for all your help,> Jason>> Senior Advisor>> U.S. Treasury Department>> >> >> >>>>>


HHS Gruber 000123

From: Furman, Jason L.To: Jon GruberCc: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden, Neera

(HHS/IOS); [email protected]; Abraham, Jean M.; Jonathan Gruber; [email protected];Kocher, Robert; Aronson, Lauren; Seshamani, Meena (HHS/IOS)

Subject: RE: updated memo onDate: Tuesday, April 21, 2009 9:24:57 AM

Now that youre making it personal with Furman Inc. Ill take this off-line.

From: Jon Gruber [mailto:[email protected]] Sent: Tuesday, April 21, 2009 9:22 AMTo: Furman, Jason L.Cc: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Liebman, Jeffrey B.;Tanden, Neera (HHS/IOS); [email protected]; Abraham, Jean M.; Jonathan Gruber;[email protected]; Kocher, Robert; Aronson, Lauren; Seshamani, Meena (HHS/IOS)Subject: Re: updated memo on

Jon


-----Original Message-----

HHS Gruber 000124



(b)(5)

(b)(5)

From: Jon Gruber [mailto:[email protected]] Sent: Tuesday, April 21, 2009 8:06 AMTo: Furman, Jason L.Cc: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, EzekielJ.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS);[email protected]; Abraham, Jean M.; Jonathan Gruber;[email protected]; Kocher, Robert; Aronson, Lauren; Seshamani,Meena (HHS/IOS)Subject: Re: updated memo on Jason - thanks for thinking this through. I have a few thoughts on htis:

Jon Furman, Jason L. wrote:

Jon, Sorry for the slow motion response but finally had a chance to confirm

yourcirculated:

HHS Gruber 000125




(b)(5)

-----Original Message-----From: Jon Gruber [mailto:[email protected]]Sent: Sunday, April 12, 2009 8:14 PMTo: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel,

HHS Gruber 000126


Ezekiel

J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS); [email protected]; Furman, Jason L.; Abraham, Jean M.; 'Jonathan Gruber'; [email protected]; Kocher, Robert; Aronson, Lauren; Seshamani, Meena (HHS/IOS)Subject: updated memo on Here is an update on that earlier memo where I have clarified the second point. Thanks Jon

-- Jonathan Gruber Professor of Economics MIT Department of Economics 50 Memorial Drive, E52-355Cambridge, MA 02142phone: 617-253-8892fax: 617-253-1330e-mail:

HHS release

Documents

Transcript of HHS release