I study how administrative burdens impede health insurance coverage, strategies to reduce these barriers, and the politics of health reform
she/her/Michigander
I mostly research and write about health insurance coverage and access — specifically, how to improve take-up and retention in Medicaid and marketplace plans. I also study the politics of health reform.
Sidekick Nellie cares less about health policy and more about kibble policy.
www.politico.com/news/2025/11...
www.brookings.edu/articles/how...
www.brookings.edu/articles/how...
“While ACA plans would still be required to cover people with pre-existing conditions under the Scott proposal, it is likely that the ACA Marketplace would collapse in states that seek a waiver under his approach.”
www.kff.org/affordable-c...
“While ACA plans would still be required to cover people with pre-existing conditions under the Scott proposal, it is likely that the ACA Marketplace would collapse in states that seek a waiver under his approach.”
www.nytimes.com/2025/11/21/u...
www.chiamass.gov/assets/docs/...
www.chiamass.gov/assets/docs/...
Paragon has proposed converting CSRs to HSA contributions
Cassidy has proposed converting ePTCs to HSA contributions
Trump has proposed (I think? this is least clear) converting *all* subsidies to HSA contributions.
Paragon has proposed converting CSRs to HSA contributions
Cassidy has proposed converting ePTCs to HSA contributions
Trump has proposed (I think? this is least clear) converting *all* subsidies to HSA contributions.
It means the next time that Trump/RFK/JB want to terminate grants on topics they don't like, they'll have less trouble in court defending their actions.
It also means less certainty for scientists, less research, and more harm to US scientific leadership
It means the next time that Trump/RFK/JB want to terminate grants on topics they don't like, they'll have less trouble in court defending their actions.
It also means less certainty for scientists, less research, and more harm to US scientific leadership
Yesterday, we found out. NIH will indeed add specific language to new grant terms and, in doing so, it'll preserve the option to use this new power.
grants.nih.gov/grants/guide...
2/
Yesterday, we found out. NIH will indeed add specific language to new grant terms and, in doing so, it'll preserve the option to use this new power.
grants.nih.gov/grants/guide...
2/
— @adrianna.bsky.social
www.thebulwark.com/p/not-so-imp...
— @adrianna.bsky.social
www.thebulwark.com/p/not-so-imp...
www.politico.com/magazine/sto...
www.politico.com/magazine/sto...
(Nobody has ever asked for this)
(Nobody has ever asked for this)
- 22% know someone who was detained or deported
- 49% feel less safe since President Trump took office
- 47% struggled to pay for food, housing, or health care
- Still, 70% would come to the U.S. again if given a choice
- 22% know someone who was detained or deported
- 49% feel less safe since President Trump took office
- 47% struggled to pay for food, housing, or health care
- Still, 70% would come to the U.S. again if given a choice
There is no evidence that a consensus on health reform exists within the Republican caucus — we still don't have a clear picture of what the HSA-based alternative to extending the enhanced subsidies is. (A Bill Cassidy bill? A Rick Scott bill? No one knows!)
There is no evidence that a consensus on health reform exists within the Republican caucus — we still don't have a clear picture of what the HSA-based alternative to extending the enhanced subsidies is. (A Bill Cassidy bill? A Rick Scott bill? No one knows!)
There is no evidence that a consensus on health reform exists within the Republican caucus — we still don't have a clear picture of what the HSA-based alternative to extending the enhanced subsidies is. (A Bill Cassidy bill? A Rick Scott bill? No one knows!)