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Reposted by Adrianna McIntyre

Julie Rovner @julierovner.bsky.social · 21h

Sir, you signed the law guaranteeing back pay for furloughed workers in 2018...

Aaron Rupar @atrupar.com · 21h

Q: Is it the White House's position that furloughed workers should get backpay?

TRUMP: I would say it depends on who we're talking about

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Adrianna McIntyre @adrianna.bsky.social · 1d

Alternative is that he’s shooting from the hip based on knowing the marketplace integrity rule (1) proposed a number of policies purportedly targeting fraudulent enrollment and (2) asserted that the rule on balance ~could~ improve the risk pool, but (2) was all hand-waving and contrary to research

Adrianna McIntyre @adrianna.bsky.social · 1d

The most charitable interpretation, I think, is that he was confusing individual premiums and net federal spending on APTCs, but the question pretty clearly seems to be about the former!

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Adrianna McIntyre @adrianna.bsky.social · 1d

Zero-claim enrollees would be risk-pool-improving and premium-reducing.

Reasonable people can debate whether/to what extent the increase in zero-claim enrollees might reflect increased broker-driven fraudulent enrollment, but not whether that enrollment increases (individual) premiums.

Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 1d

Oz seems to suggest there are very large number of people who have ACA plans who don't file claims in any year - suggesting fraud going on and this is why premiums are going up.

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Aatish Bhatia @aatishb.bsky.social · 2d

The number of international students arriving in the U.S. in August fell by 19 percent this year compared with last year — the largest decline on record outside of the pandemic.

Nearly 20 Percent Fewer International Students Traveled to the U.S. in August (Gift Article)

The data shows the steepest decline in August international student arrivals since the pandemic.

www.nytimes.com

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Sam Bagenstos @sbagen.bsky.social · 3d

This is a really outstanding post. "That’s the point of the compact. .... It is about control. Specifically it is about turning existing federal law, over which the administration has limited control, into terms of a 'deal' that offers the government much more control."

Joey Fishkin @fishkin.bsky.social · 3d

I thought I'd put the administration's proposed "compact" with universities in context, so I wrote the blog post below.

It's especially for journalists covering this story!

Many details about how the compact itself works and why the administration has retreated to this strategy.

Balkinization: The Art of Replacing the Law with the Deal

A group blog on constitutional law, theory, and politics

balkin.blogspot.com

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Adrianna McIntyre @adrianna.bsky.social · 2d

This Data for Progress survey gets at this more directly.

www.dataforprogress.org/insights/202...

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Adrianna McIntyre @adrianna.bsky.social · 2d

Key (big!) caveat is that we didn’t directly evaluate whether people understood that MassHealth (or whatever it is in their state) = Medicaid. The motivation for the survey when we conducted it — untethered from *gestures* all this — was about measuring program support, not policy literacy.

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Phil Rocco @philiprocco.bsky.social · 3d

Happily @adrianna.bsky.social and colleagues have this covered in @jhppl.bsky.social : read.dukeupress.edu/jhppl/articl...

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Adrianna McIntyre @adrianna.bsky.social · 2d

Key (big!) caveat is that we didn’t directly evaluate whether people understood that MassHealth (or whatever it is in their state) = Medicaid. The motivation for the survey when we conducted it — untethered from *gestures* all this — was about measuring program support, not policy literacy.

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Adrianna McIntyre @adrianna.bsky.social · 2d

“The whole point of EMTALA is that when you get a person at the door, you stabilize them before you ask them any effing questions.”

www.thebulwark.com/p/government...

Congress ultimately addressed both needs, by putting EMTALA and the Emergency Medicaid initiative into 1986 budget legislation.4 And although Vance, in a Fox interview last week, described Emergency Medicaid as a “Biden-era” program, it was signed into law by the Republican who was in the White House at the time: conservative patron saint Ronald Reagan.

Leavitt herself seemed to acknowledge that on Friday, when another reporter asked her a question similar to the one she got from NBC News: “Is it the administration’s position that hospitals should not have to treat people who come to ERs who are not here legally?”

“No,” she said, “that’s not our position.” Just like that, she conceded the rationale for EMTALA and Emergency Medicaid—and acknowledged that the Trump administration actually supports taxpayer-funded health care for illegal immigrants. Maybe someone should tell JD Vance.

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Larry Levitt @larrylevitt.bsky.social · 5d

The false idea that Democrats, in pushing to reverse Medicaid and ACA cuts, are advocating for an expansion of health care for undocumented immigrants is maybe the biggest health policy distortion since the supposed "death panels" in Obamacare.

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Adrianna McIntyre @adrianna.bsky.social · 10d

It’s that time of year again: The information session for Harvard’s PhD in Health Policy will be held a month from today, on Tuesday, October 28.

Register here (recording will be available for those who can’t make it): harvard.zoom.us/meeting/regi...

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Adrianna McIntyre @adrianna.bsky.social · 13d

Appending the correct link to the end of this thread; the link at the top is to the accompanying editorial

jamanetwork.com/journals/jam...

Health Insurance Dynamics During Childhood in the US

This decision analytical modeling study aimed to estimate childhood insurance outcomes, including the proportions of those who had ever been enrolled in Medicaid or CHIP or had ever been uninsured.

jamanetwork.com

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Adrianna McIntyre @adrianna.bsky.social · 13d

I just realized I accidentally linked the accompanying editorial instead of the paper itself. Correct link below!

jamanetwork.com/journals/jam...

Adrianna McIntyre @adrianna.bsky.social · 13d

A new paper led by Harvard Health Policy PhD student Ye Shen finds that, in the current policy environment, more than six in ten kids will have been enrolled in Medicaid for some period of time by their 18th birthday; the program is absolutley critical for children.

jamanetwork.com/journals/jam...

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Adrianna McIntyre @adrianna.bsky.social · 13d

That introduces an interpretive caveat worth making explicit: because of the data used, the model assumes a "steady state" of policy that reflects post-ACA (with some Medicaid expansion) but pre-pandemic (excluding continuous coverage/unwinding) conditions; it's not following a child from 2007-2025.

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Adrianna McIntyre @adrianna.bsky.social · 13d

Empirically, this paper is a very cool exercise. We don't have survey or administrative data that allows us to follow people's coverage status over 18 years.

So instead, the authors use a microsimulation model to "stitch together" a nationally representative set of coverage trajectories.

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Adrianna McIntyre @adrianna.bsky.social · 13d

That finding may be partly about more generous income eligibility thresholds (and/or less onerous enrollment processes) in expansion states, but there's also prior evidence documenting that expanding Medicaid for adults has "spillover" effects for kids.

www.aeaweb.org/articles?id=...

Out of the Woodwork: Enrollment Spillovers in the Oregon Health Insurance Experiment

(August 2022) - We study the impact of expanded adult Medicaid eligibility on the enrollment of already-eligible children. We analyze the 2008 Oregon Medicaid lottery, in which some low-income uninsur...

www.aeaweb.org

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Adrianna McIntyre @adrianna.bsky.social · 13d

The authors also report that kids in non-expansion states are significantly more likely to ever experience an uninsured spell before age 18 than kids in expansion states (59% vs. 36%), even though ACA expansion primarily targets non-elderly adults.

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Adrianna McIntyre @adrianna.bsky.social · 13d

A new paper led by Harvard Health Policy PhD student Ye Shen finds that, in the current policy environment, more than six in ten kids will have been enrolled in Medicaid for some period of time by their 18th birthday; the program is absolutley critical for children.

jamanetwork.com/journals/jam...

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Adrianna McIntyre @adrianna.bsky.social · 13d

Flagging this new TFAH report for other health policy/politics syllabi-updaters

www.tfah.org/wp-content/u...

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Adrianna McIntyre @adrianna.bsky.social · 14d

Mackinac Island does two things extremely well and they are fudge and weddings

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Adrianna McIntyre @adrianna.bsky.social · 14d

(which we both uh forgot about until making rapture jokes yesterday)

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Adrianna McIntyre @adrianna.bsky.social · 15d

would be pretty weird to get raptured on our anniversary tbh

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Adrianna McIntyre @adrianna.bsky.social · 15d

And insurers (and marketplaces) are supposed to send letters notifying current enrollees of premium increases that *arrive* no later than November 1.

Screenshot is from HealthCare.gov:

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