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Reposted by Jacob Wallace

Aaron Schwartz @aschwartz.bsky.social · Jul 18

Research on insurer coverage rules is in today’s NY Times.

Denials are rising. Good managed care or bad administrative burden? Hard to know.

Featuring research by @michaelannica.bsky.social @jacobwswallace.bsky.social @mikegeruso.bsky.social me and colleagues.

www.nytimes.com/2025/07/18/h...

Health Insurers Are Denying More Drug Claims, Data Shows

www.nytimes.com

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Pete Buttigieg @petebuttigieg.bsky.social · Jun 14

My kids know an American flag when they see one – but they don't yet know all that it represents.

When they're old enough, here is what I'm going to tell them:

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Jason L. Schwartz @jasonlschwartz.bsky.social · Feb 20

If people are interested in learning about the ACIP and its decades of contributions to US vaccine policy successes, here’s a short 2014 piece I wrote in NEJM with Adel Mahmoud (timed with its 50th anniversary) www.nejm.org/doi/full/10....

A Half-Century of Prevention — The Advisory Committee on Immunization Practices | NEJM

In 1964, after a vaccination program against polio, diphtheria, tetanus, and pertussis began, the Advisory Committee on Immunization Practices was created to advise the U.S. government on vaccinati...

www.nejm.org

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Megan Ranney MD MPH @meganranney.bsky.social · Jun 9

These are important stats to know as we "debate" the provisions in the budget bill.

(#publichealth rigor PLUS impact, right here, from @jacobwswallace.bsky.social!)

cc @yalesph.bsky.social

Jacob Wallace @jacobwswallace.bsky.social · Jun 2

Ok folks, we know work requirements reduce benefits without increasing work (cc: @chloeneast.bsky.social)

But who loses benefits and what happens if work requirements are reversed?

New evidence from linked SNAP-Medicaid data and a natural experiment in CT tell a concerning story...

Thread below 👇

SNAP work requirements have biggest effect on those least able to work

Most people pushed out of SNAP in Connecticut didn’t find their way back in, even when work requirements were later reversed.

tobin.yale.edu

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Jacob Wallace @jacobwswallace.bsky.social · Jun 5

Congratulations! Don't forget about your college RA when you're famous. 😜

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Benjamin H. Bradlow @bhbradlow.bsky.social · Jun 5

Very honored and grateful that URBAN POWER recently been recognized by two sections of the ASA:

Charles Tilly Distinguished Contribution to Scholarship Book Award from Collective Behavior and Social Movements

Best Book Award (honorable mention) from Sociology of Development

Benjamin H. Bradlow @bhbradlow.bsky.social · May 21

URBAN POWER, coming October 22, 2024 with @princetonupress.bsky.social.

press.princeton.edu/books/paperb...

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Jacob Wallace @jacobwswallace.bsky.social · Jun 4

This is well said, thanks for taking a close look at the results!

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Reposted by Jacob Wallace

Jacob Wallace @jacobwswallace.bsky.social · Jun 2

Ok folks, we know work requirements reduce benefits without increasing work (cc: @chloeneast.bsky.social)

But who loses benefits and what happens if work requirements are reversed?

New evidence from linked SNAP-Medicaid data and a natural experiment in CT tell a concerning story...

Thread below 👇

SNAP work requirements have biggest effect on those least able to work

Most people pushed out of SNAP in Connecticut didn’t find their way back in, even when work requirements were later reversed.

tobin.yale.edu

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

Good point, this was not well phrased. Suspended would have been a better choice, thanks for flagging.

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

cc: @adrianna.bsky.social @acinthedc.bsky.social @lizananat.bsky.social @laurenhlb.bsky.social @paulgp.com @gregggonsalves.bsky.social @aschwartz.bsky.social

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

RESULT 4:

Some towns reversed work requirements, what happened?

For our cohort, this was *not* associated with a change in SNAP enrollment — people didn't get back on the program

Implication: WR may be a "one-way door" out of safety net coverage

From a new JAMA HF pape that dropped last Friday

SNAP Work Requirements Reversal and Program Enrollment

This cohort study assesses the association of implementation and reversal of Supplemental Nutritional Assistance Program (SNAP) work requirements with SNAP enrollment.

jamanetwork.com

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

RESULT 3: Work requirements led to substantial coverage losses even for those with incomes

Translation — More evidence that not only about whether folks are working, even those with incomes are screened out...

This appears to be about paperwork.

@pamherd.bsky.social @donmoyn.bsky.social

5/

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

RESULT 2: Sickest folks hit hardest by work requirements

Disenrollment risk was

≈2× higher for people with diabetes

and

≈5.5× higher for older adults (40-49) with ≥3 chronic conditions

Concerning evidence the sickest and most vulnerable folks are screened out by work requirements.

4/

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

RESULT 1: Work requirements --> coverage losses

When CT imposed WR, SNAP coverage fell 25% + Medicaid enrollment was flat.

Translation — People lost nutrition support, not because they earned more, but because of paperwork.

If they were earning more they would be losing Medicaid eligibility.

3/

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

METHODS:

Chima Ndumele and Hannah Factor led study of SNAP work requirements taking effect in 87/169 CT towns

Triple-diff w/ variation across time, towns, and populations

Linked Medicaid-SNAP data see health + demographics of those who lost coverage.

First pape in @jamainternalmed.com.

2/

Supplemental Nutrition Assistance Program Work Requirements and Safety-Net Program Participation

This cohort study examines the association between work requirements and safety-net program enrollment among Medicaid and Supplemental Nutrition Assistance Program (SNAP) enrollees in Connecticut.

jamanetwork.com

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Jacob Wallace @jacobwswallace.bsky.social · Jun 2

Ok folks, we know work requirements reduce benefits without increasing work (cc: @chloeneast.bsky.social)

But who loses benefits and what happens if work requirements are reversed?

New evidence from linked SNAP-Medicaid data and a natural experiment in CT tell a concerning story...

Thread below 👇

SNAP work requirements have biggest effect on those least able to work

Most people pushed out of SNAP in Connecticut didn’t find their way back in, even when work requirements were later reversed.

tobin.yale.edu

4 110 170

Reposted by Jacob Wallace

Adrianna McIntyre @adrianna.bsky.social · Jun 2

New research letter led by Hannah Factor, a star PhD student here in Harvard's health policy program, finds that damage from SNAP work requirements is hard to undo, likely because of the administrative burdens involved with re-enrollment

jamanetwork.com/journals/jam...

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Reposted by Jacob Wallace

Aaron Schwartz @aschwartz.bsky.social · May 14

Eric Roberts and @joefigs.bsky.social led a groundbreaking new study on Medicaid and Medicare, out today in NEJM. I’m lucky to have been a part of it.

Medicare saves lives. But is it enough to save lives of the most vulnerable Americans? The study suggests no; Medicaid still matters. (1/11)

Loss of Subsidized Drug Coverage and Mortality among Medicare Beneficiaries | NEJM

A total of 14 million Medicare beneficiaries receive the Low-Income Subsidy (LIS), which reduces cost sharing in Medicare Part D. Losing the LIS may impede medication access and affect mortality. U...

www.nejm.org

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Krassensteins @krassenstein.bsky.social · Apr 1

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Barack Obama @barackobama.bsky.social · Apr 1

Wisconsin! Judge Susan Crawford will work to protect your rights and freedoms. So get out there and vote today by 8pm. You can find your polling place at wisdems.org/vote.

If you have any questions about voting, call or text the Voter Assistance Hotline at 608-336-3232.

Find Your Voting Locations | WISDEMS Voter Protection Team

This searchable map shows you early voting and dropbox info for hundreds of villages, towns, and cities across Wisconsin. Enter the address you're registered at and your options will pop up!

wisdems.org

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Krassensteins @krassenstein.bsky.social · Mar 31

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Jacob Wallace @jacobwswallace.bsky.social · Mar 5

Fieldhouse is a Swattie! (You probably know that)

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Robert Reich @rbreich.bsky.social · Feb 27

Boycott tomorrow!

Join in tomorrow’s economic blackout

robertreich.substack.com

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William Schpero @wschpero.bsky.social · Feb 5

Please join us for the next Medicaid Insights Colloquium on Feb. 12 featuring the incomparable @jacobwswallace.bsky.social on how managed care manages care:

"The Private Provision of Public Services: Evidence from Random Assignment in Medicaid"

Register: us06web.zoom.us/webinar/regi...

Welcome! You are invited to join a webinar: Medicaid Insights Colloquium with Dr. Jacob Wallace. After registering, you will receive a confirmation email about joining the webinar.

The Private Provision of Public Services: Evidence from Random Assignment in Medicaid

us06web.zoom.us

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