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William Schpero @wschpero.bsky.social · 1d

For decades, the narrowly defined Emergency Medicaid (EM) program has reimbursed hospitals for emergency care provided to uninsured, low-income immigrants.

In @nejm.org, we write in defense of state flexibilities in EM, which seem at risk: www.nejm.org/doi/full/10....

cc @chpc-cornell.bsky.social

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

www.nejm.org

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William Schpero @wschpero.bsky.social · 6d

➡️ Please spread the word:

The Medicaid Data Learning Network (MDLN) is launching a survey to gain insights into researchers’ use of federal Medicaid claims data (TAF).

The survey will help the MDLN advocate for improvements to data access / quality.

weillcornell.az1.qualtrics.com/jfe/form/SV_...

MDLN National TAF User Survey

The Medicaid Data Learning Network (MDLN), an initiative of AcademyHealth, is conducting a national survey of researchers who use the T-MSIS Analytic Files (TAF) Medicaid claims data in order to infor...

weillcornell.az1.qualtrics.com

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William Schpero @wschpero.bsky.social · 7d

Check out our article in Health Affairs Forefront:
www.healthaffairs.org/content/fore...

Dig through individual responses (with comments) on the CHPC website:
healthpolicycenter.cornell.edu/chpc/surveys...

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Leading Health Policy Scholars: Medicaid Work Requirements Won’t Increase Employment | Health Affairs Forefront

Although there remains uncertainty about the eventual impact of work requirements, this survey suggests that many of the country’s leading health care policy experts believe that they are likely to re...

www.healthaffairs.org

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William Schpero @wschpero.bsky.social · 7d

Every 5-6 weeks, the Cornell Health Policy Center (@chpc-cornell.bsky.social) will survey 64 leading health policy researchers on the most pressing health policy topics of the day.

To start: effects of Medicaid work requirements under the One Big Beautiful Bill Act.

2/N

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William Schpero @wschpero.bsky.social · 7d

For many years, the Clark Center at Chicago Booth has regularly surveyed leading economists to assess consensus on timely economic policy issues.

We are excited today to launch the Cornell Health Policy Insight Panel, where we extend that model to health policy.

1/N ⬇️

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Reposted by William Schpero

Cornell Health Policy Center @chpc-cornell.bsky.social · 15d

📣 It’s not too late to join us THIS THURSDAY for our September CHPC Journalism Series webinar: “Supporting Data-Driven Journalism on Medicaid Policy!”

🗓️ Thursday, September 25th | 2:00-3:00 PM ET

Register: buff.ly/PqOT9rD

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William Schpero @wschpero.bsky.social · 19d

Not great apples-to-apples estimates out there, but roughly my sense is rx is comparable, ED in Medicaid is higher, outpatient care in Medicaid is lower.

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William Schpero @wschpero.bsky.social · 19d

Link to Paper:

academic.oup.com/healthaffair...

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cc @chpc-cornell.bsky.social

Diagnosed health conditions and health care use among Medicaid expansion enrollees, 2019 and 2022

As of 2025, 40 states and the District of Columbia have implemented expansions of Medicaid eligibility under the Affordable Care Act (ACA).1 A large body o

academic.oup.com

William Schpero @wschpero.bsky.social · 19d

2. The OBBBA includes work requirement exemptions for certain groups, including folks who are "medically frail" or in treatment for SUD.

Our paper is an early proof-of-concept that states could use claims to automate exemptions (if allowed to do so in final regs).

5/N

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William Schpero @wschpero.bsky.social · 19d

➡️ We see two important implications:

1. Most expansion enrollees are actively receiving care. The coverage losses predicted under the OBBBA's work requirement will thus likely introduce discontinuities in care.

4/N

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William Schpero @wschpero.bsky.social · 19d

➡️ Key Finding 2: There was meaningful variation in health care use across states.

Rx use exhibited the largest variation across states, followed by outpatient visits, ED visits, and inpatient visits.

3/N

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William Schpero @wschpero.bsky.social · 19d

➡️ Key Finding 1: In 2022, over one-third of adult expansion enrollees had at least 1 diagnosed health condition.

One-quarter had an ED visit, while over 60% had outpatient visits and prescription drug fills.

2/N

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William Schpero @wschpero.bsky.social · 19d

During debate on the OBBBA, I realized we know very little about health care needs and use in the adult Medicaid expansion population.

We have a short paper out in Health Affairs Scholar this week that uses national Medicaid claims data in an attempt to fill that gap:

⬇️ 1/N

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William Schpero @wschpero.bsky.social · 20d

Calling all health policy journalists:

Come to our session next week on data resources for reporting on Medicaid!

Cornell Health Policy Center @chpc-cornell.bsky.social · 20d

⭐️ Dr. William Schpero will be an expert panelist and moderator in our upcoming CHPC Journalism Series webinar: “Supporting Data-Driven Journalism on Medicaid Policy,” alongside Dr. Angelica Meinhofer.

📖 Read more about Dr. Schpero here: buff.ly/Ipgl1Ik

📌 Register now: buff.ly/PqOT9rD

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Reposted by William Schpero

Laura Dague @lauradague.bsky.social · Sep 2

Dan Sacks and I are looking for a postdoc to work on Medicaid evaluation projects at UW-IRP. See posting: hr.wisc.edu/postdoc-and-... . Email your resume and cover letter to Tim Connor at [email protected].
For any questions regarding the position, please contact Dan Sacks at [email protected]

Postdoc, Postgrad, and Research Intern Vacancies

Browse Postoc and Research Intern vacancies at UW–Madison.

hr.wisc.edu

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Reposted by William Schpero

Cornell Health Policy Center @chpc-cornell.bsky.social · Sep 2

📢 Calling all journalists 📢

Join our third session of the Cornell Health Policy Center Journalism Series “Supporting Data-Driven Journalism on Medicaid Policy!”

🗓️ Thursday, September 25th | 2:00 PM–3:00 PM ET on Zoom

Register now:

Welcome! You are invited to join a webinar: CHPC Journalism Series: Supporting Data-Driven Journalism on Medicaid Policy. After registering, you will receive a confirmation email about joining the webinar.

In this session, two Cornell experts will identify key data resources for reporting on timely Medicaid policy topics, including: - Impact of emerging federal and state policy developments - Coverage trends...

weillcornell.zoom.us

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Reposted by William Schpero

Cornell Health Policy Center @chpc-cornell.bsky.social · Aug 19

🚨 Want to learn more about key public data resources for reporting on Medicaid policy issues?

Join our third session of the Cornell Health Policy Center Journalism Series
“Supporting Data-Driven Journalism on Medicaid Policy!”

🔗 Register: buff.ly/WsGMU4H

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William Schpero @wschpero.bsky.social · Aug 4

Please spread the word -- our next @chpc-cornell.bsky.social event for journalists is focused on data resources for reporting on Medicaid policy.

Details below:

Cornell Health Policy Center @chpc-cornell.bsky.social · Aug 4

📣 Calling all journalists!

Join us for the third session of the Cornell Health Policy Center Journalism Series: “Supporting Data-Driven Journalism on Medicaid Policy!”

Thursday, September 25th, 2025 | 2PM-3PM (EST)

Register here: buff.ly/UXcTva4

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Reposted by William Schpero

Matt Notowidigdo @profnoto.bsky.social · Jul 29

My co-authors Sarah Shubeck (UCM) & Emily Crawford (Booth PhD student) & I have a new paper in JAMA Health Forum studying the effects of the Families First Coronavirus Response Act (FFCRA) on insurance churn (defined as losing health insurance over the next 12 months) jamanetwork.com/journals/jam...

Insurance Churn and the COVID-19 Pandemic

This study estimates whether the Families First Coronavirus Response Act decreased insurance churn.

jamanetwork.com

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William Schpero @wschpero.bsky.social · Jul 28

Please spread the word!

Happening tomorrow.

Cornell Health Policy Center @chpc-cornell.bsky.social · Jul 28

📣 Join us TOMORROW from 12:00-1:00pm for CHPC Journalism Series webinar: “Supporting Data-Driven Journalism on Nursing Home Policies,” on Zoom: buff.ly/xPrga33

Featuring Drs. Tyler Braun, Mark Unruh, Jiani Yu, Moderated by Dr. William Schpero.

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Reposted by William Schpero

Josh Gottlieb @gottliebecon.bsky.social · Jul 3

Very clear article discussing our @beckerfriedman.bsky.social / @nber.org working paper and other aspects of healthcare job growth.

The full paper together with @nealemahoney.bsky.social @siepr.bsky.social @kevinrinz.bsky.social @victoriaudalova.bsky.social is here: gottlieb.ca/papers/Healt...

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William Schpero @wschpero.bsky.social · Jun 19

This portends another addition to the Cape Cod house that is subsidies for the safety net: Medicare DSH, Medicaid DSH, the Critical Access Hospital program, 340B, etc.

All have overlapping purposes and are subject to gaming and mis-targeting.

Adrianna McIntyre @adrianna.bsky.social · Jun 19

This proposal reads like "high-risk pools, but for rural hospitals" to me

High-risk pools never worked as well as people wanted, and I worry that a rural hospital slush fund would face many of the same challenges (underfunding, limited access, etc)

Senate leadership ponders rural hospital fund to sway megabill holdouts

The fund would help rural hospitals that could be hurt by the Senate's cut to provider taxes.

www.politico.com

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Reposted by William Schpero

Angelica Meinhofer @angelicameinhofer.bsky.social · Jun 13

What happens when states expand school Medicaid? Our new study @jamahealthforum.bsky.social finds that the receipt of school-based health services rises significantly among children affected by parental opioid use disorder, following early state expansions. jamanetwork.com/journals/jam...

Early School Medicaid Expansions and Health Services for Children With Parental Opioid Use Disorder

This cohort study estimates the early effects of state school Medicaid expansions on the receipt of Medicaid-funded school-based health services among children who have experienced parental opioid use...

jamanetwork.com

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Reposted by William Schpero

Eric Patashnik @ericpatashnik.bsky.social · Jun 12

Today at 3pm! Join @povertyscholar.bsky.social (Cornell), Andrea Campbell (MIT), David Adler (RWJF) and me for a webinar on Medicaid's past, present and future at a critical moment in the program's trajectory. Event reg below. 1/2 @rwjf.bsky.social @watsoninstitute.bsky.social @jhppl.bsky.social

Jamila Michener @povertyscholar.bsky.social · Jun 3

It is a hard, but important time to be thinking and talking collectively about Medicaid. Join us next week (June 12th) for a historically grounded, future facing discussion.

Eric Patashnik @ericpatashnik.bsky.social · Jun 3

#Medicaid covers about one in five people nationwide. Join @RWJF and @JHPPL on June 12 @ 3 p.m. ET as we discuss the program’s legacy and future. Speakers include @povertyscholar.bsky.social Andrea Campbell, David Adler and me. Register: bit.ly/4dsIsXR

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Reposted by William Schpero

Kirsten Bibbins-Domingo @kbibbinsdomingo.bsky.social · Jun 7

JAMA Health Forum @jamahealthforum.bsky.social - the health policy journal of the JAMA Network - is now on BlueSky!! #MedSky #ARM25

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