Scholar

Joseph R. Betancourt

H-index: 46
Public Health 37%
Medicine 21%
jbetancourtpr.bsky.social
@commonwealthfund.org has always stood for a health system that works for all, and we’re not going to stop now.

Over the coming months, we will be sharing the Fund’s new direction while doubling down and prioritizing efforts in the short term that help us pursue our mission.

Full thoughts here ⤵️
Together, We Can Still Shape the Future | Joseph Betancourt
Together, We Can Still Shape the Future For over a century, The Commonwealth Fund’s mission has been simple: Affordable, quality health care. For everyone.   Last week, Congress passed, and the pres...
www.linkedin.com
jbetancourtpr.bsky.social
Last week, Congress passed, and the president signed, legislation that will cut #Medicaid and alter how coverage is accessed through the #healthinsurance marketplaces.

This is a turning point—not the end of the story.
jbetancourtpr.bsky.social
Sincerest thanks to @thepcc.org for your leadership and all my fellow #primarycare providers trying to make a difference every day. Committed to improving the health of all Americans at @commonwealthfund.org.
thepcc.org
A huge thank you to @commonwealthfund.org President @jbetancourtpr.bsky.social for delivering closing remarks for the #PCC2025 Conference.

As his words drive inspiration for the work ahead, we’re thankful for his leadership in forwarding the promise of primary care.

Reposted by: Joseph R. Betancourt

thepcc.org
A huge thank you to @commonwealthfund.org President @jbetancourtpr.bsky.social for delivering closing remarks for the #PCC2025 Conference.

As his words drive inspiration for the work ahead, we’re thankful for his leadership in forwarding the promise of primary care.
jbetancourtpr.bsky.social
Robert Gordon tried to make #WorkRequirements work in Michigan.

His message today?
Don’t repeat the mistake.

#Medicaid work requirements may sound simple in theory, but in practice, they mean red tape, wasted resources, and lost coverage.
More Than 100,000 Michigan Residents Nearly Lost Medicaid Coverage Under Work Requirements
Proposed rule changes to ACA marketplace plans from the Trump administration would increase costs and reduce the financial protection plans offer.
www.commonwealthfund.org
jbetancourtpr.bsky.social
Medicaid isn’t just health coverage — it’s an economic engine.
It supports jobs, strengthens state budgets, and lifts families out of poverty. Cuts to the program wouldn’t just hurt health — they’d harm state economies, too.
How Does Medicaid Benefit States?
Medicaid provides critical health care to Americans with low income and generates a powerful return on investment for all states.
www.commonwealthfund.org
jbetancourtpr.bsky.social
Navigating health care is hard for everyone, and we know red tape doesn’t treat chronic illness. Adding red tape to Medicaid is likely to cost more eligible people their coverage than it is to root out fraud.
Don’t confuse oversight with obstacles.
I’ve seen what happens when patients lose care.
Here's what's in the GOP megabill that's just passed the House
At the center of the sweeping bill is trillions in tax cuts, which Republicans aim to partially offset through changes to safety net programs like Medicaid and SNAP.
www.npr.org

Reposted by: Joseph R. Betancourt

commonwealthfund.org
The impact of the potential federal Medicaid cuts wouldn’t stop at #Medicaid patients—it would ripple across whole communities.

📉 15.9M people would lose Medicaid
💸 $33.7B in hospital revenue would vanish
🚑 Uncompensated care would rise 64%
🏥 Hospital operating income could drop 20% overall

⬇️ ⬇️ ⬇️
Federal Cuts to Medicaid Could End Medicaid Expansion and Affect Hospitals in Nearly Every State
In states that choose to end expanded Medicaid eligibility, fewer covered beneficiaries mean hospitals will see less revenue and lower operating margins.
www.commonwealthfund.org
jbetancourtpr.bsky.social
Punitive work requirements can’t compete with real opportunity.

#Medicaid helps people stay well enough to work. In states that invested in employment support, enrollees saw wage increases, job gains—and better health.
How Does Medicaid Benefit States?
Medicaid provides critical health care to Americans with low income and generates a powerful return on investment for all states.
www.commonwealthfund.org
jbetancourtpr.bsky.social
We’ve made real progress on #maternalhealth, chronic disease, and equity — because we had the data to guide us. The data tells us who’s thriving, who’s suffering, and where we must act.

When that data vanishes, so does our ability to make health care more fair.
“Data Silence” Holds High Stakes for People’s Health
On The Dose podcast, Dr. Marcella Nunez-Smith discusses the public health risks of disappearing federal data systems that track maternal health and chronic disease.
www.commonwealthfund.org
jbetancourtpr.bsky.social
Medicaid isn’t just a coverage program — it’s a lifeline for people living with #MentalHealth or substance use challenges. To cut funding or restrict access is to risk leaving millions of people without care.

This explainer lays out the stakes for all of us.
Medicaid’s Role in Mental Health and Substance Use Care
Policy changes that reduce access to Medicaid, restrict eligibility, or cut funding could undermine people’s ability to get mental health and substance use care.
www.commonwealthfund.org
jbetancourtpr.bsky.social
If there is one thing to know this week, it’s this: The combined impact of proposed #Medicaid changes, reduced premium tax credits, and the establishing of new enrollment barriers would erode ACA coverage gains to the tune of 13.7 million more Americans being uninsured by 2034.
larrylevitt.bsky.social
Many of the Medicaid proposals from House Republicans are technical and wonky, and will be difficult for the public to absorb.
 
What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.
jbetancourtpr.bsky.social
Excited to be part of this year’s amerphysiciangrps.bsky.social Spring Conference. We’ll be talking about the importance of whole person health, and how the evidence is clear that one’s life circumstances are clearly connected to quality and health outcomes. #APGSC25
APG Spring Conference 2025
apg.cventevents.com

Reposted by: Joseph R. Betancourt

larrylevitt.bsky.social
Many of the Medicaid proposals from House Republicans are technical and wonky, and will be difficult for the public to absorb.
 
What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.
jbetancourtpr.bsky.social
We need to fix what’s broken, not break what works.
People juggling jobs and caregiving shouldn’t have to jump through hoops to get coverage.
Especially when it’s what helps them stay healthy — and stay working.
A New Rule to Limit ACA Enrollment Periods May Deter Sign-Ups and Worsen Risk Pools
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
www.commonwealthfund.org
jbetancourtpr.bsky.social
This isn’t trimming fat. It’s cutting deep.

Health coverage is a basic need — not a luxury. A proposed federal rule could strip coverage away from 2 million people by 2026, many of them children, seniors, and working families.
Details below ⤵️
A New Rule to Limit ACA Enrollment Periods May Deter Sign-Ups and Worsen Risk Pools
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
www.commonwealthfund.org
jbetancourtpr.bsky.social
The health of our planet is tied to the health of our people. This #EarthDay, take a moment to read this feature on Providence’s WE ACT scorecard to see how hospitals can care for both the people and the planet.
Measuring and Minimizing Health Care’s Environmental Impact
Providence’s WE ACT scorecard helps employees in its 51 hospitals see how their actions affect greenhouse gas emissions, which contribute to climate change.
buff.ly
jbetancourtpr.bsky.social
Fixing drug affordability requires more than finger-pointing. It means understanding the system — and changing what no longer serves people. Bipartisan momentum is building on PBM practices. With smart policy, we can lower costs and protect patients.
What Pharmacy Benefit Managers Do, and How They Contribute to Drug Spending
Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to regulate pharmacy benefit managers.
www.commonwealthfund.org
jbetancourtpr.bsky.social
As someone who has spent my career in health care, I know what’s at stake when we dismantle systems that protect people’s lives. The recent HHS layoffs risk undoing years of progress.
Find my full thoughts over on the @commonwealthfund.org blog.
Making America Healthy
www.commonwealthfund.org
jbetancourtpr.bsky.social
Job-based health insurance is the norm in the U.S.—but for many families, it’s becoming unaffordable. Premiums, deductibles, and out-of-pocket costs are eating into paychecks. This analysis helps show where workers are hit hardest—and how policy can make a difference.
How Affordable Is Job-Based Health Coverage for Workers?
The costs of job-based insurance paid by employees can pose a considerable financial burden, particularly for households with low and moderate incomes.
www.commonwealthfund.org
jbetancourtpr.bsky.social
Most of us don’t know what a PBM is — but their decisions can shape your pharmacy experience and out-of-pocket costs. See here for what you need to know about PBMs and how state and federal policymakers can improve transparency and accountability around their work.
What Pharmacy Benefit Managers Do, and How They Contribute to Drug Spending
Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to regulate pharmacy benefit managers.
www.commonwealthfund.org
jbetancourtpr.bsky.social
Medicaid is vital — and it's complex. This explainer breaks down how dollars flow from federal and state governments to care delivery. If you’ve ever wondered how #Medicaid actually works, this is for you, because it matters to EVERYONE.
How Do We Pay for Medicaid?
This explainer looks at how Medicaid is funded jointly by the federal government and the states, the program’s spending, and its administrative costs.
www.commonwealthfund.org

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