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cynthiaccox.bsky.social
Vice President @KFF.org researching #HealthPolicy. Focus on the #AffordableCareAct health care costs, outcomes & access to care. Lead a partnership with the Peterson Center on Healthcare tracking U.S. health system performance www.healthsystemtracker.org
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If you want to understand how appropriating funding for ACA cost-sharing subsidies saves the government money and decreases premium assistance for enrollees, check out this analysis from 8 years ago by me and @cynthiaccox.bsky.social. www.kff.org/affordable-c...

Also unlike the ACA repeal debate, I am unsure how widely the projected loss of coverage for ~10 million people is known. The ACA debate was clearly healthcare focused. This time, I'm seeing lots of articles referencing the "budget bill," "policy bill," "tax bill," etc. The stakes are less clear.

Covered California (CA’s ACA marketplace) is projecting that 30% of people enrolled through Covered California will lose/drop marketplace coverage as a result of Republican cuts. Again, I ask, where is the health care industry lobby? This is 600,000 fewer marketplace plans in California, alone.

Per this estimate, the GOP bill would leave an extra 38,000 Mainers without health insurance - on top of the current figure of 82,000. Maine hasn’t seen that number of uninsured people since ~2015 when the economy was much worse and LePage kicked folks off MaineCare. #mepolitics

NEW: STATE BY STATE How many more people might be #uninsured with the House GOP Reconciliation Bill? www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social

All eyes are on #Medicaid, and for good reason. But the ACA #Obamacare Marketplaces are also expecting big coverage losses. @drewaltman.bsky.social @kff.org www.kff.org/from-drew-al...

NEW: Many workers, especially those who work shifts or gigs, have volatile incomes. ACA #obamacare enrollees with less predictable incomes could face coverage barriers and bigger penalties under the House GOP reconciliation package & other expected policy changes @kff.org www.kff.org/affordable-c...

Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social

KFF CEO @drewaltman.bsky.social is now on Blue Sky! Follow him for everything health policy @kff.org @kffhealthnews.org

Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.

As this study shows, there are many areas of improvement needed in our healthcare system. How has the quality of the U.S. healthcare system changed over time? www.healthsystemtracker.org/chart-collec... by @lynnemargalit.bsky.social @emmawage.bsky.social @cynthiaccox.bsky.social via @kff.org

(1/2) NEW: Enrollment in the ACA Marketplaces more than doubled since 2020, growing by 12.9M enrollees. Of that increase, 11.4M of the new enrollees (88% of the growth) are from states where President Trump won during the 2024 election. www.kff.org/policy-watch... @cynthiaccox.bsky.social

“If you have any concerns” about being infected with measles, “do not just show up at the pediatrician’s office. Do not just show up at the ER,” Brown said. “Call first so they can be prepared.” www.nbcnews.com/health/kids-...

hello ok i am awake what did i miss tell me every thing

Now that doctors have changed the way they screen for cervical cancer, many women are being told they tested positive for “high-risk” HPV. What does this mean? Does it give you a high risk of cancer? Does it mean the HPV shot failed? Learn more in my latest story! www.nbcnews.com/health/cance...

Soooo this flight went fine but on tonight’s return flight to DCA we had to abruptly abort our landing after touching down to avoid crashing into another plane on the runway. After another loop around we landed safely but it was quite scary.

Thousands of US Department of Agriculture employees, including food inspectors and disease-sniffing dog trainers, remain out of work, leaving food to rot in ports and pests to proliferate.

Missed this story last night portending something bad for AHRQ AHRQ fills a hugely important void in the medical and health care research space: it funds work that doesn't map cleanly to a disease, body part, or special population (e.g., older Americans) www.politico.com/news/2025/03...

Multiple sources tell me AHRQ is about to be destroyed. A terrible loss for our country.

The Trump admin canceled contracts with Maine's CDC supporting "enumeration at birth" -- the way 99% of American babies get their Social Security Numbers. Now Maine parents have to visit field offices in-person to get their newborn SSNs Why? No reason given. www.huffpost.com/entry/maine-...

The Census Scientific Advisory Committee, which advises the Census Bureau on research and methodology across various Census programs and activities, has been terminated as of 2/28/25. This is another blow against federal data collection.

Great breakdown in this @kff.org post showing where we're spending money on health care and where the damage will be if there are cuts. What Does the Federal Government Spend on Health Care? buff.ly/43agCMC by @jcubanski.bsky.social @alicelburns.bsky.social @cynthiaccox.bsky.social

What share of women reach the end of their childbearing years without having children? This chart compared the data for the US, Sweden, Spain, and Japan. Note that the horizontal axis shows women's birth years.

We’re just waiting for the gavel here. All the Rs save for Massie now on board. 217 wins.

For all the promise of #pricetransparency using the data is hard. New from the [email protected] health system tracker, a user guide on tackling the data, and some not-so-obvious pitfalls www.healthsystemtracker.org/brief/challe...

Trump signed an executive order today building on #PriceTransparency. But what should we make of the data already posted? Coincidentally, @kff.org just published an analysis of the Transparency in Coverage data. It's not always easy to make out heads or tails

12 people have died and 37 hospitalized in a Listeria outbreak linked to supplement shakes served at long-term care facilities across the country. This is a long-running outbreak, but cases have ticked up in recent months. www.cdc.gov/listeria/out...

As Congress considers making significant cuts to federal spending, we @kff.org take a look at how much federal support $ goes to health programs like Medicaid, Medicare, and the ACA www.kff.org/medicaid/iss... @jcubanski.bsky.social @alicelburns.bsky.social #healthpolicy #medsky #publichealth

"Multiple kidneys had to be thrown out because of transport delays — couriers not picking them up in time or airlines misplacing them. One was accidentally left on an airport luggage trolley." www.propublica.org/article/trum...

NEW: Texas Banned Abortion. Then Sepsis Rates Soared. ProPublica’s first-of-its-kind analysis is the most detailed look yet into a rise in life-threatening complications for women experiencing pregnancy loss under Texas’ abortion ban.

Sam Nordquist didn't deserve this. Sam was reported missing on Feb. 9, 2025. Over that period of time, Sam was tortured and sexually abused repeatedly. Five people were charged with murder. Sam was transgender. This is what hate does. RIP Sam.🙏🏽🕊😪 www.ctvnews.ca/world/articl...

Keith Haring died of AIDS aged 31 on 16 Feb 1990. One of his last works, Unfinished Painting, was deliberately incomplete, reflecting the devastating, unquantifiable loss to the arts due to AIDS. #LGBTplusHistoryMonth

$500 million worth of food intended for relief efforts is at risk of spoiling, given Trump’s freeze on shipping food assistance “They get the one starving kid in Sudan that isn’t going to have a USAID bottle, and they make everything DOGE has done about the starving kid in Sudan,” WH official said.

BREAKING NEWS: A plane carrying Secretary of State Marco Rubio to Munich has turned around due to a crack in the windshield, according to a journalist with Axios. Rubio is set to switch planes

Farmers who signed contracts w USDA under IRA programs paid upfront to build fencing, plant new crops, install renewable energy systems w guarantees that feds would issue grants/loan guarantees to cover at least part of their costs. Trump has frozen that money www.washingtonpost.com/nation/2025/...

The House budget resolution calls for a reduction in mandatory spending of $2 trillion over a decade. Much of that could come from Medicaid cuts. docs.house.gov/meetings/BU/...

RFK Jr. wants vaccines tested against a placebo group. It was done with polio vaccine in the 1950s to horrific (and immoral) results: 200,000 were inoculated with salt water. “The 16 children who died were all in the placebo group, and 34 were paralyzed.”

“Canned tuna sold at major grocery stores across 26 states and the District of Columbia has been recalled over botulism risks due to faulty packaging that could compromise safety, according to manufacturer, Tri-Union Seafoods, and the FDA.”

wapo.st/3CL55Zp

USAID’s inspector general—presumably operating from a remote base in the mountains—has just released a report on the staggering effect of the Trump Administration’s assault on the agency. oig.usaid.gov/sites/defaul...

Fox News: “Texas confirms growing measles outbreak affecting school-aged children”

AI, so far, is really terrible at legal research. So bad it gets young lawyers who use it sanctioned on a regular basis.

Update: The new acting director of the CFPB -- Russ Vought, who was just confirmed as WH budget director -- emailed staff tonight to say they must continue to halt all work, plus "cease any pending investigations" and halt its supervisory activities of banks, too, per copy I obtained

Nice shout-outs to @niema.net, @angierasmussen.bsky.social & myself in this story by @smritimallapaty.bsky.social in @nature.com, thanks! www.nature.com/articles/d41...

As previewed below, unions representing USAID workers have sued over Trump's attempt to dismantle the agency. Case just docketed in DC federal court.

Join me Monday as I discuss the future of the ACA with a super smart and knowledgeable panel of experts. Bring hard questions to ask them. www.kff.org/affordable-c... Brian Blase @sarahl202.bsky.social @cynthiaccox.bsky.social