Profile avatar
adrianna.bsky.social
Assistant Professor of Health Policy and Politics. I study strategies to improve health insurance coverage and the politics of health reform. she/her/Michigander https://scholar.harvard.edu/mcintyre
476 posts 9,737 followers 414 following
Prolific Poster
Conversation Starter
Posts 33 Comments 17

Prepping Monday's lecture on "Health Policy and the Administrative State," figured I have to lead with a slide on the elephant in the room

submitted 1 day ago • 1 comment

This is just awful. Acronyms make things feel abstract and plausibly unimportant, but PRAMS "was developed in 1987 to reduce infant morbidity and mortality" www.cdc.gov/prams/about/...

submitted 1 day ago • 5 comments

NEW: Idaho is trying to become the first state in the country to exclude women who have abortions from its expanded postpartum Medicaid coverage. The Biden admin rejected their proposal. The Trump admin announced today that it will reconsider it. subscriber.politicopro.com/article/2025...

submitted 1 day ago • 2 comments

Incredibly useful running summary of today's case on cuts to NIH funding

submitted 2 days ago • 0 comments

This is a deeply concerning (and frankly, mystifying) development at the CDC that has totally flown under the radar. PRAMS provides basic public health surveillance of maternal-child health outcomes and they have quietly shut it down.

submitted 2 days ago • 3 comments

Rep. Bacon and other House Republicans are asking the right question: How can you cut $880 billion or more and still spare people who get their health coverage from #Medicaid? You can't! punchbowl.news/archive/2212...

submitted 2 days ago • 0 comments

Nellie interlude

submitted 2 days ago • 0 comments

New from Urban: For the more than 1M Americans w/pending decisions for disability benefits, the Trump administration’s efforts to downsize the federal workforce will assuredly make it harder to receive approval, meaning even longer wait times to receive their benefits. www.urban.org/urban-wire/d...

submitted 2 days ago • 0 comments

At least 2 state legislatures (ID and IN) are looking to shrink their Medicaid programs, in parallel with whatever happens in Congress. In both states, bills propose work requirements and enforced enrollment caps. Idaho: idahocapitalsun.com/2025/02/19/d... Indiana: www.indystar.com/story/news/p...

submitted 3 days ago • 4 comments

In less-doomer news, it appears that the administration *is* going to continue defending preventive service coverage under the ACA? insidehealthpolicy.com/daily-news/d...

submitted 3 days ago • 0 comments

I think Alzheimer’s is bad, and we should work on prevention, treatments and ideally cures. Sorry to get so partisan, but that’s how I feel.

submitted 3 days ago • 27 comments

PMF alumni fill out all the key positions at places like the National Security Council, the State Department, et cetera. Oh, yeah, & two current U.S. Senators. The program exists to recognize talent within the federal government structure and prepare them for essential roles in defense or diplomacy

submitted 3 days ago • 5 comments

You don't have to squint too hard to guess how proposed Medicaid cuts might rhetorically get mapped to "waste" (regulatory rescissions, certain FMAP policies), "fraud" (increased redeterminations/paperwork requirements), and "abuse" (work requirements, state-directed payments/provider taxes)

submitted 3 days ago • 1 comment

Incredible stuff in here: They ID'ed him, in part, by going to court hearings and watching him post

submitted 3 days ago • 129 comments

It's not that it would be "difficult" for Energy and Commerce to hit their $880 billion target without steep cuts Medicaid. It's a mathematical impossibility, given the committee's jurisdiction and constraints of reconciliation.

submitted 3 days ago • 2 comments

the line about how trump is just trolling or joking about the “king” thing is belied somewhat by the fact that his administration’s explicit position is he can do whatever he wants and that everyone in every branch of government needs to bow to his demands or be banished

submitted 3 days ago • 109 comments

Owned so hard by a toddler, may never recover. Me: Please don't scrape your fork against the plate L: why? Me: It hurts my ears L (without missing a beat, dead serious): It hurts my ears when you talk.

submitted 4 days ago • 0 comments

We know who the villains are in this coup. But so many heroes are showing up to oppose them, and many of them are federal employees, including judges. I give you supreme boss-hero champion Judge Ana Reyes, telling Team Trump they don't know shit and schooling them in the facts about gender and sex.

submitted 4 days ago • 13 comments

Profiles in courage www.politico.com/live-updates...

submitted 4 days ago • 0 comments

Periodic reminder that I have a great group of MPH students actively looking for summer internships/practicums in health policy — please share if you have any open or upcoming applications!

submitted 4 days ago • 2 comments

There is simply no way for Energy & Commerce to meet its stipulated target of $880 billion in savings without Medicaid being subject to deep, deep cuts. The E&C policy options listed in that 52-page menu include of potential offsets, excluding Medicare and Medicaid, only sum up to $206 billion

submitted 4 days ago • 5 comments

telling the pup it is bedtime but she only half believes you

submitted 4 days ago • 0 comments

Updated version of my syllabus for anyone interested — most new material is updates to the classes on regulatory policy/the administrative state (sessions 8 and 9). scholar.harvard.edu/sites/schola... Here's to hoping I don't need to update it again in the next two weeks. (I will, though.)

submitted 5 days ago • 0 comments

J-PAL North America is on Bluesky! @j-palna.bsky.social

submitted 5 days ago • 0 comments

started, going, etc www.statnews.com/2025/02/17/t...

submitted 5 days ago • 1 comment

State AGs are looking for federal workers who have just been illegally fired to stand as litigants in a new lawsuit trying to freeze further action by DOGE. DM me if that’s you and you’re interested and you’re live in one of the following states: NM, AZ, CA, CT, MD, MI, MN, NV, OR, WA, RI, or VT.

submitted 6 days ago • 47 comments

Republicans talk about cutting Medicaid as though states are hoarding big sacks of cash labeled "waste, fraud, and abuse" just waiting to be picked up, but that's not how any of this works.

submitted 8 days ago • 2 comments

A few more words about this story: We spent a lot of time rereading the NIH document rolling out this policy. The numbers in it do not add up. The language is vague. NIH would not answer our questions about it. These are recurring features of memos proposing sweeping change under the new admin.

submitted 9 days ago • 4 comments

Terrific interactive showing the broad reach of these cuts. Baylor College of Medicine in TX stands to lose more ($57M) than Harvard Medical School ($34M). Vanderbilt University Medical Center & UT Southwestern Medical Center stand to lose more ($71M & $57M) than Sloan-Kettering in NY ($54M).

submitted 9 days ago • 0 comments

“It was never going to be me” goes so hard

submitted 9 days ago • 4 comments

Holy shit.

submitted 9 days ago • 0 comments

As Republicans in Congress look at Medicaid work requirements to offset tax cuts for the wealthy, Georgia — the only state with work requirements currently in effect — is pretty significantly scaling its program back: kffhealthnews.org/news/article...

submitted 9 days ago • 0 comments

Reporters take note: The press release stipulates that "Navigators only enrolled 92,000 consumers," but completely omits any reference to the 292,000 people Navigators enrolled into Medicaid and the 112,000 people referred to other insurance providers. Their math doesn't math.

submitted 9 days ago • 1 comment