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
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I imagine there will be no shortage of needs for contingency planning in Medicaid programs and marketplaces
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I've started stacking my "optional readings" lists with podcast episodes — they go deeper than news stories but move faster than academic work
I was so dumb for thinking that I was lucky for not having to teach over the *election*
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The GOP-held districts with the highest share of Medicaid recipients
www.nbcnews.com/politics/con...
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I suspect SNAP is the more apt comparison, since TANF isn't available to ABAWDs. It's unclear exactly how parallel the designs would be (how frequently reporting would be required, what specific exemptions would exist)
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SHHHHH
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Sorry couldn’t hear you over the Medicare Advantage carriers breathing sighs of relief
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Screenshot from this Politico story: www.politico.com/news/2025/02...
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I realize I don't actually know how shared jurisdiction gets reflected in reconciliation instructions, because I tend to think of W&M having primary juris over Medicare, even though E&C does share jurisdiction over Parts B, C, and D.
The 52-page memo puts most Medicare policies with W&M, though
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Not inclined to heap credit upon the member who would only give this comment off the record, but the sentiment is spot on
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Not saying any of this with a lot of confidence and I suspect at least some significant cuts are coming... but I genuinely don't know who gets left out in the cold on Medicaid specifically, the GOP members that are furthest left or furthest right
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The thing I'm not sure about is whether Trump would go to the mat to make sure the reconciliation bill does a permanent extension/that it doesn't add to the deficit. He was just fine adding to the deficit with TCJA
It would make hardliners mad, but their seats are way less vulnerable
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Typos in both of the above are good reminders not to post before coffee
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Maybe reconciliation won't pass — moderate Republicans are starting to make noises of concern.
But it "Medicaid won't be touched" is mathematically incompatible with "the House Energy & Commerce Committee will save $880 billion over the budget window"
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Text screenshots are from today's story linked above, first headline is from this story from Saturday www.politico.com/news/2025/02...
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one of my most traumatizing experiences was when a camp counselor who was choreographing a dance wanted me to *prove* my claim that I couldn’t do a cartwheel.
definitely over that now, more than twenty years later. yeah.
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In case anyone else finds themselves routinely making this point in lectures...
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The numbers, by the way, are from the data that is linked in the press release itself.
There is also post-enrollment assistance and health insurance literacy activities, but it's unclear to me how much those might overlap with people who were enrolled.