Adrianna McIntyre (@adrianna.bsky.social)

I study administrative burdens in health insurance coverage, strategies to reduce these barriers, and the politics of health reform

also @adrianna.bsky.social

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

When we talk about health insurance premiums, we typically frame them as financial burdens, because they often are!

But—absent auto-pay—paying premiums is also a hassle, and I had this nagging question: what do tiny premiums do to enrollment?

We try to answer that here. 🧵

[Paul Novosad @paulnovosad]

A thread of Dean Karlan trolling Elsevier's stupid required "article highlights"

🧵

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

Link to story: https://t.co/KerdVrgZNE

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

Georgia is facing a Medicaid funding shortfall because the state has to adapt its work requirement policies to new federal standards, which are more lenient than what the state had implemented and budgeted for in their partial expansion (receiving only standard FMAP).

[Alex Wayne @aawayne]

“Flailing regimes dehumanize minorities to distract from their failures.”

A brave and elegant piece.

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

You can argue that that's a lousy counterfactual (some did back then). But it'd be wild to force the state to quickly push their entire expansion population into FFS amidst all of the other policy changes happening in tandem (eg, work requirements in 2027, cost-sharing in 2028).

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

Back in 2013, GOP officials in AR made the case for budget neutrality of its "private option" 1115 waiver by arguing the state would otherwise need to stand up a costly new managed care regime to expand Medicaid.

Now it's the first state to face waiver non-renewal under OBBBA.

[KFF Health News @KFFHealthNews]

Medicaid coverage for low-income Arkansans next year is in question, owing to an arcane change under congressional Republicans’ One Big Beautiful Bill Act.
@philgalewitz reports⤵️
https://t.co/lXgmKOBwL1

[Teddy Svoronos @tedsvo]

An update on what I'm changing for my intro stats Fall course for MPPs. TL;DR work at home is for learning, work in person is for assessing. Front-loading development of statistical intuition and domain expertise, followed by facility with AI tools.

https://t.co/utcxnz5T1s

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

Now that he's secured the nomination, I do wonder if we're going to see AES's discussion of Medicare for All take a more pronounced incrementalist posture, leaning into affordability and populism — rein in prior auth, reduce deductibles, break up big corps

[Jonathan Cohn @CitizenCohn]

El-Sayed has described Medicare for All as his Mount Everest

I asked him how he imagines scaling it

https://t.co/USOiLxaPBU

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

(The actual figure was 8.5% of adults in 2021, up from 6.5% in 2018: https://t.co/53mFTyohYQ)

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

I’m stuck on the presumption that one-third of parents believe their children can afford routine therapy.

In this health care system?

[Jane Coaston 🏔️ @janecoaston]

It's so weird that the Roman Empire fell because of something Katie Miller was already mad about.

(Also, why the parents would be a reliable source here is a question that should be raised)

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

This is a much longer-form treatment of the JAMA Forum piece we coauthored in May: https://t.co/bQi2wvpXfL

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

New white paper from myself and colleagues:

Implementation of Medicaid Work Requirements: Key Design Considerations and Strategies to Minimize Avoidable Coverage Loss

We synthesize evidence in the peer-reviewed and gray literature to identify key lessons and recommendations.

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

Link to the full report: https://t.co/kQeD0sAWkc

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

If you tried to mad libs a paper title to get me to click you couldn't do much better than this:

The role of nonfinancial factors in the Congressional Budget Office’s health insurance coverage projections

https://t.co/IAkS7l6UVb

[Elizabeth Pancotti @ENPancotti]

The job market – especially in DC – is bleak, so for some positive news: @Groundwork is hiring!

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

Reminds me of a teaching example I use — admittedly dated at this point — from a 2017 KFF poll that finds support for M4A fell below 50% if you stipulated that it would eliminate or replace the ACA

[Searchlight Institute @SearchlightInst]

NEW: We partnered with @zeteo_news to field an impartial, first-of-its-kind survey about the public's feelings toward Medicare for All.

The survey included multiple descriptions of Medicare for All in an effort to test what parts of the policy most affect its overall support or opposition.

The result?

Support peaks at 52% — but declines to 40% when voters are told a federally administered program would replace private health insurance (including employer-sponsored plans) and be funded through significantly increased federal taxes.

If given the choice to enroll in a federal program, 70% of voters say they would prefer to stay on their current health insurance.
https://t.co/DYMy2HwFnX

[Larry Levitt @larry_levitt]

The ACA is not in a death spiral. Enrollment is down by 3 million after Congress did not extend enhanced premium subsidies. And, insurers are raising premiums as healthier people drop coverage. But, the original ACA premium subsidies remain, cushioning against these changes.

[KFF Health News @KFFHealthNews]

A Florida man thought he had carefully planned for a seamless switch between health plans. It was anything but. “I screamed at the overall healthcare system in this godforsaken country,” his widow says.

@renurayasam reports ⤵️ https://t.co/hvbHQboY82

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

@nicholas_bagley (I won't, because I am the only person who would enjoy that, but I COULD)

[Adrianna McIntyre (@adrianna.bsky.social) @onceuponA]

@nicholas_bagley I could build the second year of my regulations class ~entirely~ around the morass of this IFR