Priya Chidambaram

Program on Medicaid and the Uninsured @KFF| All views are my own.

[Priya Chidambaram @preetabread]

The Texas AG filed a lawsuit today that could have a major impact on the Biden Administration's nursing home staffing rule.

Check out @KFF's brief to learn more about the rule --
https://t.co/wjVtgaNVO3

[Texas Attorney General @TXAG]

Attorney General Ken Paxton Sues Biden Administration Over Rule That Could Force Rural Nursing Homes to Shut Down: https://t.co/HVEGRK9425

[Priya Chidambaram @preetabread]

@sophiaandpolicy @UCBerkeleySPH totally in denial but so proud of you!!

[Priya Chidambaram @preetabread]

@CMSGov released the final nursing facility staffing rule today. It's similar to the proposed rule w/ one major add - an overall req of 3.48 hours.

@KFF finds that ~1 in 5 facs currently meet the final staffing requirements. More on the final rule here: https://t.co/M3bh1bgXcl

[Priya Chidambaram @preetabread]

CMS seeks comment on specific alternatives, including increasing the minimums to 3.48 HPRD (we find this would not have a major impact) or using resident case-mix to determine sufficient staffing (we find this would have a major impact). Comments are due Nov 6th.

[Priya Chidambaram @preetabread]

New from @KFF: In 17 days, the proposed rule on nursing fac staffing garnered 400+ comments. It was a highly anticipated rule intended to overhaul fed staffing minimums.

We find >80% of facs would need to hire new staff to comply with new minimums - a 🧵
https://t.co/9sagHWczCJ

[Priya Chidambaram @preetabread]

Neither we nor CMS accounted for hardship exemptions in our estimates. The impact of the final rule may be impacted by how many facilities apply and qualify for a hardship exemption.

[Sophia Moreno @sophiaandpolicy]

Salt air and a new update on the unwinding:

At least 3,787,000 Medicaid enrollees have been disenrolled as of August 1, 2023, based on the most current data from 41 states and DC.

https://t.co/w392THb23V

[KFF @KFF]

At least 1,027,000 Medicaid enrollees have been disenrolled as of June 12, 2023, based on the most current data from 20 states. View our Medicaid Enrollment and Unwinding Tracker for the latest data.
https://t.co/jQeHUwB8EF

[Sophia Moreno @sophiaandpolicy]

UPDATED: @KFF State Health Facts now has 2022 Dentists' data from the @AmerDentalAssn, including:

-Professionally Active Dentists
-Professionally Active Dentists by Gender
-Professionally Active Dentists by Specialty Field

Click here to get smarter🥸: https://t.co/VhylkGXCHF

[Madeline Guth @Madeline_Guth]

NEW @KFF brief reports survey findings on #telehealth delivery of #Medicaid services to address behavioral health needs (mental health & substance use disorders) - including policy changes & utilization trends

For more info, see 🧵 & brief: https://t.co/9VhnerEGQh

(1/5)

[Liz Williams @Liz_Williams_]

NEW @KFF analysis uses #Medicaid claims data to follow a cohort of children newly enrolled in #Medicaid to examine how children’s enrollment changes over time and understand the effect of continuous eligibility policies: https://t.co/mzz2qglMZT

Some findings: (1/5)

[Tricia Neuman @tricia_neuman]

NEW @KFF analysis finds only 45% of nursing home residents and 22% of staff are up to date with their COVID-19 vaccines. Wait what? Nursing home residents account for 1/5 of all COVID-19 deaths.
By @preetabread @alicelevyburns https://t.co/pLVrg59qQZ

[KFF @KFF]

NEW: 38% of newly-enrolled full-benefit Medicare-Medicaid enrollees in 2018 lost at least 1 month of coverage within a year after their first month of enrollment, incl. 31% who lost over 3 months. A new proposed rule is designed to curb such coverage loss. https://t.co/vlO8nq59RC

[Priya Chidambaram @preetabread]

Check out our new brief to learn more about institutional vs. home and community-based LTSS, workforce issues, 1915(c) waivers, and more.

[Priya Chidambaram @preetabread]

NEW from @KFF: Our new explainer highlights 10 things to know about long-term supports and services (LTSS), starting with a dismal update.

As of mid-June, over 209,000 people in LTCFs have died due to COVID-19 (21% of all US COVID deaths).
https://t.co/ge9nRfMBai

[Priya Chidambaram @preetabread]

These deaths highlight the longstanding issues in LTSS, which become even more important as the population ages.

After age 65, 57% of people will need help with 2+ activities of daily living, 56% will use paid LTSS, and 39% will use some nursing home care.

[Heather Saunders @heathersaunder_]

If you've ever been confused about mental health parity, check out this excellent KFF explainer.