William Schpero

Assistant professor @WCMPopHealthSci @WeillCornell @Cornell. Health economist studying Medicaid, the health care safety net, and inequity.

[William Schpero @wschpero]

Posting only irregularly on X.

Find me on LinkedIn: https://t.co/hv0LyStTmj

[Weill Cornell Medicine Population Health Sciences @WCMPopHealthSci]

Research in @JAMAHealthForum from @wschpero and @pragyakakani finds that expansion of Medicaid eligibility may protect access to pharmacies in low-income communities. Learn more: https://t.co/I5jB6J8GBu

[Weill Cornell Medicine Population Health Sciences @WCMPopHealthSci]

We're thrilled to have Dr. Daniel Polsky (@JHU_BDPs, @JohnsHopkinsSPH, @JHUCarey) present at our Grand Rounds next week: https://t.co/dAHoZ8AaXw

[Weill Cornell Medicine Population Health Sciences @WCMPopHealthSci]

We’re proud to announce that @wschpero and Dr. Yasin Civelek are part of the 2025-2026 cohort of @NIHCMfoundation Research Grantees! Congrats to Dr. Schpero and Dr. Civelek on this achievement: https://t.co/cuCOWPzoKN

[Sukriti Beniwal @BeniwalSukriti]

Who delivers maternity care matters. 👩‍⚕️
More than 90 percent of births are physician-led.
But what happens when Certified Nurse Midwives (CNMs) gain full authority to practice independently?
🧵 Here’s what I find in my #JMP:

[Weill Cornell Medicine Population Health Sciences @WCMPopHealthSci]

Research from @wschpero, @EmmaBethMcGinty, and Michael Liu in @Health_Affairs Scholar finds that for a decade, more than 60 percent of the US population lived in regions with psychiatric bed shortage. Learn more: https://t.co/8fYoGgmNbL

[Weill Cornell Medicine Population Health Sciences @WCMPopHealthSci]

.@WSchpero and colleagues have developed a checklist, described in @JAMAHealthForum, to improve Medicaid policy research. Learn more: https://t.co/T2VaXX4fS0

[William Schpero @wschpero]

We are grateful for support from @commonwealthfnd and @RWJF.

cc @ACintheDC @khemp64 @WCMPopHealthSci

6/6

[William Schpero @wschpero]

We are excited today to launch the T-MSIS Analytic Files (TAF) Analysis Reporting Checklist, which is designed to guide reporting of research using the TAF, the new generation Medicaid claims data.

See @JAMAHealthForum: https://t.co/8dbaGeM5zk

Links to key resources⬇️

1/N

[William Schpero @wschpero]

For more:

➡️ Publication in @JAMAHealthForum: https://t.co/8dbaGeM5zk

➡️ Checklist and Related Resources: https://t.co/9Q2qpvWdo6

➡️ Video Explainer: https://t.co/w0h3M3GElf

5/N

[William Schpero @wschpero]

cc @WCMPopHealthSci @CornellCHEQ

[William Schpero @wschpero]

For decades, the narrowly defined Emergency Medicaid (EM) program has reimbursed hospitals for emergency care provided to uninsured, low-income immigrants.

In @NEJM, we write in defense of state flexibilities in EM, which now seem at risk: https://t.co/N9lzlGxmOR

[Joshua Budhu @JoshuaBudhu]

🧵Emergency Medicaid accounts for <1% of Medicaid spending — yet saves lives & money.
Restricting it ignores evidence, burdens states, and harms those who keep our communities running.

Our latest via @NEJM: Preserving State Authority and Access to Care

https://t.co/i1jhB9Rogs

[Health Affairs @Health_Affairs]

In their new Forefront article, @DhruvKhullar, @wschpero, @EmmaBethMcGinty, @colleenlbarry, and Amelia M. Bond of @WeillCornell and @CornellBPP discuss a survey which suggests that many of the country’s leading health care policy experts believe that work requirements are likely to result in large numbers of people disenrolled from the Medicaid program for administrative reasons without a substantial increase in rates of employment. https://t.co/sMXeZQJC5t

[William Schpero @wschpero]

Check out our article at Health Affairs Forefront:
https://t.co/Ak7rMXRhY6

Dig through individual responses (with comments) on the CHPC website:
https://t.co/Obhiet9I2r

3/3

[William Schpero @wschpero]

For many years, the Clark Center at Chicago Booth has regularly surveyed leading economists to assess consensus on timely economic policy issues.

We are excited today to launch the Cornell Health Policy Insight Panel, where we extend that model to health policy.

1/N ⬇️

[William Schpero @wschpero]

Every 5-6 weeks, the Cornell Health Policy Center (CHPC) will survey 64 leading health policy researchers on the most pressing health policy topics of the day.

To start: effects of Medicaid work requirements under the One Big Beautiful Bill Act.

2/N

[William Schpero @wschpero]

Link to Paper:

https://t.co/AdAsQowFKe

cc @WCMPopHealthSci

6/6

[William Schpero @wschpero]

During debate on the OBBBA, I realized we know very little about health care needs and use in the adult Medicaid expansion population.

We have a short paper out in @Health_Affairs Scholar this week that uses national Medicaid claims data in an attempt to fill that gap:

⬇️ 1/N

[William Schpero @wschpero]

2. The OBBBA includes work requirement exemptions for certain groups, including folks who are "medically frail" or in treatment for SUD.

Our paper is an early proof-of-concept that states could use claims to automate exemptions (if allowed to do so in final regs).

5/N