Krutika Amin
@krutika.bsky.social
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📥 149
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CCIIO/CMS/HHS. Health economics PhD.
#healthpolicy
#healthecon
I did a talk on price transparency!
hctransparencysummitportal.com/auditorium
Some @PetersonCHealth @KFF work I talked about: 1/4 Price transparency bipartisan legislation passed House last year, so Congressional action on price transparency is possible:
www.healthsystemtracker.org/brief/policy...
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HC Transparency Summit
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https://hctransparencysummitportal.com/auditorium
over 1 year ago
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Federal law capping insulin costs to $35 a month is still on Dems health policy agenda. Why? > Reuters: Eli Lilly's nationwide insulin pricing settlement called off
www.reuters.com/legal/litiga...
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Eli Lilly's nationwide insulin pricing settlement called off
A settlement between Eli Lilly and purchasers of its insulin drugs that would have capped prices and provided $13.5 million to resolve claims that the company inflated the drugs' cost has fallen apart, after an unfavorable ruling from the judge overseeing the case.
https://www.reuters.com/legal/litigation/eli-lillys-nationwide-insulin-pricing-settlement-called-off-2024-04-15/
over 1 year ago
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"For too many Americans drugs are unaffordable... [and] having to ration life saving drugs." - linakhanFTC w jonstewart:
youtu.be/oaDTiWaYfcM?...
Fact check: Looking at
#insulin
, over 1 in 5 non-elderly adults (18-64 years) with private insurance rationed insulin due to cost.
over 1 year ago
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reposted by
Krutika Amin
Adrianna McIntyre
over 1 year ago
New paper w/Ben Sommers & Rebecca Smith: Looking at self-reported insurance in Census data, we document a big disconnect between (1) "actual" growth in Medicaid (in administrative data) during continuous coverage, (2) self-reported Medicaid coverage, and (3) self-reported uninsurance
#healthpolicy
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Relatedly to today's NYT on MultiPlan and $UHG
nytimes.com/2024/04/07/u...
(from Chris Hamby), Multiplan and United Healthcare are among top 3 entities getting claims disputed through the federal No Surprises Act process:
healthsystemtracker.org/brief/indepe...
#KFF
over 1 year ago
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🧵HHS finalized the 2025 annual regulation (NBPP or Payment Notice) for ACA Marketplaces and individual/small group market. Quick takes on premium impact, and other implications. Rule:
www.cms.gov/files/docume...
#healthpolicy
over 1 year ago
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How do gross margins vary by health insurance market? See
#KFF
analysis. *Note: Positive margins do not necessarily translate into profitability since they do not account for administrative expenses or tax liabilities
www.kff.org/medicare/iss...
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Health Insurer Financial Performance in 2021 | KFF
Using health insurer financial data for 2021, we find that Medicare Advantage insurers reported gross margins that were at least twice as high as those reported by insurers in the individual/non-group...
https://www.kff.org/medicare/issue-brief/health-insurer-financial-performance/
over 1 year ago
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reposted by
Krutika Amin
Sam Austin
over 1 year ago
Have seen versions of this graph in other spots (maybe from KFF too). Prolonged and persistent implosion of workforce in long‐term care facilities post-pandemic is scary.
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Latest health sector job numbers in charts: -Employment in hospitals and clinics now back to pre-COVID projections -Home- and nursing care jobs have seen higher average wage increases
www.healthsystemtracker.org/chart-collec...
#KFF
#polisky
#healthpolicy
over 1 year ago
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Biden Admin has finalized rule limiting short-term limited duration (STLD) plans to 4 months instead of up to 3-years.
#KFF
estimate: 1.2M were buying non-ACA-compliant plans (like grandfathered and short-term plans) in mid-2022, down from 5.7M in mid-2015.
www.kff.org/affordable-c...
#healthpolicy
over 1 year ago
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Of the net new
#ACA
Marketplace sign ups without APTCs (about 140,000), some could be ICHRA enrollees. Hard to put an exact figure on it though. See stats in updated KFF State Health Facts
@jaredortaliza.bsky.social
@mattmcgough.bsky.social
@cynthiaccox.bsky.social
#healthpolicy
add a skeleton here at some point
over 1 year ago
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CMS released 2024 ACA Marketplace plan selections public use files. Total sign ups* tallied 21.4Million. From last year, sign ups with premium help increased by 4.9M and by about 140,000 without APTC. *Thru end of open enrollment for
@healthcaregov.bsky.social
& SBMs
www.kff.org/affordable-c...
over 1 year ago
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Nevada has requested CMS to pause its review of Nevada’s 1332 waiver application which included a reinsurance program and a public option. Letter rescinding the application:
www.cms.gov/files/docume...
What’s going on? Thread🧵
#healthpolicy
over 1 year ago
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reposted by
Krutika Amin
Dan Diamond
over 1 year ago
Anti-abortion activists resurrected the 1873 Comstock Act, saying it bans abortion drugs by mail. Big takeaway today: Justices Alito and Thomas seem open to the argument. And now they can tee up a roadmap for Trump to crack down on abortion nationwide.
www.washingtonpost.com/health/2024/...
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Supreme Court focus on Comstock Act suggests potential threat to abortion access
Justices Samuel A. Alito Jr. and Clarence Thomas repeatedly invoked the 151-year-old law Tuesday during oral arguments in an abortion pill case.
https://www.washingtonpost.com/health/2024/03/26/comstock-act-supreme-court-abortion-pill/
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CMS estimated projections of total health expenditures from 2010 and 2015 extended out through 2031 indicate that CMS now expects health spending to be $1.9T less than what CMS expected in 2010 and $800B less than 2015 projections.
www.healthsystemtracker.org/chart-collec...
over 1 year ago
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The No Surprises Act now protects privately insured patients from balanced bills on many out-of-network items and services, but not all. Explainer:
www.kff.org/health-costs...
For example--this $97,000 out-of-network air ambulance bill.
kffhealthnews.org/news/article...
#healthpolicy
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A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary? - KFF Health News
There are legal safeguards to protect patients from big bills like out-of-network air-ambulance rides. But insurers may not pay if they decide the ride wasn’t medically necessary.
https://kffhealthnews.org/news/article/medical-necessity-rsv-infant-air-ambulance-surprise-bill/
over 1 year ago
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🧵What market forces are at play in the UnitedHealthcare $uhg and Mount Sinai New York contract negotiations? And why are we seeing more of these provider-health plan fights and fall outs of late?
#healthpolicy
#medSky
over 1 year ago
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reposted by
Krutika Amin
Sam Austin
over 1 year ago
you're on your own to figure all this out (part 143,326)
add a skeleton here at some point
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At a work event, someone mentioned the polio vaccine -- and I very reflexively spat out "H2P". Appropriate or inappropriate conversation interrupter?!?
#Pitt
#H2P
😆
over 1 year ago
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The No Surprises Act prohibits many balance bills ("surprise billing") for privately insured patients. Balance bills can and do still happen due to: -billing mistakes -not protected under NSA -service is not covered by plan What happens then? See:
www.kff.org/health-costs...
#healthpolicy
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What resources are available for privately insured patients who get surprise balance bills? | KFF
Most patients do not know about the new surprise billing protections and likely also do not know of resources available to seek recourse for incorrect medical bills. This brief provides resources to p...
https://www.kff.org/health-costs/issue-brief/what-resources-are-available-for-privately-insured-patients-who-get-surprise-balance-bills/
over 1 year ago
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With ACA individual market enrollment growth, is the market getting healthier? Maybe. Risk scores dropped -6% from 2022 to 2023, based on new 2023 interim data. We won't know how much of this is due to risk adjustment model changes until June 30th report.
www.cms.gov/files/docume...
#healthpolicy
almost 2 years ago
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"When asked to rank those resumes 1,000 times, GPT 3.5 — the most broadly-used version of the model — favored names from some demographics more often than others"
@flowingdata.com
flowingdata.com/2024/03/13/r...
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Racial bias in OpenAI GPT resume rankings
AI is finding its way into the HR workflow to sift through resumes. This seems like a decent idea on the surface, until you realize that the models that the AI is built on lean more towards certain…
https://flowingdata.com/2024/03/13/racial-bias-in-openai-gpt-resume-rankings/
almost 2 years ago
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Matthew Rae and I are speaking about KFF work on medical debt at the U.S. Census Bureau's 2024 Survey of Income and Program Participation (SIPP) Conference on March 21, 2024. Registration ends this Friday (March 15):
www.census.gov/programs-sur...
Program here:
www2.census.gov/programs-sur...
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SIPP Conference
Virtual conference on March 21, 2024 highlighting policy and programmatic uses of SIPP data.
https://www.census.gov/programs-surveys/sipp/events/2024-sipp-conference.html
almost 2 years ago
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3 in 10 uninsured and 2 in 10 privately insured non-elderly adults taking insulin reported rationing insulin because of the cost.
#SOTU2024
#policysky
www.healthsystemtracker.org/chart-collec...
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How does cost affect access to healthcare? - Peterson-KFF Health System Tracker
Although most adults are in good health and have health insurance, more than 1 in 4 adults (28%) reported delaying or foregoing healthcare due to cost.
https://www.healthsystemtracker.org/chart-collection/cost-affect-access-care/
almost 2 years ago
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reposted by
Krutika Amin
Philip Bump
almost 2 years ago
As/if you listen to SOTU commentary, remember that the net effect of the speech on presidential approval ratings is, on average, less than 1 percentage point.
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Analysis | State of the Union addresses don’t usually have much political effect
The pomp of the annual speech feeds on its own importance, but polling suggests it doesn’t change how Americans view the president.
https://www.washingtonpost.com/politics/2024/03/07/state-union-addresses-dont-usually-have-much-political-effect/?itid=ap_philipbump
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What do you think Manchin is chewing Romney's ear off over? "West Virginia has the highest ACA individual market premiums and 2nd worst health plan liability risk scores in the country based on the latest data. Let me explain HHS PLRS and risk adjustment."
#SOTU2024
#SOTU
#healthpolicy
almost 2 years ago
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What is the drinking game this SOTU?! And also what are you drinking? I'm ready
#SOTU24
#SOTU2024
almost 2 years ago
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🇺🇸 U.S.: 1 in 8 voters say abortion is the most important issue for their vote 🇫🇷 France: Parliament voted 780 to 72 in favor of a constitutional amendment to protect women's freedom to have abortions
www.kff.org/womens-healt...
#polisky
#healthpolicy
#policysky
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KFF Health Tracking Poll March 2024: Abortion in the 2024 Election and Beyond | KFF
This poll finds 1 in 8 voters say abortion is the most important issue to their vote. They are younger, lean Democratic, and generally want abortion to be legal in all or most cases. The poll also gau...
https://www.kff.org/womens-health-policy/poll-finding/kff-health-tracking-poll-march-2024-abortion-in-the-2024-election-and-beyond/
almost 2 years ago
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What are the candidates' main health policy positions for their 2nd term? President Biden: Will say wants to build on the Inflation Reduction Act, which built on Obamacare during SOTU President Trump: Has said will try to repeal Obamacare, again
#SOTU2024
#POTUS
#SOTU
#polisky
#healthpolicy
almost 2 years ago
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reposted by
Krutika Amin
Mara Reed
almost 2 years ago
Naeher taking penalty kicks will never get old. Such a lovely, ridiculous, dramatic, swampy game.
#USWNT
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Krutika Amin
warrior rabbit
almost 2 years ago
USWNT
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Try telling me women's sports aren't edge of your seat insane peak drama
#Concacaf
#USWNT
#canada
almost 2 years ago
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NEW: For private plans, typical payment for patient-provider email message claims was $39 in 2021. Providers argue payments not enough to offset the workload and payers argue higher payments and volume of these could increase health premiums and spending.
www.healthsystemtracker.org/brief/charge...
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Charges for emails with doctors and other healthcare providers - Peterson-KFF Health System Tracker
The widespread adoption of electronic health records has improved the ability for patients and providers to send secure electronic messages (emails) to each other through online portals. The typical c...
https://www.healthsystemtracker.org/brief/charges-for-emails-with-doctors-and-other-healthcare-providers/
almost 2 years ago
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Is France trolling the U.S. now?!
#polisky
#policysky
#healthpolicy
www.lemonde.fr/en/politics/...
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France, first to protect abortion in Constitution, sends message to 'women of the world'
French lawmakers voted 780 to 72 in favor of a constitutional amendment to protect women's freedom to have abortions. A public ceremony will be held to officially mark this occasion on March 8, for In...
https://www.lemonde.fr/en/politics/article/2024/03/05/france-protecting-abortion-in-its-constitution-sends-message-to-women-of-the-world_6586538_5.html
almost 2 years ago
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#polisky
#policysky
add a skeleton here at some point
almost 2 years ago
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Congress spending deal does *not* include health care issues that passed in the House (at least as of now): -Medicare site-neutral payment -PBM reform -codification of price transparency regs To find out more, see KFF analysis:
www.healthsystemtracker.org/brief/policy...
#healthpolicy
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Health Cost and Affordability Policy Issues and Trends to Watch in 2024 - Peterson-KFF Health System Tracker
While issues of health care costs and affordability may not be at the forefront of this year’s election, they remain a major concern among the public. Health spending in the United States is projected...
https://www.healthsystemtracker.org/brief/policy-issues-and-trends-2024/
almost 2 years ago
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“Today, the majority goes beyond the necessities of this case to limit how Section 3 can bar an oathbreaking insurrec- from becoming President,” the three wrote. Barrett said now was “not the time to amplify disagreement with stridency.”
www.wsj.com/articles/sup...
almost 2 years ago
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Biden Admin is appealing a district court decision to limit Obamacare's preventive services mandate.
www.cnn.com/2024/03/04/p...
KFF found 6 in 10 privately insured or about 100 million people received ACA preventive care in a typical year:
www.healthsystemtracker.org/brief/preven...
#healthpolicy
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Preventive services use among people with private insurance coverage - Peterson-KFF Health System Tracker
The majority of privately insured people in the U.S. received an ACA preventive service in 2018. Ongoing litigation could limit access to these services.
https://www.healthsystemtracker.org/brief/preventive-services-use-among-people-with-private-insurance-coverage/
almost 2 years ago
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Books I got through on my vacation and highly recommend! (I suppose there are upsides to drowning your phone in the Arabian Sea 🌊😆) Have you read any of these?
almost 2 years ago
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KFF resources 👓 Price transparency:
www.healthsystemtracker.org/archive/?_sf...
⏳ No Surprises Act and surprise billing facts and figures:
www.healthsystemtracker.org/archive/?_sf...
❓ No Surprises Act Quiz:
www.kff.org/quiz/no-surp...
📠 Surprises to continue
www.kff.org/private-insu...
add a skeleton here at some point
almost 2 years ago
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I am speaking about the Implications of CMS Price Transparency Payer-Negotiated Rates Disclosure Requirements at the National Health Care Transparency & No Surprises Act Summit! Agenda and registration link:
hctransparencysummit.com
#healthpolicy
almost 2 years ago
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Highly recommend this @KFF Wonk Shop discussion. It's also available as a podcast:
shows.acast.com/6238b4c3dc63...
#healthpolicy
add a skeleton here at some point
almost 2 years ago
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reposted by
Krutika Amin
Elizabeth Pathak, PhD
almost 2 years ago
The word you’re looking for is “inevitable” … not “integral”! Integral implies intentionality. Embryo loss is undesirable but inevitable for almost every IVF case.
add a skeleton here at some point
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reposted by
Krutika Amin
Larry Levitt
almost 2 years ago
Watch a recorded version of today’s great Health Wonk Shop discussion of health insurance prior authorization. Or listen to the podcast. Pay no attention to the part where my computer crashed and I had to quickly switch to my phone.
www.kff.org/other/event/...
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The Health Wonk Shop: Prior Authorization in Health Insurance: A Needed Tool to Contain Costs or an Excessive Barrier to Needed Care? | KFF
Nearly 1 in 5 consumers with health insurance say their insurer delayed or denied care in the past year due to its requirements for prior authorization, a process through which insurers can require pa...
https://www.kff.org/other/event/feb-22-virtual-event-the-health-wonk-shop-prior-authorization-in-health-insurance-a-needed-tool-to-contain-costs-or-an-excessive-barrier-to-needed-care/
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reposted by
Krutika Amin
Adrianna McIntyre
almost 2 years ago
Just finalized a new case study for my MPH-level health politics class, on Ohio Issue 1 (the 2023 reproductive rights amendment to the state constitution)
scholar.harvard.edu/sites/schola...
Faculty should feel free to borrow/adapt with attribution!
#healthpolicy
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reposted by
Krutika Amin
Rakesh Singh
almost 2 years ago
On this Day of Remembrance of Japanese American Incarceration, here is an entry about their incarceration during WWII in KFF's timeline of policies and events that shaped health disparities.
www.kff.org/how-history-...
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New CMS data show providers win most surprise billing disputes & payment rates are north of the QPA payment standard. Legal challenges brought by providers are likely to further dilute the payment standard and initial CBO cost reduction estimates.
www.healthsystemtracker.org/brief/surpri...
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How has the federal process for surprise medical billing disputes performed? - Peterson-KFF Health System Tracker
In late 2020, Congress passed and President Trump signed the No Surprises Act establishing new federal protections for consumers from surprise medical bills. The law became effective in 2022. A signif...
https://www.healthsystemtracker.org/brief/surprise-billing-disputes-year-one/
almost 2 years ago
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The federal govt posted new data on the No Surprises Act disputes process between plans and providers.
www.cms.gov/nosurprises/...
No data yet on patients who may be still getting incorrect surprise bills prohibited under NSA and filing complaints on the patient disputes portal.🧵🩺💸
almost 2 years ago
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reposted by
Krutika Amin
Sarah Karlin-Smith
almost 2 years ago
fda commish califf raises concerns about 3rd party promotion of glp1s inappropriately. Orgs the fda doesn’t regulate like it regulates prescription drug advertisement.
#healthpolicy
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