The Commonwealth Fund
@commonwealthfund.org
📤 3198
📥 396
📝 312
Affordable, quality health care. For everyone. About Us:
https://buff.ly/3PTPkDt
reposted by
The Commonwealth Fund
Rhode Island Current
4 days ago
New
@commonwealthfund.org
analysis finds premium contributions and deductibles for family health insurance plans totaled 10% or more of the median household income in 19 states in 2024. The calculation did not include copayments. Via
@stateline.org
rhodeislandcurrent.com/2026/02/11/r...
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Many middle-income families spend at least a tenth of their income on health insurance • Rhode Island Current
More than half of working-age adults get their health insurance through an employer, but in many states premium contributions and deductibles take a significant bite out of household incomes. A new an...
https://rhodeislandcurrent.com/2026/02/11/repub/many-middle-income-families-spend-at-least-a-tenth-of-their-income-on-health-insurance/
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reposted by
The Commonwealth Fund
Edwin Park
6 days ago
From
@commonwealthfund.org
Why Rural Hospitals Are Facing a Funding Crisis — and How It Could Get Worse
www.commonwealthfund.org/publications...
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Why Rural Hospitals Are Facing a Funding Crisis — and How It Could Get Worse
Since 2005, nearly 200 rural hospitals have completely or partially closed, and over 400 — more than 20 percent of rural hospitals — are at risk of closure.
https://www.commonwealthfund.org/publications/explainer/2026/feb/why-rural-hospitals-face-funding-crisis-how-it-could-get-worse
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reposted by
The Commonwealth Fund
Bailit Health
24 days ago
States are tackling unfair and excessive hospital prices. Our blog post for
@commonwealthfund.org
outlines 2025 actions in Indiana, Vermont, New Mexico, and Washington.
bit.ly/2026-0114-af...
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Affordability Concerns Are Driving States to Curb Hospital Prices
States are developing proposals for the 2026 and 2027 legislative sessions aimed at reining in excessive hospital prices and price growth.
https://bit.ly/2026-0114-affordability-concerns
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As Medicaid work requirements take effect in 2027, it’s unclear how states will determine who qualifies as medically frail and exempt from the rules.
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Medical Frailty Exemptions Will Help with Medicaid Work Requirements
Medical frailty policies will allow people with disabilities and chronic illnesses to be exempted from work reporting requirements and stay enrolled in Medicaid.
https://www.commonwealthfund.org/blog/2025/how-medical-frailty-exemption-policies-can-offer-lifeline-people-disabilities-and-chronic
about 1 month ago
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Drug prices continue to be a top concern for
#Medicare
beneficiaries, with one of five saying they use discount websites like GoodRx or Amazon, instead of their prescription drug plan.
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What the Decline in Medicare Part D Plan Availability Means
Fewer standalone Rx plans in traditional Medicare raises questions about whether beneficiaries will have choices that align with health needs and budgets.
https://bit.ly/44wRzU3
about 1 month ago
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🚨 Today at 12PM ET! "Decoding the Moment: The $50 Billion
#RuralHealth
Program in Context" Join
@tradeoffs.org
and
@pennldi.bsky.social
for this virtual event exploring the
#healthcare
challenges facing rural America, the evidence-based solutions, and more.
#powerofrural
add a skeleton here at some point
about 1 month ago
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Federal programs play a critical role in whether people can get contraceptive care, and states can shape how well those programs work. A new analysis outlines paths states can take and what’s at risk if funding is cut.
bit.ly/3Y2mmV6
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An Overview of Federally Funded Contraceptive Programs
With sufficient funding, states can utilize Medicaid SPAs and Section 1115 waivers, MCO contracts, and Title X grants to expand access to contraceptives.
https://bit.ly/3Y2mmV6
about 1 month ago
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Bright spots in rural communities illuminate ways to expand primary care. From mobile clinics and telehealth to community health workers, smart investments and rural-specific solutions can help make sure your zip code doesn't determine the care you get.
bit.ly/44B2YlJ
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The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
https://commonwealthfund.org/publications/issue-briefs/2025/nov/state-rural-primary-care-united-states
about 1 month ago
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reposted by
The Commonwealth Fund
PennLDI
about 1 month ago
🔴 Decoding the Moment: The $50 Billion #RuralHealthProgram in Context 🔴 🗓️ Tomorrow, Jan 6 @ 12pm ET Expert virtual discussion, co-hosted w/
@tradeoffs.org
#RuralHealthProgram
➡️ REGISTER HERE:
https://bit.ly/4964AXd
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Let's make a resolution to both protect innovation and lower drug costs as we wrap this year. Smart patent reforms can curb abuse, speed generic competition, and make lifesaving medicines more affordable, without cutting corners on safety or science.
about 2 months ago
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Historically, we’ve underinvested in primary care, especially in rural America. Now, rural Americans contend with doctor shortages, long drives for care, and ERs filling gaps they weren't meant to fill. These problems won’t fix themselves. Show of hands: who is committed to this work in 2026?
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The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
https://bit.ly/3Kpi9rh
about 2 months ago
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The average number of standalone prescription drug plans has declined by nearly two-thirds since 2021. Will Medicare beneficiaries still have choices that align with their health care needs and household budgets?
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What the Decline in Medicare Part D Plan Availability Means
Fewer standalone Rx plans in traditional Medicare raises questions about whether beneficiaries will have choices that align with health needs and budgets.
https://bit.ly/3MC03TQ
about 2 months ago
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Recent changes to federal preventive care and vaccine recommendations have raised concerns about their credibility, and states are looking for ways to keep science-backed services available to their residents.
bit.ly/4pKZxkQ
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States Are Preserving Recommendations Preventive Care, Vaccines
Amid concern about credibility of recent federal vaccine recommendations, states are exploring how to protect access to scientifically backed services.
https://bit.ly/4pKZxkQ
about 2 months ago
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We know making health coverage affordable works to keep people insured, support local economies, and strengthen our care systems. Choosing to let premium subsidies expire risks major disruptions to the marketplaces that will be difficult to overcome, despite having been easy to avoid.
bit.ly/4ajXsaT
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Expiring ACA Premium Tax Credits Could Lead to Nearly 340,000 Jobs Lost Across the U.S. in 2026
Unless Congress acts quickly to extend the enhanced ACA marketplace premium tax credits, nearly 5 million people could lose health insurance coverage in 2026.
https://bit.ly/4ajXsaT
about 2 months ago
0
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Choice works best when people understand their options. Evidence shows simpler, standardized health plans protect consumers & lower costs, without limiting real options. If we want to build a health system people can trust, we need clear rules, fair choices, and coverage that does what it promises.
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Lessons from the ACA: Simplifying Choices to Optimize Health Coverage
Additional standards in the Affordable Care Act for plan design, marketing, and enrollment could improve consumer satisfaction and health care affordability.
https://commonwealthfund.org/publications/issue-briefs/2025/dec/lessons-aca-simplifying-choices-optimize-health-coverage
about 2 months ago
0
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Gaps in contraceptive access persist across the U.S. — and federal funding cuts could make them worse. Full report:
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An Overview of Federally Funded Contraceptive Programs
With sufficient funding, states can utilize Medicaid SPAs and Section 1115 waivers, MCO contracts, and Title X grants to expand access to contraceptives.
https://bit.ly/4p6GiRQ
about 2 months ago
0
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Let’s be clear: the enhanced ACA tax credits worked. They helped millions afford coverage and kept uninsured rates down. Now, as they near expiration, nearly 5 million people could lose coverage, while jobs vanish and economic stability emerges.
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Expiring ACA Premium Tax Credits Could Lead to Nearly 340,000 Jobs Lost Across the U.S. in 2026
Unless Congress acts quickly to extend the enhanced ACA marketplace premium tax credits, nearly 5 million people could lose health insurance coverage in 2026.
https://www.commonwealthfund.org/publications/issue-briefs/2025/oct/expiring-premium-tax-credits-lead-340000-jobs-lost-2026
about 2 months ago
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🛜 Telehealth is expanding across the country, but not evenly. Nationally, 29% of adults have received primary care via telehealth, compared to only 19% in rural areas. More here:
bit.ly/3Xie1we
2 months ago
0
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Prescription drug prices in the United States are higher than in other countries; one contributing factor is the number of patents some drugmakers file to maintain monopolies on their brand-name drugs.
bit.ly/4rgHXql
2 months ago
0
0
1
43% of U.S. primary care physicians report burnout — one of the highest rates in a new 10-country survey. The report explores what’s driving it and how to better support clinicians.
bit.ly/3LYwb3A
2 months ago
0
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Why primary care physicians report burnout varies by country: 🗂️ Administrative burden (top reason in the U.S.) 🏥 Patient load & complexity (higher in Sweden) 😞 Feeling undervalued (more common in the U.K. & Australia)
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The Causes and Impacts of Burnout Among Primary Care Physicians in 10 Countries
This survey brief examines factors contributing to burnout among primary care physicians in 10 countries and strategies to combat it and improve system performance.
https://bit.ly/48biEOZ
2 months ago
0
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New analysis on rural primary care finds: 🏥 Demand for rural primary care physicians is projected to exceed supply by 2037 🚑 Nearly 1 in 4 rural adults used the ER for needs that could be treated in primary care 💻 Only 19% received primary care via telehealth, compared to 29% nationally Details ⤵️
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The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
https://bit.ly/3Kpi9rh
2 months ago
0
12
9
Today at 11 AM PT! 🎙️ Live Webinar: The Coming Revolution: Equity in the Age of AI 🔗 Register Here:
bit.ly/RegEquityAgeofAI
add a skeleton here at some point
2 months ago
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reposted by
The Commonwealth Fund
USC Center for Health Journalism
3 months ago
Join Dr. Joseph Betancourt, president of
@commonwealthfund.org
, Dr. Tina Hernandez-Boussard, professor of medicine at
@stanforduniversity.bsky.social
, and
@katiepalmer.bsky.social
, health tech correspondent at
@statnews.com
... (1/2)
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From “patent thickets” to “product hopping,” drugmakers have developed a host of strategies for blocking competition. Learn how some policymakers are hoping to stop patent abuse and end the drug monopolies that lead to high prices.
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How Drugmakers Use the Patent Process to Keep Prices High
Patent reforms could address a problem that’s been driving rising prescription drug costs and create a more competitive pharmaceutical market.
https://bit.ly/4ohwCU3
2 months ago
0
2
1
A proactive approach to implementing the behavioral health exemption to work requirements can help minimize impacts for Medicaid enrollees, the behavioral health crisis, and related long-term costs.
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How Will States Implement the Behavioral Health Exemption to Medicaid Work Requirements?
A proactive approach to implementing the behavioral health exemption to work requirements can help minimize impacts for Medicaid enrollees.
https://bit.ly/4ihEAuY
3 months ago
0
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🩺 New international survey of primary care physicians: U.S. doctors report some of the highest burnout rates among 10 high-income countries. Some countries are streamlining administrative tasks and supporting clinician well-being, offering lessons for U.S. leaders.
bit.ly/3LYwb3A
3 months ago
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The Orphan Drug Act has helped spur the development of drugs targeting rare diseases for which no treatment exists, but the law’s loopholes have impeded further progress since the law’s enactment in 1983.
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Revisiting the Orphan Drug Act
The Orphan Drug Act has catalyzed innovation in rare disease treatments, but the law’s shortcomings — particularly around pricing — have prompted calls for reform.
https://bit.ly/48hhOyW
3 months ago
1
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During a time of national
#mentalhealth
and substance use crises, how can states ensure consistent coverage for people with behavioral health conditions?
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How Will States Implement the Behavioral Health Exemption to Medicaid Work Requirements?
A proactive approach to implementing the behavioral health exemption to work requirements can help minimize impacts for Medicaid enrollees.
https://www.commonwealthfund.org/blog/2025/how-will-states-implement-behavioral-health-exemption-medicaid-work-requirements
3 months ago
0
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1
reposted by
The Commonwealth Fund
Primary Care Collaborative
3 months ago
Rural Americans face significant obstacles when it comes to accessing comprehensive primary care, from clinician shortages to cost.
@commonwealthfund.org
dives headfirst into this widespread problem and proposes solutions in a new publication. ⬇️
www.commonwealthfund.org/publications...
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The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
https://www.commonwealthfund.org/publications/issue-briefs/2025/nov/state-rural-primary-care-united-states
0
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💪
#RuralHealth
Care Has Heart & Grit In rural communities across the U.S., we see health systems under strain, but we also see them innovating, adapting, and leading. Today, we’re spotlighting how rural providers and communities are rising to face their unique set of challenges.
#RuralHealthWeek
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3 months ago
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💸 $900 Billion in Medicaid Cuts, $50 Billion in Relief for Rural Health Systems With the passage of H.R. 1, rural health care faces both a threat and a test. The law slashes $900 billion from Medicaid—the largest cut in the program’s history—hitting rural hospitals and providers especially hard.
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How States Can Access New Federal Funds to Improve Care in Rural Communities
States can use funds from H.R. 1’s Rural Health Transformation Program to invest in initiatives that could improve health care delivery for rural patients.
https://www.commonwealthfund.org/blog/2025/how-states-can-access-new-federal-funds-improve-care-rural-communities
3 months ago
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reposted by
The Commonwealth Fund
Whitney Zahnd
3 months ago
"Forty-three million people live in rural areas with primary care health professional shortages."
add a skeleton here at some point
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reposted by
The Commonwealth Fund
Wisconsin Examiner
3 months ago
Shortage of rural doctors won’t end anytime soon,
@commonwealthfund.org
report says.
@nhassanein.bsky.social
of
@stateline.org
has the details.
wisconsinexaminer.com/2025/11/18/r...
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Shortage of rural doctors won’t end anytime soon, report says • Wisconsin Examiner
For the next dozen years, rural areas will have only about two-thirds of the primary care physicians they need, according to a new eport
https://wisconsinexaminer.com/2025/11/18/repub/shortage-of-rural-doctors-wont-end-anytime-soon-report-says/
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Primary care is under strain nationwide, and rural communities are feeling it. A new
@commonwealthfund.org
brief finds deepening workforce shortages and fewer options for basic care among the 60 million people who live in rural areas. Read more ⤵️
#ruralhealthweek
#ruralhealth
#powerofrural
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The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
https://www.commonwealthfund.org/publications/issue-briefs/2025/nov/state-rural-primary-care-united-states
3 months ago
0
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5
On this week’s episode of
#TheDosePodcast
, Elaine Welteroth talks with
@joelbervell.bsky.social
about how she turned disillusionment with her own birth experience into a new movement focused on funding midwifery care and saving mothers’ lives.
#MaternalHealth
Tune in ⤵️
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Reimagining Birth, Restoring Trust
On The Dose podcast, Elaine Welteroth talks about how her organization, birthFUND, is working to restore trust and reimagine birth as safe and empowering.
https://thedose.show/s09e07
3 months ago
0
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For the first time,
#Medicare
is billing drug manufacturers for rebates when prices rise faster than inflation — a new approach aimed at curbing prescription
#drugcosts
.
bit.ly/4qNuo1l
3 months ago
0
0
0
Two in five Medicare Advantage enrollees said they don’t plan to use some of their plan benefits — with more than half saying they don’t need them. Our latest survey raises key questions about whether current benefits meet people’s needs or could be better designed to add value.
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Could Notifications Help MA Beneficiaries Utilize Benefits?
Medicare Advantage plans receive significant federal funding for supplemental benefits; it’s important to ensure payments translate to better health outcomes.
https://bit.ly/4nMnYwM
3 months ago
0
2
0
Medicaid cuts under the recently passed tax and spending law could put contraceptive access for millions of women at risk. A new brief from the Commonwealth Fund finds that states may scale back family planning programs, close key providers, and deepen health inequities.
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Changes to Medicaid Threaten Contraceptive Accessibility
Medicaid provisions passed under H.R. 1 will have a cascading impact that threatens the landscape of vital contraceptive care.
https://bit.ly/4qYbsx1
3 months ago
0
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The Supplemental Nutrition Assistance Program (SNAP) isn’t just an anti-hunger program — it’s also an economic stabilizer for families and communities. In this article, we lay out what’s at stake for families, states, and the food economy if these cuts take effect.
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From Empty Grocery Carts to Lost Jobs: The Ripple Effects of Cutting SNAP
The Supplemental Nutrition Assistance Program (SNAP) isn’t just an antihunger program — it’s also an economic stabilizer for families and communities. When SNAP food benefits are cut or halted outrigh...
https://www.linkedin.com/pulse/from-empty-grocery-carts-lost-jobs-ripple-effects-gdjte/
3 months ago
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reposted by
The Commonwealth Fund
USC Center for Health Journalism
4 months ago
New Webinar: How Medical Debt Is Pummeling Americans, Mon., 11/10, 10 am PST. Medical
#debt
is crushing 100M+ Americans — many insured. Hear reporting tips, insights & story ideas from
@raelnb.bsky.social
&
@jessicaglenza.bsky.social
on the U.S. medical debt crisis. Register:
bit.ly/MedicalDebtReg
1
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💊 Prescription drug prices have long risen faster than inflation, straining budgets for patients and the government alike. A new Medicare policy aims to slow that trend, and it could save billions over the next decade. Explore the details in our new explainer:
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How Inflation Rebates Can Curb Drug Price Increases
To discourage price hikes on brand-name drugs, the IRA requires manufacturers to pay inflation rebates to Medicare if prices increase faster than inflation.
https://bit.ly/495MyoF
3 months ago
0
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Medicare Advantage plans offer extra benefits like: 🦷 Dental 👁️ Vision 👂 Hearing But in 2024, just one-third of enrollees used any supplemental benefit — despite $39 billion in federal spending to provide them. Learn more ⬇
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Could Notifications Help MA Beneficiaries Utilize Benefits?
Medicare Advantage plans receive significant federal funding for supplemental benefits; it’s important to ensure payments translate to better health outcomes.
https://www.commonwealthfund.org/blog/2025/could-notifications-help-medicare-advantage-beneficiaries-utilize-their-unused-benefits?utm_campaign=Improving%20Health%20Care%20Quality&utm_medium=social&utm_source=bluesky
3 months ago
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On a new episode of The Dose Podcast, Dr. Kevin Simon describes how we can address the shortage in youth psychiatrists by using nontraditional interventions to support young people, like AI therapy and special training for community center staff.
thedose.show/s09305
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A New Approach to Youth Mental Health
On The Dose podcast, Dr. Kevin Simon discusses the youth mental health crisis and the innovative things states and cities can do for children who are struggling.
https://thedose.show/s09305
4 months ago
0
1
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👻 Premium Sticker Shock Could Give Families A Fright This Open Enrollment As
#OpenEnrollment
begins Nov. 1, millions of Americans may see higher costs if enhanced ACA tax credits are allowed to expire. Without action, premiums could double or even quadruple & nearly 5M people could lose coverage.
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Marketplace Sticker Shock: What Happens If Subsidies Expire
The Affordable Care Act’s marketplaces have reached record enrollment, with more than 23 million Americans relying on them for health coverage in 2025. Since 2021, enhanced premium tax credits (PTCs) ...
https://lnkd.in/eu4G3eFN
4 months ago
0
1
1
Medicaid coverage. Reproductive health access. Social supports. Our new report compares maternal and child mortality state by state — and against 200 countries. State policy choices like these shape whether mothers and children are healthy and safe.
bit.ly/433uEie
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Maternal and Child Mortality: How Do U.S. States Compare Internationally?
This brief compares U.S. maternal and child mortality rates at the national, state, and racial and ethnic level to 200 countries.
https://bit.ly/433uEie
4 months ago
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“Too much energy goes into getting paid instead of caring for patients.” Dr. Mai Pham talks with Joel Brevell about redesigning how we pay for care, and why it matters.
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Fixing How We Pay for Care
On The Dose podcast, Dr. Mai Pham talks about how the imperative in paying for health care in the U.S. is often volume over value, and billing over better care.
https://bit.ly/42WsPUn
4 months ago
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On this episode of The Dose, Dr. Pham explains how better payment models, authentic community engagement, and “universal design” in health care could help systems serve everyone more equitably.
bit.ly/4ot1BNw
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Fixing How We Pay for Care
On The Dose podcast, Dr. Mai Pham talks about how the imperative in paying for health care in the U.S. is often volume over value, and billing over better care.
https://bit.ly/4ot1BNw
4 months ago
0
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Get up to speed on the fundamentals of the 340B program ahead of the Senate HELP hearing. If you have questions about the program, see our explainer for answers. We cover: ❓ How the program works 🧑🧑🧒🧒 Who the stakeholders are 💊 What changes have been proposed
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Explained: How The 340B Drug Pricing Program Works
The 340B Drug Pricing Program was created to improve access to care at safety-net hospitals and clinics, but critics argue that the program hasn’t met this goal.
https://bit.ly/3JneY2P
4 months ago
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Congress and the Trump administration have enacted sweeping policy changes that will: 🤕 bump legally present immigrants off the marketplaces and
#Medicaid
, 🚧 add red tape for other people who are eligible to enroll, and 📈 sharply increase workers’ insurance premiums.
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Efforts to Cut Insurance Coverage Will Undermine Health of Workforce
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
https://bit.ly/4h4O1gK
4 months ago
0
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1
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