Ben Sommers and I have a new piece up at @jamahealthforum.com on how to think about generalizing lessons from unwinding to looming new Medicaid red tape requirements. jamanetwork.com/journals/jam... We appreciate support from the @commonwealthfund.org for this work!

Consumers are facing turbulent waters in the ACA marketplaces, we explain why www.commonwealthfund.org/blog/2025/co...

The Advisory Committee on Immunization Practices has long been the gold standard for evidence-based vaccine guidance. But the overhaul by the Trump administration raises concerns about ACIP’s future as a respected expert body. MaryBeth Musumeci explains. www.commonwealthfund.org/publications...

I don't think I've seen a more dangerous decision in public health in my 50 years in the business. Here's a special audio statement on my reaction to the HHS breaking announcement that it is terminating $500 million in investments in mRNA vaccine research. More details to come in today's podcast.

As Canadian wildfires spread smoke across the U.S. the air pollution is dangerous to health. But there are ways to protect yourself. Here's what to know.

I picked up Paxlovid the other day for my mom who sadly has COVID (she’s a Medicare beneficiary with Part D coverage) and it cost $280!!! I was stunned.

How Cuts to the Insurance Marketplaces Will Harm Entrepreneurs open.substack.com/pub/briefing...

A ribbon of thick smoke from Canadian wildfires streams across the skies over North America, sullying the air quality over the Northeast US and Midwest.

The House-passed reconciliation bill causes an estimated 1.4 million undocumented immigrants to lose health coverage. That’s not because the federal government pays for Medicaid for them. It’s because the bill penalizes states using their own money to cover immigrants.

The updated reconciliation language doubles down on the bill’s Marketplace cuts by ending “silver loading” for the 2026 plan year. This would greatly increase many Marketplace enrollees’ premiums, compounding increases due to expiration of enhanced tax credits.

Latest House bill text includes another blow to the ACA, ending “silver loading.” That would increase premiums by $350 for a hypothetical family. Here’s why: www.brookings.edu/articles/und...

"These policies will be a double financial hit to working-class families, likely leading to coverage losses, delayed health care, & medical debt." @sararcollins.bsky.social @commonwealthfund.org Proposed Rule Will Make Consumers Pay More for Health Insurance

We need to talk about affordability. Working families shouldn’t have to choose between #healthcare and the basics. But in too many states, insurance that's tied to employment is pushing budgets to the breaking point. @sararcollins.bsky.social and her colleagues explore the impacts and options here:

New CBO estimates show Medicaid makes up 93% of spending under E&C jurisdiction, excluding Medicare. www.cbo.gov/system/files...

Getting health care isn’t like buying a refrigerator or car - why medical debt should be removed from consumer credit reports. www.commonwealthfund.org/publications...

"The United States stands alone among higher-income countries in the accumulation of #medicaldebt among its citizens." @sararcollins.bsky.social The Federal Rule on Medical Debt buff.ly/4biFT9z via @commonwealthfund.org

Read our new Health Affairs article to learn more about what lies ahead for Medicaid in the budget reconciliation process. TL:dr — big cuts to #Medicaid hurt everyone! www.healthaffairs.org/content/fore...

Want to know some of what Medicaid does in your state? Know someone who needs a refresher on Medicaid basics? We've got you covered with new state fact sheets: www.commonwealthfund.org/publications... #Medicaid

You might know that every year, 72 million Americans get health insurance and health care thanks to #Medicaid. But most Americans don’t know this. Please take a moment to watch our short video explaining how the Medicaid works & who it helps, and please consider sharing it with your people!

In rural America, Medicaid is more than health insurance—it’s a bridge to care and stability for millions. To get a better sense of the role #Medicaid plays in rural communities—and the stakes if funding is cut--see this piece by @joanalker1.bsky.social and @edwincpark.bsky.social.

Biden administration achieves fourth record-breaking ACA enrollment ahead of exit thehill.com/policy/healt...

Without enhanced PTCs, nonexpansion states would see larger percentage declines...Although the 10 nonexpansion states account for just 28% of the nation’s under-65 population, they would account for 63% of the enrollment decline in subsidized Marketplace plans www.urban.org/urban-wire/f...

The CBO says not extending the enhanced ACA subsidies will lead to 3.8 million more people being uninsured. They also say premiums (before subsidies) will eventually be 7.9% higher without extension, because healthier people will drop coverage www.cbo.gov/system/files...

Around 1.5 million deaths globally per year associated with air pollution from landscape fires between 2000 and 2019, study suggests. 🔗 bit.ly/4f5bxrb

Our new survey out today finds nearly one in four U.S. working age adults have health coverage all year but are underinsured, facing high out-of-pocket costs or deductibles relative to their income that lead many to skip needed care or take on medical debt. www.commonwealthfund.org/publications...