Akeiisa Coleman
@acinthedc.bsky.social
Health policy wonk (Medicaid #1 priority), coffee drinker, news junkie & occasional do-gooder from So Cal. Fight on Trojans!
Great thread on recent materials published by @georgetownccf.bsky.social. If you are interested in all things #Medicaid, children and families, you should follow Georgetown CCF and individual accounts like @joanalker1.bsky.social to stay up to date
If you are interested in health care issues (especially re Medicaid and families) check out our @georgetownccf.bsky.social blog.
Here are just a few recent blogs ICYMI.
Andy Schneider on Trump CMS allegations re Medicaid fraud in Minn.
ccf.georgetown.edu/2026/01/16/c...
Here are just a few recent blogs ICYMI.
Andy Schneider on Trump CMS allegations re Medicaid fraud in Minn.
ccf.georgetown.edu/2026/01/16/c...
CMS Weaponizes Fraud Against Medicaid in Minnesota
On January 6, 2026, the Centers for Medicare & Medicaid Services (CMS) Administrator, Dr. Mehmet Oz, sent a letter to the Governor of Minnesota, Tim Walz, notifying him that his state’s Medicaid agenc...
ccf.georgetown.edu
January 20, 2026 at 10:23 PM
Great thread on recent materials published by @georgetownccf.bsky.social. If you are interested in all things #Medicaid, children and families, you should follow Georgetown CCF and individual accounts like @joanalker1.bsky.social to stay up to date
FYI - New @nhelp.bsky.social resource for those tracking HR 1/OBBBA #Medicaid work requirement implementation
In this Q&A series, NHeLP will analyze the role of due process in implementation. This first set of Q&As focuses on Notice. By Amanda Avery and Katy DeBriere https://healthlaw.org/resource/medicaid-work-requirements-due-process-qa-series-notice/
January 20, 2026 at 6:48 PM
FYI - New @nhelp.bsky.social resource for those tracking HR 1/OBBBA #Medicaid work requirement implementation
New resource from @ncslorg.bsky.social for state legislators and those who support them on leg strategies for addressing the #Medicaid budget. Great resource as budget season begins & leg members understand new admin costs of HR 1/OBBBA www.ncsl.org/health/the-m...
The Medicaid Puzzle: Piecing Together Policies for a Balanced Budget
This report outlines key policy options for state legislators to balance Medicaid budgets, focusing on cost drivers, oversight, and practical strategies to address fiscal pressures while balancing hea...
www.ncsl.org
January 15, 2026 at 7:48 PM
New resource from @ncslorg.bsky.social for state legislators and those who support them on leg strategies for addressing the #Medicaid budget. Great resource as budget season begins & leg members understand new admin costs of HR 1/OBBBA www.ncsl.org/health/the-m...
New Health Affairs piece considers data states could use to inform how they identify individuals with "serious or complex medical conditions" who should be exempt from HR 1/OBBBA #Medicaid work requirements #healthpolicy www.healthaffairs.org/content/fore...
Health Affairs Journal
www.healthaffairs.org
January 12, 2026 at 8:59 PM
New Health Affairs piece considers data states could use to inform how they identify individuals with "serious or complex medical conditions" who should be exempt from HR 1/OBBBA #Medicaid work requirements #healthpolicy www.healthaffairs.org/content/fore...
Reposted by Akeiisa Coleman
🚨BREAKING NEWS - MAJOR MEDICAID VICTORY IN FLORIDA: Federal Court Orders Florida Medicaid to Halt Terminations and Reform “Incomprehensible” Notices After Finding Constitutional Violations. Learn more about the case and our advocacy with @flhealthjustice.bsky.social!
MAJOR MEDICAID VICTORY IN FLORIDA
Jacksonville, Florida — A federal judge found that Florida’s Medicaid notices “border on the incomprehensible,” and has ordered Florida’s Medicaid agency to immediately pause the termination of Medica...
healthlaw.org
January 7, 2026 at 6:39 PM
🚨BREAKING NEWS - MAJOR MEDICAID VICTORY IN FLORIDA: Federal Court Orders Florida Medicaid to Halt Terminations and Reform “Incomprehensible” Notices After Finding Constitutional Violations. Learn more about the case and our advocacy with @flhealthjustice.bsky.social!
"Unwinding had measurable impacts on patient access to prescription medications, but states that implemented protective policies were able to mitigate these changes." #healthpolicy #Medicaid
#Medicaid enrollment and prescription fills rose during continuous coverage and fell after unwinding, especially in states with greater disenrollment. ja.ma/4bdt7Lq
January 5, 2026 at 7:20 PM
"Unwinding had measurable impacts on patient access to prescription medications, but states that implemented protective policies were able to mitigate these changes." #healthpolicy #Medicaid
Reposted by Akeiisa Coleman
As many rural areas face worsening maternity care deserts, some physicians fear abortion laws could drive much-needed doctors out of state and dissuade others from moving in and establishing a practice. kffhealthnews.org/news/article...
Iowa Doesn't Have Enough OB-GYNs. The State’s Abortion Ban Might Be Making It Worse. - KFF Health News
Abortion bans like Iowa’s have put OB-GYNs under increasing strain and surveillance, complicating the standard medical treatments for miscarriage, ectopic pregnancy, premature membrane rupture, and ot...
kffhealthnews.org
January 5, 2026 at 5:25 PM
As many rural areas face worsening maternity care deserts, some physicians fear abortion laws could drive much-needed doctors out of state and dissuade others from moving in and establishing a practice. kffhealthnews.org/news/article...
Reposted by Akeiisa Coleman
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
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
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.
commonwealthfund.org
January 5, 2026 at 2:27 PM
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
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
It's a new year and the work continues. ICYMI - here's an explainer of the provider tax changes in HR 1/OBBBA www.commonwealthfund.org/publications...
How New Limits on State Provider Taxes Will Affect Medicaid Funding
H.R. 1’s Medicaid provider tax changes are projected to reduce federal investments by nearly $226 billion over 10 years and cause 2.4 million people to lose coverage.
www.commonwealthfund.org
January 5, 2026 at 2:41 PM
It's a new year and the work continues. ICYMI - here's an explainer of the provider tax changes in HR 1/OBBBA www.commonwealthfund.org/publications...
Looks like Nebraska will be the state to watch as they rush to implement #Medicaid work requirements in 2026, with community engagement set to become part of the enrollment and renewal criteria in May. www.1011now.com/2025/12/17/n...
Nebraska to become first state implementing Medicaid work requirements
Nebraska will become the first state in the nation to implement federal Medicaid work requirements, with enforcement beginning May 1, 2026, Governor Jim Pillen announced during a press conference with...
www.1011now.com
December 18, 2025 at 8:26 PM
Looks like Nebraska will be the state to watch as they rush to implement #Medicaid work requirements in 2026, with community engagement set to become part of the enrollment and renewal criteria in May. www.1011now.com/2025/12/17/n...
Who decides whether someone is considered medically frail under #Medicaid? As work requirements approach, a new analysis explains why state-level definitions will matter for access to coverage www.commonwealthfund.org/blog/2025/ho... #healthpolicy
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.
www.commonwealthfund.org
December 18, 2025 at 8:16 PM
Who decides whether someone is considered medically frail under #Medicaid? As work requirements approach, a new analysis explains why state-level definitions will matter for access to coverage www.commonwealthfund.org/blog/2025/ho... #healthpolicy
I agree that there didn't seem to be much in today's CIB, and, with formal guidance coming in June 2026, states really have their work cut out for them in order to start educating #Medicaid enrollees by September 2026 at the latest. www.medicaid.gov/federal-poli...
December 8, 2025 at 10:37 PM
I agree that there didn't seem to be much in today's CIB, and, with formal guidance coming in June 2026, states really have their work cut out for them in order to start educating #Medicaid enrollees by September 2026 at the latest. www.medicaid.gov/federal-poli...
Once again KFF has a a great tracker that you should bookmark if you're interested in #Medicaid work requirements: www.kff.org/medicaid/med...
Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements | KFF
KFF's interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. T...
www.kff.org
December 8, 2025 at 3:34 PM
Once again KFF has a a great tracker that you should bookmark if you're interested in #Medicaid work requirements: www.kff.org/medicaid/med...
More than a yr ago, for example, a federal judge ruled that Missouri’s food aid system was “overwhelmed,” had wrongly denied assistance to applicants, & had caused many to go hungry as a “direct result of the system’s inadequacy.” #SNAP www.governing.com/policy/new-w...
New Work Rules Add Pressure to Missouri’s Strained SNAP System
With more residents required to work to qualify for SNAP and funding shifting to states, Missouri’s system shows what may await programs across the country.
www.governing.com
December 8, 2025 at 2:25 PM
More than a yr ago, for example, a federal judge ruled that Missouri’s food aid system was “overwhelmed,” had wrongly denied assistance to applicants, & had caused many to go hungry as a “direct result of the system’s inadequacy.” #SNAP www.governing.com/policy/new-w...
Reposted by Akeiisa Coleman
⭐️ CHPC Associate Center Director Dr. William Schpero did a short video feature for the American Journal of Managed Care: "Work Requirements, Expiration of Subsidies Will Leave Millions Without Insurance."
📹 Watch here:
📹 Watch here:
Work Requirements, Expiration of Subsidies Will Leave Millions Without Insurance: William Schpero, PhD, MPhil, MPH | AJMC
WIlliam Schpero, PhD, MPhil, MPH, from Weill Cornell Graduate School of Medicine, discusses how the combination of the work requirements for Medicaid introduced in the One Big Beautiful Bill Act and…
www.ajmc.com
December 8, 2025 at 2:00 PM
⭐️ CHPC Associate Center Director Dr. William Schpero did a short video feature for the American Journal of Managed Care: "Work Requirements, Expiration of Subsidies Will Leave Millions Without Insurance."
📹 Watch here:
📹 Watch here:
Reposted by Akeiisa Coleman
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 ⤵️
🏥 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 ⤵️
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.
bit.ly
December 3, 2025 at 3:02 PM
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 ⤵️
🏥 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 ⤵️
Much of the implementation discussions of HR 1/OBBA have centered on work requirements & other #Medicaid expansion provisions. A new brief from @clasp.org discusses how nonexpansion states will be impacted by HR 1/OBBA www.clasp.org/publications... #healthpolicy
Impact of Medicaid Cuts in H.R. 1 on Non-Expansion States | CLASP
Medicaid programs in the 10 non-expansion states will be harmed significantly by the H.R. 1. Eligibility and financing changes will force non-expansion states to make difficult decisions and likely le...
www.clasp.org
December 2, 2025 at 7:32 PM
Much of the implementation discussions of HR 1/OBBA have centered on work requirements & other #Medicaid expansion provisions. A new brief from @clasp.org discusses how nonexpansion states will be impacted by HR 1/OBBA www.clasp.org/publications... #healthpolicy
Not only can you comment on federal regulations, you can also comment on #Medicaid 1115 waivers. There are state and federal comment periods for these multi-year Medicaid demonstrations. #healthpolicy
Updated issue brief! NHeLP’s Dania Douglas explains why public comments matter and how they shape federal regulations. Your voice can influence policy. 🔗 https://healthlaw.org/resource/do-my-comments-really-matter-demystifying-the-public-comment-process/
Do My Comments Really Matter?
In a new issue brief, Managing Attorney of the D.C. Office Mara Youdelman discusses the importance of public comments…
healthlaw.org
December 2, 2025 at 4:52 PM
Not only can you comment on federal regulations, you can also comment on #Medicaid 1115 waivers. There are state and federal comment periods for these multi-year Medicaid demonstrations. #healthpolicy
Reposted by Akeiisa Coleman
One of the weedy things I worry/wonder about is (1) how aware of the premiums changes enrollees are, and (2) among those who aren't aware, how many are having their premiums automatically debited from their bank accounts?
A 60 year old in Charleston, WV making $65,000 would see their annual out-of-pocket premium increase from $5,525 to $27,864 if the enhanced ACA tax credits expire.
The same 60 year old living in Charlottesville, VA would see their out-of-pocket premium go from $5,525 to $12,616.
The same 60 year old living in Charlottesville, VA would see their out-of-pocket premium go from $5,525 to $12,616.
December 1, 2025 at 4:14 PM
One of the weedy things I worry/wonder about is (1) how aware of the premiums changes enrollees are, and (2) among those who aren't aware, how many are having their premiums automatically debited from their bank accounts?
ICYMI: New piece discusses considerations and suggestions for implementing the the behavioral health exemption to the new mandatory #Medicaid work requirement www.commonwealthfund.org/blog/2025/ho... #healthpolicy
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.
www.commonwealthfund.org
November 24, 2025 at 4:20 PM
ICYMI: New piece discusses considerations and suggestions for implementing the the behavioral health exemption to the new mandatory #Medicaid work requirement www.commonwealthfund.org/blog/2025/ho... #healthpolicy
Reposted by Akeiisa Coleman
New blog on a Center for Medicare and Medicaid Innovation model to implement recent White House pricing agreements with manufacturers. While we now know how the model will interact with the #Medicaid rebate program, several key questions remain unanswered: ccf.georgetown.edu/2025/11/18/s...
Several Key Questions about Trump Administration’s Drug Pricing Deals and Their Impact on Medicaid Remain Unaddressed
On November 6, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a new Center for Medicare and Medicaid Innovation (CMMI) model to implement pricing agreements with two drug ma…
ccf.georgetown.edu
November 18, 2025 at 7:13 PM
New blog on a Center for Medicare and Medicaid Innovation model to implement recent White House pricing agreements with manufacturers. While we now know how the model will interact with the #Medicaid rebate program, several key questions remain unanswered: ccf.georgetown.edu/2025/11/18/s...
"A KFF survey of Medicaid officials in all states and the District of Columbia found almost two-thirds face at least a "50-50" chance of a Medicaid budget shortfall in FY 2026." #Medicaid #healthpolicy
States scramble to avoid Medicaid shortfalls: survey www.axios.com/2025/11/13/s...
States scramble to avoid Medicaid shortfalls: Survey
Some are responding by imposing new limits on how they pay hospitals and other providers.
www.axios.com
November 14, 2025 at 2:07 PM
"A KFF survey of Medicaid officials in all states and the District of Columbia found almost two-thirds face at least a "50-50" chance of a Medicaid budget shortfall in FY 2026." #Medicaid #healthpolicy
Rural hospitals in nonexpansion states could be the biggest losers if enhanced premium tax credits are allowed to expire www.commonwealthfund.org/blog/2025/wi... #healthpolicy #ruralhealth
Without Renewal of Enhanced Premium Tax Credits, Rural Hospital Revenues Will Drop by $1.6 Billion
www.commonwealthfund.org
November 13, 2025 at 8:58 PM
Rural hospitals in nonexpansion states could be the biggest losers if enhanced premium tax credits are allowed to expire www.commonwealthfund.org/blog/2025/wi... #healthpolicy #ruralhealth
ICYMI: “They own a product that has become a core piece of the safety net,” said Luke Farrell, who worked in the USDS during the Biden admin supporting state #Medicaid programs. “I’ve never seen another vendor do such price hikes across public benefits.” www.nytimes.com/2025/11/03/h...
‘A Big Positive’: How One Company Plans to Profit From Medicaid Cuts
www.nytimes.com
November 7, 2025 at 2:27 PM
ICYMI: “They own a product that has become a core piece of the safety net,” said Luke Farrell, who worked in the USDS during the Biden admin supporting state #Medicaid programs. “I’ve never seen another vendor do such price hikes across public benefits.” www.nytimes.com/2025/11/03/h...
Reposted by Akeiisa Coleman
JAMA Health Forum is offering one editorial fellowship for an early-career scholar with a background in statistics, causal inference, or quantitative methods. The fellow will work closely with our statistical editors.
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK
November 6, 2025 at 4:15 PM
JAMA Health Forum is offering one editorial fellowship for an early-career scholar with a background in statistics, causal inference, or quantitative methods. The fellow will work closely with our statistical editors.
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK