christina ramsay
@christinaramsay.bsky.social
program officer for policy @ the commonwealth fund
Reposted by christina ramsay
NEW FROM CBO: brutal distributional analysis of House GOP "Big Beautiful Bill"
On avg the bottom 30% of households get poorer under the GOP bill
Avg gets little - and are worse off if you include tariffs
This'd be the largest transfer of wealth from the poor to the rich in a single law in history
On avg the bottom 30% of households get poorer under the GOP bill
Avg gets little - and are worse off if you include tariffs
This'd be the largest transfer of wealth from the poor to the rich in a single law in history
June 12, 2025 at 3:02 PM
NEW FROM CBO: brutal distributional analysis of House GOP "Big Beautiful Bill"
On avg the bottom 30% of households get poorer under the GOP bill
Avg gets little - and are worse off if you include tariffs
This'd be the largest transfer of wealth from the poor to the rich in a single law in history
On avg the bottom 30% of households get poorer under the GOP bill
Avg gets little - and are worse off if you include tariffs
This'd be the largest transfer of wealth from the poor to the rich in a single law in history
Reposted by christina ramsay
Reposted by christina ramsay
New analysis shows the potential harms of mandatory #Medicaid work requirements on the financial stability of community health centers, major sources of care for Medicaid & uninsured patients across the country www.commonwealthfund.org/blog/2025/co...
Nearly 5.6 Million Community Health Center Patients Could Lose Medicaid Coverage Under New Work Requirements, with Revenue Losses Up to $32 Billion
Medicaid work requirements could lead to up to 5.6 million community health center patients losing coverage and loss of up to $32 billion in health center revenue.
www.commonwealthfund.org
June 2, 2025 at 2:55 PM
New analysis shows the potential harms of mandatory #Medicaid work requirements on the financial stability of community health centers, major sources of care for Medicaid & uninsured patients across the country www.commonwealthfund.org/blog/2025/co...
Who *actually* makes up the 8% of Medicaid enrollees who aren't working?
It's low-income women in their 40s and 50s who were recently working but aren't anymore--because they're either looking for work or serving as caregivers for parents, kids, and spouses.
19thnews.org/2025/05/medi...
It's low-income women in their 40s and 50s who were recently working but aren't anymore--because they're either looking for work or serving as caregivers for parents, kids, and spouses.
19thnews.org/2025/05/medi...
May 21, 2025 at 2:39 PM
Who *actually* makes up the 8% of Medicaid enrollees who aren't working?
It's low-income women in their 40s and 50s who were recently working but aren't anymore--because they're either looking for work or serving as caregivers for parents, kids, and spouses.
19thnews.org/2025/05/medi...
It's low-income women in their 40s and 50s who were recently working but aren't anymore--because they're either looking for work or serving as caregivers for parents, kids, and spouses.
19thnews.org/2025/05/medi...
People are *not* as supportive of Medicaid work requirements once they learn that: 1) most people on Medicaid are already working, and 2) many would risk losing coverage due to paperwork challenges.
Support drops from 62% to 32%.
www.kff.org/medicaid/pol...
Support drops from 62% to 32%.
www.kff.org/medicaid/pol...
Rep. Don Bacon, R-Neb., a key swing district member, tells me he’s a “lean yes” on the emerging reconciliation bill. He says he wants to avoid a tax hike and he’s fine with the Medicaid spending cuts. “Work requirements are generally popular, so I don’t have a problem with that.”
May 21, 2025 at 2:28 PM
People are *not* as supportive of Medicaid work requirements once they learn that: 1) most people on Medicaid are already working, and 2) many would risk losing coverage due to paperwork challenges.
Support drops from 62% to 32%.
www.kff.org/medicaid/pol...
Support drops from 62% to 32%.
www.kff.org/medicaid/pol...
Reposted by christina ramsay
I'm not sure I've ever seen such a brutal looking distributional analysis from CBO. This contrasts the Medicaid and SNAP cuts for the lowest decile with the tax cuts for the top decile. www.cbo.gov/system/files...
May 21, 2025 at 1:44 AM
I'm not sure I've ever seen such a brutal looking distributional analysis from CBO. This contrasts the Medicaid and SNAP cuts for the lowest decile with the tax cuts for the top decile. www.cbo.gov/system/files...
work requirements are a solution in search of a problem. past experience in Georgia and Arkansas tells us they've just added red tape and administrative costs + kicked people off their coverage. www.commonwealthfund.org/publications...
May 16, 2025 at 3:45 PM
work requirements are a solution in search of a problem. past experience in Georgia and Arkansas tells us they've just added red tape and administrative costs + kicked people off their coverage. www.commonwealthfund.org/publications...
Reposted by christina ramsay
The House GOP reconciliation bill blocks an important #Medicaid eligibility/enrollment rule making it easier for low-income Medicare beneficiaries to enroll in Medicare Savings Programs that help pick up premiums/copays and also lead to auto enrollment in the Medicare Part D Low Income Subsidy.
Eric Roberts and @joefigs.bsky.social led a groundbreaking new study on Medicaid and Medicare, out today in NEJM. I’m lucky to have been a part of it.
Medicare saves lives. But is it enough to save lives of the most vulnerable Americans? The study suggests no; Medicaid still matters. (1/11)
Medicare saves lives. But is it enough to save lives of the most vulnerable Americans? The study suggests no; Medicaid still matters. (1/11)
Loss of Subsidized Drug Coverage and Mortality among Medicare Beneficiaries | NEJM
A total of 14 million Medicare beneficiaries receive the Low-Income Subsidy (LIS),
which reduces cost sharing in Medicare Part D. Losing the LIS may impede medication
access and affect mortality. U...
www.nejm.org
May 15, 2025 at 2:40 PM
The House GOP reconciliation bill blocks an important #Medicaid eligibility/enrollment rule making it easier for low-income Medicare beneficiaries to enroll in Medicare Savings Programs that help pick up premiums/copays and also lead to auto enrollment in the Medicare Part D Low Income Subsidy.
Reposted by christina ramsay
Work requirements do not work.
If enacted in 2026, national #Medicaid work requirements could result in:
📉 Up to 5.2M adults losing coverage
💼 449,000 jobs lost
💰 State GDPs could shrink by up to $59 billion
💸 $4.4B drop in state and local tax revenue
📍 See the projected state-by-state impact ⤵️
If enacted in 2026, national #Medicaid work requirements could result in:
📉 Up to 5.2M adults losing coverage
💼 449,000 jobs lost
💰 State GDPs could shrink by up to $59 billion
💸 $4.4B drop in state and local tax revenue
📍 See the projected state-by-state impact ⤵️
How National Medicaid Work Requirements Would Lead to Large-Scale Job Losses, Harm State Economies, and Strain Budgets
States could see billions of dollars in reduced economic activity, lower state/local tax revenues, and large job losses if Medicaid work requirements are imposed.
www.commonwealthfund.org
May 1, 2025 at 1:43 PM
Work requirements do not work.
If enacted in 2026, national #Medicaid work requirements could result in:
📉 Up to 5.2M adults losing coverage
💼 449,000 jobs lost
💰 State GDPs could shrink by up to $59 billion
💸 $4.4B drop in state and local tax revenue
📍 See the projected state-by-state impact ⤵️
If enacted in 2026, national #Medicaid work requirements could result in:
📉 Up to 5.2M adults losing coverage
💼 449,000 jobs lost
💰 State GDPs could shrink by up to $59 billion
💸 $4.4B drop in state and local tax revenue
📍 See the projected state-by-state impact ⤵️
Reposted by christina ramsay
New @commonwealthfund.org estimates from GW researchers on economic impact of $880 billion in #Medicaid cuts. Includes single-year state-by-state effects on economic activity, job losses and state tax revenues: Also includes impact of SNAP cuts. www.commonwealthfund.org/publications...
March 25, 2025 at 2:49 PM
New @commonwealthfund.org estimates from GW researchers on economic impact of $880 billion in #Medicaid cuts. Includes single-year state-by-state effects on economic activity, job losses and state tax revenues: Also includes impact of SNAP cuts. www.commonwealthfund.org/publications...
Reposted by christina ramsay
📢 The evidence is clear: Medicaid work requirements don’t work.
They do not increase employment but they do lead to significant coverage losses.
Find a breakdown of what #Medicaid work requirements are, their impact on coverage and employment, and more, here: www.linkedin.com/pulse/medica...
They do not increase employment but they do lead to significant coverage losses.
Find a breakdown of what #Medicaid work requirements are, their impact on coverage and employment, and more, here: www.linkedin.com/pulse/medica...
March 20, 2025 at 2:14 PM
📢 The evidence is clear: Medicaid work requirements don’t work.
They do not increase employment but they do lead to significant coverage losses.
Find a breakdown of what #Medicaid work requirements are, their impact on coverage and employment, and more, here: www.linkedin.com/pulse/medica...
They do not increase employment but they do lead to significant coverage losses.
Find a breakdown of what #Medicaid work requirements are, their impact on coverage and employment, and more, here: www.linkedin.com/pulse/medica...
The same baseless talking points about Medicaid are coming up in the Senate Finance confirmation hearing for Dr. Oz, falsely characterizing people who enrolled due to Medicaid expansion as a monolith of "able-bodied adults."
This is simply not true.
This is simply not true.
March 14, 2025 at 4:29 PM
The same baseless talking points about Medicaid are coming up in the Senate Finance confirmation hearing for Dr. Oz, falsely characterizing people who enrolled due to Medicaid expansion as a monolith of "able-bodied adults."
This is simply not true.
This is simply not true.
“The one thing that Pathways seems to do well is waste taxpayer money on consultants and administrative costs.”
NEW: Georgia’s governor promotes his Medicaid work requirement as a national model for reform.
Yet the program has cost taxpayers $86M, three-quarters of which has gone to consultants, and enrolled less than 3% of the quarter-million Georgians eligible.
Yet the program has cost taxpayers $86M, three-quarters of which has gone to consultants, and enrolled less than 3% of the quarter-million Georgians eligible.
Georgia Touts Its Medicaid Experiment as a Success. The Numbers Tell a Different Story.
Only 6,500 participants have enrolled in a program that has cost taxpayers more than $86 million — a warning for other states looking to impose restrictions on Medicaid in a second Trump presidency.
propub.li
February 19, 2025 at 2:28 PM
“The one thing that Pathways seems to do well is waste taxpayer money on consultants and administrative costs.”
Reposted by christina ramsay
#Medicaid is a pillar of U.S. health care. Deep funding cuts don’t just affect enrollees—they disrupt entire health systems. See Sara Rosenbaum and Alison Barkoff in Health Affairs for how: www.healthaffairs.org/content/fore... #healthpolicy
What Lies Ahead For Medicaid In Budget Reconciliation? | Health Affairs Forefront
Should Congress pursue a wide range of possible budget-cutting strategies during the budget reconciliation process, all Medicaid populations, from the youngest infants to the most vulnerable older adu...
www.healthaffairs.org
February 13, 2025 at 8:54 PM
#Medicaid is a pillar of U.S. health care. Deep funding cuts don’t just affect enrollees—they disrupt entire health systems. See Sara Rosenbaum and Alison Barkoff in Health Affairs for how: www.healthaffairs.org/content/fore... #healthpolicy
Adding work requirements to #Medicaid is on the table for federal lawmakers.
Let's revisit what the evidence shows...
www.commonwealthfund.org/publications...
Let's revisit what the evidence shows...
www.commonwealthfund.org/publications...
Work Requirements for Medicaid Enrollees
This explainer defines Medicaid work requirements, updates their current status at the federal and state levels, and describes their impact on enrollees.
www.commonwealthfund.org
February 11, 2025 at 9:26 PM
Adding work requirements to #Medicaid is on the table for federal lawmakers.
Let's revisit what the evidence shows...
www.commonwealthfund.org/publications...
Let's revisit what the evidence shows...
www.commonwealthfund.org/publications...
Community health centers (CHCs) are still locked out of federal grant dollars, despite the pause on the funding freeze.
What's the ripple effect? CHCs can't pay their employees and could be forced to close certain services--or close down entirely.
www.vpm.org/news/2025-02...
What's the ripple effect? CHCs can't pay their employees and could be forced to close certain services--or close down entirely.
www.vpm.org/news/2025-02...
Virginia community health centers close over federal funding access
Despite pause on federal funding freeze, centers unable to access grants
www.vpm.org
February 6, 2025 at 3:32 PM
Community health centers (CHCs) are still locked out of federal grant dollars, despite the pause on the funding freeze.
What's the ripple effect? CHCs can't pay their employees and could be forced to close certain services--or close down entirely.
www.vpm.org/news/2025-02...
What's the ripple effect? CHCs can't pay their employees and could be forced to close certain services--or close down entirely.
www.vpm.org/news/2025-02...
Reposted by christina ramsay
Medicaid policy is at a crossroads. With potential funding cuts and eligibility changes on the horizon, now is the time to understand how these policies impact millions of Americans.
Find our clear, fact-based resources on the role of #Medicaid in the U.S. health system, below:
Find our clear, fact-based resources on the role of #Medicaid in the U.S. health system, below:
Understanding Medicaid: What You Need to Know
Medicaid is the nation’s largest health insurer, yet it's often misunderstood. Here's a set of resources that provide clear, fact-based insights on the program.
www.linkedin.com
February 4, 2025 at 3:30 PM
Medicaid policy is at a crossroads. With potential funding cuts and eligibility changes on the horizon, now is the time to understand how these policies impact millions of Americans.
Find our clear, fact-based resources on the role of #Medicaid in the U.S. health system, below:
Find our clear, fact-based resources on the role of #Medicaid in the U.S. health system, below:
🚨 New @commonwealthfund.org state-by-state Medicaid fact sheets that highlight the program's role for:
▪️ kids and adults
▪️ state budgets
▪️ rural residents
▪️ youth with mental health needs
www.commonwealthfund.org/publications...
▪️ kids and adults
▪️ state budgets
▪️ rural residents
▪️ youth with mental health needs
www.commonwealthfund.org/publications...
How Medicaid Helps Your State
Check out our map and state fact sheets for state-by-state information on Medicaid's role in bringing access to care and federal dollars to states.
www.commonwealthfund.org
January 31, 2025 at 12:26 AM
🚨 New @commonwealthfund.org state-by-state Medicaid fact sheets that highlight the program's role for:
▪️ kids and adults
▪️ state budgets
▪️ rural residents
▪️ youth with mental health needs
www.commonwealthfund.org/publications...
▪️ kids and adults
▪️ state budgets
▪️ rural residents
▪️ youth with mental health needs
www.commonwealthfund.org/publications...
Community health centers provide essential care to 31M+ people—including uninsured people, people with low incomes, and people who live in rural areas.
They're already in a precarious financial position, and this abrupt funding freeze doesn't help. www.commonwealthfund.org/blog/2024/co...
They're already in a precarious financial position, and this abrupt funding freeze doesn't help. www.commonwealthfund.org/blog/2024/co...
January 28, 2025 at 9:31 PM
Community health centers provide essential care to 31M+ people—including uninsured people, people with low incomes, and people who live in rural areas.
They're already in a precarious financial position, and this abrupt funding freeze doesn't help. www.commonwealthfund.org/blog/2024/co...
They're already in a precarious financial position, and this abrupt funding freeze doesn't help. www.commonwealthfund.org/blog/2024/co...
"Families and non-elderly adults in rural areas rely on Medicaid for their health insurance at higher rates than those living in metro areas, underscoring that large cuts will have dire consequences for communities that are already struggling."
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.
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.
Medicaid’s Role in Small Towns and Rural Areas
Key Findings Non-elderly adults and children in small towns and rural areas are more likely than those living in metro areas to rely on Medicaid/CHIP for their health insurance. As a consequence, r…
ccf.georgetown.edu
January 28, 2025 at 9:04 PM
"Families and non-elderly adults in rural areas rely on Medicaid for their health insurance at higher rates than those living in metro areas, underscoring that large cuts will have dire consequences for communities that are already struggling."
Reposted by christina ramsay
There are multiple reports that states are unable to request federal Medicaid funds at this time. If not resolved quickly, it could have significant ripples across the health care sector and major impacts on states financial stability. #Medicaid #healthpolicy
If the Trump administration's funding freeze extends to Medicaid, every state would be affected.
Medicaid is the largest source of federal revenue to states. The ripple effects of a freeze in Medicaid payments would be enormous, affecting hospitals, nursing homes, and doctors.
Medicaid is the largest source of federal revenue to states. The ripple effects of a freeze in Medicaid payments would be enormous, affecting hospitals, nursing homes, and doctors.
January 28, 2025 at 6:45 PM
There are multiple reports that states are unable to request federal Medicaid funds at this time. If not resolved quickly, it could have significant ripples across the health care sector and major impacts on states financial stability. #Medicaid #healthpolicy