Cynthia Cox
@cynthiaccox.bsky.social
Vice President @KFF.org researching #HealthPolicy. Focus on the #AffordableCareAct health care costs, outcomes & access to care. Lead a partnership with the Peterson Center on Healthcare tracking U.S. health system performance www.healthsystemtracker.org
Pinned
Cynthia Cox
@cynthiaccox.bsky.social
· Nov 13
👋 Hello! I’m a vice president at KFF, a nonpartisan nonprofit that pumps out tons of #healthpolicy data, polling and journalism
My focus is on the cost, quality and affordability of #healthcare in the US.
Follow along for info on the Affordable Care Act ( #ACA #Obamacare) & new policy developments
My focus is on the cost, quality and affordability of #healthcare in the US.
Follow along for info on the Affordable Care Act ( #ACA #Obamacare) & new policy developments
Reposted by Cynthia Cox
In this special episode of “What the Health?” from KFF Health News and WAMU, host @julierovner.bsky.social talks to @cynthiaccox.bsky.social of @kff.org about the state of the Affordable Care Act. https://bit.ly/4813Bad
The State of the Affordable Care Act - KFF Health News
Nov. 1 marked the start of open enrollment for 2026 health plans bought from Affordable Care Act marketplaces in most states. But this sign-up season is like no other in the health law’s 15-year histo...
kffhealthnews.org
November 7, 2025 at 9:09 PM
In this special episode of “What the Health?” from KFF Health News and WAMU, host @julierovner.bsky.social talks to @cynthiaccox.bsky.social of @kff.org about the state of the Affordable Care Act. https://bit.ly/4813Bad
Reposted by Cynthia Cox
Across all states, benchmark ACA premiums will rise an average of 26% next year, though most enrollees would see sharper increases if the enhanced tax credits expire.
KFF’s Cynthia Cox explains the numbers. #QuickTake https://on.kff.org/3WNhiDz
KFF’s Cynthia Cox explains the numbers. #QuickTake https://on.kff.org/3WNhiDz
October 28, 2025 at 11:53 PM
Across all states, benchmark ACA premiums will rise an average of 26% next year, though most enrollees would see sharper increases if the enhanced tax credits expire.
KFF’s Cynthia Cox explains the numbers. #QuickTake https://on.kff.org/3WNhiDz
KFF’s Cynthia Cox explains the numbers. #QuickTake https://on.kff.org/3WNhiDz
Reposted by Cynthia Cox
The debate over extending the ACA’s enhanced premium tax credits is at the center of the congressional shutdown.
KFF’s @cynthiaccox.bsky.social breaks down what is at stake and what each side is saying.
KFF’s @cynthiaccox.bsky.social breaks down what is at stake and what each side is saying.
October 24, 2025 at 5:19 PM
The debate over extending the ACA’s enhanced premium tax credits is at the center of the congressional shutdown.
KFF’s @cynthiaccox.bsky.social breaks down what is at stake and what each side is saying.
KFF’s @cynthiaccox.bsky.social breaks down what is at stake and what each side is saying.
I’m getting a lot of questions about notices insurers are sending out to ACA/Obamacare enrollees about premiums for next year.
I’m curious to see a notice letter if you have one and want to share. My DMs are open.
@louisenorris.bsky.social @kgmom219.bsky.social
I’m curious to see a notice letter if you have one and want to share. My DMs are open.
@louisenorris.bsky.social @kgmom219.bsky.social
October 10, 2025 at 8:17 PM
I’m getting a lot of questions about notices insurers are sending out to ACA/Obamacare enrollees about premiums for next year.
I’m curious to see a notice letter if you have one and want to share. My DMs are open.
@louisenorris.bsky.social @kgmom219.bsky.social
I’m curious to see a notice letter if you have one and want to share. My DMs are open.
@louisenorris.bsky.social @kgmom219.bsky.social
The EDGE data used to show ACA “enrollees” without claims actually tracks “enrollments,” double-counting people who switch plans.
CMS says this causes a “small” overcount.
But EDGE enrollment totals are about 50% (11+ million) higher than other CMS enrollment data.
CMS says this causes a “small” overcount.
But EDGE enrollment totals are about 50% (11+ million) higher than other CMS enrollment data.
October 10, 2025 at 8:16 PM
The EDGE data used to show ACA “enrollees” without claims actually tracks “enrollments,” double-counting people who switch plans.
CMS says this causes a “small” overcount.
But EDGE enrollment totals are about 50% (11+ million) higher than other CMS enrollment data.
CMS says this causes a “small” overcount.
But EDGE enrollment totals are about 50% (11+ million) higher than other CMS enrollment data.
Reposted by Cynthia Cox
I have to agree with @cynthiaccox.bsky.social we have not passed the point of no return for the bulk of the financial damage of the 2026 Republican rate increases. It does require Congress to act with some speed. www.kff.org/quick-take/i...
Is it Too Late for ACA Insurers to Change Their Premiums?
Affordable Care Act Marketplace insurers are raising premiums by an average of 18% next year, due in part to the expiring enhanced premium tax credits. Even if the credits are extended in shutdown neg...
www.kff.org
October 9, 2025 at 3:41 PM
I have to agree with @cynthiaccox.bsky.social we have not passed the point of no return for the bulk of the financial damage of the 2026 Republican rate increases. It does require Congress to act with some speed. www.kff.org/quick-take/i...
Reposted by Cynthia Cox
⚡ KFF’s @cynthiaccox.bsky.social explains how Congress can still prevent the vast majority of ACA enrollees from facing higher premium costs — even if insurer premiums are already locked in. #QuickTake https://on.kff.org/46V968K
October 8, 2025 at 1:13 PM
⚡ KFF’s @cynthiaccox.bsky.social explains how Congress can still prevent the vast majority of ACA enrollees from facing higher premium costs — even if insurer premiums are already locked in. #QuickTake https://on.kff.org/46V968K
Reposted by Cynthia Cox
⚡ KFF’s @cynthiaccox.bsky.social explains how millions of people are expected to lose health insurance coverage over the next decade with cuts to Medicaid and the ACA in the reconciliation bill, as well as other ACA changes not in the bill. #QuickTake on.kff.org/3GrJ9V5
July 1, 2025 at 3:18 PM
⚡ KFF’s @cynthiaccox.bsky.social explains how millions of people are expected to lose health insurance coverage over the next decade with cuts to Medicaid and the ACA in the reconciliation bill, as well as other ACA changes not in the bill. #QuickTake on.kff.org/3GrJ9V5
Reposted by Cynthia Cox
17 million people estimated to be without health insurance if the current version of the OBBBA under consideration by Senate passes, according to most recent CBO estimates. www.kff.org/quick-take/a... #healthinsurance #access #affordability @cynthiaccox.bsky.social @kff.org
About 17 Million More People Could be Uninsured due to the Big Beautiful Bill and other Policy Changes
In total, due to the One Big Beautiful Bill Act and other policy changes, the number of people without health insurance is expected to increase by about 17 million. If all of this comes to pass, it wo...
www.kff.org
July 1, 2025 at 3:19 PM
17 million people estimated to be without health insurance if the current version of the OBBBA under consideration by Senate passes, according to most recent CBO estimates. www.kff.org/quick-take/a... #healthinsurance #access #affordability @cynthiaccox.bsky.social @kff.org
Reposted by Cynthia Cox
Medicaid cuts put lives and communities at risk.
“Without Medicaid… I would be dead.”
Home care. Rural hospitals. Coverage for 100,000+ kids — all threatened.
The CBO says 16 million more could be uninsured by 2034.
The stakes couldn’t be higher.
“Without Medicaid… I would be dead.”
Home care. Rural hospitals. Coverage for 100,000+ kids — all threatened.
The CBO says 16 million more could be uninsured by 2034.
The stakes couldn’t be higher.
June 30, 2025 at 12:37 PM
Medicaid cuts put lives and communities at risk.
“Without Medicaid… I would be dead.”
Home care. Rural hospitals. Coverage for 100,000+ kids — all threatened.
The CBO says 16 million more could be uninsured by 2034.
The stakes couldn’t be higher.
“Without Medicaid… I would be dead.”
Home care. Rural hospitals. Coverage for 100,000+ kids — all threatened.
The CBO says 16 million more could be uninsured by 2034.
The stakes couldn’t be higher.
Reposted by Cynthia Cox
If you want to understand how appropriating funding for ACA cost-sharing subsidies saves the government money and decreases premium assistance for enrollees, check out this analysis from 8 years ago by me and
@cynthiaccox.bsky.social.
www.kff.org/affordable-c...
@cynthiaccox.bsky.social.
www.kff.org/affordable-c...
May 22, 2025 at 3:59 PM
If you want to understand how appropriating funding for ACA cost-sharing subsidies saves the government money and decreases premium assistance for enrollees, check out this analysis from 8 years ago by me and
@cynthiaccox.bsky.social.
www.kff.org/affordable-c...
@cynthiaccox.bsky.social.
www.kff.org/affordable-c...
Reposted by Cynthia Cox
Also unlike the ACA repeal debate, I am unsure how widely the projected loss of coverage for ~10 million people is known. The ACA debate was clearly healthcare focused. This time, I'm seeing lots of articles referencing the "budget bill," "policy bill," "tax bill," etc. The stakes are less clear.
The magnitude of cuts to health spending and loss of coverage resulting from Trump and Congressional Republican plans is reminiscent of the 2017 ACA repeal debate.
One big difference, which could matter politically: No explicit rollback of pre-existing condition protections.
One big difference, which could matter politically: No explicit rollback of pre-existing condition protections.
May 21, 2025 at 10:02 PM
Also unlike the ACA repeal debate, I am unsure how widely the projected loss of coverage for ~10 million people is known. The ACA debate was clearly healthcare focused. This time, I'm seeing lots of articles referencing the "budget bill," "policy bill," "tax bill," etc. The stakes are less clear.
Reposted by Cynthia Cox
Covered California (CA’s ACA marketplace) is projecting that 30% of people enrolled through Covered California will lose/drop marketplace coverage as a result of Republican cuts.
Again, I ask, where is the health care industry lobby?
This is 600,000 fewer marketplace plans in California, alone.
Again, I ask, where is the health care industry lobby?
This is 600,000 fewer marketplace plans in California, alone.
May 20, 2025 at 8:55 PM
Covered California (CA’s ACA marketplace) is projecting that 30% of people enrolled through Covered California will lose/drop marketplace coverage as a result of Republican cuts.
Again, I ask, where is the health care industry lobby?
This is 600,000 fewer marketplace plans in California, alone.
Again, I ask, where is the health care industry lobby?
This is 600,000 fewer marketplace plans in California, alone.
Reposted by Cynthia Cox
Per this estimate, the GOP bill would leave an extra 38,000 Mainers without health insurance - on top of the current figure of 82,000.
Maine hasn’t seen that number of uninsured people since ~2015 when the economy was much worse and LePage kicked folks off MaineCare.
#mepolitics
Maine hasn’t seen that number of uninsured people since ~2015 when the economy was much worse and LePage kicked folks off MaineCare.
#mepolitics
NEW: STATE BY STATE
How many more people might be #uninsured with the House GOP Reconciliation Bill?
www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social
How many more people might be #uninsured with the House GOP Reconciliation Bill?
www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social
How Will the 2025 Reconciliation Bill Affect the Uninsured Rate in Each State?: Allocating CBO’s Partial Estimates of Coverage Loss | KFF
Legislation passed by the Energy and Commerce Committee could increase the number of people without health insurance by 8.6 million, due largely to changes to Medicaid and the ACA. Combining the provi...
www.kff.org
May 20, 2025 at 7:33 PM
Per this estimate, the GOP bill would leave an extra 38,000 Mainers without health insurance - on top of the current figure of 82,000.
Maine hasn’t seen that number of uninsured people since ~2015 when the economy was much worse and LePage kicked folks off MaineCare.
#mepolitics
Maine hasn’t seen that number of uninsured people since ~2015 when the economy was much worse and LePage kicked folks off MaineCare.
#mepolitics
NEW: STATE BY STATE
How many more people might be #uninsured with the House GOP Reconciliation Bill?
www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social
How many more people might be #uninsured with the House GOP Reconciliation Bill?
www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social
How Will the 2025 Reconciliation Bill Affect the Uninsured Rate in Each State?: Allocating CBO’s Partial Estimates of Coverage Loss | KFF
Legislation passed by the Energy and Commerce Committee could increase the number of people without health insurance by 8.6 million, due largely to changes to Medicaid and the ACA. Combining the provi...
www.kff.org
May 20, 2025 at 7:27 PM
NEW: STATE BY STATE
How many more people might be #uninsured with the House GOP Reconciliation Bill?
www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social
How many more people might be #uninsured with the House GOP Reconciliation Bill?
www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social
All eyes are on #Medicaid, and for good reason. But the ACA #Obamacare Marketplaces are also expecting big coverage losses. @drewaltman.bsky.social @kff.org
www.kff.org/from-drew-al...
www.kff.org/from-drew-al...
The Spotlight Is on Medicaid Cuts, But the ACA Marketplaces Could See a One-Third Cut in Enrollment
In his latest column, President and CEO Drew Altman shows how proposals contained in the House reconciliation bill could result in a one-third reduction in ACA Marketplace enrollment. “While all eyes ...
www.kff.org
May 20, 2025 at 3:01 PM
All eyes are on #Medicaid, and for good reason. But the ACA #Obamacare Marketplaces are also expecting big coverage losses. @drewaltman.bsky.social @kff.org
www.kff.org/from-drew-al...
www.kff.org/from-drew-al...
NEW: Many workers, especially those who work shifts or gigs, have volatile incomes.
ACA #obamacare enrollees with less predictable incomes could face coverage barriers and bigger penalties under the House GOP reconciliation package & other expected policy changes @kff.org www.kff.org/affordable-c...
ACA #obamacare enrollees with less predictable incomes could face coverage barriers and bigger penalties under the House GOP reconciliation package & other expected policy changes @kff.org www.kff.org/affordable-c...
Marketplace Enrollees with Unpredictable Incomes Could Face Bigger Penalties Under House Reconciliation Bill Provision | KFF
This analysis illustrates how provisions included in the House budget reconciliation bill could expose Marketplace enrollees with unpredictable incomes to higher penalties when filing taxes if they un...
www.kff.org
May 20, 2025 at 2:57 AM
NEW: Many workers, especially those who work shifts or gigs, have volatile incomes.
ACA #obamacare enrollees with less predictable incomes could face coverage barriers and bigger penalties under the House GOP reconciliation package & other expected policy changes @kff.org www.kff.org/affordable-c...
ACA #obamacare enrollees with less predictable incomes could face coverage barriers and bigger penalties under the House GOP reconciliation package & other expected policy changes @kff.org www.kff.org/affordable-c...
Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act
chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social
chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
chirblog.org
May 20, 2025 at 2:53 AM
Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act
chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social
chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social
KFF CEO @drewaltman.bsky.social is now on Blue Sky! Follow him for everything health policy @kff.org @kffhealthnews.org
Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.
May 7, 2025 at 10:36 PM
KFF CEO @drewaltman.bsky.social is now on Blue Sky! Follow him for everything health policy @kff.org @kffhealthnews.org
Reposted by Cynthia Cox
Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.
May 7, 2025 at 9:46 PM
Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.
Reposted by Cynthia Cox
As this study shows, there are many areas of improvement needed in our healthcare system.
How has the quality of the U.S. healthcare system changed over time? www.healthsystemtracker.org/chart-collec... by @lynnemargalit.bsky.social @emmawage.bsky.social @cynthiaccox.bsky.social via @kff.org
How has the quality of the U.S. healthcare system changed over time? www.healthsystemtracker.org/chart-collec... by @lynnemargalit.bsky.social @emmawage.bsky.social @cynthiaccox.bsky.social via @kff.org
April 1, 2025 at 5:43 PM
As this study shows, there are many areas of improvement needed in our healthcare system.
How has the quality of the U.S. healthcare system changed over time? www.healthsystemtracker.org/chart-collec... by @lynnemargalit.bsky.social @emmawage.bsky.social @cynthiaccox.bsky.social via @kff.org
How has the quality of the U.S. healthcare system changed over time? www.healthsystemtracker.org/chart-collec... by @lynnemargalit.bsky.social @emmawage.bsky.social @cynthiaccox.bsky.social via @kff.org
Reposted by Cynthia Cox
(1/2) NEW: Enrollment in the ACA Marketplaces more than doubled since 2020, growing by 12.9M enrollees. Of that increase, 11.4M of the new enrollees (88% of the growth) are from states where President Trump won during the 2024 election. www.kff.org/policy-watch... @cynthiaccox.bsky.social
Enrollment Growth in the ACA Marketplaces | KFF
This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occur...
www.kff.org
April 2, 2025 at 4:32 PM
(1/2) NEW: Enrollment in the ACA Marketplaces more than doubled since 2020, growing by 12.9M enrollees. Of that increase, 11.4M of the new enrollees (88% of the growth) are from states where President Trump won during the 2024 election. www.kff.org/policy-watch... @cynthiaccox.bsky.social
Reposted by Cynthia Cox
“If you have any concerns” about being infected with measles, “do not just show up at the pediatrician’s office. Do not just show up at the ER,” Brown said. “Call first so they can be prepared.”
www.nbcnews.com/health/kids-...
www.nbcnews.com/health/kids-...
What should you do if you think you have the measles?
To help control the spread of measles, experts say people who think they're infected should take precautions before visiting a doctor’s office or the emergency room.
www.nbcnews.com
March 29, 2025 at 3:42 PM
“If you have any concerns” about being infected with measles, “do not just show up at the pediatrician’s office. Do not just show up at the ER,” Brown said. “Call first so they can be prepared.”
www.nbcnews.com/health/kids-...
www.nbcnews.com/health/kids-...
Reposted by Cynthia Cox
hello ok i am awake what did i miss
tell me every thing
tell me every thing
March 26, 2025 at 2:59 AM
hello ok i am awake what did i miss
tell me every thing
tell me every thing