Krutika Amin
@krutika.bsky.social
CCIIO/CMS/HHS. Health economics PhD. #healthpolicy #healthecon
I did a talk on price transparency! hctransparencysummitportal.com/auditorium
Some @PetersonCHealth @KFF work I talked about:
1/4 Price transparency bipartisan legislation passed House last year, so Congressional action on price transparency is possible: www.healthsystemtracker.org/brief/policy...
Some @PetersonCHealth @KFF work I talked about:
1/4 Price transparency bipartisan legislation passed House last year, so Congressional action on price transparency is possible: www.healthsystemtracker.org/brief/policy...
HC Transparency Summit
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hctransparencysummitportal.com
April 16, 2024 at 5:47 PM
I did a talk on price transparency! hctransparencysummitportal.com/auditorium
Some @PetersonCHealth @KFF work I talked about:
1/4 Price transparency bipartisan legislation passed House last year, so Congressional action on price transparency is possible: www.healthsystemtracker.org/brief/policy...
Some @PetersonCHealth @KFF work I talked about:
1/4 Price transparency bipartisan legislation passed House last year, so Congressional action on price transparency is possible: www.healthsystemtracker.org/brief/policy...
Federal law capping insulin costs to $35 a month is still on Dems health policy agenda. Why?
> Reuters: Eli Lilly's nationwide insulin pricing settlement called off www.reuters.com/legal/litiga...
> Reuters: Eli Lilly's nationwide insulin pricing settlement called off www.reuters.com/legal/litiga...
Eli Lilly's nationwide insulin pricing settlement called off
A settlement between Eli Lilly and purchasers of its insulin drugs that would have capped prices and provided $13.5 million to resolve claims that the company inflated the drugs' cost has fallen apart, after an unfavorable ruling from the judge overseeing the case.
www.reuters.com
April 16, 2024 at 2:13 PM
Federal law capping insulin costs to $35 a month is still on Dems health policy agenda. Why?
> Reuters: Eli Lilly's nationwide insulin pricing settlement called off www.reuters.com/legal/litiga...
> Reuters: Eli Lilly's nationwide insulin pricing settlement called off www.reuters.com/legal/litiga...
"For too many Americans drugs are unaffordable... [and] having to ration life saving drugs." -
linakhanFTC w jonstewart: youtu.be/oaDTiWaYfcM?...
Fact check: Looking at #insulin, over 1 in 5 non-elderly adults (18-64 years) with private insurance rationed insulin due to cost.
linakhanFTC w jonstewart: youtu.be/oaDTiWaYfcM?...
Fact check: Looking at #insulin, over 1 in 5 non-elderly adults (18-64 years) with private insurance rationed insulin due to cost.
April 8, 2024 at 9:10 PM
"For too many Americans drugs are unaffordable... [and] having to ration life saving drugs." -
linakhanFTC w jonstewart: youtu.be/oaDTiWaYfcM?...
Fact check: Looking at #insulin, over 1 in 5 non-elderly adults (18-64 years) with private insurance rationed insulin due to cost.
linakhanFTC w jonstewart: youtu.be/oaDTiWaYfcM?...
Fact check: Looking at #insulin, over 1 in 5 non-elderly adults (18-64 years) with private insurance rationed insulin due to cost.
Reposted by Krutika Amin
New paper w/Ben Sommers & Rebecca Smith:
Looking at self-reported insurance in Census data, we document a big disconnect between (1) "actual" growth in Medicaid (in administrative data) during continuous coverage, (2) self-reported Medicaid coverage, and (3) self-reported uninsurance #healthpolicy
Looking at self-reported insurance in Census data, we document a big disconnect between (1) "actual" growth in Medicaid (in administrative data) during continuous coverage, (2) self-reported Medicaid coverage, and (3) self-reported uninsurance #healthpolicy
April 5, 2024 at 3:48 PM
New paper w/Ben Sommers & Rebecca Smith:
Looking at self-reported insurance in Census data, we document a big disconnect between (1) "actual" growth in Medicaid (in administrative data) during continuous coverage, (2) self-reported Medicaid coverage, and (3) self-reported uninsurance #healthpolicy
Looking at self-reported insurance in Census data, we document a big disconnect between (1) "actual" growth in Medicaid (in administrative data) during continuous coverage, (2) self-reported Medicaid coverage, and (3) self-reported uninsurance #healthpolicy
Relatedly to today's NYT on MultiPlan and $UHG nytimes.com/2024/04/07/u... (from Chris Hamby),
Multiplan and United Healthcare are among top 3 entities getting claims disputed through the federal No Surprises Act process:
healthsystemtracker.org/brief/indepe... #KFF
Multiplan and United Healthcare are among top 3 entities getting claims disputed through the federal No Surprises Act process:
healthsystemtracker.org/brief/indepe... #KFF
April 7, 2024 at 2:28 PM
Relatedly to today's NYT on MultiPlan and $UHG nytimes.com/2024/04/07/u... (from Chris Hamby),
Multiplan and United Healthcare are among top 3 entities getting claims disputed through the federal No Surprises Act process:
healthsystemtracker.org/brief/indepe... #KFF
Multiplan and United Healthcare are among top 3 entities getting claims disputed through the federal No Surprises Act process:
healthsystemtracker.org/brief/indepe... #KFF
🧵HHS finalized the 2025 annual regulation (NBPP or Payment Notice) for ACA Marketplaces and individual/small group market. Quick takes on premium impact, and other implications.
Rule: www.cms.gov/files/docume... #healthpolicy
Rule: www.cms.gov/files/docume... #healthpolicy
April 5, 2024 at 12:36 PM
🧵HHS finalized the 2025 annual regulation (NBPP or Payment Notice) for ACA Marketplaces and individual/small group market. Quick takes on premium impact, and other implications.
Rule: www.cms.gov/files/docume... #healthpolicy
Rule: www.cms.gov/files/docume... #healthpolicy
How do gross margins vary by health insurance market? See #KFF analysis.
*Note: Positive margins do not necessarily translate into profitability since they do not account for administrative expenses or tax liabilities
www.kff.org/medicare/iss...
*Note: Positive margins do not necessarily translate into profitability since they do not account for administrative expenses or tax liabilities
www.kff.org/medicare/iss...
Health Insurer Financial Performance in 2021 | KFF
Using health insurer financial data for 2021, we find that Medicare Advantage insurers reported gross margins that were at least twice as high as those reported by insurers in the individual/non-group...
www.kff.org
April 2, 2024 at 2:57 PM
How do gross margins vary by health insurance market? See #KFF analysis.
*Note: Positive margins do not necessarily translate into profitability since they do not account for administrative expenses or tax liabilities
www.kff.org/medicare/iss...
*Note: Positive margins do not necessarily translate into profitability since they do not account for administrative expenses or tax liabilities
www.kff.org/medicare/iss...
Reposted by Krutika Amin
Have seen versions of this graph in other spots (maybe from KFF too). Prolonged and persistent implosion of workforce in long‐term care facilities post-pandemic is scary.
March 29, 2024 at 1:59 AM
Have seen versions of this graph in other spots (maybe from KFF too). Prolonged and persistent implosion of workforce in long‐term care facilities post-pandemic is scary.
Latest health sector job numbers in charts:
-Employment in hospitals and clinics now back to pre-COVID projections
-Home- and nursing care jobs have seen higher average wage increases
www.healthsystemtracker.org/chart-collec... #KFF #polisky #healthpolicy
-Employment in hospitals and clinics now back to pre-COVID projections
-Home- and nursing care jobs have seen higher average wage increases
www.healthsystemtracker.org/chart-collec... #KFF #polisky #healthpolicy
March 28, 2024 at 3:06 PM
Latest health sector job numbers in charts:
-Employment in hospitals and clinics now back to pre-COVID projections
-Home- and nursing care jobs have seen higher average wage increases
www.healthsystemtracker.org/chart-collec... #KFF #polisky #healthpolicy
-Employment in hospitals and clinics now back to pre-COVID projections
-Home- and nursing care jobs have seen higher average wage increases
www.healthsystemtracker.org/chart-collec... #KFF #polisky #healthpolicy
Biden Admin has finalized rule limiting short-term limited duration (STLD) plans to 4 months instead of up to 3-years.
#KFF estimate: 1.2M were buying non-ACA-compliant plans (like grandfathered and short-term plans) in mid-2022, down from 5.7M in mid-2015.
www.kff.org/affordable-c... #healthpolicy
#KFF estimate: 1.2M were buying non-ACA-compliant plans (like grandfathered and short-term plans) in mid-2022, down from 5.7M in mid-2015.
www.kff.org/affordable-c... #healthpolicy
March 28, 2024 at 2:34 PM
Biden Admin has finalized rule limiting short-term limited duration (STLD) plans to 4 months instead of up to 3-years.
#KFF estimate: 1.2M were buying non-ACA-compliant plans (like grandfathered and short-term plans) in mid-2022, down from 5.7M in mid-2015.
www.kff.org/affordable-c... #healthpolicy
#KFF estimate: 1.2M were buying non-ACA-compliant plans (like grandfathered and short-term plans) in mid-2022, down from 5.7M in mid-2015.
www.kff.org/affordable-c... #healthpolicy
Of the net new #ACA Marketplace sign ups without APTCs (about 140,000), some could be ICHRA enrollees. Hard to put an exact figure on it though.
See stats in updated KFF State Health Facts
@jaredortaliza.bsky.social @mattmcgough.bsky.social @cynthiaccox.bsky.social #healthpolicy
See stats in updated KFF State Health Facts
@jaredortaliza.bsky.social @mattmcgough.bsky.social @cynthiaccox.bsky.social #healthpolicy
CMS released 2024 ACA Marketplace plan selections public use files. Total sign ups* tallied 21.4Million. From last year, sign ups with premium help increased by 4.9M and by about 140,000 without APTC.
*Thru end of open enrollment for
@healthcaregov.bsky.social & SBMs
www.kff.org/affordable-c...
*Thru end of open enrollment for
@healthcaregov.bsky.social & SBMs
www.kff.org/affordable-c...
March 27, 2024 at 3:35 PM
Of the net new #ACA Marketplace sign ups without APTCs (about 140,000), some could be ICHRA enrollees. Hard to put an exact figure on it though.
See stats in updated KFF State Health Facts
@jaredortaliza.bsky.social @mattmcgough.bsky.social @cynthiaccox.bsky.social #healthpolicy
See stats in updated KFF State Health Facts
@jaredortaliza.bsky.social @mattmcgough.bsky.social @cynthiaccox.bsky.social #healthpolicy
CMS released 2024 ACA Marketplace plan selections public use files. Total sign ups* tallied 21.4Million. From last year, sign ups with premium help increased by 4.9M and by about 140,000 without APTC.
*Thru end of open enrollment for
@healthcaregov.bsky.social & SBMs
www.kff.org/affordable-c...
*Thru end of open enrollment for
@healthcaregov.bsky.social & SBMs
www.kff.org/affordable-c...
March 27, 2024 at 3:30 PM
CMS released 2024 ACA Marketplace plan selections public use files. Total sign ups* tallied 21.4Million. From last year, sign ups with premium help increased by 4.9M and by about 140,000 without APTC.
*Thru end of open enrollment for
@healthcaregov.bsky.social & SBMs
www.kff.org/affordable-c...
*Thru end of open enrollment for
@healthcaregov.bsky.social & SBMs
www.kff.org/affordable-c...
Nevada has requested CMS to pause its review of Nevada’s 1332 waiver application which included a reinsurance program and a public option.
Letter rescinding the application: www.cms.gov/files/docume...
What’s going on? Thread🧵 #healthpolicy
Letter rescinding the application: www.cms.gov/files/docume...
What’s going on? Thread🧵 #healthpolicy
March 26, 2024 at 9:49 PM
Nevada has requested CMS to pause its review of Nevada’s 1332 waiver application which included a reinsurance program and a public option.
Letter rescinding the application: www.cms.gov/files/docume...
What’s going on? Thread🧵 #healthpolicy
Letter rescinding the application: www.cms.gov/files/docume...
What’s going on? Thread🧵 #healthpolicy
Reposted by Krutika Amin
Anti-abortion activists resurrected the 1873 Comstock Act, saying it bans abortion drugs by mail.
Big takeaway today: Justices Alito and Thomas seem open to the argument.
And now they can tee up a roadmap for Trump to crack down on abortion nationwide.
www.washingtonpost.com/health/2024/...
Big takeaway today: Justices Alito and Thomas seem open to the argument.
And now they can tee up a roadmap for Trump to crack down on abortion nationwide.
www.washingtonpost.com/health/2024/...
Supreme Court focus on Comstock Act suggests potential threat to abortion access
Justices Samuel A. Alito Jr. and Clarence Thomas repeatedly invoked the 151-year-old law Tuesday during oral arguments in an abortion pill case.
www.washingtonpost.com
March 26, 2024 at 7:58 PM
Anti-abortion activists resurrected the 1873 Comstock Act, saying it bans abortion drugs by mail.
Big takeaway today: Justices Alito and Thomas seem open to the argument.
And now they can tee up a roadmap for Trump to crack down on abortion nationwide.
www.washingtonpost.com/health/2024/...
Big takeaway today: Justices Alito and Thomas seem open to the argument.
And now they can tee up a roadmap for Trump to crack down on abortion nationwide.
www.washingtonpost.com/health/2024/...
CMS estimated projections of total health expenditures from 2010 and 2015 extended out through 2031 indicate that CMS now expects health spending to be $1.9T less than what CMS expected in 2010 and $800B less than 2015 projections. www.healthsystemtracker.org/chart-collec...
March 26, 2024 at 3:26 PM
CMS estimated projections of total health expenditures from 2010 and 2015 extended out through 2031 indicate that CMS now expects health spending to be $1.9T less than what CMS expected in 2010 and $800B less than 2015 projections. www.healthsystemtracker.org/chart-collec...
The No Surprises Act now protects privately insured patients from balanced bills on many out-of-network items and services, but not all.
Explainer: www.kff.org/health-costs...
For example--this $97,000 out-of-network air ambulance bill.
kffhealthnews.org/news/article... #healthpolicy
Explainer: www.kff.org/health-costs...
For example--this $97,000 out-of-network air ambulance bill.
kffhealthnews.org/news/article... #healthpolicy
A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary? - KFF Health News
There are legal safeguards to protect patients from big bills like out-of-network air-ambulance rides. But insurers may not pay if they decide the ride wasn’t medically necessary.
kffhealthnews.org
March 25, 2024 at 3:43 PM
The No Surprises Act now protects privately insured patients from balanced bills on many out-of-network items and services, but not all.
Explainer: www.kff.org/health-costs...
For example--this $97,000 out-of-network air ambulance bill.
kffhealthnews.org/news/article... #healthpolicy
Explainer: www.kff.org/health-costs...
For example--this $97,000 out-of-network air ambulance bill.
kffhealthnews.org/news/article... #healthpolicy
🧵What market forces are at play in the UnitedHealthcare $uhg and Mount Sinai New York contract negotiations? And why are we seeing more of these provider-health plan fights and fall outs of late? #healthpolicy #medSky
March 21, 2024 at 2:44 PM
🧵What market forces are at play in the UnitedHealthcare $uhg and Mount Sinai New York contract negotiations? And why are we seeing more of these provider-health plan fights and fall outs of late? #healthpolicy #medSky
Reposted by Krutika Amin
you're on your own to figure all this out (part 143,326)
To seek recourse, patients would first need to recognize that their plan’s decision was incorrect and that a provider bill is subject to the No Surprises Act.
KFF polling found 78% of Americans know little or nothing about the new protections. #healthpolicy #medSky
KFF polling found 78% of Americans know little or nothing about the new protections. #healthpolicy #medSky
March 20, 2024 at 1:33 AM
you're on your own to figure all this out (part 143,326)
The No Surprises Act prohibits many balance bills ("surprise billing") for privately insured patients.
Balance bills can and do still happen due to:
-billing mistakes
-not protected under NSA
-service is not covered by plan
What happens then? See: www.kff.org/health-costs... #healthpolicy
Balance bills can and do still happen due to:
-billing mistakes
-not protected under NSA
-service is not covered by plan
What happens then? See: www.kff.org/health-costs... #healthpolicy
What resources are available for privately insured patients who get surprise balance bills? | KFF
Most patients do not know about the new surprise billing protections and likely also do not know of resources available to seek recourse for incorrect medical bills. This brief provides resources to p...
www.kff.org
March 19, 2024 at 2:31 PM
The No Surprises Act prohibits many balance bills ("surprise billing") for privately insured patients.
Balance bills can and do still happen due to:
-billing mistakes
-not protected under NSA
-service is not covered by plan
What happens then? See: www.kff.org/health-costs... #healthpolicy
Balance bills can and do still happen due to:
-billing mistakes
-not protected under NSA
-service is not covered by plan
What happens then? See: www.kff.org/health-costs... #healthpolicy
With ACA individual market enrollment growth, is the market getting healthier? Maybe. Risk scores dropped -6% from 2022 to 2023, based on new 2023 interim data. We won't know how much of this is due to risk adjustment model changes until June 30th report.
www.cms.gov/files/docume... #healthpolicy
www.cms.gov/files/docume... #healthpolicy
March 14, 2024 at 9:14 PM
With ACA individual market enrollment growth, is the market getting healthier? Maybe. Risk scores dropped -6% from 2022 to 2023, based on new 2023 interim data. We won't know how much of this is due to risk adjustment model changes until June 30th report.
www.cms.gov/files/docume... #healthpolicy
www.cms.gov/files/docume... #healthpolicy
"When asked to rank those resumes 1,000 times, GPT 3.5 — the most broadly-used version of the model — favored names from some demographics more often than others"
@flowingdata.com flowingdata.com/2024/03/13/r...
@flowingdata.com flowingdata.com/2024/03/13/r...
Racial bias in OpenAI GPT resume rankings
AI is finding its way into the HR workflow to sift through resumes. This seems like a decent idea on the surface, until you realize that the models that the AI is built on lean more towards certain…
flowingdata.com
March 14, 2024 at 6:08 PM
"When asked to rank those resumes 1,000 times, GPT 3.5 — the most broadly-used version of the model — favored names from some demographics more often than others"
@flowingdata.com flowingdata.com/2024/03/13/r...
@flowingdata.com flowingdata.com/2024/03/13/r...
Matthew Rae and I are speaking about KFF work on medical debt at the U.S. Census Bureau's 2024 Survey of Income and Program Participation (SIPP) Conference on March 21, 2024.
Registration ends this Friday (March 15): www.census.gov/programs-sur...
Program here: www2.census.gov/programs-sur...
Registration ends this Friday (March 15): www.census.gov/programs-sur...
Program here: www2.census.gov/programs-sur...
SIPP Conference
Virtual conference on March 21, 2024 highlighting policy and programmatic uses of SIPP data.
www.census.gov
March 11, 2024 at 7:00 PM
Matthew Rae and I are speaking about KFF work on medical debt at the U.S. Census Bureau's 2024 Survey of Income and Program Participation (SIPP) Conference on March 21, 2024.
Registration ends this Friday (March 15): www.census.gov/programs-sur...
Program here: www2.census.gov/programs-sur...
Registration ends this Friday (March 15): www.census.gov/programs-sur...
Program here: www2.census.gov/programs-sur...
3 in 10 uninsured and 2 in 10 privately insured non-elderly adults taking insulin reported rationing insulin because of the cost.
#SOTU2024 #policysky
www.healthsystemtracker.org/chart-collec...
#SOTU2024 #policysky
www.healthsystemtracker.org/chart-collec...
How does cost affect access to healthcare? - Peterson-KFF Health System Tracker
Although most adults are in good health and have health insurance, more than 1 in 4 adults (28%) reported delaying or foregoing healthcare due to cost.
www.healthsystemtracker.org
March 8, 2024 at 2:58 AM
3 in 10 uninsured and 2 in 10 privately insured non-elderly adults taking insulin reported rationing insulin because of the cost.
#SOTU2024 #policysky
www.healthsystemtracker.org/chart-collec...
#SOTU2024 #policysky
www.healthsystemtracker.org/chart-collec...
Reposted by Krutika Amin
As/if you listen to SOTU commentary, remember that the net effect of the speech on presidential approval ratings is, on average, less than 1 percentage point.
Analysis | State of the Union addresses don’t usually have much political effect
The pomp of the annual speech feeds on its own importance, but polling suggests it doesn’t change how Americans view the president.
www.washingtonpost.com
March 8, 2024 at 2:04 AM
As/if you listen to SOTU commentary, remember that the net effect of the speech on presidential approval ratings is, on average, less than 1 percentage point.