Loren Adler
@lorenadler.bsky.social
Fellow and Associate Director, Brookings Institution Center on Health Policy | mostly health econ, occasionally budgets or Knicks
Reposted by Loren Adler
scoop: RICHARD PAZDUR set to be named FDA's top drug regulator
He'd initially turned down job leading agency's CDER but reconsidered
He'd initially turned down job leading agency's CDER but reconsidered
FDA plans to tap oncology-expert Pazdur as nation’s top drug regulator
Richard Pazdur, a longtime Food and Drug Administration employee, would lead its center that oversees over-the-counter and the majority of prescription drugs.
www.washingtonpost.com
November 11, 2025 at 8:55 PM
scoop: RICHARD PAZDUR set to be named FDA's top drug regulator
He'd initially turned down job leading agency's CDER but reconsidered
He'd initially turned down job leading agency's CDER but reconsidered
Reposted by Loren Adler
Hospital chain UHS just reported and joined peers in blowing the doors off on pricing. Revenue per comparable admission +9.8% YoY, revenue per comparable patient day +11.5% YoY. No wonder managed care name costs are exploding.
October 27, 2025 at 8:33 PM
Hospital chain UHS just reported and joined peers in blowing the doors off on pricing. Revenue per comparable admission +9.8% YoY, revenue per comparable patient day +11.5% YoY. No wonder managed care name costs are exploding.
Reposted by Loren Adler
"experts say"
www.cnn.com/2025/08/11/b...
www.cnn.com/2025/08/11/b...
September 26, 2025 at 1:59 AM
"experts say"
www.cnn.com/2025/08/11/b...
www.cnn.com/2025/08/11/b...
Reposted by Loren Adler
HHS announced today they will consider Head Start a welfare program, not an education program, and will subject it to new citizenship requirements. This goes against decades of legal precedence that all children in America have a right to education. Announcement here. www.hhs.gov/press-room/p...
www.hhs.gov
July 10, 2025 at 2:13 PM
HHS announced today they will consider Head Start a welfare program, not an education program, and will subject it to new citizenship requirements. This goes against decades of legal precedence that all children in America have a right to education. Announcement here. www.hhs.gov/press-room/p...
Reposted by Loren Adler
1977: why would the bartender in star wars even care if some robots with artificial intelligence came into his bar
2025: ohhh ok
2025: ohhh ok
July 9, 2025 at 2:12 AM
1977: why would the bartender in star wars even care if some robots with artificial intelligence came into his bar
2025: ohhh ok
2025: ohhh ok
Reposted by Loren Adler
Seventh set of Byrd droppings is out, and WOW!
We won on trans care in Medicaid, provider taxes, FMAP, immigrants in Medicaid, and other issues.
These victories are amazing for the people they help - and cost Rs more than $250 billion of their savings by rough calculations, largely not curable.
We won on trans care in Medicaid, provider taxes, FMAP, immigrants in Medicaid, and other issues.
These victories are amazing for the people they help - and cost Rs more than $250 billion of their savings by rough calculations, largely not curable.
Byrd Rule Violations Continue to Mount on the Republicans’ “One Big, Beautiful Bill” | U.S. Senate Committee On The Budget
The Official U.S. Senate Committee On The Budget
www.budget.senate.gov
June 26, 2025 at 12:19 PM
Seventh set of Byrd droppings is out, and WOW!
We won on trans care in Medicaid, provider taxes, FMAP, immigrants in Medicaid, and other issues.
These victories are amazing for the people they help - and cost Rs more than $250 billion of their savings by rough calculations, largely not curable.
We won on trans care in Medicaid, provider taxes, FMAP, immigrants in Medicaid, and other issues.
These victories are amazing for the people they help - and cost Rs more than $250 billion of their savings by rough calculations, largely not curable.
Reposted by Loren Adler
Finance Committee text is out - this has the Medicaid cuts and the tax cuts. Will go through it in this thread.
But what we can say for certain is that, like the House version, this would be BY FAR the largest Medicaid cuts in history, kicking many millions of people off their health insurance.
But what we can say for certain is that, like the House version, this would be BY FAR the largest Medicaid cuts in history, kicking many millions of people off their health insurance.
June 16, 2025 at 8:44 PM
Finance Committee text is out - this has the Medicaid cuts and the tax cuts. Will go through it in this thread.
But what we can say for certain is that, like the House version, this would be BY FAR the largest Medicaid cuts in history, kicking many millions of people off their health insurance.
But what we can say for certain is that, like the House version, this would be BY FAR the largest Medicaid cuts in history, kicking many millions of people off their health insurance.
An important point that the Big Beautiful Bill, as currently constructed, would barely dent federal spending when you factor in the added interest costs on the increased federal debt.
Lots of damage for such a minimal net spending reduction.
www.nytimes.com/2025/06/09/o...
Lots of damage for such a minimal net spending reduction.
www.nytimes.com/2025/06/09/o...
June 9, 2025 at 7:17 PM
An important point that the Big Beautiful Bill, as currently constructed, would barely dent federal spending when you factor in the added interest costs on the increased federal debt.
Lots of damage for such a minimal net spending reduction.
www.nytimes.com/2025/06/09/o...
Lots of damage for such a minimal net spending reduction.
www.nytimes.com/2025/06/09/o...
More bureaucracy, more paperwork, and a less efficient government.
No more coverage lifeline for people between jobs.
That's what prior attempts with Medicaid work requirements have delivered, all without even increasing employment.
No more coverage lifeline for people between jobs.
That's what prior attempts with Medicaid work requirements have delivered, all without even increasing employment.
June 9, 2025 at 6:44 PM
More bureaucracy, more paperwork, and a less efficient government.
No more coverage lifeline for people between jobs.
That's what prior attempts with Medicaid work requirements have delivered, all without even increasing employment.
No more coverage lifeline for people between jobs.
That's what prior attempts with Medicaid work requirements have delivered, all without even increasing employment.
Reposted by Loren Adler
New JCT analysis of the House-passed budget reconciliation bill is out.
Under the GOP plan, more tax cuts go to millionaires than the entire half of America combined.
This graph shows just the tax side. Include the Medicaid & SNAP cuts (which we'll get from CBO soon), & it's a cut for the poorest.
Under the GOP plan, more tax cuts go to millionaires than the entire half of America combined.
This graph shows just the tax side. Include the Medicaid & SNAP cuts (which we'll get from CBO soon), & it's a cut for the poorest.
June 9, 2025 at 5:08 PM
New JCT analysis of the House-passed budget reconciliation bill is out.
Under the GOP plan, more tax cuts go to millionaires than the entire half of America combined.
This graph shows just the tax side. Include the Medicaid & SNAP cuts (which we'll get from CBO soon), & it's a cut for the poorest.
Under the GOP plan, more tax cuts go to millionaires than the entire half of America combined.
This graph shows just the tax side. Include the Medicaid & SNAP cuts (which we'll get from CBO soon), & it's a cut for the poorest.
Reposted by Loren Adler
This is VERY bad and chilling news. As far back as I can think of the federal government has allowed researchers access to restricted government data while upholding the highest standards of data security and confidentiality.
These data belong to us all, they should be accessible to researchers.
These data belong to us all, they should be accessible to researchers.
EXTREMELY BAD NEWS for economic research, per former BLS Commissioner @ericagroshen.bsky.social on LinkedIn.
BLS is suspending access to its restricted data "for the forseeable future." Applies to projects through the Federal Statistical Research Data Centers & onsite projects with BLS.
#EconSky
BLS is suspending access to its restricted data "for the forseeable future." Applies to projects through the Federal Statistical Research Data Centers & onsite projects with BLS.
#EconSky
June 6, 2025 at 7:10 PM
This is VERY bad and chilling news. As far back as I can think of the federal government has allowed researchers access to restricted government data while upholding the highest standards of data security and confidentiality.
These data belong to us all, they should be accessible to researchers.
These data belong to us all, they should be accessible to researchers.
A helpful rundown of the House-passed reconciliation bill's effects on Medicaid & the ACA, including how its scale compares to the 2017 repeal & replace efforts
www.brookings.edu/articles/new...
www.brookings.edu/articles/new...
June 5, 2025 at 8:23 PM
A helpful rundown of the House-passed reconciliation bill's effects on Medicaid & the ACA, including how its scale compares to the 2017 repeal & replace efforts
www.brookings.edu/articles/new...
www.brookings.edu/articles/new...
From CBO:
• 11.8 million lose coverage due to One Big Beautiful Bill provisions
• 16M fewer w/ coverage in 2034 when incorporating the 4.2M expected coverage loss from expiration of enhanced ACA subsidies
That's a 57% ↑ in # of uninsured compared to June 2024 current policy projection
• 11.8 million lose coverage due to One Big Beautiful Bill provisions
• 16M fewer w/ coverage in 2034 when incorporating the 4.2M expected coverage loss from expiration of enhanced ACA subsidies
That's a 57% ↑ in # of uninsured compared to June 2024 current policy projection
June 4, 2025 at 7:08 PM
From CBO:
• 11.8 million lose coverage due to One Big Beautiful Bill provisions
• 16M fewer w/ coverage in 2034 when incorporating the 4.2M expected coverage loss from expiration of enhanced ACA subsidies
That's a 57% ↑ in # of uninsured compared to June 2024 current policy projection
• 11.8 million lose coverage due to One Big Beautiful Bill provisions
• 16M fewer w/ coverage in 2034 when incorporating the 4.2M expected coverage loss from expiration of enhanced ACA subsidies
That's a 57% ↑ in # of uninsured compared to June 2024 current policy projection
In the search for spending savings, House Republicans could've gone after overpayments to insurers & hospitals in Medicare.
Instead, they singled out people w/ the lowest incomes for the lion's share of cuts.
Then re-directed that $$ mainly for more high-income tax cuts.
Instead, they singled out people w/ the lowest incomes for the lion's share of cuts.
Then re-directed that $$ mainly for more high-income tax cuts.
May 23, 2025 at 1:51 PM
In the search for spending savings, House Republicans could've gone after overpayments to insurers & hospitals in Medicare.
Instead, they singled out people w/ the lowest incomes for the lion's share of cuts.
Then re-directed that $$ mainly for more high-income tax cuts.
Instead, they singled out people w/ the lowest incomes for the lion's share of cuts.
Then re-directed that $$ mainly for more high-income tax cuts.
Quick summary of the "big, beautiful bill":
>10 million more uninsured
>1 million low-income seniors see higher Medicare premiums & cost-sharing
Large ACA premium ↑
~ 30% cuts to SNAP
~ $3 trillion in new debt
Makes low-income households worse off & high-income households better off.
>10 million more uninsured
>1 million low-income seniors see higher Medicare premiums & cost-sharing
Large ACA premium ↑
~ 30% cuts to SNAP
~ $3 trillion in new debt
Makes low-income households worse off & high-income households better off.
May 22, 2025 at 2:19 PM
Quick summary of the "big, beautiful bill":
>10 million more uninsured
>1 million low-income seniors see higher Medicare premiums & cost-sharing
Large ACA premium ↑
~ 30% cuts to SNAP
~ $3 trillion in new debt
Makes low-income households worse off & high-income households better off.
>10 million more uninsured
>1 million low-income seniors see higher Medicare premiums & cost-sharing
Large ACA premium ↑
~ 30% cuts to SNAP
~ $3 trillion in new debt
Makes low-income households worse off & high-income households better off.
A look at how the House Republican proposals would cut health coverage:
www.washingtonpost.com/opinions/202...
www.washingtonpost.com/opinions/202...
Opinion | How do Republicans plan to cut health coverage? Two basic ways.
The House reconciliation plan’s provisions add up to millions more going without insurance.
www.washingtonpost.com
May 21, 2025 at 10:28 PM
A look at how the House Republican proposals would cut health coverage:
www.washingtonpost.com/opinions/202...
www.washingtonpost.com/opinions/202...
Reposted by Loren Adler
Thread. 33 of 40 #Medicaid expansion states (+DC) will now face a 10 point cut in their expansion match rate under House GOP reconciliation bill. Latest language penalizes not only states using own funds to cover undocumented kids but also states covering legal immigrant kids/pregnant women (1/x)
May 19, 2025 at 9:33 PM
Thread. 33 of 40 #Medicaid expansion states (+DC) will now face a 10 point cut in their expansion match rate under House GOP reconciliation bill. Latest language penalizes not only states using own funds to cover undocumented kids but also states covering legal immigrant kids/pregnant women (1/x)
Reposted by Loren Adler
Reposted by Loren Adler
This is Gary Cohn trying to reassure investors about the U.S. economy. He’s not very good at it: www.politico.com/news/2025/05...
May 9, 2025 at 2:24 AM
This is Gary Cohn trying to reassure investors about the U.S. economy. He’s not very good at it: www.politico.com/news/2025/05...
Reposted by Loren Adler
Amid all the other news, it's easy to become inured to the basic facts here. Öztürk:
-Is not accused of committing any crime
-Is nonviolent
-Was in this country legally
-Merely engaged in speech that the administration objects to
-Has been locked up for six weeks
-Is not accused of committing any crime
-Is nonviolent
-Was in this country legally
-Merely engaged in speech that the administration objects to
-Has been locked up for six weeks
Now from Öztürk’s ACLU lawyer Esha Bhandari:
“Rümeysa Öztürk’s case is unprecedented and shocking. She has been held behind bars for six weeks while her health deteriorates for writing an op-ed.”
“Rümeysa Öztürk’s case is unprecedented and shocking. She has been held behind bars for six weeks while her health deteriorates for writing an op-ed.”
May 6, 2025 at 2:50 PM
Amid all the other news, it's easy to become inured to the basic facts here. Öztürk:
-Is not accused of committing any crime
-Is nonviolent
-Was in this country legally
-Merely engaged in speech that the administration objects to
-Has been locked up for six weeks
-Is not accused of committing any crime
-Is nonviolent
-Was in this country legally
-Merely engaged in speech that the administration objects to
-Has been locked up for six weeks
Reposted by Loren Adler
Despite legal resident status and having been charged with no crime, our Georgetown colleague Badar Khan Suri has been designated a 'high risk' prisoner and for that reason gets only two hours of outdoor time PER WEEK. His traumatized son "cries all the time" and has ceased speaking.
Badar Khan Suri Is a Peace Scholar at Georgetown. Now He's Being Held as a High-Risk Threat in ICE Jail
Badar Khan Suri Is a Peace Scholar at Georgetown. Now He’s Being Held as a High-Risk Threat in ICE Jail
As the cases of international students and activists facing deportation begin to play out in the courts, Georgetown professor Nader Hashemi visited an ICE jail in Texas to speak with his colleague Badar...
www.democracynow.org
May 2, 2025 at 5:25 PM
Despite legal resident status and having been charged with no crime, our Georgetown colleague Badar Khan Suri has been designated a 'high risk' prisoner and for that reason gets only two hours of outdoor time PER WEEK. His traumatized son "cries all the time" and has ceased speaking.
Reposted by Loren Adler
Republicans argued that allowing Medicare to negotiate drug prices (as passed in the 2022 IRA) would destroy pharmaceutical innovation in the US. Will CBO score the innovation impact of a nearly 40% cut to NIH funding - and if so, how?
budget calls for a breathtaking cut to NIH. this would stop so much critical research. a true own goal, leaving us sicker in the future, with countless preventable deaths.
May 2, 2025 at 3:23 PM
Republicans argued that allowing Medicare to negotiate drug prices (as passed in the 2022 IRA) would destroy pharmaceutical innovation in the US. Will CBO score the innovation impact of a nearly 40% cut to NIH funding - and if so, how?
Reposted by Loren Adler
April 30, 2025 at 2:31 AM
Reposted by Loren Adler
President Trump has proposed taking over Canada and Greenland, imprisoning U.S. citizens overseas and serving an unconstitutional third term.
Most Americans — including many Republicans — oppose each one, according to a Post-ABC News-Ipsos poll.
Most Americans — including many Republicans — oppose each one, according to a Post-ABC News-Ipsos poll.
Most take Trump’s Canada, Greenland and third-term ideas seriously — and oppose them, poll finds
President Donald Trump has proposed taking over Canada and Greenland, imprisoning U.S. citizens overseas and serving an unconstitutional third term. Most Americans say they think he’s serious about ea...
www.washingtonpost.com
April 29, 2025 at 11:37 AM
President Trump has proposed taking over Canada and Greenland, imprisoning U.S. citizens overseas and serving an unconstitutional third term.
Most Americans — including many Republicans — oppose each one, according to a Post-ABC News-Ipsos poll.
Most Americans — including many Republicans — oppose each one, according to a Post-ABC News-Ipsos poll.
Reposted by Loren Adler
NEW from @nytimes.com: A bone-chilling account. A Venezuelan man detained alongside the 238 sent to El Salvador on March 15 seems to have disappeared off the face of the earth. His name isn't among the names of those sent to CECOT that day and no one spotted him among those men. He's just... gone.
April 22, 2025 at 1:13 PM
NEW from @nytimes.com: A bone-chilling account. A Venezuelan man detained alongside the 238 sent to El Salvador on March 15 seems to have disappeared off the face of the earth. His name isn't among the names of those sent to CECOT that day and no one spotted him among those men. He's just... gone.