Steve Rixen
ynwasteve.bsky.social
Steve Rixen
@ynwasteve.bsky.social
Healthcare Policy, Politics, Sports Grumbling, Miscellany and other Nonsense.
Reposted by Steve Rixen
The proposed cuts to Medicaid raise the stakes for rural hospitals nationwide, with many of them already operating on razor-thin, if not negative, margins.
kffhealthnews.org/news/article...
‘One Big Beautiful Bill’ Would Batter Rural Hospital Finances, Researchers Say - KFF Health News
Rural hospitals would take an outsize hit from Republicans’ proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and servi...
kffhealthnews.org
June 12, 2025 at 2:50 PM
Reposted by Steve Rixen
CMS projects 750k-2 million people will "lose coverage as a result of this rule" in 2026 but notes this may be an underestimate due to administrative burdens imposed by the rule (pp. 271-2). This is on top of millions CMS expects to lose coverage if enhanced tax credits expire this year (p. 260).
The new proposed rules relating to the health insurance Marketplace for 2026: www.cms.gov/newsroom/fac...
If finalized, these rules would result in a lot fewer people enrolled in Marketplace coverage, more hurdles to enrollment, higher out-of-pocket limits, etc.
2025 Marketplace Integrity and Affordability Proposed Rule | CMS
IntroductionToday, the Centers for Medicare & Medicaid Services (CMS) issued the “Marketplace Integrity and Affordability Proposed Rule” that proposes standards for the Health Insurance Marketplaces, ...
www.cms.gov
March 11, 2025 at 2:13 AM
Reposted by Steve Rixen
NEW: Congressional District level interactive map showing how much ACA enrollees' out-of-pocket premium payments would increase without an extension of enhanced subsidies. @kff.org

www.kff.org/affordable-c...
Congressional District Interactive Map: How Much Will ACA Premium Payments Rise if Enhanced Subsidies Expire? | KFF
This analysis and interactive map illustrate how much more enrollees in Affordable Care Act (ACA) Marketplace plans would pay in premiums at the congressional district level if the enhanced subsidies ...
www.kff.org
February 3, 2025 at 3:01 PM
Reposted by Steve Rixen
I wrote this based on my JHPPL article on inequitable administrative burdens of appealing coverage denials, incorporating a new interview I did with a doc who reviews claims for a major insurer and who said, "We’re told denying things is OK because people can appeal" www.statnews.com/2025/01/23/h...
‘Rationing by inconvenience’: Health insurers count on customers not appealing denials
Call it “rationing by inconvenience”: Health insurers save money when customers are too exhausted to bother appealing denials.
www.statnews.com
January 23, 2025 at 12:56 PM
Reposted by Steve Rixen
Starting today, Medicare beneficiaries will have their annual out-of-pocket drug costs capped at $2,000 as a result of the Inflation Reduction Act.

www.kff.org/medicare/iss...
Millions of People with Medicare Will Benefit from the New Out-of-Pocket Drug Spending Cap Over Time | KFF
In 2025, Medicare beneficiaries will pay no more than $2,000 out of pocket for prescription drugs covered under Part D, Medicare’s outpatient drug benefit, due to a provision in the Inflation Reductio...
www.kff.org
January 1, 2025 at 4:36 PM
Reposted by Steve Rixen
🚨 OK #NORTHDAKOTA, YOU'RE UP NEXT!

Here's the latest in my ongoing state-by-state look at how much more #ACA enrollees will have to pay starting in 2026 if IRA subsidies aren't extended: 1/

acasignups.net/24/12/21/how...
How much more will NORTH DAKOTA residents pay if the improved #ACA subsidies aren't extended?
It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramatically expanded & enhanced the original premium su...
acasignups.net
December 21, 2024 at 7:10 PM
Cute little thanksgiving earthquake in OK!
November 28, 2024 at 6:40 PM
Reposted by Steve Rixen
Any time a streaming service logs you out and requires you to log back in on your TV, you should get a month free.
November 20, 2024 at 3:45 AM
Reposted by Steve Rixen
If you ever get the chance, drive the Enchanted Highway in North Dakota. Not too far from Theodore Roosevelt National Park. Some amazing art installations.
November 18, 2024 at 1:56 AM
Until Bluesky has a consistent array of illegal streams for an important live event, it cannot be take seriously as a social media platform.
November 16, 2024 at 5:23 AM
I published this about 5 minutes before RFK Jr. was named as the pick to lead HHS, so updates are probably needed, but here is my assessment of what to look for in healthcare in the next Trump administration and GOP Congress. www.linkedin.com/pulse/next-t...
The Next Trump Administration: Shouldn't We Be Talking More About Healthcare?
Donald Trump was again elected to the Presidency, and he returns to Washington with a Republican House and Senate. While the dust is still settling, one thing seems clear: the next Trump administratio...
www.linkedin.com
November 15, 2024 at 5:25 PM
Finally found a way to recreate the early twitter experience by following a bunch of health nerds over here! Now, if you all could just post a bit more to help make me look smarter....
December 13, 2023 at 3:15 PM