Akeiisa Coleman
@acinthedc.bsky.social
Health policy wonk (Medicaid #1 priority), coffee drinker, news junkie & occasional do-gooder from So Cal. Fight on Trojans!
"A KFF survey of Medicaid officials in all states and the District of Columbia found almost two-thirds face at least a "50-50" chance of a Medicaid budget shortfall in FY 2026." #Medicaid #healthpolicy
States scramble to avoid Medicaid shortfalls: survey www.axios.com/2025/11/13/s...
States scramble to avoid Medicaid shortfalls: Survey
Some are responding by imposing new limits on how they pay hospitals and other providers.
www.axios.com
November 14, 2025 at 2:07 PM
"A KFF survey of Medicaid officials in all states and the District of Columbia found almost two-thirds face at least a "50-50" chance of a Medicaid budget shortfall in FY 2026." #Medicaid #healthpolicy
Rural hospitals in nonexpansion states could be the biggest losers if enhanced premium tax credits are allowed to expire www.commonwealthfund.org/blog/2025/wi... #healthpolicy #ruralhealth
Without Renewal of Enhanced Premium Tax Credits, Rural Hospital Revenues Will Drop by $1.6 Billion
www.commonwealthfund.org
November 13, 2025 at 8:58 PM
Rural hospitals in nonexpansion states could be the biggest losers if enhanced premium tax credits are allowed to expire www.commonwealthfund.org/blog/2025/wi... #healthpolicy #ruralhealth
ICYMI: “They own a product that has become a core piece of the safety net,” said Luke Farrell, who worked in the USDS during the Biden admin supporting state #Medicaid programs. “I’ve never seen another vendor do such price hikes across public benefits.” www.nytimes.com/2025/11/03/h...
‘A Big Positive’: How One Company Plans to Profit From Medicaid Cuts
www.nytimes.com
November 7, 2025 at 2:27 PM
ICYMI: “They own a product that has become a core piece of the safety net,” said Luke Farrell, who worked in the USDS during the Biden admin supporting state #Medicaid programs. “I’ve never seen another vendor do such price hikes across public benefits.” www.nytimes.com/2025/11/03/h...
Reposted by Akeiisa Coleman
JAMA Health Forum is offering one editorial fellowship for an early-career scholar with a background in statistics, causal inference, or quantitative methods. The fellow will work closely with our statistical editors.
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK
November 6, 2025 at 4:15 PM
JAMA Health Forum is offering one editorial fellowship for an early-career scholar with a background in statistics, causal inference, or quantitative methods. The fellow will work closely with our statistical editors.
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK
This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK
Reliable access to comprehensive contraceptive services in #Medicaid has led to lower rates of unintended pregnancy and improved the health and economic well-being of women and their families, but HR1 threatens access to family planning services www.commonwealthfund.org/blog/2025/ch...
Changes to Medicaid Threaten Contraceptive Accessibility
Medicaid provisions passed under H.R. 1 will have a cascading impact that threatens the landscape of vital contraceptive care.
www.commonwealthfund.org
November 5, 2025 at 5:03 PM
Reliable access to comprehensive contraceptive services in #Medicaid has led to lower rates of unintended pregnancy and improved the health and economic well-being of women and their families, but HR1 threatens access to family planning services www.commonwealthfund.org/blog/2025/ch...
Reposted by Akeiisa Coleman
The Supplemental Nutrition Assistance Program (SNAP) isn’t just an anti-hunger program — it’s also an economic stabilizer for families and communities.
In this article, we lay out what’s at stake for families, states, and the food economy if these cuts take effect.
In this article, we lay out what’s at stake for families, states, and the food economy if these cuts take effect.
From Empty Grocery Carts to Lost Jobs: The Ripple Effects of Cutting SNAP
The Supplemental Nutrition Assistance Program (SNAP) isn’t just an antihunger program — it’s also an economic stabilizer for families and communities. When SNAP food benefits are cut or halted outrigh...
www.linkedin.com
November 5, 2025 at 2:37 PM
The Supplemental Nutrition Assistance Program (SNAP) isn’t just an anti-hunger program — it’s also an economic stabilizer for families and communities.
In this article, we lay out what’s at stake for families, states, and the food economy if these cuts take effect.
In this article, we lay out what’s at stake for families, states, and the food economy if these cuts take effect.
Rural hospitals & clinics nationwide face a looming financial catastrophe...Congressional Republicans added the 5-year Rural Health Transformation Program as a last-minute sweetener...Yet, words from CMS are generating tension between hospital & clinic providers & new technology-focused companies
Very informative story about what is going on with the Rural Health "Transformation" Fund... Corporate vendors lining up.
kffhealthnews.org/news/article...
kffhealthnews.org/news/article...
States Jostle Over $50B Rural Health Fund as Trump’s Medicaid Cuts Trigger Scramble - KFF Health News
States are battling for their piece of $50 billion in federal rural health funding, but it’s not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid...
kffhealthnews.org
October 29, 2025 at 2:11 PM
Rural hospitals & clinics nationwide face a looming financial catastrophe...Congressional Republicans added the 5-year Rural Health Transformation Program as a last-minute sweetener...Yet, words from CMS are generating tension between hospital & clinic providers & new technology-focused companies
Being a family caregiver whether for a spouse, aging parent, sibling, or child with special health care needs is no easy task. This piece is a great starting point for navigating new realities and emotional ups and downs www.npr.org/2025/10/18/n...
A caregiver's survival guide: Advice from people who've been there
Family caregivers offer their wit, wisdom and survival tips for the hardest unpaid job in America.
www.npr.org
October 29, 2025 at 1:59 PM
Being a family caregiver whether for a spouse, aging parent, sibling, or child with special health care needs is no easy task. This piece is a great starting point for navigating new realities and emotional ups and downs www.npr.org/2025/10/18/n...
"The fact that it still went though…was a real sense of disconnect with what our legislators are doing and what we as a health care community feel like is the reality on the ground." www.npr.org/sections/sho... #Medicaid #OBBBA #healthpolicy
In the rural South where Medicaid has been a lifeline, residents brace for cuts
With Medicaid cutbacks on the horizon, millions in the U.S. are expected to go uninsured. In the Mississippi Delta region — one of the poorest places in the U.S. — people are stressed and mad.
www.npr.org
October 27, 2025 at 2:22 PM
"The fact that it still went though…was a real sense of disconnect with what our legislators are doing and what we as a health care community feel like is the reality on the ground." www.npr.org/sections/sho... #Medicaid #OBBBA #healthpolicy
Opt-in apps/web-based tools will not be sufficient to reduce the anticipated loss of coverage expected when Medicaid work requirements are implemented. They also ignore areas with limited or no internet access.
www.cnn.com/2025/10/22/h... #Medicaid #healthpolicy
www.cnn.com/2025/10/22/h... #Medicaid #healthpolicy
Officials show little proof that new tech will help Medicaid enrollees meet work rules | CNN
The Trump administration says it’s developing a digital tool to help people prove they’re meeting new Medicaid work requirements. KFF Health News talked to officials from the two states running pilot ...
www.cnn.com
October 24, 2025 at 4:41 PM
Opt-in apps/web-based tools will not be sufficient to reduce the anticipated loss of coverage expected when Medicaid work requirements are implemented. They also ignore areas with limited or no internet access.
www.cnn.com/2025/10/22/h... #Medicaid #healthpolicy
www.cnn.com/2025/10/22/h... #Medicaid #healthpolicy
Great thread for Medicaid researchers using or considering using TMSIS 🧵
So glad to have have helped support this work!
#Medicaid #healthpolicy
So glad to have have helped support this work!
#Medicaid #healthpolicy
We are excited today to launch the T-MSIS Analytic Files (TAF) Analysis Reporting Checklist, which is designed to guide reporting of research using the TAF, the new generation Medicaid claims data.
See @jamahealthforum.com: jamanetwork.com/journals/jam...
Links to resources in thread below ⬇️
1/N
See @jamahealthforum.com: jamanetwork.com/journals/jam...
Links to resources in thread below ⬇️
1/N
October 24, 2025 at 4:33 PM
Great thread for Medicaid researchers using or considering using TMSIS 🧵
So glad to have have helped support this work!
#Medicaid #healthpolicy
So glad to have have helped support this work!
#Medicaid #healthpolicy
“FQHCs are going to have a dramatic increase in volume of care,” said Gerard Anderson, a professor of health policy @ Johns Hopkins. “They’re going to be stretched even more thinly than they have been,” he added. “It’s going to be a nightmare.” www.nytimes.com/2025/10/22/h... #Medicaid #healthpolicy
‘Medicaid Cut Me Off’: A Rural Health Center Faces New Pressures
www.nytimes.com
October 22, 2025 at 5:44 PM
“FQHCs are going to have a dramatic increase in volume of care,” said Gerard Anderson, a professor of health policy @ Johns Hopkins. “They’re going to be stretched even more thinly than they have been,” he added. “It’s going to be a nightmare.” www.nytimes.com/2025/10/22/h... #Medicaid #healthpolicy
I was brushing up on Medicaid drug rebates this morning. This 340B explainer was really helpful for highlighting some of the interactive issues www.commonwealthfund.org/publications...
The 340B Drug Pricing Program: How It Works and Why It’s Controversial
The 340B Drug Pricing Program was created to improve access to care at safety-net hospitals and clinics, but critics argue that the program hasn’t met this goal.
www.commonwealthfund.org
October 22, 2025 at 3:28 PM
I was brushing up on Medicaid drug rebates this morning. This 340B explainer was really helpful for highlighting some of the interactive issues www.commonwealthfund.org/publications...
New report estimates economic impact of allowing the ACA Marketplace enhanced premium tax credits to expire. See how your state is impacted - www.commonwealthfund.org/publications... #healthpolicy
Expiring ACA Premium Tax Credits Could Lead to Nearly 340,000 Jobs Lost Across the U.S. in 2026
Unless Congress acts quickly to extend the enhanced ACA marketplace premium tax credits, nearly 5 million people could lose health insurance coverage in 2026.
www.commonwealthfund.org
October 16, 2025 at 7:45 PM
New report estimates economic impact of allowing the ACA Marketplace enhanced premium tax credits to expire. See how your state is impacted - www.commonwealthfund.org/publications... #healthpolicy
Have questions about how HR 1 and other administrative actions are going to change coverage for immigrants? We have answers in this new explainer, which discusses Medicaid, Medicare and Marketplace, as well as likely impacts www.commonwealthfund.org/publications... #healthpolicy
What Recent Policy Changes Mean for Immigrant Health Coverage
A million lawfully present immigrants will lose access to marketplace coverage, Medicaid, and Medicare in 2026, as a result of H.R. 1 and a new federal rule.
www.commonwealthfund.org
October 15, 2025 at 6:39 PM
Have questions about how HR 1 and other administrative actions are going to change coverage for immigrants? We have answers in this new explainer, which discusses Medicaid, Medicare and Marketplace, as well as likely impacts www.commonwealthfund.org/publications... #healthpolicy
Great thread on some new #Medicaid unwinding analysis. 🧵
Key takeaway for me: "Continuous eligibility policies may not have the intended effect on access to coverage if beneficiaries do not understand that they remain enrolled in the program." #healthpolicy
Key takeaway for me: "Continuous eligibility policies may not have the intended effect on access to coverage if beneficiaries do not understand that they remain enrolled in the program." #healthpolicy
Ben Sommers and I have a new paper on Medicaid unwinding out in @jamahealthforum.com — this time, we aimed to characterize demographic and state variation, and help explain the disconnect between 25M+ Medicaid terminations and the largely-stable self-reported uninsured rate.
US Coverage Changes During Medicaid Unwinding in 2023
This cross-sectional study estimates variation in coverage losses during unwinding of the Medicaid continuous coverage provision by state and demographic groups and evaluates trends in new Medicaid ap...
jamanetwork.com
October 15, 2025 at 6:19 PM
Great thread on some new #Medicaid unwinding analysis. 🧵
Key takeaway for me: "Continuous eligibility policies may not have the intended effect on access to coverage if beneficiaries do not understand that they remain enrolled in the program." #healthpolicy
Key takeaway for me: "Continuous eligibility policies may not have the intended effect on access to coverage if beneficiaries do not understand that they remain enrolled in the program." #healthpolicy
Reposted by Akeiisa Coleman
Decades of progress on children’s health coverage is being slowly erased, with the U.S. rate now at a 10-year high. Texas still has the highest rate of uninsured kids, with a total of over 1 million.
publichealthwatch.org/2025/10/14/u...
publichealthwatch.org/2025/10/14/u...
A Closer Look at What’s Driving the Rising Rate of Uninsured Children - Public Health Watch
Decades of progress on children’s health coverage is being slowly erased, with the U.S. rate now at a 10-year high. Texas still has the highest rate of uninsured kids, with a total of over 1 million.
publichealthwatch.org
October 14, 2025 at 12:06 PM
Decades of progress on children’s health coverage is being slowly erased, with the U.S. rate now at a 10-year high. Texas still has the highest rate of uninsured kids, with a total of over 1 million.
publichealthwatch.org/2025/10/14/u...
publichealthwatch.org/2025/10/14/u...
States are already starting to respond to HR 1 w/ provider rate cuts and requests for add'l staff to implement #Medicaid changes. Evidence suggests cuts will harm patients & providers www.commonwealthfund.org/blog/2025/st...
States Respond to Medicaid Cuts — Will Enrollees Lose Benefits?
States are warning that the Medicaid cuts passed in H.R. 1 will likely lead to benefit reductions, provider pay cuts, and lost coverage for millions.
www.commonwealthfund.org
October 15, 2025 at 1:49 PM
States are already starting to respond to HR 1 w/ provider rate cuts and requests for add'l staff to implement #Medicaid changes. Evidence suggests cuts will harm patients & providers www.commonwealthfund.org/blog/2025/st...
Reposted by Akeiisa Coleman
Is it too late to fix the enhanced premium tax credits? Open enrollment starts Nov 1. Most premium rate increases are already locked in. More here: @sabrinacorlette.bsky.social #healthpolicy @healthaffairs.bsky.social
tinyurl.com/yjtv5s6x
tinyurl.com/yjtv5s6x
Damage From Inaction On ACA Tax Credits Has Begun And Will Grow With Further Delays | Health Affairs Forefront
With 2026 rates already set and consumers starting to learn of premium increases, delays in extending the PTC enhancements beyond 2025 have already led to cost increases and coverage losses that canno...
tinyurl.com
October 13, 2025 at 3:38 PM
Is it too late to fix the enhanced premium tax credits? Open enrollment starts Nov 1. Most premium rate increases are already locked in. More here: @sabrinacorlette.bsky.social #healthpolicy @healthaffairs.bsky.social
tinyurl.com/yjtv5s6x
tinyurl.com/yjtv5s6x
Reposted by Akeiisa Coleman
Florida is violating federal law for children covered by CHIP and thousands are losing coverage. The Trump Adminstrarion is not enforcing the law.
www.wusf.org/health-news-...
www.wusf.org/health-news-...
More than 43,000 children dropped from KidCare program for nonpayment, report shows
A state agency may have underestimated the number of children removed from subsidized health insurance in Florida, according to a report by the Florida Phoenix.
www.wusf.org
October 10, 2025 at 12:56 PM
Florida is violating federal law for children covered by CHIP and thousands are losing coverage. The Trump Adminstrarion is not enforcing the law.
www.wusf.org/health-news-...
www.wusf.org/health-news-...
New piece in JAMA highlights how HR 1 changes for financing Emergency #Medicaid are unlikely to produce significant savings but may financially harm safety net providers. jamanetwork.com/journals/jam...
Medicaid Spending for Undocumented Immigrants
This cross-sectional analysis examines emergency Medicaid spending relative to total Medicaid expenditures and identifies state factors associated with variation in spending.
jamanetwork.com
October 10, 2025 at 1:53 PM
New piece in JAMA highlights how HR 1 changes for financing Emergency #Medicaid are unlikely to produce significant savings but may financially harm safety net providers. jamanetwork.com/journals/jam...
People experiencing homelessness or housing instability are more likely to be found by many systems to have invalid addresses. Kids in child welfare & people recently released from incarceration are also likely to face issues with address verification. www.healthaffairs.org/content/fore... #Medicaid
Medicaid’s New Address Verification Requirements Could Impose Significant Burdens | Health Affairs Forefront
Critical populations such as those experiencing homelessness or housing instability, involved in the child welfare system, or returning from incarceration will find unique barriers to coverage, based ...
www.healthaffairs.org
October 2, 2025 at 4:20 PM
People experiencing homelessness or housing instability are more likely to be found by many systems to have invalid addresses. Kids in child welfare & people recently released from incarceration are also likely to face issues with address verification. www.healthaffairs.org/content/fore... #Medicaid
"Even though women are eligible for Medicaid during pregnancy and for a year after giving birth, Richardson says, people are not always clear on the law." #Medicaid
Mississippi recently declared a public health emergency because its infant mortality rate has surged. And with Medicaid cuts coming, experts fear the crisis may worsen in other states.
What Mississippi's infant mortality crisis says about the risks of Medicaid cuts
Mississippi recently declared a public health emergency because its infant mortality rate has surged. And with Medicaid cuts coming, experts fear the crisis may worsen in other states.
n.pr
October 2, 2025 at 2:35 PM
"Even though women are eligible for Medicaid during pregnancy and for a year after giving birth, Richardson says, people are not always clear on the law." #Medicaid
Reposted by Akeiisa Coleman
The adults likeliest to lose Medicaid coverage from new work requirements tend to be sicker and may be juggling multiple prescription drugs for chronic and function-limiting illnesses, a new study found.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Clinical Characteristics of Adults at Risk of Medicaid Disenrollment Due to HR 1 Work Requirements
This study uses the NHANES database to describe clinical characteristics of Medicaid beneficiaries at risk of disenrollment due to the One Big Beautiful Bill Act’s (HR 1) work requirements, stratified...
jamanetwork.com
October 2, 2025 at 1:23 PM
The adults likeliest to lose Medicaid coverage from new work requirements tend to be sicker and may be juggling multiple prescription drugs for chronic and function-limiting illnesses, a new study found.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Reposted by Akeiisa Coleman
“We could make (cervical cancer) an eradicated disease,” said Dr. Emily Boevers, an Iowa OB-GYN. “But everything is falling apart at the same time.” Story by Kelcie Moseley-Morris.
Cervical cancer could be eradicated, experts say. But not with Medicaid cuts and anti-vax politics. • Iowa Capital Dispatch
Medicaid cuts and political opposition to vaccines could wipe out the progress made toward eradicating cervical cancer, advocates say.
iowacapitaldispatch.com
October 1, 2025 at 3:19 PM
“We could make (cervical cancer) an eradicated disease,” said Dr. Emily Boevers, an Iowa OB-GYN. “But everything is falling apart at the same time.” Story by Kelcie Moseley-Morris.