Amy Lotven
@amylotven.bsky.social
Reposted by Amy Lotven
CMS's new rule introduces efficiency adjustments and site-based payment changes, reshaping clinician pay.
Amid these shifts, it’s vital that reforms support primary care practices that keep patients healthy.
Story from @amylotven.bsky.social:
Amid these shifts, it’s vital that reforms support primary care practices that keep patients healthy.
Story from @amylotven.bsky.social:
CMS Finalizes Controversial Policies In 2026 Physician Fee Reg | InsideHealthPolicy.com
CMS late Friday finalized the 2026 Medicare Physician Fee Rule, including a controversial efficiency adjustment that will cut select services by 2.5%, and a 50% reduction to the indirect practice…
insidehealthpolicy.com
November 8, 2025 at 3:50 PM
CMS's new rule introduces efficiency adjustments and site-based payment changes, reshaping clinician pay.
Amid these shifts, it’s vital that reforms support primary care practices that keep patients healthy.
Story from @amylotven.bsky.social:
Amid these shifts, it’s vital that reforms support primary care practices that keep patients healthy.
Story from @amylotven.bsky.social:
Reposted by Amy Lotven
New @georgetownccf.bsky.social report using #Medicaid performance indicators to assess states' readiness to implement harmful work reporting requirements and other #Medicaid cuts included in the budget reconciliation law: ccf.georgetown.edu/2025/09/04/a...
Are States Ready to Implement HR 1 and Medicaid Work Reporting Requirements?
Key Findings State systems are unprepared for federal demands to implement a Medicaid work reporting requirement and other onerous changes. HR 1 (P.L. 119-21) requires states to implement complex w…
ccf.georgetown.edu
September 4, 2025 at 6:04 PM
New @georgetownccf.bsky.social report using #Medicaid performance indicators to assess states' readiness to implement harmful work reporting requirements and other #Medicaid cuts included in the budget reconciliation law: ccf.georgetown.edu/2025/09/04/a...
Reposted by Amy Lotven
cc: @xpostfactoid.bsky.social @louisenorris.bsky.social @dmaanderson.bsky.social @larrylevitt.bsky.social @cynthiaccox.bsky.social @sabrinacorlette.bsky.social @simonwdc.bsky.social @amylotven.bsky.social @alekagurel.bsky.social @joshschultz.bsky.social @gregsargent.bsky.social
🚨🚨🚨 UPDATE: Across 17 states, *unsubsidized* 2026 #ACA rate increases average 20.2%...and that's ON TOP OF the lost IRA subsidies which are about to hit ~24 million enrollees starting January 1st.
acasignups.net/rate_changes...
acasignups.net/rate_changes...
2026 Rate Change Project
Every year, I spend months painstakingly tracking every insurance carrier rate filing (nearly 400 for 2025!) for the following year to determine just how much average insurance policy premiums on the ...
acasignups.net
July 18, 2025 at 4:05 PM
Reposted by Amy Lotven
cc: @drewaltman.bsky.social @larrylevitt.bsky.social @cynthiaccox.bsky.social @joshschultz.bsky.social @amylotven.bsky.social @simonwdc.bsky.social @jennifertaub.com @sjdemas.bsky.social @sabrinacorlette.bsky.social @edwincpark.bsky.social @editorialboard.bsky.social @thewayshitworksnow.bsky.social
🚨🚨🚨 CBO: " #MAGAMurderBill will kick 8.2M ACA enrollees off their coverage!"
Wakely Consulting: "Hold our beer."
New white paper projects up to *~14 MILLION* losing ACA exchange or BHP coverage between House GOP budget bill + IRA subsidy expiration:
acasignups.net/25/06/24/mag...
Wakely Consulting: "Hold our beer."
New white paper projects up to *~14 MILLION* losing ACA exchange or BHP coverage between House GOP budget bill + IRA subsidy expiration:
acasignups.net/25/06/24/mag...
MAGA Murder Bill: CBO: "8.2M will lose ACA coverage!" Wakely: "Hold our beer."
A few weeks ago, the Congressional Budget Office (CBO) issued their official projection of just how much damage the combined effect of the House GOP's budget reconciliation bill (officially the "One B...
acasignups.net
June 24, 2025 at 3:12 PM
Reposted by Amy Lotven
cc: @amylotven.bsky.social @alekagurel.bsky.social @larrylevitt.bsky.social @cynthiaccox.bsky.social @louisenorris.bsky.social @xpostfactoid.bsky.social @dmaanderson.bsky.social @joshschultz.bsky.social @citizencohn.bsky.social
📣 2026 #ACA Rate Change Project Update:
So far I've baked in preliminary filings for 6 states: MD, MA, NY, OR, VT & WA.
Carriers in these 6 are asking for 15.6% rate hikes on avg., of which around 4.6% is specifically due to the GOP letting IRA subsidies expire. 1/
acasignups.net/rate_changes...
So far I've baked in preliminary filings for 6 states: MD, MA, NY, OR, VT & WA.
Carriers in these 6 are asking for 15.6% rate hikes on avg., of which around 4.6% is specifically due to the GOP letting IRA subsidies expire. 1/
acasignups.net/rate_changes...
2026 Rate Change Project
Every year, I spend months painstakingly tracking every insurance carrier rate filing (nealry 400 for 2025!) for the following year to determine just how much average insurance policy premiums on the ...
acasignups.net
June 6, 2025 at 12:29 AM
Reposted by Amy Lotven
My Georgetown CCF colleague Leo Cuello examines the harsh #Medicaid work requirement provision being considered in the House Energy and Commerce Committee as we speak: ccf.georgetown.edu/2025/05/13/h...
How Do We Know Congress’s Work Requirements in Medicaid Will Fail? They Already Have.
As expected, the House’s rushed attempt to finance the Trump Administration’s immigration and tax agenda by cutting Medicaid includes a “work requirement.” Proponents claim that it is intended to s…
ccf.georgetown.edu
May 13, 2025 at 10:54 PM
My Georgetown CCF colleague Leo Cuello examines the harsh #Medicaid work requirement provision being considered in the House Energy and Commerce Committee as we speak: ccf.georgetown.edu/2025/05/13/h...
Reposted by Amy Lotven
cc: @larrylevitt.bsky.social @cynthiaccox.bsky.social @dmaanderson.bsky.social @louisenorris.bsky.social @xpostfactoid.bsky.social @amylotven.bsky.social @sabrinacorlette.bsky.social @citizencohn.bsky.social @alekagurel.bsky.social @standorn.bsky.social
📣📣📣 VERMONT posts preliminary 2026 #ACA rate change: +17.4% avg. 👀
6.8 points of this is due SPECIFICALLY to the impact of Republicans letting IRA subsidies expire, which is expected to cause ~14% of enrollees to drop coverage.
That's an extra $864/yr per enrollee.
acasignups.net/rate_changes...
6.8 points of this is due SPECIFICALLY to the impact of Republicans letting IRA subsidies expire, which is expected to cause ~14% of enrollees to drop coverage.
That's an extra $864/yr per enrollee.
acasignups.net/rate_changes...
2026 Rate Changes: Vermont: +17.4% avg; 6.8% due SPECIFICALLY to IRA subsidy expiration
via Vermont's Green Mountain Care Board: May 13, 2025 Green Mountain Care Board Receives 2026 QHP Rate Requests Amid Rising Health Care Costs Montpelier, VT – On May 12, 2025, the Green Mountain Care ...
acasignups.net
May 13, 2025 at 10:19 PM
Reposted by Amy Lotven
cc: @larrylevitt.bsky.social @cynthiaccox.bsky.social @xpostfactoid.bsky.social @louisenorris.bsky.social @dmaanderson.bsky.social @amylotven.bsky.social @alekagurel.bsky.social @khemp.bsky.social @sabrinacorlette.bsky.social @citizencohn.bsky.social
📣📣📣 EXCLUSIVE! *FINAL* 2025 #ACA Open Enrollment Period report: 24.3M QHPs; 26.1M w/BHPs included!
acasignups.net/25/05/12/aca...
acasignups.net/25/05/12/aca...
ACA Signups EXCLUSIVE! FINAL 2025 Open Enrollment Report published: 24.3M QHPs; 26.1M w/BHPs included!
The most recent press release from the Centers for Medicare & Medicaid Services (CMS) which included actual enrollment data about the 2025 ACA Open Enrollment Period (OEP) came out back on January 17,...
acasignups.net
May 12, 2025 at 12:49 PM
Reposted by Amy Lotven
They're called public records for a reason. Starting today, WIRED will *stop paywalling* articles that are primarily based on public records obtained through the Freedom of Information Act, becoming the first publication to partner with @freedom.press to offer this for our new coverage.
Wired is dropping paywalls for FOIA-based reporting. Others should follow
As the administration does its best to hide public records from the public, Wired magazine is stepping up to help stem the secrecy
freedom.press
March 18, 2025 at 1:11 PM
They're called public records for a reason. Starting today, WIRED will *stop paywalling* articles that are primarily based on public records obtained through the Freedom of Information Act, becoming the first publication to partner with @freedom.press to offer this for our new coverage.
Reposted by Amy Lotven
💥 BREAKING: At John Deere's annual shareholders meeting today, shareholders overwhelmingly rejected an anti-DEI proposal brought by the same group that targeted Costco and Apple. An anti-DEI proposal from the NCPPR received less than 1 percent of votes.
Deere shareholders: DEI is in. Bigots are out
Deere shareholders: DEI is in. Bigots are out
February 26, 2025 at 4:43 PM
💥 BREAKING: At John Deere's annual shareholders meeting today, shareholders overwhelmingly rejected an anti-DEI proposal brought by the same group that targeted Costco and Apple. An anti-DEI proposal from the NCPPR received less than 1 percent of votes.
Deere shareholders: DEI is in. Bigots are out
Deere shareholders: DEI is in. Bigots are out
Reposted by Amy Lotven
Here's the one I sent them:
February 23, 2025 at 6:03 AM
Here's the one I sent them:
Reposted by Amy Lotven
The Washington Post refers to “a clash between the White House and the AP” when in fact it’s the White House unilaterally punishing a news outlet for using a historical place name that would-be dictator Trump doesn’t like. “Clash,” my ass. It’s a fascist attack on the free press.
February 15, 2025 at 3:11 AM
The Washington Post refers to “a clash between the White House and the AP” when in fact it’s the White House unilaterally punishing a news outlet for using a historical place name that would-be dictator Trump doesn’t like. “Clash,” my ass. It’s a fascist attack on the free press.
Reposted by Amy Lotven
The American Bar Association has just called upon every attorney, regardless of their political views, to join them & stand up for the rule of law & at minimum insist that our government "follow the law."
Every lawyer has an ethical responsibility to do so.
www.americanbar.org/news/abanews...
Every lawyer has an ethical responsibility to do so.
www.americanbar.org/news/abanews...
February 10, 2025 at 8:53 PM
The American Bar Association has just called upon every attorney, regardless of their political views, to join them & stand up for the rule of law & at minimum insist that our government "follow the law."
Every lawyer has an ethical responsibility to do so.
www.americanbar.org/news/abanews...
Every lawyer has an ethical responsibility to do so.
www.americanbar.org/news/abanews...
Reposted by Amy Lotven
Reposted by Amy Lotven
Unquestionably, major policy changes, edicts and directives handed down by the new Trump administration will upend lives. But I've also been struck by the widespread efforts to erase/whitewash history. Stick with me for a pretty shocking series of events from just the past few weeks.
February 8, 2025 at 6:47 PM
Unquestionably, major policy changes, edicts and directives handed down by the new Trump administration will upend lives. But I've also been struck by the widespread efforts to erase/whitewash history. Stick with me for a pretty shocking series of events from just the past few weeks.
Reposted by Amy Lotven
BREAKING: Judge Carl Nichols - a Trump appointee - announced he will pause Trump’s effort to gut USAID. www.nbcnews.com/politics/pol...
Judge to pause Trump administration effort to gut USAID's workforce by thousands
Two labor groups had sued the Trump administration after it said that thousands of USAID employees would be placed on administrative leave starting at 11:59 p.m. Friday.
www.nbcnews.com
February 7, 2025 at 9:45 PM
BREAKING: Judge Carl Nichols - a Trump appointee - announced he will pause Trump’s effort to gut USAID. www.nbcnews.com/politics/pol...
Reposted by Amy Lotven
📣 I don't know if the FDA is among the federal government websites which the Musk/Trump Regime has been bulldozing their way through, but just in case, @niema.net & I have created an index of links to the most recent versions of every page indexed by the Wayback Machine:
acasignups.net/fda-website
acasignups.net/fda-website
FDA.Gov
With the Musk/Trump Administration bulldozing their way through seemingly every federal government website, teams of data analysts and archivers have been attempting to download and archive as much fe...
acasignups.net
February 6, 2025 at 2:41 AM
📣 I don't know if the FDA is among the federal government websites which the Musk/Trump Regime has been bulldozing their way through, but just in case, @niema.net & I have created an index of links to the most recent versions of every page indexed by the Wayback Machine:
acasignups.net/fda-website
acasignups.net/fda-website
Reposted by Amy Lotven
HAPPY 3rd ANNIVERSARY Babe 🫶🏽
Marrying you remains the smartest thing I’ve ever done. Our love reminds me to be brave. I thank God everyday for this courageous love.
Marrying you remains the smartest thing I’ve ever done. Our love reminds me to be brave. I thank God everyday for this courageous love.
February 5, 2025 at 9:40 PM
HAPPY 3rd ANNIVERSARY Babe 🫶🏽
Marrying you remains the smartest thing I’ve ever done. Our love reminds me to be brave. I thank God everyday for this courageous love.
Marrying you remains the smartest thing I’ve ever done. Our love reminds me to be brave. I thank God everyday for this courageous love.
Reposted by Amy Lotven
As a consequence of the bungled federal funding freeze last week 16 of 31 community health centers in Virginia are now shut down.
With DOGE now in the door at HHS this reinforces the real world consequences for people's health that can result from "mistakes".
www.vpm.org/news/2025-02...
With DOGE now in the door at HHS this reinforces the real world consequences for people's health that can result from "mistakes".
www.vpm.org/news/2025-02...
Virginia community health centers close over federal funding access
Despite pause on federal funding freeze, centers unable to access grants
www.vpm.org
February 6, 2025 at 1:20 AM
As a consequence of the bungled federal funding freeze last week 16 of 31 community health centers in Virginia are now shut down.
With DOGE now in the door at HHS this reinforces the real world consequences for people's health that can result from "mistakes".
www.vpm.org/news/2025-02...
With DOGE now in the door at HHS this reinforces the real world consequences for people's health that can result from "mistakes".
www.vpm.org/news/2025-02...