christina ramsay
@christinaramsay.bsky.social
program officer for policy @ the commonwealth fund
As @abarkoff.bsky.social notes, “this is really an attack on formally caregiving, older women who have a very hard time getting back into the workforce — not young men who are able bodied and sitting around because they don’t feel like working."
www.milbank.org/quarterly/op...
www.milbank.org/quarterly/op...
May 21, 2025 at 2:51 PM
As @abarkoff.bsky.social notes, “this is really an attack on formally caregiving, older women who have a very hard time getting back into the workforce — not young men who are able bodied and sitting around because they don’t feel like working."
www.milbank.org/quarterly/op...
www.milbank.org/quarterly/op...
For example: Medicaid expansion has expanded access to long-term services and supports (LTSS), which help people with daily activities like eating, bathing, and taking meds.
*20%* of enrollees under 65 who use institutional LTSS were eligible for Medicaid because of expansion.
*20%* of enrollees under 65 who use institutional LTSS were eligible for Medicaid because of expansion.
Who Uses Medicaid Long-Term Services and Supports? | KFF
This analysis examines the characteristics of Medicaid enrollees who use Medicaid long-term services and supports (LTSS), how enrollees who use LTSS differ from those who do not use these services, an...
www.kff.org
March 14, 2025 at 4:29 PM
For example: Medicaid expansion has expanded access to long-term services and supports (LTSS), which help people with daily activities like eating, bathing, and taking meds.
*20%* of enrollees under 65 who use institutional LTSS were eligible for Medicaid because of expansion.
*20%* of enrollees under 65 who use institutional LTSS were eligible for Medicaid because of expansion.
There's ample evidence to show that Medicaid is associated with:
◾ better access to care for chronic disease
◾ improved financial well-being
◾ lower mortality rates
◾ increased rates of early cancer diagnosis
...and much more.
www.commonwealthfund.org/publications...
◾ better access to care for chronic disease
◾ improved financial well-being
◾ lower mortality rates
◾ increased rates of early cancer diagnosis
...and much more.
www.commonwealthfund.org/publications...
What Is Medicaid’s Value?
This explainer discusses the value of Medicaid to its many beneficiaries.
www.commonwealthfund.org
February 11, 2025 at 9:26 PM
There's ample evidence to show that Medicaid is associated with:
◾ better access to care for chronic disease
◾ improved financial well-being
◾ lower mortality rates
◾ increased rates of early cancer diagnosis
...and much more.
www.commonwealthfund.org/publications...
◾ better access to care for chronic disease
◾ improved financial well-being
◾ lower mortality rates
◾ increased rates of early cancer diagnosis
...and much more.
www.commonwealthfund.org/publications...
In fact, research suggests that Medicaid expansion is valuable in *promoting* work.
83% percent of Ohioans enrolled in Medicaid expansion reported that Medicaid made it easier to work.
83% percent of Ohioans enrolled in Medicaid expansion reported that Medicaid made it easier to work.
medicaid.ohio.gov
February 11, 2025 at 9:26 PM
In fact, research suggests that Medicaid expansion is valuable in *promoting* work.
83% percent of Ohioans enrolled in Medicaid expansion reported that Medicaid made it easier to work.
83% percent of Ohioans enrolled in Medicaid expansion reported that Medicaid made it easier to work.
In AR:
◾ >18k lost coverage over 9 months (and reported delaying care and incurring medical debt).
◾ Confusing or inaccessible reporting process.
◾ No increase in employment.
In GA:
◾ Program cost >$26M, with *over 90%* of spending on administration, not medical services.
◾ >18k lost coverage over 9 months (and reported delaying care and incurring medical debt).
◾ Confusing or inaccessible reporting process.
◾ No increase in employment.
In GA:
◾ Program cost >$26M, with *over 90%* of spending on administration, not medical services.
Work Requirements for Medicaid Enrollees
This explainer defines Medicaid work requirements, updates their current status at the federal and state levels, and describes their impact on enrollees.
www.commonwealthfund.org
February 11, 2025 at 9:26 PM
In AR:
◾ >18k lost coverage over 9 months (and reported delaying care and incurring medical debt).
◾ Confusing or inaccessible reporting process.
◾ No increase in employment.
In GA:
◾ Program cost >$26M, with *over 90%* of spending on administration, not medical services.
◾ >18k lost coverage over 9 months (and reported delaying care and incurring medical debt).
◾ Confusing or inaccessible reporting process.
◾ No increase in employment.
In GA:
◾ Program cost >$26M, with *over 90%* of spending on administration, not medical services.
Work requirements don't increase employment.
Instead, they lead to:
◾ coverage losses (+ delayed care and medical debt for the disenrolled)
◾ administrative red tape for states + people
We know this from Arkansas and Georgia's experiences with them.
jamanetwork.com/journals/jam...
Instead, they lead to:
◾ coverage losses (+ delayed care and medical debt for the disenrolled)
◾ administrative red tape for states + people
We know this from Arkansas and Georgia's experiences with them.
jamanetwork.com/journals/jam...
Medicaid’s Edge Case—Potential Expansion and Work Requirements in Mississippi
This JAMA Forum discusses the ongoing debate in Mississippi about whether to expand Medicaid under the Patient Protection and Affordable Care Act.
jamanetwork.com
February 11, 2025 at 9:26 PM
Work requirements don't increase employment.
Instead, they lead to:
◾ coverage losses (+ delayed care and medical debt for the disenrolled)
◾ administrative red tape for states + people
We know this from Arkansas and Georgia's experiences with them.
jamanetwork.com/journals/jam...
Instead, they lead to:
◾ coverage losses (+ delayed care and medical debt for the disenrolled)
◾ administrative red tape for states + people
We know this from Arkansas and Georgia's experiences with them.
jamanetwork.com/journals/jam...
Most adult Medicaid beneficiaries who CAN work already DO work.
In 2023, 92% were either working full/part time or not working due to caregiving, illness or disability, or school attendance, per @kff.org.
In 2023, 92% were either working full/part time or not working due to caregiving, illness or disability, or school attendance, per @kff.org.
February 11, 2025 at 9:26 PM
Most adult Medicaid beneficiaries who CAN work already DO work.
In 2023, 92% were either working full/part time or not working due to caregiving, illness or disability, or school attendance, per @kff.org.
In 2023, 92% were either working full/part time or not working due to caregiving, illness or disability, or school attendance, per @kff.org.
CHCs are serving more patients than ever and providing:
✔️more behavioral health screening
✔️more substance use disorder treatment
✔️more care management in rural areas
...ALL while reporting workforce shortages across the board.
www.commonwealthfund.org/publications...
✔️more behavioral health screening
✔️more substance use disorder treatment
✔️more care management in rural areas
...ALL while reporting workforce shortages across the board.
www.commonwealthfund.org/publications...
February 6, 2025 at 3:32 PM
CHCs are serving more patients than ever and providing:
✔️more behavioral health screening
✔️more substance use disorder treatment
✔️more care management in rural areas
...ALL while reporting workforce shortages across the board.
www.commonwealthfund.org/publications...
✔️more behavioral health screening
✔️more substance use disorder treatment
✔️more care management in rural areas
...ALL while reporting workforce shortages across the board.
www.commonwealthfund.org/publications...