Katherine Hempstead
khemp.bsky.social
Katherine Hempstead
@khemp.bsky.social
Senior Policy Adviser, Robert Wood Johnson Foundation. Author of “Uncovered: The Story of Insurance in America.”
Reposted by Katherine Hempstead
Great new interactive data tool out from @khemp.bsky.social at RWJF - congressional district level estimates of what might happen to ACA premiums if the enhanced tax credits expire.

www.rwjf.org/en/insights/...
Marketplace Pulse: What if Enhanced Premium Tax Credits Expire in 2026?
Marketplace enrollees will have to choose between record premium increases or less coverage if enhanced premium tax credits expire in 2026.
www.rwjf.org
April 16, 2025 at 7:33 PM
Reposted by Katherine Hempstead
Without enhanced premium tax credits ACA enrollees will pay higher premiums for less coverage next year. Check out @khemp.bsky.social and I's calculator and map of tax credits and premiums by congressional district for 2025 premiums.

www.rwjf.org/en/insights/...
Marketplace Pulse: What if Enhanced Premium Tax Credits Expire in 2026?
Marketplace enrollees will have to choose between record premium increases or less coverage if enhanced premium tax credits expire in 2026.
www.rwjf.org
April 18, 2025 at 6:01 PM
Really?
"Trimming Medicaid's payments could encourage more people to buy long term care insurance for themselves."
Unrealistic given cost of policies and need to pass underwriting. Should we have better LTC policy? Yes - but this is not how we get there.
www.npr.org/2025/04/14/g...
How cutting Medicaid would affect long-term care and family caregivers
The federal program is the biggest source of money for long-term care for the elderly and disabled. Republican proposals to cut its budget could jeopardize supports family and caregivers rely on.
www.npr.org
April 14, 2025 at 2:41 PM
Exciting to see all this enthusiasm around ICHRA - the appeal to employers will be much greater if the enhanced PTCs are extended.
www.beckerspayer.com/leadership/w...
Where Oscar Health plans to be a 'market maker'  - Becker's Payer Issues | Payer News
Complacency is one thing holding back the growth of the individual coverage health reimbursement arrangement, or ICHRA, market, according to Janet Liang, president of insurance at Oscar Health.  Oscar...
www.beckerspayer.com
April 3, 2025 at 4:33 PM
Big trouble for hospitals if Medicaid cuts are implemented. New analysis from Urban tells the story. In many rural states the financial hit would be huge, with ripple effects on workers and the local economy.
www.rwjf.org/en/insights/...
Hospital Revenue Losses And Increased Uncompensated Care If Medicaid Funding Is Cut
Cutting federal Medicaid funding provided to states that expanded their Medicaid program under the ACA could lead to substantial losses in revenue for healthcare providers and spikes in uncompensated ...
www.rwjf.org
March 12, 2025 at 3:51 PM
New report with Matt Valeta shows impact of lapse of ePTCS by congressional district. Lots of impact would be felt in many rural districts where Medicaid cuts would also be catastrophic.
www.rwjf.org/en/insights/...
Marketplace Pulse: Congressional Districts Where Affordable Care Act Enrollees Face the Highest Premium Increases in 2026, Ranked
IF Congress fails to extend the enhanced premium tax credits for ACA marketplace enrollees, residents in high-cost states could pay more other people in America pay in 2026.
www.rwjf.org
March 3, 2025 at 3:17 PM
This new paper in JAMA Open has some very troubling findings about trends in mortality among young or "early" adults. jamanetwork.com/journals/jam...
Mortality Trends Among Early Adults in the United States, 1999-2023
This cross-sectional study examines trends in mortality rates among adults aged 25 to 44 years across the pre–COVID-19 pandemic, pandemic, and postpandemic periods.
jamanetwork.com
February 18, 2025 at 6:01 PM
The impact of cuts to Medicaid and the ACA marketplace would be devastating in rural communities where residents and providers depend on these programs. dailyyonder.com/commentary-i...
Commentary: If Federal Healthcare Spending Is a Target, Then So Is Rural America | The Daily Yonder
Lists of potential healthcare spending cuts to include in a reconciliation bill are circulating on Capitol Hill, and healthcare is getting star billing.
dailyyonder.com
February 11, 2025 at 12:17 PM
Interesting proposal out of IN re: prior auth. www.beckerspayer.com/payer/indian...
Indiana bill puts prior authorization in the crosshairs
An Indiana lawmaker has reintroduced legislation that would cap all prior authorization rates at 1%.
www.beckerspayer.com
January 28, 2025 at 5:26 PM
Reposted by Katherine Hempstead
This map shows how much NIH funding goes to your state. I used the info on my state when I called officials to ask them to push back against the freeze. And if I can do it when my senators are Katie Britt and Tommy Tuberville...well, I mean...

www.unitedformedicalresearch.org/nih-in-your-...
NIH In Your State - United For Medical Research
Select a state on the map to see the impact of NIH funding across America.
www.unitedformedicalresearch.org
January 23, 2025 at 3:55 AM
New piece looks at trend in PPO availability in individual and small group market.
www.rwjf.org/en/insights/...
Marketplace Pulse: Preferred Provider Organizations Remain Rare in the Individual Market
Adequate provider access is a fundamental aspect of health insurance, but many coverage markets fall short in delivering on this feature.
www.rwjf.org
January 22, 2025 at 8:31 PM
New data on baseline levels of treatment for obesity pre-GLP1s - TLDR - very low journals.lww.com/lww-medicalc...
Trends in Obesity Care Among US Adults, 2010–2021 : Medical Care
th obesity care from 2010 to 2021 in the United States. Research Design: This multiyear cross-sectional study was conducted using Medical Expenditure Panel Survey (MEPS) data, covering respondents ...
journals.lww.com
January 17, 2025 at 7:19 PM
Interesting turn of events as this plan goes off the rails.
www.beckershospitalreview.com/finance/bays...
Baystate's health plan sale collapses
Baystate Health's planned sale of insurance subsidiary Health New England to Point32Health falls through.
www.beckershospitalreview.com
January 17, 2025 at 5:04 PM
Interesting development as ND adds GLPs to list of EHBs...
www.beckerspayer.com/payer/the-fi...
The first state to cover Ozempic under the ACA
www.beckerspayer.com
January 8, 2025 at 6:47 PM
Exciting new project with NCOA just kicking off! Goal is to maximize take-up of benefits by older adults by highlighting best practices!
www.ncoa.org/article/brid...
NCOA Receives Funds to Create Best Practices for Benefits Enrollment
A one-year grant of $250,000 from the Robert Wood Johnson Foundation will fund a project to study what's going right in counties that have high benefits participation rates among older adults.
www.ncoa.org
January 7, 2025 at 8:12 PM
Nice piece on the rising dissatisfaction with our health care system in the wake of the recent killing. Calls to mind the HMO backlash as well as more historical attacks on excessive corporate power and lack of accountability. www.vanityfair.com/news/story/a...
Doctors Seethe Over Insurance Companies’ “Out of Control” Tactics
Nothing can justify the killing of UnitedHealthcare CEO Brian Thompson, but providers agree that America’s insurance system is off the rails. “I am kind of surprised this hasn’t happened earlier,” say...
www.vanityfair.com
December 17, 2024 at 12:43 PM
New report for Urban details significant financial consequences for providers if expanded PTCs are allowed to lapse. www.urban.org/research/pub...
Hospitals, Physicians, and Other Stakeholders Face Billions of Dollars in Uncompensated Care Costs and Lost Revenue if Enhanced ACA Tax Credits Expire
This brief focuses on the implications of allowing the enhanced PTCs to expire for providers by providing estimates on the projected reduction in revenue and increase in uncompensated care costs.
www.urban.org
December 13, 2024 at 6:12 PM