Krutika Amin
krutika.bsky.social
Krutika Amin
@krutika.bsky.social
CCIIO/CMS/HHS. Health economics PhD. #healthpolicy #healthecon
"For too many Americans drugs are unaffordable... [and] having to ration life saving drugs." -
linakhanFTC w jonstewart: youtu.be/oaDTiWaYfcM?...

Fact check: Looking at #insulin, over 1 in 5 non-elderly adults (18-64 years) with private insurance rationed insulin due to cost.
April 8, 2024 at 9:10 PM
I'm sure you saw, but in case--these VCI hub use and costs estimates. HHS didn't disclose the exact tag, but could back match a little based on the # of state exchanges and state Medicaid/CHIP programs. My read is that most of the cost (except the federal admin part) is variable on the # of pings.
April 8, 2024 at 9:05 PM
At the time of @kff_org analysis, United Healthcare had 14% of the enrollment, and accounted for nearly a quarter of No Surprises Act federal disputes. healthsystemtracker.org/brief/indepe... #healthpolicy
April 7, 2024 at 2:31 PM
Relatedly to today's NYT on MultiPlan and $UHG nytimes.com/2024/04/07/u... (from Chris Hamby),
Multiplan and United Healthcare are among top 3 entities getting claims disputed through the federal No Surprises Act process:
healthsystemtracker.org/brief/indepe... #KFF
April 7, 2024 at 2:28 PM
Latest health sector job numbers in charts:
-Employment in hospitals and clinics now back to pre-COVID projections
-Home- and nursing care jobs have seen higher average wage increases
www.healthsystemtracker.org/chart-collec... #KFF #polisky #healthpolicy
March 28, 2024 at 3:06 PM
Biden Admin is concerned a lay consumer, searching the web for health insurance likely can't tell whether a health insurance plan will cover their pre-existing conditions or other major health events. See for example this ad--
March 28, 2024 at 2:38 PM
Biden Admin has finalized rule limiting short-term limited duration (STLD) plans to 4 months instead of up to 3-years.

#KFF estimate: 1.2M were buying non-ACA-compliant plans (like grandfathered and short-term plans) in mid-2022, down from 5.7M in mid-2015.
www.kff.org/affordable-c... #healthpolicy
March 28, 2024 at 2:34 PM
CMS released 2024 ACA Marketplace plan selections public use files. Total sign ups* tallied 21.4Million. From last year, sign ups with premium help increased by 4.9M and by about 140,000 without APTC.

*Thru end of open enrollment for
@healthcaregov.bsky.social & SBMs
www.kff.org/affordable-c...
March 27, 2024 at 3:30 PM
6/6 Nevada is one of the states experimenting with public option plans to address health care costs.
Compare premiums, enrollment, and other data points for NV vs national avg or other states with *KFF State Health Facts*: www.kff.org/affordable-c...
March 26, 2024 at 9:51 PM
5/ Commenters on Nevada’s 1332 application noted that reinsurance may not be an effective strategy to increase enrollment or lower premium payments.
For example, this comment from CBPP:
March 26, 2024 at 9:51 PM
4/ Not many arguments for Nevada’s 1332 application, that I saw at a quick glance.
CBPP did agree with the general goals of Nevada’s public option plan:
March 26, 2024 at 9:50 PM
3/ Arguments against Nevada’s application include those by health plans and others saying the cost targets and projections are too high.  
For example, Here are a couple comments
www.cms.gov/files/docume...
March 26, 2024 at 9:50 PM
CMS estimated projections of total health expenditures from 2010 and 2015 extended out through 2031 indicate that CMS now expects health spending to be $1.9T less than what CMS expected in 2010 and $800B less than 2015 projections. www.healthsystemtracker.org/chart-collec...
March 26, 2024 at 3:26 PM
With ACA individual market enrollment growth, is the market getting healthier? Maybe. Risk scores dropped -6% from 2022 to 2023, based on new 2023 interim data. We won't know how much of this is due to risk adjustment model changes until June 30th report.
www.cms.gov/files/docume... #healthpolicy
March 14, 2024 at 9:14 PM
What is the drinking game this SOTU?! And also what are you drinking? I'm ready #SOTU24 #SOTU2024
March 8, 2024 at 1:25 AM
Books I got through on my vacation and highly recommend!
(I suppose there are upsides to drowning your phone in the Arabian Sea 🌊😆)

Have you read any of these?
March 1, 2024 at 11:13 AM
I am speaking about the Implications of CMS Price Transparency Payer-Negotiated Rates Disclosure Requirements at the National Health Care Transparency & No Surprises Act Summit! Agenda and registration link: hctransparencysummit.com #healthpolicy
February 28, 2024 at 1:15 AM
And I can attest that the @KFF Wonk Shop podcast on prior authorization in health insurance made for a great listen while walking at 5am this morning.

Hi from the Arabian sea (that's a pre-sunrise moon)
February 26, 2024 at 5:37 AM
Share of adults with medical debt varies by state—HI & DC have the lowest rates; SD, MS, NC, WV & GA have the highest rates.

See state-level data here:
www.healthsystemtracker.org/brief/the-bu...
February 13, 2024 at 11:27 PM
Health care price transparency ad during the Super Bowl?!

TLDR on the topic 👇
For more see:
www.healthsystemtracker.org/archive/?_sf...
February 11, 2024 at 9:18 PM
Curious about 2024 ACA Marketplace sign ups thus far, by state? KFF.org has a handy table! 🩺📊

Top 3 states account for half of new sign ups:
Texas +880K
Florida +809K
Georgia +350K

3 states with >50% enrollment growth:
West Virginia +63%
Louisiana +63%
Ohio +52%

www.kff.org/policy-watch...
January 11, 2024 at 5:33 PM
Administrative lag in inflation flowing through to health insurance premiums, in 1 chart.

🩺📊📈See today's @KFF employer health coverage survey:
www.kff.org/health-costs...
October 18, 2023 at 4:55 PM
The U.S. has the lowest life expectancy among large, wealthy countries while it far outspends its peers on health care per capita.

Updated data on life expectancy in the U.S. compared to other countries through 2021:
🩺📊
www.healthsystemtracker.org/chart-collec...
October 12, 2023 at 9:38 PM
Health spending projections for 2031 are now $1.9 trillion less or 21% below what CMS expected a decade ago in 2010.

See charts on how health spending is expected to grow: www.healthsystemtracker.org/chart-collec... 🩺💸
October 11, 2023 at 9:50 PM
💊New charts on recent and future retail prescription drug trends.

CMS expects by 2030 out-of-pocket retail drug spend will be 🔽18.5% less than projected before, in part due to Inflation Reduction Act's Medicare drug provisions.

www.healthsystemtracker.org/chart-collec... #healthpolicy
September 15, 2023 at 5:27 PM