Melanie Evans
melanie-evans.bsky.social
Melanie Evans
@melanie-evans.bsky.social
Reporter/producer at Tradeoffs
Formerly Wall Street Journal, Modern Healthcare, Duluth News Tribune. Always covering health care.
Reposted by Melanie Evans
NEW: In March, the Trump administration announced a massive purge of workers at the nation's health agencies.

We asked them how many workers were laid off, pushed out or left.

They refused to give us numbers.

So we conducted our own analysis... 🧵

projects.propublica.org/federal-heal...
August 21, 2025 at 11:40 AM
Reposted by Melanie Evans
From today's @21st.show: what's going on with rural heathcare in Illinois and beyond, and what's next for rural hospitals, with Medicare and Medicaid cuts on the horizon?

We talk about it with @melanie-evans.bsky.social and leaders in Illinois rural healthcare.
What does the future hold for rural healthcare in Illinois amid federal policy changes and advanc...
YouTube video by Illinois Public Media
www.youtube.com
August 4, 2025 at 7:04 PM
Today’s @21st.show from @Illinois Public Media got into what’s next for rural hospitals under policies President Trump signed into law in July. I spoke about some of my @tradeoffs.org reporting on a panel w/ Tracy Warner, Vicki Weidenbacher-Hoper and Ted Rogalski.
will.illinois.edu/21stshow/sto...
What does the future hold for rural healthcare in Illinois amid federal policy changes and advancing technology? | Illinois Public Media
Rural hospitals have been struggling for decades. Hundreds have closed. Now, the One Big Beautiful Bill Act that President Trump signed into law last month is making substantial changes to Medicare an...
will.illinois.edu
August 4, 2025 at 6:53 PM
Trump’s Policies Could Undermine the Fight to End America’s HIV Epidemic - The administration this month froze at least $460 million for grants to local public health and nonprofits that were scheduled to start June 1 and proposed steep cuts to next year's spending. tradeoffs.org/2025/06/19/t...
Trump’s Policies Could Undermine the Fight to End America’s HIV Epidemic
The White House is asking Congress to sharply roll back federal spending on HIV prevention, a reversal from President Trump’s first term, when he championed investment to end the epidemic in America w...
tradeoffs.org
June 20, 2025 at 11:56 AM
Reposted by Melanie Evans
Talk about some timely research.

Here's the punchline: "Loss of drug subsidies after Medicaid disenrollment was associated with higher mortality among low-income Medicare beneficiaries."

www.nejm.org/doi/full/10....
May 14, 2025 at 9:07 PM
Our latest episode is out, looking at one option to cut federal health spending that has wide support. Except from hospitals. @tradeoffs.org tradeoffs.org/2025/03/27/b...
This Budget Cut Would Save Medicare Patients Money. But Can Rural Hospitals Afford It?
Medicare often pays clinics owned by hospitals at least double the amount it pays independent clinics for the exact same medical care. Ending that
tradeoffs.org
March 27, 2025 at 1:54 PM
Reposted by Melanie Evans
Last week, thousands of employees were fired from their positions in federal agencies and this week the House passed a budget bill.

Here's what our team is reading...
February 26, 2025 at 6:15 PM
President Trump issued an order on public health care prices, one of his signature policies. Trump is calling on agencies to make prices easier to use. What’s the issue? There are many. @tradeoffs.org talked to people who urgently want to use the data to save on care. tradeoffs.org/2024/12/19/t...
Trump Forced Hospitals and Insurers to Reveal Their Prices. What Happened?
A mandate to make health care prices public was one of President Trump’s signature health policies in his first term.
tradeoffs.org
February 26, 2025 at 8:03 PM
RFK Jr. has long criticized an influential committee of scientists who advise federal policymakers on who should get vaccines. I’ve got an article today for @tradeoffs.org that profiles the committee’s wide reach.

tradeoffs.org/2025/01/28/a...
The Powerful Vaccine Committee RFK Jr. Could Soon Control
If the Senate confirms Robert F. Kennedy Jr. to lead the Department of Health and Human Services, he would control a powerful group of federal vaccine advisors.
tradeoffs.org
January 28, 2025 at 3:39 PM
Reposted by Melanie Evans
@melanie-evans.bsky.social and @dgorenstein.bsky.social dig into the data to explain why greater price transparency hasn’t solved the challenge of helping consumers understand costs.
tradeoffs.org/2024/12/19/t...
Trump Forced Hospitals and Insurers to Reveal Their Prices. What Happened?
A mandate to make health care prices public was one of President Trump’s signature health policies in his first term. But forcing hospitals to publish prices hasn’t yet helped patients shop around for...
tradeoffs.org
December 20, 2024 at 3:16 PM