The Marvelous Ms. Medicaid
@msmedicaid.bsky.social
Medicaid advocate.
Nemesis to commercial insurers.
Nemesis to commercial insurers.
Pinned
Hi there guys and dolls!
Please allow me to introduce myself- The Marvelous Ms. Medicaid.
Here with the goal of helping you understand how the fuck Medicaid works, what cuts mean, how to understand insurance talk & to kick some MAHA ass.
We’ve got work to do buttercups, shall we get started?
Please allow me to introduce myself- The Marvelous Ms. Medicaid.
Here with the goal of helping you understand how the fuck Medicaid works, what cuts mean, how to understand insurance talk & to kick some MAHA ass.
We’ve got work to do buttercups, shall we get started?
Reposted by The Marvelous Ms. Medicaid
I’m going to rant and rave A LOT about how there are (almost certainly) going to be major cuts to state provided HCBS.
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
November 11, 2025 at 12:32 AM
I’m going to rant and rave A LOT about how there are (almost certainly) going to be major cuts to state provided HCBS.
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
Reposted by The Marvelous Ms. Medicaid
HR1 established a Rural Fund to try and offset the losses that will be caused from Republicans decimating #Medicaid.
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
State Awards From Most of the Rural Health Fund Could Vary Only Modestly Despite Large Differences in Rural Needs | KFF
This brief provides estimates of how $37.5 billion of the $50 billion rural health fund could be distributed across states if all states are approved for funding. Awards from the $37.5 billion could r...
www.kff.org
November 10, 2025 at 11:59 PM
HR1 established a Rural Fund to try and offset the losses that will be caused from Republicans decimating #Medicaid.
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
I’m going to rant and rave A LOT about how there are (almost certainly) going to be major cuts to state provided HCBS.
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
November 11, 2025 at 12:32 AM
I’m going to rant and rave A LOT about how there are (almost certainly) going to be major cuts to state provided HCBS.
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
(Home and Community Based Services, separate from mandated Long Term Services/Supports)
Why not give ya a quick breakdown of what some of those community focused programs are!?
HR1 established a Rural Fund to try and offset the losses that will be caused from Republicans decimating #Medicaid.
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
State Awards From Most of the Rural Health Fund Could Vary Only Modestly Despite Large Differences in Rural Needs | KFF
This brief provides estimates of how $37.5 billion of the $50 billion rural health fund could be distributed across states if all states are approved for funding. Awards from the $37.5 billion could r...
www.kff.org
November 10, 2025 at 11:59 PM
HR1 established a Rural Fund to try and offset the losses that will be caused from Republicans decimating #Medicaid.
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
KFF has a FANTASTIC break down of how that $50Bil. will (potentially) be allocated.
They built us up, Buttercups.
Here’s a brief account as to why:
www.kff.org/state-health...
I’m tired, buttercups.
So damn tired.
So damn tired.
November 10, 2025 at 8:52 PM
I’m tired, buttercups.
So damn tired.
So damn tired.
Reposted by The Marvelous Ms. Medicaid
So while MCD/ACA are predictable, they aren’t profitable.
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
a woman in a sequined dress is standing in front of a door and says but hey
Alt: a woman in a sequined dress is standing in front of a door and says but hey
media.tenor.com
November 9, 2025 at 8:00 PM
So while MCD/ACA are predictable, they aren’t profitable.
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
Reposted by The Marvelous Ms. Medicaid
It’s so much more than premiums that the democrats just caved on 💔
these services. But Medicaid DOES. And so does the ACA. ACA gave states increased funding in order to expand their HCBS services (I’ll do a thread on HCBS to highlight these services) including LTSS.
While ACA payers aren’t directly responsible for these costs, without the ACA, HCBS programs would
While ACA payers aren’t directly responsible for these costs, without the ACA, HCBS programs would
a group of people with disabilities holding signs that say disability rights are civil rights
Alt: a group of people with disabilities holding signs that say disability rights are civil rights
media.tenor.com
November 10, 2025 at 2:21 AM
It’s so much more than premiums that the democrats just caved on 💔
Reposted by The Marvelous Ms. Medicaid
Hey folks with commercial/private policies who think it doesn’t matter if ACA dies..
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
November 10, 2025 at 2:37 AM
Hey folks with commercial/private policies who think it doesn’t matter if ACA dies..
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
HOLD THE FUCKING LINE.
We want this #shutdown to end as much as anyone, but giving in to promises of a future vote on ACA subsidies is weak sauce. The House pen won’t even allow it and we can do this shutdown dance again in January. 😩
Senators, don’t make all this pain for nothing. Be bold. HOLD. THE. LINE.
More here:
Senators, don’t make all this pain for nothing. Be bold. HOLD. THE. LINE.
More here:
November 10, 2025 at 3:51 PM
HOLD THE FUCKING LINE.
Heya pals!
It's a (not so) Marvelous #MedicaidMonday and I was talking to my buddy @altstategov.altgov.info and, folks, well to be quite blunt, we're pretty pissed off at @democrats.senate.gov caving last night.
For today's #Medicaid Monday, let's talk about some of the OTHER parts of the ACA
It's a (not so) Marvelous #MedicaidMonday and I was talking to my buddy @altstategov.altgov.info and, folks, well to be quite blunt, we're pretty pissed off at @democrats.senate.gov caving last night.
For today's #Medicaid Monday, let's talk about some of the OTHER parts of the ACA
a cartoon of a monkey sitting in an office chair holding a cup of coffee with the words happy monday below it
Alt: a cartoon of a monkey sitting in an office chair holding a cup of coffee with the words happy monday below it
media.tenor.com
November 10, 2025 at 2:38 PM
Heya pals!
It's a (not so) Marvelous #MedicaidMonday and I was talking to my buddy @altstategov.altgov.info and, folks, well to be quite blunt, we're pretty pissed off at @democrats.senate.gov caving last night.
For today's #Medicaid Monday, let's talk about some of the OTHER parts of the ACA
It's a (not so) Marvelous #MedicaidMonday and I was talking to my buddy @altstategov.altgov.info and, folks, well to be quite blunt, we're pretty pissed off at @democrats.senate.gov caving last night.
For today's #Medicaid Monday, let's talk about some of the OTHER parts of the ACA
Hey folks with commercial/private policies who think it doesn’t matter if ACA dies..
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
November 10, 2025 at 2:37 AM
Hey folks with commercial/private policies who think it doesn’t matter if ACA dies..
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
Your premiums are about to sky rocket too….
The GOP lies worse than my narcissistic ex did baby dolls. We are ALL going to feel this financially.
It’s so much more than premiums that the democrats just caved on 💔
these services. But Medicaid DOES. And so does the ACA. ACA gave states increased funding in order to expand their HCBS services (I’ll do a thread on HCBS to highlight these services) including LTSS.
While ACA payers aren’t directly responsible for these costs, without the ACA, HCBS programs would
While ACA payers aren’t directly responsible for these costs, without the ACA, HCBS programs would
a group of people with disabilities holding signs that say disability rights are civil rights
Alt: a group of people with disabilities holding signs that say disability rights are civil rights
media.tenor.com
November 10, 2025 at 2:21 AM
It’s so much more than premiums that the democrats just caved on 💔
Reposted by The Marvelous Ms. Medicaid
Almost every major player in the insurance game also act as an MCO for Medicaid and a marketplace payer.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
a man in a suit and tie says you gotta pump those numbers up
Alt: a man in a suit and tie says you gotta pump those numbers up
media.tenor.com
November 9, 2025 at 8:00 PM
Almost every major player in the insurance game also act as an MCO for Medicaid and a marketplace payer.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
Curious as to how much more you’ll pay if @democrats.senate.gov decide your health isn’t worth fighting for?
Check out this calculator tool that shows what your ACA premiums will look like if @schumer.senate.gov and the Dems cave:
www.kff.org/interactive/...
Check out this calculator tool that shows what your ACA premiums will look like if @schumer.senate.gov and the Dems cave:
www.kff.org/interactive/...
Calculator: ACA Enhanced Premium Tax Credit
The ACA’s enhanced premium tax credits are set to expire at the end of 2025. This calculator estimates how much out-of-pocket premiums would increase for families if Congress does not extend the credi...
www.kff.org
November 10, 2025 at 12:21 AM
Curious as to how much more you’ll pay if @democrats.senate.gov decide your health isn’t worth fighting for?
Check out this calculator tool that shows what your ACA premiums will look like if @schumer.senate.gov and the Dems cave:
www.kff.org/interactive/...
Check out this calculator tool that shows what your ACA premiums will look like if @schumer.senate.gov and the Dems cave:
www.kff.org/interactive/...
Reposted by The Marvelous Ms. Medicaid
Heya dollfaces..
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Trump Renews Attacks on Obamacare in New Push Over Government Shutdown
www.nytimes.com
November 9, 2025 at 8:00 PM
Heya dollfaces..
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Heya dollfaces..
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Trump Renews Attacks on Obamacare in New Push Over Government Shutdown
www.nytimes.com
November 9, 2025 at 8:00 PM
Heya dollfaces..
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Reposted by The Marvelous Ms. Medicaid
Medicaid stepped in when Medicare wouldn't/couldn't, and covered a $15,000 surgery of mine. Y'all keepin' us alive lol
November 8, 2025 at 5:25 PM
Medicaid stepped in when Medicare wouldn't/couldn't, and covered a $15,000 surgery of mine. Y'all keepin' us alive lol
Good Morning beautiful people!
I’ll be frank( Ha- No, I’ll be Ms. Medicaid!) I am not feeling like the world’s best delight today, silly colds…
That said, I’ll see what fun new facts I can come up with this weekend.
Or bad jokes…
Probably the latter… 😌
Happy Saturday!!!
I’ll be frank( Ha- No, I’ll be Ms. Medicaid!) I am not feeling like the world’s best delight today, silly colds…
That said, I’ll see what fun new facts I can come up with this weekend.
Or bad jokes…
Probably the latter… 😌
Happy Saturday!!!
November 8, 2025 at 4:26 PM
Good Morning beautiful people!
I’ll be frank( Ha- No, I’ll be Ms. Medicaid!) I am not feeling like the world’s best delight today, silly colds…
That said, I’ll see what fun new facts I can come up with this weekend.
Or bad jokes…
Probably the latter… 😌
Happy Saturday!!!
I’ll be frank( Ha- No, I’ll be Ms. Medicaid!) I am not feeling like the world’s best delight today, silly colds…
That said, I’ll see what fun new facts I can come up with this weekend.
Or bad jokes…
Probably the latter… 😌
Happy Saturday!!!
Reposted by The Marvelous Ms. Medicaid
KFF has an excellent article that highlights 8 things to watch for during open enrollment. KFF really is THE BEST for health policy.
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
8 Things to Watch for the 2026 ACA Open Enrollment Period | KFF
The ACA Marketplace Open Enrollment season begins November 1, and with it comes looming changes to the enhanced premium tax credits, increases in out-of-pocket premium payments, new Marketplace eligib...
www.kff.org
November 7, 2025 at 5:17 PM
KFF has an excellent article that highlights 8 things to watch for during open enrollment. KFF really is THE BEST for health policy.
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
KFF has an excellent article that highlights 8 things to watch for during open enrollment. KFF really is THE BEST for health policy.
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
8 Things to Watch for the 2026 ACA Open Enrollment Period | KFF
The ACA Marketplace Open Enrollment season begins November 1, and with it comes looming changes to the enhanced premium tax credits, increases in out-of-pocket premium payments, new Marketplace eligib...
www.kff.org
November 7, 2025 at 5:17 PM
KFF has an excellent article that highlights 8 things to watch for during open enrollment. KFF really is THE BEST for health policy.
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
I'd love to highlight a few, but you should TOTES read this article dollfaces😃
Let me show you why republicans really DO hate Americans.
www.kff.org/affordable-c...
Well hidy ho, Daddy-Os!
It’s Open Enrollment time!! I think for today’s Friday Focus, we should talk about the ACA marketplace! And what changes are coming and WHY, I’m telling ya Dollys, why it is SO critical that the premium tax credits are extended.
Can ya dig it?
www.healthcare.gov
It’s Open Enrollment time!! I think for today’s Friday Focus, we should talk about the ACA marketplace! And what changes are coming and WHY, I’m telling ya Dollys, why it is SO critical that the premium tax credits are extended.
Can ya dig it?
www.healthcare.gov
Welcome to the Health Insurance Marketplace®
Welcome to the Health Insurance Marketplace®. Official government website.
www.healthcare.gov
November 7, 2025 at 2:14 PM
Well hidy ho, Daddy-Os!
It’s Open Enrollment time!! I think for today’s Friday Focus, we should talk about the ACA marketplace! And what changes are coming and WHY, I’m telling ya Dollys, why it is SO critical that the premium tax credits are extended.
Can ya dig it?
www.healthcare.gov
It’s Open Enrollment time!! I think for today’s Friday Focus, we should talk about the ACA marketplace! And what changes are coming and WHY, I’m telling ya Dollys, why it is SO critical that the premium tax credits are extended.
Can ya dig it?
www.healthcare.gov
Reposted by The Marvelous Ms. Medicaid
Haven't done one in a while. Anyone up for an #AlteredState AMA in about 30 minutes?
Ask me anything about anything.
Ask me anything about anything.
November 7, 2025 at 2:46 AM
Haven't done one in a while. Anyone up for an #AlteredState AMA in about 30 minutes?
Ask me anything about anything.
Ask me anything about anything.
Reposted by The Marvelous Ms. Medicaid
"Similarly, limited staff capacity could cause spillover effects and result in less timely eligibility determinations for enrollees not subject to work requirements."
As someone who works directly with #medicaid funded programs, let's look at why that quote is important
www.kff.org/medicaid/cha...
As someone who works directly with #medicaid funded programs, let's look at why that quote is important
www.kff.org/medicaid/cha...
Challenges with Implementing Work Requirements: Findings from a Survey of State Medicaid Programs | KFF
To better understand how states are preparing for Medicaid work requirements, states were asked to discuss anticipated challenges to implementing work requirements by the end of 2026, including relate...
www.kff.org
November 3, 2025 at 2:08 PM
"Similarly, limited staff capacity could cause spillover effects and result in less timely eligibility determinations for enrollees not subject to work requirements."
As someone who works directly with #medicaid funded programs, let's look at why that quote is important
www.kff.org/medicaid/cha...
As someone who works directly with #medicaid funded programs, let's look at why that quote is important
www.kff.org/medicaid/cha...
Reposted by The Marvelous Ms. Medicaid
Can't say it enough. My parents have Medicare. I have Medicaid. We don't want Medicare for all, we want Medicaid for all. And if Medicaid for all is too low-falutin for you, go buy private insurance supplements, they'll be happy to take your money and give you less than nothing in return.
November 6, 2025 at 9:31 PM
Can't say it enough. My parents have Medicare. I have Medicaid. We don't want Medicare for all, we want Medicaid for all. And if Medicaid for all is too low-falutin for you, go buy private insurance supplements, they'll be happy to take your money and give you less than nothing in return.
Reposted by The Marvelous Ms. Medicaid
KFF has released a calculator tool that helps show people how much more they are going to pay if Republicans refuse to extend the ACA premium tax credits.
#Obamacare #Medicaid #altgov
www.kff.org/interactive/...
#Obamacare #Medicaid #altgov
www.kff.org/interactive/...
Calculator: ACA Enhanced Premium Tax Credit
The ACA’s enhanced premium tax credits are set to expire at the end of 2025. This calculator estimates how much out-of-pocket premiums would increase for families if Congress does not extend the credi...
www.kff.org
November 3, 2025 at 2:21 PM
KFF has released a calculator tool that helps show people how much more they are going to pay if Republicans refuse to extend the ACA premium tax credits.
#Obamacare #Medicaid #altgov
www.kff.org/interactive/...
#Obamacare #Medicaid #altgov
www.kff.org/interactive/...