Rachel Werner
rachelwerner.bsky.social
Rachel Werner
@rachelwerner.bsky.social
General internist, health economist.
Executive Director of @PennLDI.bsky.social
Reposted by Rachel Werner
How do you devastate an already-fragile system? Target its workers AND its funding.

In our @statnews.com op-ed, @rachelwerner.bsky.social and I explore how immigration enforcement & Medicaid cuts will impact millions who depend on long-term care—and what we can do.

www.statnews.com/2025/05/30/l...
Long-term care in the U.S. faces two existential threats: an immigration crackdown and Medicaid cuts
The combined impacts of an immigration crackdown and slashing Medicaid budgets could create an exodus of long-term care workers.
www.statnews.com
May 30, 2025 at 1:41 PM
Reposted by Rachel Werner
@rachelwerner.bsky.social and Norma Coe laying out the evidence. "...we know how crucial nursing home staff members are—and why efforts to roll back the new minimum staffing rules pose such a threat to the residents and their families who rely on these staffers."
www.nytimes.com/2025/02/07/o...
Opinion | Nursing Homes Owe More to Their Residents
New rules requiring increased staffing and care are under attack.
www.nytimes.com
February 7, 2025 at 1:09 PM
Last year CMS increased nursing home staffing minimums in nursing homes, a major step toward protecting nursing home residents. Norma Coe and I estimate this will save 13,000 lives every year. This regulation is now under threat of repeal.

www.nytimes.com/2025/02/07/o...
Opinion | Nursing Homes Owe More to Their Residents
New rules requiring increased staffing and care are under attack.
www.nytimes.com
February 7, 2025 at 12:16 PM
Reposted by Rachel Werner
NEWS: Penn LDI and Wharton are thrilled to announce a historic $3.5 million gift from the Leonard & Sophie Davis Fund to support the Summer Undergraduate Mentored Research Program and LDI programs focused on expanding insurance and health care access.
ldi.upenn.edu/our-work/res...
January 28, 2025 at 2:26 PM
Reposted by Rachel Werner
⬆️Join us on Friday, 12/6 for a virtual seminar where we'll discuss recommendations in the Policy Brief. Register: ldi.upenn.edu/events/integ...
#Medsky

#DuallyEligible
CC:
@aishaadkins.bsky.social @matthewbehrens.bsky.social @rachelwerner.bsky.social
Integrating Care for Dually Eligible Beneficiaries
A panel of experts reviews policy options for meaningful change toward care that truly focuses on the needs of people with both Medicare and Medicaid.
ldi.upenn.edu
November 26, 2024 at 11:51 PM
Reposted by Rachel Werner
Two critically important research articles related to this.

One third (!!!!) of the home health and personal care aide workforce is foreign-born.

amandakreider.github.io/in-progress/... (from @amandakreider.bsky.social)

www.nber.org/papers/w30960
Immigration, The Long-Term Care Workforce, and Elder Outcomes in the U.S.
Founded in 1920, the NBER is a private, non-profit, non-partisan organization dedicated to conducting economic research and to disseminating research findings among academics, public policy makers, an...
www.nber.org
November 25, 2024 at 7:57 PM
Reposted by Rachel Werner
As the baby boom generation enters its prime years for long-term care needs, its difficult to come up with a more challenging backdrop than an immigration system about to be cut off at its knees (think: nursing home aides) and states having to fill in funding gaps from Medicaid spending shortfalls.
As press reports continue to highlight the debate within GOP Congressional leaders as to whether they should block grant Medicaid to pay for their tax cuts, it is worth highlighting that there are 11.7 million seniors/PWD on Medicare + Medicare.
The so-called "Dual-eligibles".
November 25, 2024 at 7:33 PM
Over a year ago, the prescient @dusetzinas.bsky.social sent me an invite code to join her here. I signed up but never logged in. Now, finally, I’m here! And @pennldi.bsky.social came along!
November 21, 2024 at 7:27 PM