Mike Tchou, MD, MSc
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tchoumd.bsky.social
Mike Tchou, MD, MSc
@tchoumd.bsky.social
Pediatrician | hospitalist #PHMSky #HMSky | improving value and reducing healthcare costs | data & improvement science / #QI | #QILIFE | equity | environment & climate | #dadjokes | #Medsky | he/him
Reposted by Mike Tchou, MD, MSc
As reported out of the House E&C Committee, the reconciliation bill would cut the 90% #Medicaid expansion matching rate to 80% for any expansion state that uses its own funding to provide coverage to undocumented immigrants. 14 states + DC do so for kids and smaller number cover others (3/X)
May 19, 2025 at 9:41 PM
Reposted by Mike Tchou, MD, MSc
Under the "ICHIA" option enacted in 2009, states can provide #Medicaid and CHIP coverage to certain legal immigrant children and pregnant women. Most states have taken up this option - 38 states for kids and 32 states for pregnant women (2/X): www.kff.org/report-secti...
May 19, 2025 at 9:39 PM
Reposted by Mike Tchou, MD, MSc
Important not to overtest. There is no test for confirming pain.

Families don’t hear what they say, they are looking at our reaction. When we order more tests, we are sending the message that families should worry.

Diagnosis needs a good history & physical exam. Not everyone needs testing.
April 26, 2025 at 5:39 PM
April 18, 2025 at 7:08 PM
Still biking, walking, and yoging, but miss you all!
April 14, 2025 at 8:26 PM
That is amazing form for you both!
April 14, 2025 at 8:24 PM