We are grateful for support from @commonwealthfund.org and @rwjf.org.

cc @acinthedc.bsky.social @khemp.bsky.social @chpc-cornell.bsky.social

6/6

For more:

➡️ Publication in @jamahealthforum.com: jamanetwork.com/journals/jam...

➡️ Checklist and Related Resources: tafchecklist.org

➡️ Video Explainer: www.youtube.com/watch?v=27_t...

5/N

The Checklist represents a multi-year effort to develop best practices by a sub-committee of the Medicaid Data Learning Network (MDLN), hosted at @academyhealth.bsky.social.

We benefited from a ton of input across a broad cross-section of the Medicaid research community.

4/N

The TAF Checklist — akin to the STROBE checklist for observational research — recommends a series of items that should be reported in analyses using these data to ensure that TAF-derived research is both high quality and reproducible.

3/N

The advent of TAF in 2019 has done much to catalyze timely research on the Medicaid program.

Yet, the data are highly complex, with varying quality across data elements and states.

2/N

Check out our article in Health Affairs Forefront:
www.healthaffairs.org/content/fore...

Dig through individual responses (with comments) on the CHPC website:
healthpolicycenter.cornell.edu/chpc/surveys...

3/3

Every 5-6 weeks, the Cornell Health Policy Center (@chpc-cornell.bsky.social) will survey 64 leading health policy researchers on the most pressing health policy topics of the day.

To start: effects of Medicaid work requirements under the One Big Beautiful Bill Act.

2/N

Not great apples-to-apples estimates out there, but roughly my sense is rx is comparable, ED in Medicaid is higher, outpatient care in Medicaid is lower.

Link to Paper:

academic.oup.com/healthaffair...

6/6

cc @chpc-cornell.bsky.social

2. The OBBBA includes work requirement exemptions for certain groups, including folks who are "medically frail" or in treatment for SUD.

Our paper is an early proof-of-concept that states could use claims to automate exemptions (if allowed to do so in final regs).

5/N

➡️ We see two important implications:

1. Most expansion enrollees are actively receiving care. The coverage losses predicted under the OBBBA's work requirement will thus likely introduce discontinuities in care.

4/N

➡️ Key Finding 2: There was meaningful variation in health care use across states.

Rx use exhibited the largest variation across states, followed by outpatient visits, ED visits, and inpatient visits.

3/N

➡️ Key Finding 1: In 2022, over one-third of adult expansion enrollees had at least 1 diagnosed health condition.

One-quarter had an ED visit, while over 60% had outpatient visits and prescription drug fills.

2/N