Here are the locations of the 11 states that have not expanded Medicaid under the Affordable Care Act.
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Larry Levitt
@larry_levitt
Executive Vice President for Health Policy, (Kaiser Family Foundation). Cal Bear. Also at: on Post and @larry_levitt@mastodon.online
Larry Levitt’s Tweets
🚨 New from , a look at the cost of an ED visit: Large employer plan enrollees’ emergency department visits cost $2,453, on average, with enrollees responsible for $646 in out-of-pocket costs
healthsystemtracker.org/brief/emergenc
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Emergency visits are expensive🚑
We find huge variation in costs by diagnosis, metro area, severity - with many exceeding the threshold that consumers can afford.
bit.ly/3hx92qa
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Can my account be suspended for tweeting about the 11 remaining states that have not expanded Medicaid to all low-income people under the Affordable Care Act?
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One of the more dangerous by-products of the #COVID19 pandemic - an increasing share of the public oppose school vaccination requirements for measles and other childhood illnesses. This has serious implications for public health. See our new poll.
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NEW: More than 4 in 10 Republicans – and a third of parents – now oppose schools requiring children to get vaccinated for measles & other childhood illnesses. That’s up since the COVID-19 pandemic began.
More in our latest Vaccine Monitor report: kff.org/coronavirus-co
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Know any students interested in working at on issues relating to health, fiscal and economic policy?
Applications are now open for the fiscal summer internship program.
Check it out:
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The increase in out-of-pocket spending in 2021 "was magnified by the fact that out-of-spending fell by 2.6% in 2020 when the pandemic was resulting in many fewer people getting medical care other than for COVID," said KFF's .
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In addition to significantly higher uninsured rates, Texas has a lower supply of health care providers per 100,000 as compared to the three other border states. Read the analysis here: kff.org/racial-equity-
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Texas – the only U.S.-Mexico border state of 4 total that has not expanded Medicaid under the ACA – has twice the uninsured rate among both its border county and non-border county nonelderly residents compared with California, Arizona, and New Mexico. kff.org/racial-equity-
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Out-of-pocket health costs spiked in 2021, driven by pent up demand for dental services, eyeglasses and medical supplies axios.com/2022/12/15/hea
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These tests are, of course, good for figuring out if you have COVID.
And, as importantly, they're also good for helping make sure you're not infectious with COVID before gathering with friends and family.
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NEW: It appears USPS is accepting orders for the next round of government-provided at-home Covid-19 tests:
special.usps.com/testkits
Households can order one set of four tests, which will be sent out starting the week of Dec. 19, 2022, according to USPS.
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less than half (45%) of all nursing facility residents and less than a quarter of staff (22%) are up to date with covid vaccinations. That is a sharp drop from the 87% of nursing facility residents & staff who completed their primary vaccination series.
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National health spending grew just 2.7% in 2021.
But, that masks a big decline in federal COVID relief spending.
Excluding federal public health spending, national health expenditures increased by 7.6%.
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Glad to see this come out! This comports with prior work with
We found that despite pandemic-related job losses, uninsurance went *down* in #Medicaid expansion states
Especially for non-white low-income households
journals.lww.com/lww-medicalcar
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NEW: After states expanded Medicaid, becoming unemployed was less of a risk factor for becoming uninsured. In 2020, workers who lost jobs in expansion states were 70% less likely to become uninsured vs those who became unemployed in non-expansion states. kff.org/medicaid/issue
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Interesting deal! Two nonprofit health plans, SCAN Group and CareOregon, are set to combine, creating a sizable new player in managed Medicare and Medicaid wsj.com/articles/nonpr via
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10 years after Sandy Hook, firearms deaths for children continue to increase with seven children per day dying by firearm in 2021.
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Bernie Sanders said on CNN “we have 85 million Americans who have no health insurance.” That number includes people who had a gap in coverage over the past year and people who had insurance but couldn’t afford care. bit.ly/3Ftr2JJ
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NEW: After states expanded Medicaid, becoming unemployed was less of a risk factor for becoming uninsured. In 2020, workers who lost jobs in expansion states were 70% less likely to become uninsured vs those who became unemployed in non-expansion states.
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Reminder: in year 1 of the pandemic, nursing homes accounted for >50% of US COVID deaths. The data regarding the protective value of booster doses for those >65yo is clear. The top thing we can do to prevent deaths is to ensure this high risk pop is boosted.
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“KFF finds that only 45% of nursing home residents and 22% of staff were up to date with their COVID-19 vaccines as of the Sunday before Thanksgiving.” kff.org/medicaid/issue
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NEW analysis finds only 45% of nursing home residents and 22% of staff are up to date with their COVID-19 vaccines. Wait what? Nursing home residents account for 1/5 of all COVID-19 deaths.
By
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NEW: Ahead of the #USAfricaLeadersSummit22 and #CPHIA2022, our latest analysis finds that is associated with improvements in the GDP growth rate and educational outcomes. (conducted w/researchers )
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Maybe we need to think about “value-based” health care in a different way.
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The United States spends far more per-person on health care than any other large wealthy country, yet its residents die an average of at least 4 years younger.
Our updated life-expectancy comparisons w/@PetersonCHealth tell the story: healthsystemtracker.org/chart-collecti
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The late Bill Russell’s No 6 now hanging just miles from his hometown of Oakland and in the city where he starred in college.
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As has noted, CMMI "could be used ... to restrain drug prices" (jamanetwork.com/journals/jama-)
That's something the administration is now doing through a recent EO:
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I am so thankful for the support of my husband @GrantWahl's soccer family & of so many friends who've reached out tonight.
I'm in complete shock. twitter.com/ussoccer/statu…
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I am so thankful for the support of my husband 's soccer family & of so many friends who've reached out tonight.
I'm in complete shock.
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Our hearts are literally broken tonight at the sudden death in Qatar of legendary soccer journalist and advocate for social justice Grant Wahl, husband of our wonderful KFF colleague Dr. Celine Gounder.
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Two releases this week highlight the coming commercialization of COVID as government funding runs dry.
A story from our newsroom on Paxlovid sticker shock: khn.org/news/article/p
An analysis of how the price of vaccines will skyrocket:
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Also a good idea: Use those home tests before gathering over the holidays.
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Do you have at-home #COVID19 tests that you think are expired?
Don’t throw those tests away just yet. Many at-home COVID-19 tests have expiration dates that have been extended!
Check to see if your at-home COVID-19 test has a new expiration date. fda.gov/medical-device
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"Covid-19 vaccines could cost billions more if federal government stops picking up the tab" cnn.com/2022/12/07/pol
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Given all of the advertising... not surprising.
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Replying to @emma_sandoe @charles_gaba and 4 others
Also, during this open enrollment period, we'll likely reach at least 50% of Medicare beneficiaries enrolled in private plans through Medicare Advantage.
Our public health coverage programs are increasingly delivered through private insurance.
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The Poop Oracle is having a seizure.
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This COVID wastewater data from the Bay Area region south of San Francisco is quite stunning.
I'm happy to be getting my booster this afternoon (after needing to wait for several months after a COVID infection).
covid19.sccgov.org/dashboard-wast
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The proof is in the wastewater. The surge is a thing.
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This COVID wastewater data from the Bay Area region south of San Francisco is quite stunning.
I'm happy to be getting my booster this afternoon (after needing to wait for several months after a COVID infection).
covid19.sccgov.org/dashboard-wast
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Latest CMS data show 5.4M including 1.2M new enrollees have signed up for #ACA #Marketplace coverage during open enrollment so far.
Total sign ups are 19% higher and new enrollees are up 28% from last year.
cms.gov/newsroom/fact-
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Americans may also be footing the bill for covid treatments in the near future. Soon, Paxlovid and other covid treatments won’t be free anymore. Experts say that will widen existing disparities in who’s getting the drug, KHN's reports: khn.org/news/article/p
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NEW: #COVID19 vaccines could cost billions of dollars more each year when the federal government runs out of funding to buy them in bulk.
The per-dose commercial price could be as much as 4 times what the federal government pays now: kff.org/coronavirus-co
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New: Our report on child coverage rates is out.
From 2019 to 2021 the child uninsured rate went down from 5.7% to 5.4%.
This good news reverses the trend of the Trump years when the child uninsured rate was going up.
Full report here: bit.ly/3iyBOGT
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New: Without more money, COVID vaccination will soon be commercialized (like the rest of health care). Based on announcements from Pfizer and Moderna, the prices for vaccines will be 3 to 4 times higher than what the federal government negotiated.
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This COVID wastewater data from the Bay Area region south of San Francisco is quite stunning.
I'm happy to be getting my booster this afternoon (after needing to wait for several months after a COVID infection).
covid19.sccgov.org/dashboard-wast
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NEW: Our analysis of what it could cost to buy #COVID19 vaccines in the commercial market once the federal supply runs out? Billions. & more to buy vaccines for 50% of adults than for the feds to buy for everyone. w/
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The US government bought 1.2 billion doses of Pfizer and Moderna vaccines at an average price of $21 per dose.
Pfizer says it now expects commercial prices for its vaccine to be $110 to $130 per dose. Moderna suggests a somewhat lower $82 to $100 per dose. kff.org/coronavirus-co
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