Discover and read the best of Twitter Threads about #Medicaid

Most recents (24)

Provider groups decry ‘chronic underfunding’ as @CMSGov introduces HCBS quality measures.
mcknightsseniorliving.com/home/news/prov…
@Argentum @LeadingAge
“Longstanding, chronic underfunding of HCBS in our country, and the resulting workforce shortages — exacerbated by the pandemic — mean millions of older adults and families’ requests for care are going unfilled." — @LeadingAge mcknightsseniorliving.com/home/news/prov…
“More support ... is critical. Because without staff, there is no care.” — @LeadingAge mcknightsseniorliving.com/home/news/prov…
Read 7 tweets
🔥A must-read: ⁦@oncologyCOA⁩ report on #PBMs

Some takeaways:

“…PBMs make up an oligopoly of rich, vertically integrated conglomerates that routinely prey on health care practices, providers, and their patients.”
2/ “PBMs have done this by overwhelmingly abusing their responsibility to protect Americans from this country’s drug pricing crisis, instead exploiting the opacity throughout the nation’s drug supply chain to enrich themselves.”
3/ “[The report] explores how the recent levels of consolidation among PBMs and health insurers is adversely impacting #cancer care, fueling drug costs, all while allowing for massive profits for #PBMs and health insurance companies.”
Read 6 tweets
It's no coincidence that the states eager to keep women from controlling their own reproduction also refuse to care for those women or their children.
Compare the states ready to ban abortion with a map of states that refused to expand #Medicaid.
The maps are overly simplistic in showing states' expansions of #Medicaid, and this thread will explain some of what's complicated.

In essence, many states led by #Republicans didn't want to expand a program that helps pregnant women, kids, and the frail elderly. Voters did.
Let's take those anti-abortion states that "have expanded Medicaid" in alphabetical order.

So, first, Arkansas.

#Arkansas led the way in requiring people on #Medicaid to work. Their unique plan also disenrolled people who didn't meet the work requirement.
Read 17 tweets
Thread 🧵: Reflections of a Parent/Caregiver After Six Years Implementation of CDC Guidelines (warning long but I am very interested in feedback)

Since babies, my kids, have intimately known #pain. At one time their #pain was intermittent & #acute. Sadly, they now struggle 1/
#chronicpain & are young adults. Our kids 1st 13/16 years of life, our family had a #safetynet, their #pediatrician. He was highly intelligent, compassionate, he challenged the system & in the most authentic sense #partnered with families. #Pain was not a major concern when 2/
the kids were under his care. The nature of their disease often brought us to the ER & hospitalizations. The hospitalizations resulted due to inability to manage #pain, dehydration, & other issues caused by a flare in their #disease. My husband & I attempted to minimize the 3/
Read 45 tweets
And others.

"Need to effectively utilize #CNMs has never been greater," says Kohl from midwife.org

Finding a supervising provider may prove difficult.
Body of evidence has consistently shown that although these barriers do not improve care.
Kohl:
"Time to follow the economics and evidence and remove supervision of practice"

Notes that team based care is the "future of #healthcare in the US"
Read 56 tweets
In the #nc Senate primary I will be voting in later this spring, #medicaid expansion is already a hot topic. As a result, I decided to look into what has happened since 2010 when it comes to expanding Medicaid in NC. This thread is what I’ve found. #ncpol #faync
In 2013 SB4 passed and was signed into law by former Gov @PatMcCroryNC. The heading states “AN ACT… (3) TO REJECT THE AFFORDABLE CARE ACT'S OPTIONAL MEDICAID EXPANSION.” You can read this law at ncleg.gov/BillLookUp/201…
Ironically, one thing SB4 did was repeal Section 49 of Session Law 2011-145 (ncleg.gov/BillLookUp/201…) when the intent was laid to set up a state exchange as Patient Protection Affordable Care Act allows.
Read 35 tweets
#medicaid presentation. We've had budget surpluses for years. Any issues could be covered.
"This is a year unlike any other in the 50 year history"
convergence of new managed care program and pandemic uncertainty.
Pandemic has increased costs for providers, the program
The good news is that the bump up in #Covid_19 spending has continued longer than we expected. Even tho there are more beneficiaries, there's more federal $$ flowing into program. Projected higher budget, but @ncdhhs had difficulty projecting by how much
Highlights of #Medicaid budget: Expanded coverage for post-partum, more waiver slots, new $$$ for home and community block grants, funding for child services reorganization, then there's IT costs. Lots going on for @ncdhhs
Read 19 tweets
Thread: Policymakers need to find a path to a compromise #BuildBackBetter bill that makes significant progress toward more broadly shared prosperity, is based in evidence, and can pass.

See new @CenteronBudget analysis: cbpp.org/research/pover…
Economic insecurity was widespread even prior to the pandemic. 1 in 4 households couldn’t afford adequate food, shelter, or utilities at some point between 2014-2016.
Insecurity went well beyond households that had incomes below the #poverty line. Many middle-income households couldn’t pay their bills in at least one year, sometimes because their incomes fell or costs rose.
Read 8 tweets
FLASH
#SCOTUS hands down its ruling on #Biden admin #COVID19 safety mandates, and it's classic anti-Federalist "law" that could open the floodgates on all public health efforts. The majority of Justices ruled that Biden can mandate #vaccination and/or masking in...
MORE
2/ healthcare facilities that receive fedl $ (#Medicare & #Medicaid), BUT can NOT issue mandates in the private sector. Specifically, #SCOTUS blocked #Biden reg that employers w/100+ workers require either 💉 or 😷 of all staff.
Majority opinion:
“Although #Congress ..."
MORE
3/
"...has indisputably given #OSHA the power to regulate occupational dangers, it has not given that agency the power to regulate public health more broadly. Requiring the #vaccination of 84M Americans, selected simply because they work for employers with more..."
MORE
Read 6 tweets
This 👇🏽👇🏿👇🏻 This is why #BLM exists & why “implicit bias” is not only real but it kills

Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system

Follow #BlackTwitter
Above #MedEd #TikTok improvement: #citeblackwomen who lead this work (not only utilized the savior mindset of Black & brown as victims) #Blackexcellence @citeblackwomen center Black women
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Take #sharethemic initiative. It allowed #Blackexcellence to speak thru #influencer accounts to large followings for a day. I looked at before/after numbers, it did NOT drive any additional traffic to the actual accounts of those voices. Resurfacing this:

https://t.co/VZ26WWNxRP
Read 45 tweets
The story of the #BuildBackBetter has yet to be written. Let’s examine the 50 Republican US Senators who are voting against lifting children out of poverty, education,elder care, affordable prescription drugs, child care & family leave? What does this mean for YOUR STATE? Image
#ALABAMA Sen. Richard Shelby is voting against the #ChildTaxCredit “The Center on Budget &Policy Priorities found making the program permanent would benefit 93% of #AL children,lift 162,000 #AL children above/closer to poverty line & benefit 480,000 #AL children under 17. Image
#ALABAMA Sen. Tommy Tuberville has offered you no solutions; he has admitted that he “wouldn’t have a clue” how to address the current pandemic and recently told people that $600 per week in federal unemployment benefits was just “too much.” al.com/news/2021/12/a… Image
Read 46 tweets
1/ It wasn't a conspiracy theory, it was a #CrimeAgainstHumanity...and it came from Florida. 🧵

The GOP started lying about COVID when Trump called it a "hoax". THAT lie has cost hundreds of thousands of American🇺🇲 lives. It also made them and their friends billions $$.

#Facts
2/ Trump said it was a hoax on Feb 27, 2020. Community transmission was being confirmed in multiple cities in the US. Around the world, case numbers were increasing exponentially everywhere one was found, and economic disruptions began roiling global financial markets.

#Covid19
3/ Four Republican Senators on the U.S. Senate Intelligence Committee who knew how bad the virus was, sold their stocks ahead of a market collapse which saw equity valuations plunge up to 40% worldwide in a matter of weeks.

#HoldThemAccountable
fortune.com/2020/03/20/sen…
Read 26 tweets
EXCLUSIVE: In letters obtained by the @TexasObserver, #Texas Democratic legislators are asking the Biden Administration reinstate #PlannedParenthood as a #Medicaid provider, especially amid the impact of #abortion ban #SB8.
texasobserver.org/texas-legislat…
#txlege
TX House and Senate Dems write that the termination of Planned Parenthood from the Medicaid program places Texas in “direct conflict” with federal free choice of provider law and request President Biden/Health and Human Services Sec. Xavier Becerra reinstate the repro provider
After a five-year court battle based on discredited anti-choice "sting" videos, Texas officials kicked Planned Parenthood out of the Medicaid program this February leaving 8,000 low-income patients scrambling for basic care amid a global pandemic
rewirenewsgroup.com/article/2021/0…
Read 6 tweets
🧵Florida House of Representatives @AngieNixon believes in the need for affordable housing and providing quality day care for families, as well as expanding #Medicaid accessibility to provide affordable, quality health care to nearly a million Floridians. (1/3)
@DemWomenCUP
For this reason, the Democrat says it frustrates her that the Republican-led state is not using federal funds to address needs that could make a huge difference in the quality of life for working people and families. (2/3)
@DemWomenCaucus
“We need to make our family members and neighbors know that the reason we are hurting and we have the affordable housing crisis is because of who is in office, making the decisions,” she told Floricua.
To read the full interview subscribe👇🏼 bit.ly/30Aijku (3/3)
Read 3 tweets
Congress is currently debating the contents of a large social spending bill that would, among other things, help millions of people gain access to health insurance. This thread explains why making these changes is important for the health of millions of people.
Two of the changes under consideration would make the premium subsidies in the American Rescue Plan Act (ARPA) permanent and provide poor people in the 12 states that haven’t expanded #Medicaid access to subsidized marketplace coverage.
Recent U.S. Census data show that nearly 4 of 10 poor adults living in Medicaid nonexpansion states are uninsured, more than twice the rate of those in states that have expanded Medicaid. Moreover this gap is growing as more people in nonexpansion states become uninsured.
Read 11 tweets
🧵A group of Democrats, led by the Senate Majority Leader Charles Schumer @SenSchumer, joined the Hispanic Federation's call to give equal treatment to Puerto Rico. (1/4) @HispanicFed
Puerto Rico must have equal access to social programs such as #Medicaid, Supplemental Security Income (SSI), and food assistance, Schumer said. (2/4)
@misionboricua
“We must invest in Puerto Rico,” Schumer said at a news conference in Washington on Monday, four years to the day since #HurricaneMaria destroyed the island. (3/4) @casapuebloorg
Read 4 tweets
A few issues with the @EnergyCommerce "Build Back Better Act" provisions relating to states that rejected #ObamaCare's #MedicaidExpansion.

Based on a summary by @CenterOnBudget's @JudyCBPP: cbpp.org/research/healt….

🧵
1. Rewards Republican states for rejecting #ObamaCare.

It would authorize Exchange subsidies for people below the poverty line--but only in states that rejected the #ACA's #Medicaid expansion.

That gives GOP states a better deal than Democratic states that embraced #ObamaCare.
2. Costs more than expanding Medicaid.

Taxpayers in Democratic states would end up paying more to cover those 2 million people because:

- "private" #ObamaCare plans spend more per person than Medicaid

- governments in non-expansion states wouldn't have to contribute anything
Read 28 tweets
Today, @EnergyCommerce is considering the #BuildBackBetter Act, legislation that makes historic investments in #maternalhealth including some of @ACOG’s top priorities and #CLC asks. @ACOG enthusiastically supports the following policies within the bill. 1/
The legislation includes @RepRobinKelly #MOMMAsAct mandate that states extend postpartum #Medicaid coverage to 1 year after the end of pregnancy, as recommended by @ACOG & other maternal health experts. The data are clear that this policy will improve outcomes & save lives. 2 /
This means that every indiv. who relies on Medicaid for pregnancy-related care will have coverage in the critical postpartum period to see their primary care clinicians & be referred to specialists, incl. for cardiac & mental health, as needed to address their health concerns. 3/
Read 7 tweets
What would happen if the US made the enhanced premium subsidies in the American Rescue Plan Act permanent and extended the marketplace subsidies that fill the #Medicaid “coverage gap” in 12 states?
A thread.
According to a new analysis from @UrbanInstitute and @CommonwealthFnd, adopting these #healthinsurance reforms would reduce the number of people without insurance by nearly one-quarter in 2022 – falling by 7 million, from 30.3 million to 23.3 million
Adopting these reforms could improve the lives of 5.8 million uninsured adults living in the 12 nonexpansion states who have incomes too high for #Medicaid but not high enough to qualify for marketplace premium subsidies.
Read 8 tweets
Thread: Congress has a tremendous opportunity to reduce food hardship for low-income school kids by enacting the bill released by the @EdLaborCmte today for the economic recovery legislation. It would invest nearly $35b to make enormous strides forward. edlabor.house.gov/imo/media/doc/…
First, some context: Households with children are more likely to experience food insecurity than those without children. In 2020, about 1 in 7 (14.8%) households with children were food insecure. ers.usda.gov/webdocs/public…
Food insecurity affects people of all racial & ethnic backgrounds throughout the year. But, due in significant part to harsh, long-standing inequities & structural racism, food insecurity is particularly acute for people of color, including kids. cbpp.org/childrens-food…
Read 8 tweets
‘She didn’t need to die at 42.’ Elicia Heaston told me that after her best friend died in December from type 2 #diabetes. Kate Herrin was among more than 100K Americans who died from diabetes in 2020, up 17% in one year. We wanted to know why. 1/ reuters.com/investigates/s…
Then @RobinRespaut found that deaths from diabetes rose faster in 2020 than for any other disease. Only accidents/overdoses went up more. These weren’t deaths involving #COVID directly. But Herrin and others fell victim to the isolation and disruption. 2/ reuters.com/investigates/s…
During #COVID19, many #diabetes patients became fearful and reluctant to seek care – until they were in crisis. ‘COVID caused more damage than we realized,’ Sandra Arevalo of Montefiore Hospital in N.Y. told us. 3/ reuters.com/investigates/s…
Read 15 tweets
Welcome to August and to the #Pennsylvania Member of Congress Tracking Report for the week ending 08/01/21.

We’re here to help you keep an eye on what our MoCs are saying🗣 and how they are voting🗳.
bit.ly/3ykbfZd
#MoCTrack 1/25
@IndivisiblePHL @IndivisibleLNH @pa_indivisible @IndivisibleBUX @TuesdaysToomey @indivisibleccpa @indiwhitpain @IndivisibleHCAN @fridays_fire @indivisiblefohi The #Pennsylvania #Indivisible Legislative Scorecard shows you how our MoCs vote re: the Indivisible principles of
1⃣equality
2⃣justice
3⃣compassion
4⃣inclusion
See how YOUR MoCs are doing and how they got these scores here.⬇️
#MoCTrack 2/25
pa-indivisible.com/legislative-sc…
I know we’re supposed to be excited about the #Infrastructure agreement in the Senate, but I can’t help but think the #GOP succeeded in delaying and slicing it down to the bone.

This @NYTimes infographic tells the story.
#MoCTrack 3/25
learn more ➡️bit.ly/3firsGG
Read 25 tweets
The Disregard of #InformedConsent and Echoes of Nuremberg Part 2 - “The Great Pivot” - Jab hesitancy is informed, literate, and sophisticated, but government agencies, officials, and politicos pushed false narratives - by @TraderStef 4 #CrushTheStreet #ADE crushthestreet.com/articles/break… Image
I am moving "The Great Pivot & Echoes of Nuremberg Part 2" #InformedConsent2 (the thread from @RWMaloneMD's gracious RT ) to my acct original here. Replies were breaking apart/not keeping continuity under his RT. Chronology is now intact. Apology for move. Image
Here is a link to PART 1 of “The Disregard of Informed Consent & Echoes of Nuremberg” (is hash tagged as #InformedConsent). That thread's continuity is intact and extensive, from March 31 to Aug 3.
Read 178 tweets
@TravisZimpfer @MOLegDems @PeterforMO @TeamBosleyMO79 @RepSheenBean @Ingridburnett @Fogle4MO @MaggieforMO @KWindham85 @Manlove4M @SarahUnsicker @cmillburg The options for Parson’s incentive?
None sounded terribly inventive.
Just expand #Medicaid
— like Oklahoma made;
it’s universally preventive!
On taxpayers no irony’s lost to
hear -Mike- bellyache about cost.
#MedicaidExpansion 🇺🇸🗽⚖️
@mikeparson @MoSenDems
@TravisZimpfer @MOLegDems @PeterforMO @TeamBosleyMO79 @RepSheenBean @Ingridburnett @Fogle4MO @MaggieforMO @KWindham85 @Manlove4M @SarahUnsicker @cmillburg @mikeparson @MoSenDems Mike’s attention to detail is keen.
“½” 🤔 the state has now had its 💉.
While Mike’s PPP “loan”
helped bring federal funds home, 👀
he now owns the 💵 free and clean.
Textbook cases of hypocrisy?
Mike’s subsidized aristocracy!
@MoRural 👇🏼 @AuditorGalloway
@TravisZimpfer @MOLegDems @PeterforMO @TeamBosleyMO79 @RepSheenBean @Ingridburnett @Fogle4MO @MaggieforMO @KWindham85 @Manlove4M @SarahUnsicker @cmillburg @mikeparson @MoSenDems @Morural @AuditorGalloway Vintage shows I enjoyed in my youth seen in retrospect reveal a truth: by preparing too late, final outcomes aren’t great. I hope you won’t find me uncouth if I ask where #Missouri will land under 57’s “steady hand.”

🏁🚔⛔️|😬📈🏥

Read 11 tweets

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