Discover and read the best of Twitter Threads about #medicaid

Most recents (24)

It's unconscionable this Administration is making it HARDER to get health care during a pandemic. Congress should immediately take up my Coronavirus Medicaid Response Act, which will speed federal aid to states providing vital #Medicaid services to those hit hardest by #COVID19.
Losing your job during a pandemic is scary enough—you should not have your health insurance ripped away too. My bill provides support to state Medicaid programs to keep people covered, and provides states with security when planning their budgets.
Experts like Harvard professor @jasonfurman agree: “The Coronavirus Medicaid Response Act would not just protect American workers and communities against damage from the COVID crisis, it would permanently reduce the severity of recessions, improve healthcare, and protect jobs.”
Read 5 tweets
Thank you @ColleenKraft for being consistently vocal 💪🏼💪🏿💪🏽

Let’s work on #tweetiatrician #advocacy training by @AmerAcadPeds to have more robust & effective strategies vs increasing backlash & #bullying
as experienced by @NicoleB_MD @DrToddWo, worse for #minoritiesinmedicine
From @bfrist on #LinkedIn: concerning loss of scientific #integrity by political agendas

#scicomm teaching has been to “avoid politics” = sitting in sidelines

why engaged #tweetiatrician were a separate species apart from other #STEM professionals…
We need to be multidisciplinary like work with school nurse leader @RobinCogan

When I have taught official @AmerAcadPeds guidelines to trainees in hospital settings & staff member has walked by, they assumed “political” & “unprofessional” when per AAP
Read 20 tweets
This week for #PolicyCapsule, let's focus on #COVDI19 related policy➡️#HEROESAct

1/ Image
2/ #HEROESAct is a 3 trillion dollar package passed by US House of Reps, proposed to enhance the #COVID19 recovery effort
#PolicyCapsule @sagar_ankita Image
3/ #HEROESAct affects many:
👉Gov’ts: inc funding to support Medicaid, contact tracing, testing, unemployment

#HEROESAct #PolicyCapsule Image
Read 9 tweets
Yes.. and more than offended, I would reframe to respond with: your obvious bias reveals you are not a person who can be trusted to apply standards fairly for good outcomes.

Bias = unsafe.

Not about anyone’s emotional or intellectual reaction.

About #safety & #quality.
Discussed w/ that frame w/ @becker_sbecker

Look, I’ve got “grit” & resilience & can manage my emotions just fine

But are *you* safe or able to provide quality results? Using my former #Medicaid medical director lens, low quality = low value, waste, harm…
“Safe spaces” emotionally, yes - but safe for whom?

Is safe space code for protecting your fragility when hard, complex problems are identified & you must confront some unpleasant realities?

Hard problems are... hard
Hard things are uncomfortable
Read 9 tweets
@realDonaldTrump today said he wants to “terminate healthcare under Obamacare.” He’s said he will cut #Medicare and #Medicaid and has joined a lawsuit to repeal the #ACA. He’s a healthcare killer and he’s a direct threat to my patients.
Read 4 tweets
Umbereen S Nehal MD MPH: who is this person? Several people have been asking

A thread

Where am I from? Hooboy.
Let’s say, citizen of the world, human ping pong ball. Third culture kid. Genetic mutt

Born: 🇺🇸
🇵🇰 parents - when my parents born colonial rule, pre-Pakistan
To thoroughly annoy my Twitter bestie, @DrvanTilburg

Am an ENFP - a cross between Snoopy, Robin Willians, Ellen Degeneres, Dr. Seuss, Charles Dickens, Upton Sinclair

I border on ENTP - love new info and love to challenge in order to break through barriers or limitations
My great-grandfather was given title "Khan Bahadur" (brave). As a judge, a brown man under Colonial rule, he threw the book at a British attorney. "Learn the law" if in his courtroom. Hence my stiff moral backbone

My mom & me:

(She loves this song)
Read 52 tweets
As an ER doc in Michigan seeing @realdonaldtrump encourage protestors in our capital, I'm deeply concerned about the impact it will have on my patients. With hundreds gathering in close quarters, the potential spread of #coronavirus puts my community at risk. Here’s how: (1/14)
Over 300 people were there & it's estimated that 5-10% of the population are infected. If just 30 were infected (with an R0 of 2.5 and a 5 day incubation), those 30 people could result in nearly 11,000 newly infected Michiganders in 1 month - all thanks to these protests. (2/14)
The protesters donning TRUMP signs & MAGA hats say they were there to fight @GovWhitmer’s #StayHomeStaySafe order & extension of emergency powers. Well, gathering in the way they did is exactly how to ensure we'll be living under *stricter* #shelterinplace in coming weeks. (3/14)
Read 14 tweets
.@ACOG hosted a virtual briefing on Thursday, where experts from ACOG, @MarchofDimes, and @ACNMmidwives briefed Congress about the unique challenges facing pregnant women in the #COVID19 pandemic. Watch the recorded briefing: Here are some highlights:
@acog @MarchofDimes @ACNMmidwives The expert panel acknowledged #BlackMaternalHealthWeek, urging Congress to mitigate the impacts of #COVID19 on communities of color, improve data collection, extend #Medicaid coverage to 12 months postpartum, and include pregnant women in #COVID19 research. 2/
Sens. & Reps. should share evidence-based #COVID19 information w/constituents & encourage pregnant women to continue prenatal care & maintain strong communication w/their obstetric care team. Hospitals & licensed, accredited birth centers remain safe places to give birth. 3/
Read 7 tweets
Hundreds of Thousands of Toddlers Are Being Medicated With Powerful Psychiatric Drugs▫️

#AmericanMedicalAssociation #Medicaid

@POTUS @freedomcaucus @HHSGov @US_FDA…
“2013: 274,000 babies 1 yr old & younger were given psychiatric drugs. Of these 249,699 were on anti-anxiety meds like xanax; 26,406 were on antidepressants such as prozac or paxil. 1,422 were on on ADHD drugs such as ritalin & adderall. 654 were on antipsychotics such as...
“risperdal & zyprexa.”

“In toddler category (2-3 yr olds): 318,997 were on anti-anxiety drugs. 46,102 were on antidepressants, 10,000 were prescribed ADHD drugs, 3,760 were on antipsychotics.”
Read 7 tweets
Thread: Language in leaked draft of the Senate COVID-19 bill could cause hundreds of thousands of people to lose #Medicaid during the public health crisis by weakening the “maintenance of effort” provision in the bipartisan Families First Act. 1/
Families First increases #Medicaid state match and requires that states maintain coverage for current beneficiaries and those that become eligible during the crisis. 2/
The draft would effectively let governors essentially check a box anytime in the next 30 days if they want to keep terminating coverage for people during the Public Health Emergency. 3/
Read 5 tweets
This. 👇 We Dems are doing exactly what the GOP did in 2016 & look where that got them.
Now, we have the benefit of hindsight. We need to unite behind a single candidate who can win the purple/red districts & carry the African American/ Latino/working class/suburban mom votes.
It won't do us any good to win the presidency yet lose the House & fail to flip the Senate bc we all know now what a d*ck McConnell is.
He does the Koch's bidding.
We can't risk 4+ yrs of Trump, the statehouses, & judicial appts that will haunt us for the next 40 yrs. 👻
I like Bernie, Warren, Pete, & Amy. I admire Bloomberg's work w/Moms Demand & Everytown but I truly believe that only @JoeBiden can turn out the Obama coalition + the 'Never-Trumpers' who helped us retake the House in 2016.
In the 41 seats we flipped, Biden helped w/all of them.
Read 20 tweets
Thread 1/: Every damn day there are stories on the latest polls, who Trump insulted in a tweet, and now we get to read in every outlet about the pardon of DeBartolo. Meanwhile people are making life and death decisions because they can't afford insulin and their deductibles...
2/: ...and co-pays are too high. People are sitting at home with chest pain and stroke symptoms because they do not have insurance (still over 20 million). Seniors are getting screwed by Medicare Advantage plans that are cheap up front, but do not cover them when they need...
3/: Can we stop chasing the shiny object, and for once focus on the single most important issue to voters in the coming election, healthcare? And enough of the Dem primary arguments over M4A vs. Public Option. @realDonaldTrump is trying to eliminate...
Read 5 tweets
An appeals court has unanimously struck down #Arkansas’ Medicaid work requirements, ruling that the Trump administration’s approval was counter to #Medicaid’s statutory objective of providing affordable health coverage.
While today’s decision striking down #AR’s waiver doesn’t directly invalidate #Medicaid work requirement approvals in other states, it does signal that similar approvals are likely to be successfully challenged in litigation.
Today’s decision about the scope of the Secretary’s waiver authority also will be important in looking ahead to any potential challenges to CMS’s recent guidance inviting states to apply for #Medicaid block grant waivers.
Read 13 tweets
The U.S. Court of Appeals ruled today that the Trump administration's approval of #Medicaid work requirements in #Arkansas was "arbitrary and capricious."

Read the ruling:…
“The court confirmed that this administration’s effort to ‘explode’ #Medicaid by converting it from a health care access program to a work program is arbitrary and illegal." - SPLC's Sam Brooke
"We hope the federal government and the states will return to focusing on expanding coverage and access, so that everyone—regardless of economic status—can be healthy.” - SPLC's Sam Brooke #Medicaid
Read 4 tweets
Outrage over @POTUS Trump's violation of norms, principles, and laws has tended to mask actions his Administration is taking that hurts a large swath of his base. Let's stop reacting to all @realDonaldTrump's #bull$hit and start tweeting about issues:
#Healthcare: Trump has tried since election to trash #AffordableCareAct (b/c it's called "Obamacare"), joining Republican states in suing to overturn ACA, doing away with protection for #Pre_existingConditions. Trump budget cuts Medicaid and ACA subsidies by a trillion dollars.
Trump also wants to cut #SNAP once again calling for reductions in the number of adults who can qualify for the Supplemental Nutrition Assistance Program. The 2021 budget proposes cutting SNAP funding by about $15 billion from last year.…
Read 14 tweets
We’ve seen a lot of interest in our recently proposed Medicaid Fiscal Accountability Rule (MFAR), which is designed to protect the integrity of this critical program and make sure the dollars we spend go to the needs of its 71 million beneficiaries.
Supplemental payments are payments states make to physicians, hospitals, and nursing homes above and beyond the routine reimbursement they receive for services provided to Medicaid beneficiaries.
Supplemental payments can serve an important purpose in Medicaid by providing additional reimbursement to address high need patients or to promote quality and access. This rule doesn’t change that or take this tool away.
Read 12 tweets
The idea that Trump is bragging about “the best economy ever” is as ridiculous as when he told us Trump Steaks were the “world’s greatest steaks.”

U.S. Growth at Slowest Since 2016 #TrumpSteaksEconomy #SOTU…
The deficit is $1T.

The debt is $23T.

Farmers are going bankrupt.

Steel workers are being laid off.

Manufacturing is in a recession.

Trump promised his tax cuts would “skyrocket” the economy.

But all we got was job growth 15% slower than under Obama.

The “Trump Boom” is like every Trump con before it: The reality doesn’t live up to the hype.

Worse, Trump has been a disaster for the very #MAGA voters he promised to help most: farmers and factory workers, miners and steel workers:… #TrumpSteaksEconomy
Read 6 tweets
Our tax dollars should be invested in education, housing, prison alternatives and health care programs that provide opportunity and increased well-being for all - not in the Trump administration's anti-immigrant and racist policies. #DefundHate #SOTU
The Trump administration continues to promote discrimination against immigrants, people of color, the LGBTQ community, and Muslims. #DefundHate #SOTU #SOTU2020
The Trump administration is ripping apart health care and nutrition programs for low-income people. #DefundHate #SOTU #SOTU2020
Read 30 tweets
At our recent #HealthActionConference #HA2020 @FamiliesUSA's ED @FrederickIsasi held a meet and greet to discuss the top 3 health care trends of 2020. Follow the link below to view both the video and the infographic itself.… Frederick Isasi discussing the 3 top healthcare trends for 2020
@FrederickIsasi Trend #1: Value A new norm: people in America now expect access to health care without having to sacrifice their financial security. With this new norm, affordability - rather than coverage - will rise to the forefront of the healthcare movement.
Trend #2: Equity The currency and power of the health equity movement will quickly grow due to America's shifting power dynamics; in particular, its changing demographics. In two decades, people of color will be the majority and there will be a recognition that our collective future rests on addressing inequities.
Read 4 tweets
Tune in to this week's episode of "What the Health?" as host @jrovner and panelist @leonardkl, @JoanneKenen, and @eemershon discuss #Medicaid block grants, #coronarvirus, and more! #WTHealth
On this episode...
The Trump administration is trying to achieve a goal for #Republicans that dates to the 1980s — allowing states to obtain at least some of their funding for #Medicaid as a block grant. Here's a quote from @leonardkl about Medicaid funding.
Read 4 tweets
Couldn't agree more w/ @SpeakerPelosi that the House managers have been "magnificent custodians of the Constitution" against Trump's lawlessness.

Thank you, @RepAdamSchiff @RepJerryNadler @RepZoeLofgren @RepJeffries @RepValDemings @RepJasonCrow @RepSylviaGarcia!

@SpeakerPelosi @RepAdamSchiff @RepJerryNadler @RepZoeLofgren @RepJeffries @RepValDemings @RepJasonCrow @RepSylviaGarcia As they're suing to kill the #AffordableCareAct that protects 130M w/ preexisting conditions & covers 20M, Republicans are now attacking #Medicaid – a vital program that covers 1 in 5 in America.

Because their efforts to dismantle our Constitution weren't enough for the week!?!
@SpeakerPelosi @RepAdamSchiff @RepJerryNadler @RepZoeLofgren @RepJeffries @RepValDemings @RepJasonCrow @RepSylviaGarcia Surprise! Surprise! Trying to snatch health care from people is unpopular, 56-35!

Didn't we learn that in 2018 when Dems took the House on the strength of #MadamSpeaker's #ForThePeople agenda which centered on the promise to #ProtectOurCare?

We'll win the 2020 rematch too!🇺🇸🌊
Read 5 tweets
CMS released details today on their latest attempt to undermine #Medicaid. It's called the Health Adult Opportunity (HAO) Program. The euphemism filled "fact sheet" they posted is designed to obscure the purpose & consequences of HAO. Let me break it down.
Notice that the "opportunity" here is for states. The emphasis is on giving states "flexibility"--something they already have an immense amount of when it comes to #Medicaid. Beneficiaries are not explicitly mentioned until the end of the intro paragraph, barely an afterthought.
Flexibility is mentioned 8 times in this short fact sheet. It sounds harmless enough, so what is the big deal? Well, look at what the flexibility will be used for. Most of these things represent additional burdens on Medicaid beneficiaries or reductions to the Medicaid program.
Read 11 tweets
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Read 20 tweets
The #ACA/#Obamacare has been law for a decade. It is not and has never been insurance. It provides for the healthcare marketplace where people can shop their states' private insurance companies for affordable plans. It also provides tax credit subsidies for those plans.
The #ACA also expanded #Medicaid to cover more low income people. And created coverage for the #Medicare "donut hole." The law also stipulates that being female must be covered (it was not before the ACA) and that women must not pay more than men for the same plan, like before.
The #ACA also requires insurers to cover #PreExistingConditions like #cancer or #diabetes. The ACA charged the states with providing access to health insurance for low income people via #Medicaid.
Read 5 tweets

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