Cynthia Cox Profile picture
Dec 29, 2021 10 tweets 11 min read Read on X
If you'll indulge me, I'd like to do an end-of-year 🧵highlighting the incredible work by colleagues @KFF.
Here's a sample of the health policy & COVID analyses this year by @KrutikaAmin @matthew_t_rae @NirmitaPanchal @nishakurani @emmawage @gio_j_ramirez & @JaredOrtaliza (1/10)
2/ Looking at OECD data, @JaredOrtaliza @gio_j_ramirez @VenkSathees and @KrutikaAmin found the pandemic set back life expectancy far more in the U.S. than in similarly large/wealthy nations.
Life expectancy of Hispanic and Black Americans was set back most
healthsystemtracker.org/chart-collecti…
3/ Sadly @KrutikaAmin found that not only did the U.S. experience some of the worst excess death rates overall in 2020, we also saw many more young people die than did peer countries. Again, this is in part due to racial disparities, as more POC died young
healthsystemtracker.org/brief/covid-19…
4/ @JaredOrtaliza @_KendalOrgera and @KrutikaAmin found that, just since June, 𝟭𝟲𝟯,𝟬𝟬𝟬 𝗖𝗢𝗩𝗜𝗗-𝟭𝟵 𝗱𝗲𝗮𝘁𝗵𝘀 in the U.S. could have been prevented by vaccines. COVID-19 was the #1 or #2 killer of working age adults (25-64) in recent months.
healthsystemtracker.org/brief/covid19-…
5/ @KrutikaAmin also found that over 𝟔𝟗𝟎,𝟎𝟎𝟎 𝐂𝐎𝐕𝐈𝐃-𝟏𝟗 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥𝐢𝐳𝐚𝐭𝐢𝐨𝐧𝐬 could have been prevented by vaccination between June to November 2021. We estimate the bills for these preventable hospitalizations topped $𝟏𝟑 𝐛𝐢𝐥𝐥𝐢𝐨𝐧.
6/ @KrutikaAmin & @matthew_t_rae dug into Epic data, finding vaccinated people hospitalized with “breakthrough” COVID-19 were disproportionately older and more likely to have high-risk comorbidities, but also had shorter hospital stays than unvaccinated
healthsystemtracker.org/brief/characte…
7/ @NirmitaPanchal and @rubbah documented the steep rise in mental health concerns during the pandemic. Low-income people, parents, and Black & Hispanic people were particularly more likely to experience negative mental health effects from the pandemic
kff.org/coronavirus-co…
8/ @emmawage @cromwick & @KrutikaAmin found that, while health sector jobs have mostly recovered, hospital employment remains ~4% lower than expectations & nursing home jobs are 13% lower than expectations. Staffing could be a problem as #Omicron spreads.
healthsystemtracker.org/chart-collecti…
9/ @nishakurani @KrutikaAmin and @matthew_t_rae did a deep dive into hospital price transparency data, finding low compliance with the law. They also showed how the price of a knee replacement in the NYC area can range from about $45,000 to $70,000.
healthsystemtracker.org/brief/price-tr…
10/ Lastly, the #NoSurprisesAct prohibiting surprise bills will soon go into effect. However, the law’s protections do not apply to ground ambulances. @KrutikaAmin and @matthew_t_rae found 51% of emergency ambulance rides included an out-of-network charge.
healthsystemtracker.org/brief/ground-a…

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More from @cynthiaccox

Sep 20, 2023
I tried and failed to get a COVID vaccine yesterday.
None of my HMO's in-network pharmacies have the booster in stock yet. So, I tried to go to an out-of-network pharmacy.
I knew this might mean paying $200. I'm going to be traveling next week, so I was willing to pay, but...
2/ Walgreens (the out-of-network pharmacy) is apparently not set up to accept cash payments for vaccines. Even though they understood I was willing to pay out-of-pocket, they have to go through my insurance. The helpful pharmacy tech spent an hour on the phone with my HMO trying
3/ Ultimately, my insurer said I have to get prior authorization to go out-of-network, even though they don't have COVID vaccines in stock in-network.
My insurer asked me to track down the fax number (!) for my doctor even though my doctor works at a facility owned by the insurer
Read 6 tweets
Jan 31, 2023
1/ Biden will end the #PublicHealthEmergency (PHE) on May 11.
If you have private health insurance coverage, here's what will (and will not) change for you with the end of the PHE
2/ For people with private insurance, the big change with the end of the Public Health Emergency on May 11th will likely be higher costs for COVID tests.
Those free COVID tests (and associated Dr. visits) your insurance offers now may end in a few months kff.org/coronavirus-co…
3/ For people with private insurance, the end of the Public Health Emergency does NOT affect your coverage for COVID vax/boosters
Rather, a change will come whenever the federal vax supply runs out (this is TBD). Then, privately insured folks may need an in-network provider
Read 9 tweets
Jan 30, 2023
Biden to end public health emergency May 11:
apnews.com/article/biden-…
Here's what that means for health coverage: kff.org/coronavirus-co…
2/ And here's what the end of the #PublicHealthEmergency (#PHE) -- combined with the expected depletion of the federal supply of COVID vax, tests, treatments -- means for costs of and access to pandemic-related care
kff.org/coronavirus-co… @jenkatesdc @joshmich @KFF
3/ Of course #COVID is still here, even when the #PublicHealthEmergency ends.
We estimated COVID was on track to be the 3rd leading cause of death in 2022, for the 3rd year in a row.
U.S. life expectancy has taken a bigger hit than peer countries. healthsystemtracker.org/brief/the-stat…
Read 4 tweets
Apr 22, 2022
Covid vaccines are safe and highly effective. Vaccines have prevented countless deaths, and unvaccinated people represent most covid deaths.

Even so, vaccinated people represent a growing share of covid deaths. Why is this?

A quick thread: 1/🧵
healthsystemtracker.org/brief/covid19-…
2/🧵 First, what is not causing a growing share of covid deaths among vaxxed people?
While most people dying of covid are age 50+ these aren't all "incidental" deaths that would've happened anyway
Cause of death is investigated & many more people died than expected (excess death)
3/🧵 One reason we're seeing vaccinated people represent a larger share of covid deaths?

Vaccinated people also represent a larger share of the population.

If 100% of people were vaccinated, 100% of deaths would be among vaccinated people.

But that's only part of the story...
Read 8 tweets
Apr 21, 2022
🧵As the U.S. approaches 1,000,000 covid deaths, we estimate 234,000 of those lives could have been saved by vaccines. That's 6 in 10 covid deaths since vaccines were widely available.
healthsystemtracker.org/brief/covid19-… @KrutikaAmin @jenkatesdc @joshmich @JaredOrtaliza @KFF @PetersonCHealth
@KrutikaAmin @jenkatesdc @joshmich @JaredOrtaliza @KFF @PetersonCHealth 2/🧵 Our analysis focuses on deaths that could have been prevented by the primary vaccines. Even more deaths -- among both the unvaccinated and vaccinated -- likely would have been prevented by greater uptake of booster shots.
@KrutikaAmin @jenkatesdc @joshmich @JaredOrtaliza @KFF @PetersonCHealth 3/🧵 Not all covid deaths would have been prevented by vaccines.

In January and February 2022, covid was a leading cause of death.

And about 4 in 10 people who died were considered fully vaccinated.

This underscores the importance of boosters as well as masks and ventilation.
Read 4 tweets
Apr 5, 2022
We estimate that 5.1 million people fall into the family glitch.

Most are children, and among adults, women are more likely to fall into the #familyglitch kff.org/health-reform/…
2/ People with affordable employer coverage can't get ACA subsidies.
Under current law, "affordable" is defined just based on the employee's premium. So an employee might have "affordable" coverage, even if it'd be unaffordable to their add spouse/kids to the plan (the "glitch").
3/ The Biden Admin is proposing to change the interpretation of this ACA provision, saying that family members in this circumstance do NOT have access to affordable coverage, and they should be eligible for subsidies on the ACA marketplace.
Proposal here: public-inspection.federalregister.gov/2022-07158.pdf
Read 7 tweets

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