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

28 Dec
The 2023 Notice of Benefit and Payment Parameters is out today.
These are the rules set by the Biden Admin for #ACA health coverage, including the Marketplaces, with focus on:
—Network Adequacy
—Standardized Plans
—Non-discrimination
—Risk Adjustment public-inspection.federalregister.gov/2021-28317.pdf
2/ the Biden Admin is proposing to reestablish federal review of provider networks to make sure enrollees don’t have to travel too far or long to access in-network doctors or hospitals. This is especially important now as “free” plans put pressure on insurers to narrow networks
3/ The Biden Admin is also proposing to require insurers to offer some standardized plan options in all states. This standardization of plan design helps enrollees make apples-to-apples comparisons across insurers. States like California have already been doing this with success
Read 7 tweets
17 Dec
Health insurers were so profitable last year (during the pandemic) that they are now issuing $2 billion in rebates to consumers, as required by the Affordable Care Act (ACA/Obamacare) cms.gov/files/document…
2/ Why were insurers so profitable? Because people were using less healthcare. Fewer hospital stays, doctor visits, etc. (that's continued at least into early 2021)
healthsystemtracker.org/brief/early-20…
COVID hospitalizations are still costly -- racking up billions of dollars. But, in 2020 at least, that was balanced out by people delaying or forgoing other medical care healthsystemtracker.org/brief/unvaccin…
Read 5 tweets
10 Dec
NEW: As the U.S. approaches 800,000 COVID-19 deaths, our @KFF analysis finds 163,000 deaths could have been prevented by vaccination since June
healthsystemtracker.org/brief/covid19-…
@KrutikaAmin @JaredOrtaliza @PetersonCHealth
@KFF @KrutikaAmin @JaredOrtaliza @PetersonCHealth 2/ Our analysis also finds COVID was the 3rd leading cause of death in the U.S. in November. healthsystemtracker.org/brief/covid19-…
3/ In October, the most recent month with age-specific data, COVID-19 was the #1 killer of people age 45-54 in the U.S. healthsystemtracker.org/brief/covid19-…
Read 4 tweets
17 Nov
Curious how the Medicaid expansion works in Build Back Better? Here's a quick thread.
In short, BBB would close the Medicaid coverage gap in states like FL and TX that haven't expanded the program by allowing people living under poverty in those states to access ACA subsidies 🧵 Image
2/ People in states that have already expanded Medicaid with incomes under 138% of poverty would still have Medicaid.
Starting in 2022, if BBB passes, 2.2 million uninsured people living in 12 Medicaid non-expansion states could get heavily subsidized coverage through ACA markets Image
3/ If BBB passes: In states that do not expand Medicaid, people with incomes under 138% of poverty would get free ($0 premium silver plans) that, in 2022, have an actuarial value of 94% (very low deductible) and from 2023-2025 have an actuarial value of 99% (maybe no deductible)
Read 6 tweets
17 Nov
🧵 Here's an updated summary of the major health provisions in Build Back Better.
It has changed from the original version, so I'll walk through the current version in this thread 🧵(1/10)
Click the link for more data on potential costs and impact: kff.org/health-reform/…
2/ Build Back Better would boost ACA Marketplace subsidies through 2025 (original version was permanent). Upper/middle income people would not be priced out of coverage and low-income people would get free platinum-like plans, thru 2025. Over a million people could gain coverage.
3/ Build Back Better would create a new Medicare hearing benefit (no longer dental/vision). Hearing aids would be available every 5 years with 20% coinsurance. There are about 36 million Medicare beneficiaries in traditional Medicare who currently lack this coverage.
Read 10 tweets
1 Jul
With new regulations on #SurpriseBills expected to drop momentarily, a reminder that about 1 in 5 emergency visits results in an out-of-network charge, putting patients at risk of surprise bills healthsystemtracker.org/brief/an-exami…
Even for childbirth -- something patients have months to prepare for, and it's common for new parents to even go on TOURS of hospitals in preparation for -- 1 in 10 in-network hospitalizations comes with an out-of-network charge healthsystemtracker.org/brief/surprise…
Soon, most surprise billing practice should stop with implementation of the No Surprises Act.

But there are holes in these protections, particularly for ground ambulance rides (which are exactly the sort of situations patients feel powerless in). healthsystemtracker.org/brief/ground-a…
Read 12 tweets

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