Cynthia Cox Profile picture
Jan 31 9 tweets 4 min read
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
4/ Also, whenever the federal vax supply ends, people in "grandfathered" private health plans or non-ACA compliant plans are no longer guaranteed free access to vaccines

Again, this is NOT tied to the end of PHE; rather it's tied to the end of federal vax supply (which is TBD)
5/ The end of the Public Health Emergency does NOT affect privately insured people's coverage of COVID-19 treatments. But, as with vaccines, there could be changes when federal supplies run out. kff.org/coronavirus-co…
6/ There will be some changes to telehealth. The Public Health Emergency allows providers to issue prescriptions for controlled substances via telemedicine, without an in-person evaluation. Cross-state licensure in some states is also tied to PHE.
kff.org/coronavirus-co…
7/ There won't be an immediate change to the FDA's ability to issue emergency use authorizations (EUAs) for COVID vaccines and treatments. These EUAs are tied to a separate declaration (Section 564) and are NOT affected by the Section 319 Public Health Emergency that ends May 11.
8/ For more on how the uninsured and people on Medicaid or Medicare will be affected by the end of the Public Health Emergency, see: kff.org/coronavirus-co…

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More from @cynthiaccox

Jan 30
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
Jan 27, 2022
The Washington Post reports the Biden Admin will be announcing record high enrollment in ACA Marketplaces -- 14.5 million -- and that's not even final yet.
Here's what that would look like relative to previous enrollment cycles:
Why is ACA Marketplace enrollment at a record high?
Probably a combination of
- Increased subsidies from COVID relief passed 2021
- Increased marketing & outreach from Biden Admin
- Long enrollment period that lasted most of last year
- Pandemic motivated people to keep coverage?
Since passage of the ACA, the uninsured rate has dropped. It even remained lower in 2020 as millions of people lost jobs & coverage. That's in large part thanks to the ACA's Medicaid expansion & Marketplaces.
Read 6 tweets
Dec 29, 2021
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…
Read 10 tweets

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