William Schpero

@wschpero.bsky.social

Associate professor @weillcornell.bsky.social. Health economist studying Medicaid, the health care safety net, and inequity. Website: williamschpero.com

➡️ Please spread the word: The Medicaid Data Learning Network (MDLN) is launching a survey to gain insights into researchers’ use of federal Medicaid claims data (TAF). The survey will help the MDLN advocate for improvements to data access / quality. weillcornell.az1.qualtrics.com/jfe/form/SV_...

MDLN National TAF User Survey

The Medicaid Data Learning Network (MDLN), an initiative of AcademyHealth, is conducting a national survey of researchers who use the T-MSIS Analytic Files (TAF) Medicaid claims data in order to infor...

weillcornell.az1.qualtrics.com

For many years, the Clark Center at Chicago Booth has regularly surveyed leading economists to assess consensus on timely economic policy issues. We are excited today to launch the Cornell Health Policy Insight Panel, where we extend that model to health policy. 1/N ⬇️

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During debate on the OBBBA, I realized we know very little about health care needs and use in the adult Medicaid expansion population. We have a short paper out in Health Affairs Scholar this week that uses national Medicaid claims data in an attempt to fill that gap: ⬇️ 1/N

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My co-authors Sarah Shubeck (UCM) & Emily Crawford (Booth PhD student) & I have a new paper in JAMA Health Forum studying the effects of the Families First Coronavirus Response Act (FFCRA) on insurance churn (defined as losing health insurance over the next 12 months) jamanetwork.com/journals/jam...

Insurance Churn and the COVID-19 Pandemic

This study estimates whether the Families First Coronavirus Response Act decreased insurance churn.

jamanetwork.com

This portends another addition to the Cape Cod house that is subsidies for the safety net: Medicare DSH, Medicaid DSH, the Critical Access Hospital program, 340B, etc. All have overlapping purposes and are subject to gaming and mis-targeting.

Adrianna McIntyre@adrianna.bsky.social · last yr.

This proposal reads like "high-risk pools, but for rural hospitals" to me High-risk pools never worked as well as people wanted, and I worry that a rural hospital slush fund would face many of the same challenges (underfunding, limited access, etc)

Ok folks, we know work requirements reduce benefits without increasing work (cc: @chloeneast.bsky.social) But who loses benefits and what happens if work requirements are reversed? New evidence from linked SNAP-Medicaid data and a natural experiment in CT tell a concerning story... Thread below 👇

SNAP work requirements have biggest effect on those least able to work

Most people pushed out of SNAP in Connecticut didn’t find their way back in, even when work requirements were later reversed.

tobin.yale.edu

Eric Roberts and @joefigs.bsky.social led a groundbreaking new study on Medicaid and Medicare, out today in NEJM. I’m lucky to have been a part of it. Medicare saves lives. But is it enough to save lives of the most vulnerable Americans? The study suggests no; Medicaid still matters. (1/11)

Loss of Subsidized Drug Coverage and Mortality among Medicare Beneficiaries | NEJM

A total of 14 million Medicare beneficiaries receive the Low-Income Subsidy (LIS), which reduces cost sharing in Medicare Part D. Losing the LIS may impede medication access and affect mortality. U...

nejm.org