Cynthia Cox @cynthiaccox Twitter profile

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Cynthia Cox

@cynthiaccox

7 years

We find no evidence of the individual market collapsing. Rather, insurers on track to have best year since ACA began

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Cynthia Cox

@cynthiaccox

2 years

NEW: Now, more than half of people dying of COVID were vaccinated COVID is on track to be the 3rd leading cause of death, again. Vaccines are highly effective but protection wanes. This is not simply a pandemic of the unvaccinated #GetBoosted #WearAMask

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Cynthia Cox

@cynthiaccox

2 years

7/🧵 Last year, we said the "vast majority" of covid deaths were among unvaccinated people That's no longer the case. Vaccines work, but vaxxed people represent 4 in 10 deaths in Jan and Feb 2022 This is no longer simply a "pandemic of the unvaccinated"

COVID-19 mortality preventable by vaccines - Peterson-KFF Health System Tracker

In this analysis, we estimate the number of adult deaths that could have been prevented by timely vaccination. We find that approximately 234,000 deaths since June 2021 could have been prevented with...

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

2 years

But have 830,000 people really died *from* COVID? Yes. In fact, that may be an undercount. 942,431 more people have died since February 2020 than would have been expected based on pre-pandemic trends.

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Cynthia Cox

@cynthiaccox

6 years

Sadly, gun violence is one of the factors contributing to a shorter life expectancy in the U.S. than in similarly wealthy nations. The U.S. has -- by far -- the highest rate of years of life lost to disability and premature death due to firearm assaults.

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Cynthia Cox

@cynthiaccox

1 year

Biden to end public health emergency May 11: Here's what that means for health coverage:

What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access...

This brief provides an overview of the major health-related COVID-19 federal emergency declarations that have been made since early on in the pandemic, summarizes the flexibilities triggered by each,...

www.kff.org

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Cynthia Cox

@cynthiaccox

2 years

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/🧵

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Cynthia Cox

@cynthiaccox

7 years

Tax credits would ↓ for lower-income and ↑ for some higher-income people under the House Republican #ACA replacement #AmericanHealthCareAct

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Cynthia Cox

@cynthiaccox

5 years

NEW analysis: Rather than continuing to go without insurance, *4.2 million* uninsured people could get an #ACA bronze plan for FREE We estimate 27% of uninsured potential Marketplace shoppers are eligible for a bronze plan with $0 premiums in 2019.

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Cynthia Cox

@cynthiaccox

1 year

My colleagues at ⁦ @KHNews ⁩ reviewed over 500 hospitals. Two-thirds of these hospitals sue patients or take other legal action against them, such as garnishing wages or placing liens on property. One fifth deny non-emergency care to people in debt.

Hundreds of Hospitals Sue Patients or Threaten Their Credit, a KHN Investigation Finds. Does Yours?...

An examination of billing policies and practices at more than 500 hospitals across the country shows widespread reliance on aggressive collection tactics.

kffhealthnews.org

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Cynthia Cox

@cynthiaccox

6 years

Hot off the presses: 2019 #ACA silver plans will be *16%* higher than they would otherwise be if not for: - Individual mandate repeal - Expansion of loosely regulated plans - Loss of CSR payments Off-exchange #premiums are *6%* higher than otherwise.

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Cynthia Cox

@cynthiaccox

3 years

Who decided to make vaccine cards too big to fit in any wallet?

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Cynthia Cox

@cynthiaccox

3 years

With a slim majority in the Senate, some ACA charges Democrats might make: - Change the mandate to moot SCOTUS case - Boost ACA subsidies to lower premium payments and deductibles - Extend ACA subsidies to those left out (Medicaid gap and over 400% FPL) - End the “family glitch”

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Cynthia Cox

@cynthiaccox

2 years

6/🧵 Better uptake of boosters would've brought protection back up to pre-Omicron levels. Boosters prevent 94% of deaths. Furthermore, reducing community spread through masks, ventilation, screening, etc. would save more lives -- including unvaccinated, vaccinated, and boosted.

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Cynthia Cox

@cynthiaccox

2 years

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 @KrutikaAmin @JaredOrtaliza @PetersonCHealth

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Cynthia Cox

@cynthiaccox

3 years

NEW analysis: COVID-19 is now the #1 cause of death in the U.S. — far surpassing the previous leading cause of heart disease.

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Cynthia Cox

@cynthiaccox

4 years

The ACA didn’t just prohibit insurers from denying the people with declinable conditions. The law also prohibits insurers from charging higher premiums for those conditions, and requires plans actually pay for care for those conditions.

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Cynthia Cox

@cynthiaccox

4 years

@KffDogs @DrewAltman @kathleenhayden @jrovner @matthew_t_rae @RRudowitz @RSidel @philgalewitz @makefinestories @AshleyKirzinger @evonne_young @dr_dianerowland They seem to be getting along

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Cynthia Cox

@cynthiaccox

2 years

There were 3,866 COVID deaths in the U.S. yesterday. Heart disease, usually is the #1 cause of death in the U.S., kills about 2,000 people per day. Cancer takes about 1,600 American lives daily. This isn’t mild.

COVID-19 mortality preventable by vaccines - Peterson-KFF Health System Tracker

In this analysis, we estimate the number of adult deaths that could have been prevented by timely vaccination. We find that approximately 234,000 deaths since June 2021 could have been prevented with...

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

6 years

In most of the country, low-income people can qualify for a FREE bronze plan on the #ACA marketplace. In a few hundred counties, some enrollees can even get a $0 gold plan after subsidies. It's important to shop around every year!

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Cynthia Cox

@cynthiaccox

2 years

NEW: Who are the people with breakthrough COVID hospitalizations? We partnered with Epic using electronic medical records data to understand characteristics of vaccinated people who end up in the hospital with COVID:

COVID-19 breakthrough hospitalizations - Peterson-KFF Health System Tracker

While people who are fully vaccinated against COVID-19 have a significantly reduced risk of severe illness, some hospitalizations and deaths have been reported among fully vaccinated people with...

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

7 years

19 counties in Ohio once thought to be bare have been covered. Now 19 counties in US (0.1% of enrollees) are at risk

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Cynthia Cox

@cynthiaccox

2 years

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...

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Cynthia Cox

@cynthiaccox

2 years

@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.

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Cynthia Cox

@cynthiaccox

2 years

🧵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. @KrutikaAmin @jenkatesdc @joshmich @JaredOrtaliza @KFF @PetersonCHealth

COVID-19 mortality preventable by vaccines - Peterson-KFF Health System Tracker

In this analysis, we estimate the number of adult deaths that could have been prevented by timely vaccination. We find that approximately 234,000 deaths since June 2021 could have been prevented with...

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

3 years

The Biden Admin is out with a new proposed rule that would create a new *monthly* opportunity for low-income people to sign up for free ACA health plans

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Cynthia Cox

@cynthiaccox

2 years

5/🧵 And, an obvious contributor to the growing share and number of covid deaths among vaccinated people is: Omicron. With many more vaxxed infections, there was a jump in the share (and number) of deaths among vaccinated people, from Dec 2021 to early 2022 as Omicron took hold

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Cynthia Cox

@cynthiaccox

2 years

4/🧵 Vaccination rates grew slowly in Fall 2021 yet the share of deaths among vaxxed people continued to rise This is partly due to waning immunity over time Most vaxxed people dying of covid were older/higher-risk and were vaccinated months earlier Hence the need for boosters

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Cynthia Cox

@cynthiaccox

1 year

If when the Public Health Emergency ends in May, free COVID tests are harder to find, it may be harder to: ▪️Get timely Paxlovid treatment ▪️Use tests as screening before seeing vulnerable loved ones ▪️Test one's way out of COVID isolation/masking ▪️Know what's causing that cough

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Cynthia Cox

@cynthiaccox

5 years

In #Delaware , #Iowa , #Nebraska , and #Utah , almost 1 in 2 currently uninsured people who could be buying Marketplace coverage will be able to get a $0 bronze plan in 2019. But, will they even know this is an option?

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Cynthia Cox

@cynthiaccox

2 years

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)

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Cynthia Cox

@cynthiaccox

7 years

How tax credits would change for #Obamacare enrollees under the just-released House Republican replacement plan #AmericanHealthCareAct

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Cynthia Cox

@cynthiaccox

3 years

NEW: The cost of preventable COVID hospitalizations now tops $5 billion since June. Taxpayers, businesses and workers paying insurance premiums are picking up most of the tab. @PetersonCHealth @KFF @KrutikaAmin

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Cynthia Cox

@cynthiaccox

3 years

The mortality gap between the U.S. and peer countries has grown even wider as a result of the pandemic.

The pandemic’s effect on the widening gap in mortality rate between the U.S. and peer countries -...

COVID-19 deaths in the United States have surpassed 200,000, and the coronavirus is now the third leading cause of death in this country, after heart disease and cancer. Before the pandemic, the U.S....

www.healthsystemtracker.org

Paul Krugman

@paulkrugman

3 years

Well, for one thing it was the beginning of the great mortality divergence. America used to have about the same life expectancy as other rich countries; since 1980, however, we've fallen far behind 3/

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Cynthia Cox

@cynthiaccox

2 years

When voters are asked whether to expand #Medicaid under the #ACA , the answer is often yes. ⁦ @KFF ⁩ polling shows among those living in non-expansion states, two-thirds (65%) say they think their state should expand Medicaid to cover more people

South Dakota votes to expand Medicaid

The Republican-controlled state, where lawmakers have long resisted Medicaid expansion, is the seventh in the last five years to do so at the ballot box — and likely the last to do so for some time.

www.politico.com

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Cynthia Cox

@cynthiaccox

4 years

Of the many whoppers last night, one that stood out was Trump saying the US has lower excess mortality than almost any other country In reality, our new analysis shows the pandemic is widening the gap in mortality rates between the U.S. and peer countries

The pandemic’s effect on the widening gap in mortality rate between the U.S. and peer countries -...

COVID-19 deaths in the United States have surpassed 200,000, and the coronavirus is now the third leading cause of death in this country, after heart disease and cancer. Before the pandemic, the U.S....

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

6 years

Today is a sad reminder that similar countries don't experience anything close to this level of gun violence. Guns are far more likely to shorten Americans’ lives or cause disability than in comparably large and wealthy countries.

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Cynthia Cox

@cynthiaccox

4 years

Wow. 48% of Republicans favor either Medicare-for-all, a government-run public option, or both.

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Cynthia Cox

@cynthiaccox

7 years

NEW interactive: See how #Obamacare tax credits differ from the #AmericanHealthCareAct in your area, by age & income

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Cynthia Cox

@cynthiaccox

5 years

Re-upping this with the deadline to sign up on TODAY. Millions of uninsured people are eligible for FREE or very low-cost health insurance premiums. But they have to sign up today.

Cynthia Cox

@cynthiaccox

5 years

NEW analysis: Rather than continuing to go without insurance, *4.2 million* uninsured people could get an #ACA bronze plan for FREE We estimate 27% of uninsured potential Marketplace shoppers are eligible for a bronze plan with $0 premiums in 2019.

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Cynthia Cox

@cynthiaccox

5 years

Wow. Here's another way to look at #GunViolence in the U.S. vs. other countries

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Cynthia Cox

@cynthiaccox

3 years

@AdamSerwer @joshtpm 79 percent of Americans think decisions about abortions should be made by women in consultation with their doctors, not lawmakers.

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Cynthia Cox

@cynthiaccox

4 years

This is important to understand: If the ACA were overturned, even states that want to keep its consumer protections wouldn't be able to without the federal support.

Heather K

@korb_heather

4 years

In NV we codified the ACA protections into state statute, however without the subsidies and Medicaid match NO ONE will be able to afford insurance and thus the death spiral begins.

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Cynthia Cox

@cynthiaccox

1 year

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.

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Cynthia Cox

@cynthiaccox

1 year

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

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Cynthia Cox

@cynthiaccox

6 years

Rising individual insurance market premiums in 3 acts: 1. 2014 – 2015: Coverage Expansion 2. 2016 – 2017: Market Correction 3. 2018 – (?): Republican Undermining & Adverse Selection

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Cynthia Cox

@cynthiaccox

2 years

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)

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Cynthia Cox

@cynthiaccox

7 years

A few months ago we held focus groups with Trump voters w/ ACA coverage. One theme: They were very happy w/ Medicaid

Listening to Trump Voters with ACA Coverage: What They Want in a Health Care Plan | KFF

President Donald Trump and Republicans in Congress are moving to follow through on their campaign promise to repeal and replace the Affordable Care Act (ACA). To gain a better understanding of the...

www.kff.org

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Cynthia Cox

@cynthiaccox

4 years

New analysis: People hospitalized for COVID-19 treatment who have private insurance could face out-of-pocket costs exceeding $1,300 in the U.S. Total costs could top easily $20,000. #coronavirus #COVID #coronapocalypse #CoronaOutbreak

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Cynthia Cox

@cynthiaccox

5 years

Some nuance: A law might *allow* people with #PreExistingConditions to access coverage But without benefit requirements, it probably won't *cover* treatment for all conditions And without limits on premiums & out-of-pocket costs, it won't *protect* people w/ pre-ex conditions

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Cynthia Cox

@cynthiaccox

4 years

The Trump admin just released new data showing that private health insurers owe $𝟮,𝟰𝟱𝟴,𝟳𝟲𝟰,𝟭𝟲𝟵 in rebates to consumers under the ACA. That's a record large amount, almost 𝗱𝗼𝘂𝗯𝗹𝗲 the last record high. We came to a similar estimate in April

2023 Medical Loss Ratio Rebates | KFF

This analysis finds that private insurance companies are expecting to pay out about $1.1 billion in rebates this fall under an Affordable Care Act (ACA) provision that requires insurers to spend the...

www.kff.org

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Cynthia Cox

@cynthiaccox

3 years

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 🧵

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Cynthia Cox

@cynthiaccox

5 years

A federal judge in Texas just ruled the #ACA is unconstitutional. This ruling will be appealed and is not the final say. If you were planning to sign up for coverage on , you should still do that. The deadline is tomorrow, Saturday December 15.

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Cynthia Cox

@cynthiaccox

4 years

This is what happens to health care spending during a pandemic.

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Cynthia Cox

@cynthiaccox

3 years

NEW: We have two analyses out today about lowering the Medicare age. First analysis illustrates the potential for big cost savings in employer health plans if older adults move to Medicare. That savings could translate to lower premiums and/or higher wages

How lowering the Medicare eligibility age might affect employer-sponsored insurance costs -...

We find that lowering the eligibility age of Medicare could have a downward effect on employer-sponsored insurance costs of up to 15% (if the age is lowered to 60) or 43% (if the age is lowered to...

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

3 years

NEW: The pandemic had a downward effect on life expectancy in many countries, but more so in the U.S. than its peers. We estimate that similar high-income countries saw life expectancy drop an average of 0.5 years, while the U.S. lost 1.6 years.

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Cynthia Cox

@cynthiaccox

9 months

NEW: Ozempic, Wegovy, and other drugs used for weight loss have made headlines for their high prices (~$1,000 per month in the U.S.) But other high-income countries have much lower prices -- less than half the cost, and sometimes less than one tenth @kff

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Cynthia Cox

@cynthiaccox

7 years

Nonetheless, political uncertainty about cost-sharing payments & individual mandate enforcement can destabilize the market.

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Cynthia Cox

@cynthiaccox

7 years

Our bare county map is starting to look a little bare.

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Cynthia Cox

@cynthiaccox

3 years

A mom of 2 kids in Texas making $3,800 per year is expected to pay $5,000 per year just for her own health insurance. If that same person made $30,000 per year, she would pay $0 per year for health insurance

Health Insurance Marketplace Calculator | KFF

The Health Insurance Marketplace Calculator, updated with 2024 premium data, provides estimates of health insurance premiums and subsidies for people purchasing insurance on their own in health...

www.kff.org

Larry Levitt

@larry_levitt

3 years

If you're a parent in a family of three in Texas and make more than $3,733 PER YEAR, you make too much to qualify for Medicaid. If you're an adult without kids in Texas who isn't elderly or disabled, you're ineligible, period.

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Cynthia Cox

@cynthiaccox

2 years

“It’s reasonable to assume that several thousand children would have died”

Michael Hiltzik

@hiltzikm

2 years

Column: Closing schools in the pandemic was bad. Keeping them all open would have been worse

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Cynthia Cox

@cynthiaccox

7 years

#AmericanHealthCareAct replaces #Obamacare sliding scale tax credit Who gains: young, urban, high-income Who loses: older, rural, low-income

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Cynthia Cox

@cynthiaccox

4 years

New: If the ACA is overturned, mental illness may soon be the most common pre-existing condition

Mental Illnesses May Soon Be the Most Common Pre-Existing Conditions | KFF

Because the prevalence of depression and anxiety disorders appears to have increased substantially since the start of the Coronavirus pandemic, if the ACA is repealed, mental illnesses could be the...

www.kff.org

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Cynthia Cox

@cynthiaccox

4 years

Spending on health care services fell dramatically in the last month. During a pandemic. More here: @PetersonCHealth @KFF

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Cynthia Cox

@cynthiaccox

4 years

It just depends how you define pre-existing conditions. Over 50 million wouldn’t be able to get ANY coverage on pre-ACA individual market. (Declinable conditions) Over 100 million might have gotten some offer but likely face higher premiums or exclusions (less severe conditions)

BBC News (World)

@BBCWorld

4 years

Joe Biden said 100m Americans had pre-existing conditions The president said that was “totally wrong” Govt says 50-129 million non-elderly Americans have pre-existing conditions Other organisations have different estimates #BBCRealityCheck #Debates2020

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Cynthia Cox

@cynthiaccox

4 years

Jailers have apparently learned from hospitals

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Cynthia Cox

@cynthiaccox

2 years

The WaPo article cites an update to an analysis we last published in April. Back then, I pushed back against the argument that this was just “base rate fallacy.” With months of flat vax rates it’s even more clear now that wasn’t the main explanation. It’s also waning immunity

Cynthia Cox

@cynthiaccox

2 years

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/🧵

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Cynthia Cox

@cynthiaccox

4 years

If the ACA is overturned, COVID-19 could very well be considered a pre-existing condition. #VPDebate #Debates2020

Is COVID-19 a Pre-Existing Condition? What Could Happen if the ACA is Overturned | KFF

If the ACA is overturned, federal law protection for people with pre-existing health conditions would end. This post examines what that could mean for people in the time of COVID-19, including...

www.kff.org

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Cynthia Cox

@cynthiaccox

3 years

NEW: If all adults in the U.S. had been fully vaccinated, at least 90,000 covid deaths would have been avoided since June.

COVID-19 mortality preventable by vaccines - Peterson-KFF Health System Tracker

In this analysis, we estimate the number of adult deaths that could have been prevented by timely vaccination. We find that approximately 234,000 deaths since June 2021 could have been prevented with...

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

7 years

Assistance would ↓ for lower-income and ↑ for some higher-income people under the House Republican #ACA replacement #AmericanHealthCareAct

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Cynthia Cox

@cynthiaccox

5 years

The number of people visiting is down 21% from last year. New consumers down 18%. Total signups down 11% The latest #ACA numbers suggest the drop in signups is primarily due to lack of awareness & possibly mandate repeal, more than lack of appealing plans

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Cynthia Cox

@cynthiaccox

3 years

NEW: What might Biden do on health policy without Congress? Here's a VERY LONG list of actions his administration might take to reverse controversial Trump actions and move some of Biden's campaign pledges forward, even if Rs maintain control the Senate.

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Cynthia Cox

@cynthiaccox

7 years

NEW map of Marketplace enrollees: 6.3 million live in Republican districts 5.2 million live in Democratic districts

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Cynthia Cox

@cynthiaccox

3 years

Preventable COVID hospitalizations among unvaccinated adults have already cost over $2 billion in June and July alone. The cost is mostly borne by taxpayer-funded public programs and private plans paid by workers and businesses.

Unvaccinated COVID-19 hospitalizations cost billions of dollars - Peterson-KFF Health System Tracker

COVID-19 vaccines have been free and broadly available to adults in all states and the District of Columbia since mid-April 2021, meaning adults in the U.S. have generally been able to be fully...

www.healthsystemtracker.org

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Cynthia Cox

@cynthiaccox

6 years

New analysis: People living in the southern US are more likely to have #preexistingconditions that would leave them uninsurable in the individual market w/o the #ACA . See how your area compares, using this interactive map

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Cynthia Cox

@cynthiaccox

4 years

Our NEW analysis finds COVID cases & deaths are now rising fastest in rural areas This follows our earlier findings that rural America has fewer ICU beds, older populations, and higher-risk health conditions

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Cynthia Cox

@cynthiaccox

7 years

Since the #AmericanHealthCareAct tax credits aren't tied to local premiums, people in high-cost (often rural) areas get less than under #ACA

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Cynthia Cox

@cynthiaccox

5 years

[THREAD] The U.S. spends more $$$ than any other country on health care, but gets worse health outcomes than similar countries. We live shorter lives and have more disease burden. And the gap between the U.S. and other countries has grown.

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Cynthia Cox

@cynthiaccox

1 year

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 @jenkatesdc @joshmich @KFF

Commercialization of COVID-19 Vaccines, Treatments, and Tests: Implications for Access and Coverage...

With the depletion of the federal-purchased supply of COVID-19 vaccines, treatments and tests following the end of the public health emergency, this resource provides an overview of the implications...

www.kff.org

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Cynthia Cox

@cynthiaccox

3 years

PSA: If you're leaving your job in the Trump Administration, you can get health insurance on or your state's ACA exchange. You may qualify for Medicaid through Obamacare. Or you can get Temporary Continuation of Coverage, like COBRA. Or spousal coverage.

Still need health insurance?

Still need health insurance? You can enroll or change plans if you have certain life events or income, or qualify for Medicaid or CHIP.

www.healthcare.gov

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Cynthia Cox

@cynthiaccox

3 years

As my colleague @KarenP720 says, "The problem is not that people are making bad choices. The problem is that they are flooded with bad choices to make."

Sarah Kliff

@sarahkliff

3 years

Each year, I get to choose from dozens of health plans (I'm married to a federal worker). My metric to pick? Whether it has two doctors I like in-network. I found it overwhelming to compare the benefit design. And I write about this for a living!

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Cynthia Cox

@cynthiaccox

4 years

President-elect Biden campaigned on protecting and building upon the #ACA . But without the Senate, Democrats may have few paths to preserve the law if SCOTUS rules against it. The future of #Obamacare could ride on the Georgia runoff election.

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Cynthia Cox

@cynthiaccox

7 years

Average premiums would be lower under AHCA, but not nec. for comparable coverage. Drop is largely because people would buy skimpier coverage

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Cynthia Cox

@cynthiaccox

2 years

@MGeracoulis @lourdesgnavarro My Greek father-in-law very kindly made orzo for me since everyone else was eating lamb and I’m vegetarian As I was about to bite in, my husband said “wait, Dad! Doesn’t that have veal in it??” “Minimum. Just minimum veal.”

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Cynthia Cox

@cynthiaccox

3 years

A big deal: Even though millions of people lost their jobs, the uninsured rate didn’t go up at all. And it’s thanks to the ACA (Obamacare) and Medicaid.

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Cynthia Cox

@cynthiaccox

4 years

NEW: Insurer participation on the #ACA exchange markets is now as strong as it was in 2014, when the markets first opened. About 8 in 10 enrollees will have a choice of 3 or more insurers. Only 3% live in counties with just one insurer

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Cynthia Cox

@cynthiaccox

2 years

Happy No Surprise Bills Day!

No Surprises Act Implementation: What to Expect in 2022 | KFF

The “No Surprises Act,” which establishes new federal protections against most surprise out-of-network medical bills when a patient receives out-of-network services during an emergency visit or from...

www.kff.org

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Cynthia Cox

@cynthiaccox

2 years

We’ve estimated nearly half of uninsured people are eligible for free health insurance. So I’m often asked why they aren’t signing up. I suspect many just don’t know…

Jenny Chumbley Hogue

@kgmom219

2 years

I just told a client to stop watching Fox News after he went off about the plans being unaffordable with $18K deductibles on the Marketplace. Then I added that none of them have read the law or even ran a quote. Oh and your sons premium will be $22 with a $0 deductible.

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Cynthia Cox

@cynthiaccox

5 years

The ACA specifies circumstances when premiums CAN vary (location, age, tobacco) so other rating (e.g. based on gender) is inherently prohibited The new GOP bill takes the opposite approach: It specifies circumstances when premiums CAN'T vary, giving insurers much more flexibility

Larry Levitt

@larry_levitt

5 years

Unlike the ACA, the new Republican pre-existing condition bill would not disallow lifetime or annual limits, cap patient out-of-pocket costs, require coverage of essential benefits, prohibit gender rating, or provide subsidies to make premiums more affordable.

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Cynthia Cox

@cynthiaccox

7 years

The average premium for states is $476 before subsidies. The average subsidized person pays $106 per month.

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Cynthia Cox

@cynthiaccox

2 years

NEW: If temporary ACA subsidies expire, coverage would be unaffordable for some middle-income people. West Virginia and Wyoming are tied for the least affordable premiums. A 40-year-old making just over $51k would pay almost a fifth of their income.

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Cynthia Cox

@cynthiaccox

6 years

I'm counting over a dozen new entrants to 2019 #ACA Marketplaces... AZ: Oscar FL: Oscar IA: Wellmark ME: Anthem (if reinsurance) MI: Oscar NM: Presbyterian NC: Centene OH: 1-2 unknown companies OK: Medica TN: Bright UT: Molina VA: VA Premier WI: Molina ...and zero exits

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Cynthia Cox

@cynthiaccox

3 years

People on both the left and right have rightly criticized ACA deductibles. But keep in mind uninsured people have to make decisions based on current law/reality. When 4 million uninsured ppl can get a free bronze plan, the high deductible is ALWAYS better than staying uninsured.

Wendell Potter

@wendellpotter

3 years

I know @joebiden means well in reopening the enrollment period for ACA marketplaces, so more people can sign up for coverage. But as an expert in the health insurance industry, I have a big concern: many people who sign up for these plans won’t be able to use them. Here’s why:

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Cynthia Cox

@cynthiaccox

4 years

Women have higher average health costs than men. So, before the ACA, individual market insurers charged women higher premiums, a practice known as gender rating. Essentially, being a woman was a pre-existing condition. If the ACA is overturned, gender rating could come back.

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Cynthia Cox

@cynthiaccox

3 years

NEW: With passage of the ARPA, 1 in 2 uninsured people can get FREE ($0 premium) health coverage. And most of the people eligible for $0 premiums would also have very low (or no) out-of-pocket costs, too. is open for signups now

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Cynthia Cox

@cynthiaccox

3 years

New: Will insurers shift more costs to unvaccinated people? They already are, in effect. Insurers used to voluntarily waive deductibles for COVID hospitalizations, but most have stopped. (Vaccines prevent the vast majority of COVID hospitalizations).

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Cynthia Cox

@cynthiaccox

3 years

Good news: In the next month, everyone who wants a vaccine will have gotten one. Bad news: In the next month, everyone who wants a vaccine will have gotten one.

Larry Levitt

@larry_levitt

3 years

New: We estimate that in 2-4 weeks it's likely everyone who wants to get vaccinated will have gotten a first dose. Then, our challenge will be getting more people to want to get vaccinated and making access equitable. w/ @jenkatesdc @joshmich

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Cynthia Cox

@cynthiaccox

2 years

8/🧵 Note: The above tweet is the seventh in a thread (“7/🧵”) so, folks might want to scroll up and read the other six tweets above it before saying it lacks context. If you’d like to see the CDC data yourself, you can find it here:

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Cynthia Cox

@cynthiaccox

4 years

Think insurance company profits are to blame for Americans’ high health costs? Think again. Sure, insurers make big profits, but you really need to look no farther than your local hospital

Nisha Kurani

@nishakurani

4 years

The US spends 2x as much per person on health compared to other countries. National focus of this high spending is often on Rx drugs and administrative costs. But @cynthiaccox and I find payments to hospitals and providers really drive high spending.

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Cynthia Cox

@cynthiaccox

8 months

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...

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