Christen Linke Young @clinkeyoung.bsky.social · 14/04/2026Delaware is doing real work towards that goal, and we are excited to have partners across the state committed to a vision of change. More here: djph.org/wp-content/u...djph.org 030
Christen Linke Young @clinkeyoung.bsky.social · 14/04/2026We are at a moment of real potential change, but policymakers and payers have to get the incentives right, with more accountability for total cost of care, and more downside risk. 130
Christen Linke Young @clinkeyoung.bsky.social · 14/04/2026I had the chance to share thoughts on technology, AI, and health care in the Delaware Journal of Public Health, underscoring that we have a lot of work to do to reward technologies that lower the input cost of making people healthy -- rather than technologies that bill more intensively. 150
Reposted by Christen Linke YoungBobby Kogan @bbkogan.bsky.social · 11/08/2025New from CBO: year-by-year health coverage effects of the "Big Beautiful Bill." The law kicks 10 million off their health insurance (the difference between the orange and dotted blue line). It also does nothing to address the cliff from the blue to the green, for another 5 million losing coverage. 411061
Reposted by Christen Linke YoungSarah Lueck @sarahl202.bsky.social · 24/06/2025The "one big beautiful bill," which would leave some 16m uninsured, is making people say some ugly things. Sen. McConnell: "They'll get over it." Sen. Ernst: "Well, we all are going to die." CMS Administrator Oz: "Prove that you matter." 01412
Reposted by Christen Linke YoungJosh Marshall @joshtpm.bsky.social · 21/06/2025As long as GOPs are cutting Medicaid they figure why not gut Obamacare too talkingpointsmemo.com/news/senate-...talkingpointsmemo.comSenate Republicans Take The Attack On Obamacare To A New LevelHouse Republicans included massive cuts to federal social safety net programs, like... 18361171
Reposted by Christen Linke YoungCitizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 10/06/2025"...the US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect" -- @mattafiedler.bsky.social www.healthaffairs.org/content/fore...healthaffairs.orgTaking Stock Of The Health Coverage Impacts Of The House Reconciliation Bill | Health Affairs ForefrontThe US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect; the resulting increase would erase almost ... 145
Reposted by Christen Linke YoungLarry Levitt @larrylevitt.bsky.social · 05/06/2025Interestingly, CBO assumes that where abortion coverage is required, insurers wouldn't get ACA CSR payments and instead continue silver loading. So, in states that require abortion coverage, enrollees would actually get higher premium subsidies paid for by the federal government. 2132
Christen Linke Young @clinkeyoung.bsky.social · 04/06/2025CBO finds the House bill has $1 trillion in health care cuts and increases the uninsured by 16 million (w/other changes). How big is this? Compared to 2017 ACA repeal bills, this is larger than "skinny repeal" and up to two thirds the size of full repeal. Wow. www.brookings.edu/articles/new... 0148
Reposted by Christen Linke YoungAdrianna McIntyre @adrianna.bsky.social · 03/06/2025Increasing frequency of eligibility redeterminations, when many states are ill-equipped to use existing data sources to confirm ongoing eligibility, has the same effect: Eligible folks get paperworked out of coverage alongside those who have actually become ineligible. 175
Reposted by Christen Linke YoungAdrianna McIntyre @adrianna.bsky.social · 24/05/2025I want to emphasize that this is 18,000 avoidable deaths per year *of Medicare enrollees.* They aren't in CBO's "uninsured" count — they're older people and folks with disabilities on Medicare who won't get extra financial help because of a proposed moratorium on a regulation. 6466244
Christen Linke Young @clinkeyoung.bsky.social · 22/05/2025Latest House bill text includes another blow to the ACA, ending “silver loading.” That would increase premiums by $350 for a hypothetical family. Here’s why: www.brookings.edu/articles/und...brookings.eduUnderstanding Marketplace "Silver Loading"Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA. 04741
Reposted by Christen Linke YoungSabrina Corlette @sabrinacorlette.bsky.social · 20/05/2025Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors @jasonlevitis.bsky.social and @clinkeyoung.bsky.social chirblog.org/the-sleeper-...chirblog.orgThe Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA MarketplacesAn obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and... 53024
Reposted by Christen Linke YoungCynthia Cox @cynthiaccox.bsky.social · 20/05/2025Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.socialchirblog.orgThe Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA MarketplacesAn obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and... 165
Reposted by Christen Linke YoungGideon Lukens @gidlukens.bsky.social · 14/05/2025House Republicans’ plan would take Medicaid from people who can’t meet burdensome work reporting rules, putting up to 14.4 million at risk of losing Medicaid coverage by 2034. State and district level estimates here: www.cbpp.org/research/hea...cbpp.orgHarsh Work Requirements in House Republican Bill Would Take Away Medicaid Coverage From Millions: State and Congressional District Estimates | Center on Budget and Policy PrioritiesThe House Republican reconciliation legislation currently under consideration in the Energy & Commerce Committee would take away health coverage and leave at least 8.6 million people uninsured as it c... 01613
Reposted by Christen Linke YoungCitizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 14/05/2025NEW at @thebulwark.com Why the Republican Medicaid cuts are even worse than you've heard www.thebulwark.com/p/gop-republ...thebulwark.comThe GOP Medicaid Cuts Are a Big F*cking Deal7.6 million newly uninsured, and that’s not even the whole story. 13822
Reposted by Christen Linke YoungMatt McGough @mattmcgough.bsky.social · 13/05/2025Over the weekend, Congressional Republicans proposed portions of a budget reconciliation package that could make significant changes to Medicaid and the ACA. If passed, nearly 14 million people could become uninsured by 2034. More from @kff.org here: www.kff.org/policy-watch...kff.orgHow Will the 2025 Budget Reconciliation Affect the ACA, Medicaid, and the Uninsured Rate? | KFFThis analysis details the number of people who would become uninsured from policy changes in the ACA Marketplace and Medicaid. The Congressional Budget Office estimates that, taken together, these cha... 0128
Christen Linke Young @clinkeyoung.bsky.social · 12/05/2025Staggering, extreme stuff from Energy and Commerce text this morning. Largest Medicaid cut in history; according to CBO nearly 14 million people become uninsured under this agenda. Heartbreaking and cruel. 010
Christen Linke Young @clinkeyoung.bsky.social · 09/05/2025You may have heard talk about the reconciliation bill ending Marketplace "silver loading." I wrote about the big middle class premium increases that would cause - hypothetical couple earning $62K per year sees premiums increase by $350 per month. www.brookings.edu/articles/und...brookings.eduUnderstanding Marketplace "Silver Loading"Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA. 031
Reposted by Christen Linke YoungSabrina Corlette @sabrinacorlette.bsky.social · 17/04/2025Trump administration proposal would be "death by a thousand cuts" for the Affordable Care Act - up to 2M people would lose coverage, millions more would face higher costs. @jasonlevitis.bsky.social @clinkeyoung.bsky.social and I sum it up: georgetown.app.box.com/file/1831720...georgetown.app.box.comFact Sheet on CMS Marketplace Rule -- Final 4-11-25.pdf | Powered by Box 058
Reposted by Christen Linke YoungLarry Levitt @larrylevitt.bsky.social · 02/04/2025New: ACA enrollment has more than doubled since 2020, with the greatest growth in states won by President Trump. If enhanced premium aid is allowed to expire at the end of this year, those states will see big out-of-pocket premiums hikes and loss of health coverage. www.kff.org/policy-watch... 11417
Christen Linke Young @clinkeyoung.bsky.social · 02/04/2025HHS career staff are truly the best in the business. Brilliant, humble, mission-driven public servants who have come to work everyday -- often for decades -- to hold our patchwork health system together. I'm heartbroken for them, and for the institution they serve. 020
Christen Linke Young @clinkeyoung.bsky.social · 31/03/2025Looking forward to chatting with some of the very smartest people about prescription drug supply chains next week. Join us! www.brookings.edu/events/the-r...brookings.eduThe role of the US government in drug supply chain reliabilityOn April 10, Brookings will convene a discussion over the role of the U.S. government in drug supply chain reliability. 010
Christen Linke Young @clinkeyoung.bsky.social · 28/03/2025Hi Bluesky! Great to be here from my new seat, as a visiting Fellow @brookings.edu! My first post is up this morning, on why Medicare can and should finalize a policy to promote broad access to "lower cost" drugs on Medicare Part D formularies. www.brookings.edu/articles/med...brookings.eduMedicare's recent actions to promote access to lower cost drugsChristen Link Young explores how Medicare has and can continue to promote access to lower cost drugs through proposed CMS reforms. 010
