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Cathy Hope

@gothope.bsky.social
157 followers 109 following 13 posts

Communications Director at #Healthpolicy research center focused mainly on Medicaid, CHIP and the Affordable Care Act. Georgetown University Center for Children and Families (CCF) based at the McCourt School of Public Policy. ccf.georgetown.edu

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Cathy Hope @gothope.bsky.social · 14/09/2026
Unreliable mail service and less online connectivity means more barriers for residents of rural areas to overcome to comply with the new Medicaid rules. See new report by @adamsearing.bsky.social @joanalker1.bsky.social @georgetownccf.bsky.social ccf.georgetown.edu/2026/09/14/r...
ccf.georgetown.edu
Rural Communities at Greater Risk of Harmful Impacts from New Medicaid Work Reporting Requirements
In 2025, Congress passed H.R. 1, legislation which requires work reporting requirements as a condition of Medicaid eligibility in the 41 states, including Washington, D.C., that have expanded coverage...
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Catherine Rampell @crampell.bsky.social · 11/08/2026
One piece of this new presidential vax schedule that's gotten insufficient coverage is the additional demand it would create for dr. appointments (assuming kids still get shots), since unbundling shots requires more trips to pediatrician. Do you know how hard it is to get a doctor's appt right now?!
thebulwark.com
There’s No Vaccine for Stupid
Innumerate Republican senators castigate Fauci for something he didn’t do.
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Cathy Hope @gothope.bsky.social · 02/03/2026
New @apnews.com estimate finds mandate imposed on states by H.R. 1 will cost states an estimated $1 billion. “A huge amount of funding is going to go to vendors to construct these complicated red-tape systems that prevent people who need it from getting health care,” says @joanalker1.bsky.social
ksat.com
Trump's Medicaid work mandates are meant to save money. But first states will have to spend millions
New Medicaid work requirements signed into law by President Donald Trump are meant to save money.
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Joan Alker @joanalker1.bsky.social · 27/02/2026
One big case of fraud against Medicaid was perpetrated by the Medicaid managed care company then known as "Wellcare" in Florida. Guess which President pardoned WellCare company execs convicted of Medicaid fraud? www.wusf.org/courts-law/2...
wusf.org
Trump Pardons Former WellCare Execs Convicted In Florida Medicaid Fraud Case
FBI agents raided WellCare's Tampa headquarters in 2007 as part of the investigation. A statement issued by the White House said the prosecution has been “widely cited as a case study in overcriminali...
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Joan Alker @joanalker1.bsky.social · 25/02/2026
A serious effort to detect fraud against Medicaid would not dump data online with no context. CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.
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Justin Wolfers @justinwolfers.bsky.social · 02/10/2025
Trump's CEA is circulating its estimate of the economic cost of the government shutdown. But, BREAKING: It's wrong. It makes a simple arithmetic error. And it's dishonest. Surprising, I know. 🧵
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Akeiisa Coleman @acinthedc.bsky.social · 25/09/2025
"But enrollment in Georgia Pathways has remained low. The most recent state data shows that 9,175 of the nearly quarter-million low-income Georgians eligible for the program were enrolled as of Aug. 31." #Medicaid #healthpolicy www.propublica.org/article/geor...
propublica.org
Georgia’s Medicaid Work Requirement Program Spent Twice as Much on Administrative Costs as on Health Care, GAO Says
Republican lawmakers cite Georgia’s Pathways to Coverage as a national model for federal Medicaid work requirements that are set to take effect in 2027. A new report shows the program has spent at lea...
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Cathy Hope @gothope.bsky.social · 30/07/2025
Medicaid is certainly in the headlines now as a well-loved cornerstone of America's health care system. "Nearly all adults (97%) say Medicaid is at least somewhat important for people in their local community, including about three in four (73%) who say it is “very important.” @kff.org
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Joan Alker @joanalker1.bsky.social · 15/05/2025
Our new report on the role of Medicaid for women of child-bearing age in rural areas w/ state by state data is here Medicaid covers 47% births in rural areas Rural areas have been losing labor + delivery units. Medicaid cuts will make this scary situation even worse for moms and babies.
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Joan Alker @joanalker1.bsky.social · 15/05/2025
The full report is available here: ccf.georgetown.edu/2025/05/15/m...
ccf.georgetown.edu
Medicaid Plays A Key Role for Maternal and Infant Health in Rural Communities
Key Findings: Medicaid is a vital source of health coverage for women of childbearing age across the U.S. but is even more important to those living in small towns and rural communities than metro …
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Joan Alker @joanalker1.bsky.social · 14/05/2025
House E & Commerce Ctte all night Medicaid markup over The Committee voted on party lines for at least $625 billion in Medicaid cuts thru a series of complex policy changes. I'm deeply dismayed that the House is rushing to cut Medicaid w/o understanding the full impact + no complete CBO score.
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Elisabeth Wright Burak @ewburak.bsky.social · 25/04/2025
We already have a child care crisis-- Medicaid cuts would make it even worse. ccf.georgetown.edu/2025/04/25/t...
ccf.georgetown.edu
The U.S. Already Has a Child Care Crisis: Medicaid Cuts Would Make it Much Worse
Working parents don’t need survey data to tell them our nation is facing a serious child care crisis. They are reminded every time they pay their child care bill that often exceeds even the high co…
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Tracy Jan @tracyjan.bsky.social · 14/05/2025
As Congressional Republicans push for Medicaid work requirements, here’s how it’s going in Georgia: Deloitte Consulting is taking in tens of millions in tax dollars to manage the country’s only Medicaid work requirement program — and sell it to the public. Only 3% of those eligible have enrolled.
propublica.org
The Firm Running Georgia’s Struggling Medicaid Experiment Was Also Paid Millions to Sell It to the Public
Deloitte Consulting is taking in tens of millions in tax dollars to build, manage and market Georgia’s Medicaid work requirement program. Yet only 3% of eligible residents have enrolled.
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Christopher Webb @cwebbonline.com · 22/03/2025
No, not Democrats being “bused in”—just regular Nebraskans waking up to the fact that their Social Security is on the chopping block to fund tax cuts for billionaires. Great piece by PBS.
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Cathy Hope @gothope.bsky.social · 21/03/2025
New Survey Finds Medicaid Cuts Would Devastate School Staffing and Services, Lead to More Lay-Offs www.the74million.org/article/new-...
the74million.org
New Survey Finds Medicaid Cuts Would Devastate School Staffing and Services
Mandle & O'Rourke: District leaders predict layoffs, reductions in student mental health services, worse attendance and academic performance
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Georgetown CCF @georgetownccf.bsky.social · 20/03/2025
Medicaid is the MVP of the healthcare system serving the needs of people across the lifespan. @georgetownccf.bsky.social published a series of fact sheets explaining how Medicaid helps bring down costs and meets the needs of America’s families. ccf.georgetown.edu/tag/fact-she...
ccf.georgetown.edu
Fact Sheets
These fact sheets focus on how Medicaid helps meet the needs of children, families, pregnant women, seniors, people with disabilities, and low-income seniors. Featured Posts
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Cathy Hope @gothope.bsky.social · 13/03/2025
New data from a 50-state survey of school leaders points to large-scale reductions in school health services and staff and increased taxpayer burden if Congress cuts Medicaid: bit.ly/school-medicaid-cuts #healthpolicy #SchoolMedicaidMatters
bit.ly
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Georgetown CCF @georgetownccf.bsky.social · 12/03/2025
Thank you for drawing attention to the impact cuts to Medicaid will have on communities across the USA. Americans deserve an open debate over such important decisions that will impact access to health care for so many. #WellnessWed
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Cathy Hope @gothope.bsky.social · 12/03/2025
@GeorgetownCCF, a health policy research center at Georgetown University McCourt School of Public Policy, is here to join the women’s health conversation today. Thanks to @MomsRising for hosting #WellnessWed.
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Larry Levitt @larrylevitt.bsky.social · 06/03/2025
How CBO views a Medicaid work requirement: Little effect on employment. Saves the federal government $109 billion over a decade. Causes 600,000 people to become uninsured. But, that assumes states pay $65 billion to offset federal cuts and maintain coverage for 900,000 people.
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Cathy Hope @gothope.bsky.social · 06/03/2025
New @epi.org report shows Medicaid cuts of the magnitude Congress is considering would increase hardships for already struggling families and make the U.S. more vulnerable to a recession. #healthpolicy #saveMedicaid www.cnbc.com/2025/03/05/c...
cnbc.com
Congress' proposed cuts may jeopardize Medicaid and negatively impact the economy, report finds
Federal cuts to Medicaid would impact more than 80 million people who rely on the program. It may also negatively effect the economy, new research finds.
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Bruce Lesley @brucelesley.bsky.social · 05/03/2025
Earlier Trump said he brought back free speech. Ummm… #SOTU
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MomsRising @momsrising.org · 05/03/2025
FACT: Farmers will be some of the hardest hit by Trump’s tariff war. Farmers know from experience that retaliatory tariffs hit them hard! 89% of all farms are small family farms. They can’t afford #TrumpsTariffWaronFamilies. #MOMSky time.com/7264403/farm...
time.com
Farmers Fear More Pain From Trump's Trade War
Already reeling, U.S. farmers say the new round of retaliatory tariffs will hurt business
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Cathy Hope @gothope.bsky.social · 05/03/2025
If you care about foster children, you should care about Medicaid. ccf.georgetown.edu/2025/02/19/a... #HandsoffMedicaid #healthpolicy
ccf.georgetown.edu
A Strong Medicaid Means Strong Families
By Zach Laris, Bolder Horizon The term “child welfare policy” can confuse as much as it illuminates. When first hearing it, many mistakenly think it’s about the generic wellbeing of children, or ca…
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Joan Alker @joanalker1.bsky.social · 26/02/2025
The movie is not over yet but the passage of the House Budget Resolution tonight with at least $880 billion of cuts to Medicaid/CHIP is an ugly scene to be sure. To understand what kinds of proposals to cut Medicaid are on the table read my colleague @edwincpark.bsky.social blog.
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Joan Alker @joanalker1.bsky.social · 26/02/2025
Minnesota Republicans ask Minnesota Republicans to spare Medicaid minnesotareformer.com/2025/02/25/m...
minnesotareformer.com
Minnesota Republicans ask Minnesota Republicans to spare Medicaid • Minnesota Reformer
Medicaid advocates hoping to stave off billions in cuts to the program for low-income and disabled Minnesotans have found an unlikely ally: Republican lawmakers. “Drastic reductions to Medicaid fundin...
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Joan Alker @joanalker1.bsky.social · 25/02/2025
Honored to partner w/ @Mission_Ready on issue brief re how critical Medicaid is for military readiness + military families. As the House considers draconian cuts to Medicaid 🙏 Brigadier General Schwartz (Ret.) for speaking out! ccf.georgetown.edu/2025/01/27/m... lebtown.com/2025/02/24/a...
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Joyce White Vance @joycewhitevance.bsky.social · 19/02/2025
This story can't be repeated enough. The GOP is lined up behind the guy who is so incompetent that his quasi-gov't agency did this. They're confirming his highly questionable nominees & hurting the American people. And "accidentally"? It was stupidity, not accident. www.nbcnews.com/politics/dog...
nbcnews.com
USDA accidentally fired officials working on bird flu and is now trying to rehire them
An Agriculture Department spokesperson told NBC News that officials are "working to swiftly rectify the situation."
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Joan Alker @joanalker1.bsky.social · 19/02/2025
As Congress considers very large cuts to Medicaid did you know that ten percent of children in active duty military families who are covered by TriCare are also covered by Medicaid? #LearnAboutMedicaid
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Robin Rudowitz @robinr.bsky.social · 13/02/2025
New analysis lays out tough choices if the enhanced match rate for the #Medicaid expansion goes away - states pick up over $600 billion in costs over 10 years in one scenario or 20 million covered by expansion lose coverage in another scenario. www.kff.org/medicaid/iss...
kff.org
Eliminating the Medicaid Expansion Federal Match Rate: State-by-State Estimates | KFF
This analysis examines the potential impacts on states and Medicaid enrollees of eliminating the 90% federal match rate for the Affordable Care Act (ACA) expansion. Eliminating the federal match rate ...
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KFF @kff.org · 14/02/2025
KFF’s president and CEO Drew Altman writes in a new column about the factors driving the biggest health policy decisions now — how to pay for tax cuts and whether President Trump wants another big fight about health care.
on.kff.org
The Biggest Health Policy Decisions Now Facing the Trump Administration
KFF’s president and CEO Drew Altman writes in a new column about the factors driving the biggest health policy decisions now—how to pay for tax cuts and whether President Trump wants another big fight...
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Georgetown CCF @georgetownccf.bsky.social · 05/02/2025
A3: Medicaid is a lifeline to rural communities and helps keep rural hospitals open. By covering maternal health and deliveries, Medicaid helps babies get a healthy start in life. bit.ly/RuralReport25 #WellnessWed
bit.ly
Medicaid’s Role in Small Towns and Rural Areas
Key Findings Non-elderly adults and children in small towns and rural areas are more likely than those living in metro areas to rely on Medicaid/CHIP for their health insurance. As a consequence, r…
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Joan Alker @joanalker1.bsky.social · 05/02/2025
A reminder that this webinar is today at 1ET! You can register below.
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Edwin Park @edwincpark.bsky.social · 01/02/2025
Key point: “Those cuts are floors, the people say, and Republicans will aim to reduce spending far beyond them where possible.” These are likely the reconciliation instructions so Energy & Commerce has to make cuts (mostly #Medicaid) of at least $200b but can make much deeper cuts if it wants too.
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Kansas Reflector @kansasreflector.com · 27/01/2025
Opinion editor @claywires.bsky.social writes: Rural Kansans depend on Medicaid at beginning and end of life. D.C. proposals threaten program. #ksleg
kansasreflector.com
Rural Kansans depend on Medicaid at beginning and end of life. D.C. proposals threaten program. • Kansas Reflector
A new report from Georgetown University sketches the present Medicaid system and makes clear the threat of potential cuts from Congress.
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Edwin Park @edwincpark.bsky.social · 28/01/2025
The White House press secretary tries to make it seem that states being blocked from accessing their federal #Medicaid $ was somehow just a technical glitch, rather than an intentional unlawful act that caused chaos over the last 24 hours.
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Joan Alker @joanalker1.bsky.social · 27/01/2025
Medicaid has had the lowest growth in per-enrollee spending yet Congress is targeting Medicaid for large cuts. Is there a cost problem in our health care system - yes? Will targeting the most efficient payer in the system for huge cuts fix it? No.
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Edwin Park @edwincpark.bsky.social · 28/01/2025
Even as the Trump Administration illegally blocks states from accessing federal #Medicaid funding, don't forget that House Republicans are now meeting in Florida to discuss their budget reconciliation plans to gut Medicaid through draconian cuts of $2.3 trillion or more (a cut of one-third).
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Daniel Payne @danielpayne.bsky.social · 28/01/2025
Federal grant freeze reaches community health centers: subscriber.politicopro.com/article/2025...
A screenshot of a portion of an article that says:

The pause is already having impacts on providers.
St. John's Community Health, a network of community health centers in Southern California, has had nearly $18 million in federal funding frozen, the group's president and CEO, Jim Mangia, told POLITICO.
"We're doing the best we can to continue services," he said in a text message. "But yes, if this freeze is permanent there will be substantial cuts."
Mangia said the most vulnerable groups, including children and patients who are homeless, would be most at risk from the funding freeze - and said it put them and other providers in financial peril.
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Cathy Hope @gothope.bsky.social · 28/01/2025
Statement by @joanalker1.bsky.social @georgetownccf.bsky.social on OMB memo impact on Medicaid and CHIP. #healthpolicy ccf.georgetown.edu/2025/01/28/s... via @GeorgetownCCF
ccf.georgetown.edu
Statement by Joan Alker Calling on Trump Administration to Clarify Whether or Not OMB Memo M-25-13 Would Pause Medicaid and CHIP Funds
The following is a statement by Joan Alker, Executive Director of the Georgetown University McCourt School of Public Policy Center for Children and Families, in response to the OMB Memo January 28,…
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Georgetown CCF @georgetownccf.bsky.social · 22/01/2025
Cutting federal Medicaid payments to states would be bad news for state credit ratings. Congressional leaders' plans to cut Medicaid by about one-third will impact state budget priorities, local infrastructure, and economic growth. #healthpolicy ccf.georgetown.edu/2025/01/22/c...
ccf.georgetown.edu
Cutting Federal Medicaid Payments to States:  Bad News for Their Credit Ratings
Medicaid is the nation’s largest health insurer, covering over 70 million Americans.  And, as a new CCF report documents, it is a particularly important source of coverage for children and adu…
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Cathy Hope @gothope.bsky.social · 22/01/2025
Tune for insights from @joanalker1.bsky.social on Congressional leaders plans to cut Medicaid funding by abt 1/3rd! ccf.georgetown.edu/2025/01/20/h...
ccf.georgetown.edu
House Budget Committee Circulates New Detailed List of Budget Reconciliation Options Including Draconian Medicaid Cuts Within House Republican Caucus
On Friday, January 17, Politico and other news outlets reported that the House Budget Committee distributed to the House Republican Caucus a new 50-page list of mandatory spending and tax proposals…
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Georgetown CCF @georgetownccf.bsky.social · 21/01/2025
Rural areas are already coping with a shortage of hospitals and obstetric care. Leaders in Congress are planning to gouge Medicaid - cutting fed funds by abt 1/3rd. That would make it much tougher for those who want to start and raise a family in a small town or rural community. bit.ly/3Wv07Xl
publicnewsservice.org
Rural ME braces for Medicaid cuts as lawmakers eye corporate tax breaks
Children and families in rural Maine would face the greatest harm should proposed funding cuts to the federal Medicaid program be implemented, according to a new report. Republicans in Congress are c...
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Joan Alker @joanalker1.bsky.social · 21/01/2025
It just keeps getting more dire for Medicaid which is clearly the top target for cuts by Congressional leaders.
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Joan Alker @joanalker1.bsky.social · 16/01/2025
As Congress considers large Medicaid cuts, kids in rural Virginia have more at stake. In Fairfax Co. 22% of kids are covered by Medicaid but on VA's Southern/SW border (Mecklenburg, Brunswick, Greenville) (Lee, Dickensen, Buchanan) more than 40% of kids are covered by Medicaid.
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Edwin Park @edwincpark.bsky.social · 15/01/2025
New Georgetown CCF report on the vital role #Medicaid plays in health coverage for people living in rural areas and small towns. Children and non-elderly adults in rural areas are more likely to rely on Medicaid than those living in metro areas. #healthpolicy ccf.georgetown.edu/2025/01/15/m...
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Cathy Hope @gothope.bsky.social · 15/01/2025
New report: In 6 states, over 50% of rural kids rely on #Medicaid for health coverage. There’s no way around it: federal Medicaid cuts would harm rural children. Learn what’s at stake in your community #MedicaidMatters #RuralHealth via @GeorgetownCCF: bit.ly/4gXUedc
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Cathy Hope @gothope.bsky.social · 15/01/2025
Medicaid protects USA families from high health care costs and medical debt. It makes an even bigger impact in rural America. bit.ly/RuralReport25 #RuralHealth
Little boy hugging his sister.
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Washington Post Opinions @postopinions.bsky.social · 14/01/2025
Republicans want to cut taxes this year, which will be expensive, @crampell.bsky.social writes. So, they’re plotting to pay for the revenue loss (at least partly) by slashing the safety net. Among the programs on the chopping block: Medicaid and Obamacare marketplace subsidies. wapo.st/3BXRNIR
wapo.st
Opinion | Society is making you sick, GOP says. Too bad their plans will make you sicker.
“Make America Healthy Again” might be a laudable plan — if GOP policies didn’t contradict GOP goals.
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