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Joseph Betancourt

@jbetancourtpr.bsky.social
174 followers 83 following 54 posts

President, @CommonwealthFund.org Primary Care Doctor. Equitable, high quality care for all. Made in NYC, Boston, Puerto Rico.

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Joseph Betancourt @jbetancourtpr.bsky.social · 22/10/2025
Appreciate Carol Vassar and the Well Beyond Medicine team for the conversation on what it means to build a fairer health system. We have the resources. What we need now is the will to invest in primary care, trust, and equity. nemourswellbeyond.org/episode/from...
nemourswellbeyond.org
From Data to Action: A Conversation with The Commonwealth Fund’s Dr. Joseph Betancourt - Well Beyond Medicine Podcast
Why are children across the U.S. falling behind on key health measures – and what can we do about it? Joseph R. Betancourt, MD, President, The Commonwealth Fund, joins us to explore solutions. We disc...
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Joseph Betancourt @jbetancourtpr.bsky.social · 10/07/2025
Last week, Congress passed, and the president signed, legislation that will cut #Medicaid and alter how coverage is accessed through the #healthinsurance marketplaces. This is a turning point—not the end of the story.
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Joseph Betancourt @jbetancourtpr.bsky.social · 06/06/2025
Sincerest thanks to @thepcc.org for your leadership and all my fellow #primarycare providers trying to make a difference every day. Committed to improving the health of all Americans at @commonwealthfund.org.
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Joseph Betancourt @jbetancourtpr.bsky.social · 30/05/2025
Robert Gordon tried to make #WorkRequirements work in Michigan. His message today? Don’t repeat the mistake. #Medicaid work requirements may sound simple in theory, but in practice, they mean red tape, wasted resources, and lost coverage.
commonwealthfund.org
More Than 100,000 Michigan Residents Nearly Lost Medicaid Coverage Under Work Requirements
Proposed rule changes to ACA marketplace plans from the Trump administration would increase costs and reduce the financial protection plans offer.
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Joseph Betancourt @jbetancourtpr.bsky.social · 28/05/2025
Medicaid isn’t just health coverage — it’s an economic engine. It supports jobs, strengthens state budgets, and lifts families out of poverty. Cuts to the program wouldn’t just hurt health — they’d harm state economies, too.
commonwealthfund.org
How Does Medicaid Benefit States?
Medicaid provides critical health care to Americans with low income and generates a powerful return on investment for all states.
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Joseph Betancourt @jbetancourtpr.bsky.social · 26/05/2025
Navigating health care is hard for everyone, and we know red tape doesn’t treat chronic illness. Adding red tape to Medicaid is likely to cost more eligible people their coverage than it is to root out fraud. Don’t confuse oversight with obstacles. I’ve seen what happens when patients lose care.
npr.org
Here's what's in the GOP megabill that's just passed the House
At the center of the sweeping bill is trillions in tax cuts, which Republicans aim to partially offset through changes to safety net programs like Medicaid and SNAP.
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Reposted by Joseph Betancourt
The Commonwealth Fund @commonwealthfund.org · 22/05/2025
The impact of the potential federal Medicaid cuts wouldn’t stop at #Medicaid patients—it would ripple across whole communities. 📉 15.9M people would lose Medicaid 💸 $33.7B in hospital revenue would vanish 🚑 Uncompensated care would rise 64% 🏥 Hospital operating income could drop 20% overall ⬇️ ⬇️ ⬇️
commonwealthfund.org
Federal Cuts to Medicaid Could End Medicaid Expansion and Affect Hospitals in Nearly Every State
In states that choose to end expanded Medicaid eligibility, fewer covered beneficiaries mean hospitals will see less revenue and lower operating margins.
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Joseph Betancourt @jbetancourtpr.bsky.social · 21/05/2025
Punitive work requirements can’t compete with real opportunity. #Medicaid helps people stay well enough to work. In states that invested in employment support, enrollees saw wage increases, job gains—and better health.
commonwealthfund.org
How Does Medicaid Benefit States?
Medicaid provides critical health care to Americans with low income and generates a powerful return on investment for all states.
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Joseph Betancourt @jbetancourtpr.bsky.social · 20/05/2025
If we’re serious about improving health, we should listen to the people who’ve done the work. Robert Gordon implemented #Medicaid work requirements in Michigan. Now he’s warning us not to go down that road again.
commonwealthfund.org
More Than 100,000 Michigan Residents Nearly Lost Medicaid Coverage Under Work Requirements
Proposed rule changes to ACA marketplace plans from the Trump administration would increase costs and reduce the financial protection plans offer.
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Joseph Betancourt @jbetancourtpr.bsky.social · 19/05/2025
We’ve made real progress on #maternalhealth, chronic disease, and equity — because we had the data to guide us. The data tells us who’s thriving, who’s suffering, and where we must act. When that data vanishes, so does our ability to make health care more fair.
commonwealthfund.org
“Data Silence” Holds High Stakes for People’s Health
On The Dose podcast, Dr. Marcella Nunez-Smith discusses the public health risks of disappearing federal data systems that track maternal health and chronic disease.
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Joseph Betancourt @jbetancourtpr.bsky.social · 16/05/2025
Medicaid isn’t just a coverage program — it’s a lifeline for people living with #MentalHealth or substance use challenges. To cut funding or restrict access is to risk leaving millions of people without care. This explainer lays out the stakes for all of us.
commonwealthfund.org
Medicaid’s Role in Mental Health and Substance Use Care
Policy changes that reduce access to Medicaid, restrict eligibility, or cut funding could undermine people’s ability to get mental health and substance use care.
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Joseph Betancourt @jbetancourtpr.bsky.social · 14/05/2025
If there is one thing to know this week, it’s this: The combined impact of proposed #Medicaid changes, reduced premium tax credits, and the establishing of new enrollment barriers would erode ACA coverage gains to the tune of 13.7 million more Americans being uninsured by 2034.
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Joseph Betancourt @jbetancourtpr.bsky.social · 13/05/2025
Excited to be part of this year’s amerphysiciangrps.bsky.social Spring Conference. We’ll be talking about the importance of whole person health, and how the evidence is clear that one’s life circumstances are clearly connected to quality and health outcomes. #APGSC25
apg.cventevents.com
APG Spring Conference 2025
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Joseph Betancourt @jbetancourtpr.bsky.social · 12/05/2025
Having seen patients who live with chronic illness and poverty, I can tell you that every barrier to care poses an unnecessary risk. This new brief outlines policy options for bringing dignity and efficiency to how we serve dual-eligible adults.
commonwealthfund.org
Integrating Medicare and Medicaid: Policy Priorities to Improve Access and Care for Beneficiaries Under Age 65
To address the needs of dual-eligible people under 65, policymakers could focus on promoting better data collection and soliciting feedback from beneficiaries.
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Joseph Betancourt @jbetancourtpr.bsky.social · 08/05/2025
Investing in what works is a smart investment. #CommunityHealth Centers are proven to lower costs, deliver better outcomes, and establish deeper trust. That’s a good bet. Let’s not walk away from it. #CHCs
commonwealthfund.org
Community Health Centers Provide Care to Millions, but Cuts Could Put Them in Jeopardy
As health care spending climbs in the U.S., evidence shows that greater investment in CHCs can lead to cost-effective solutions to improving care outcomes.
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Joseph Betancourt @jbetancourtpr.bsky.social · 06/05/2025
We need to fix what’s broken, not break what works. People juggling jobs and caregiving shouldn’t have to jump through hoops to get coverage. Especially when it’s what helps them stay healthy — and stay working.
commonwealthfund.org
A New Rule to Limit ACA Enrollment Periods May Deter Sign-Ups and Worsen Risk Pools
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
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Joseph Betancourt @jbetancourtpr.bsky.social · 05/05/2025
The @milkeninstitute.org Global Conference reminds us: better outcomes come from bold ideas and collective action. Honored to join changemakers pushing for progress. #MIGlobal
milkeninstitute.org
Global Conference 2025 | Milken Institute
The 28th annual Global Conference will unite our diverse, forward-thinking community to tackle these critical issues and explore solutions that pave the way for
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Joseph Betancourt @jbetancourtpr.bsky.social · 30/04/2025
We should be strengthening these lifelines, not starving them. In some towns and neighborhoods, #communityhealth centers are the only place people can get care. #CHCs
commonwealthfund.org
Community Health Centers Provide Care to Millions, but Cuts Could Put Them in Jeopardy
As health care spending climbs in the U.S., evidence shows that greater investment in CHCs can lead to cost-effective solutions to improving care outcomes.
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Joseph Betancourt @jbetancourtpr.bsky.social · 29/04/2025
We owe it to those with the greatest need to get this right. Better coordination across #Medicare and #Medicaid could mean fewer denials, fewer delays, and fewer people falling through the cracks.
commonwealthfund.org
Integrating Medicare and Medicaid: Policy Priorities to Improve Access and Care for Beneficiaries Under Age 65
To address the needs of dual-eligible people under 65, policymakers could focus on promoting better data collection and soliciting feedback from beneficiaries.
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Joseph Betancourt @jbetancourtpr.bsky.social · 28/04/2025
This isn’t trimming fat. It’s cutting deep. Health coverage is a basic need — not a luxury. A proposed federal rule could strip coverage away from 2 million people by 2026, many of them children, seniors, and working families. Details below ⤵️
commonwealthfund.org
A New Rule to Limit ACA Enrollment Periods May Deter Sign-Ups and Worsen Risk Pools
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
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Joseph Betancourt @jbetancourtpr.bsky.social · 22/04/2025
The health of our planet is tied to the health of our people. This #EarthDay, take a moment to read this feature on Providence’s WE ACT scorecard to see how hospitals can care for both the people and the planet.
buff.ly
Measuring and Minimizing Health Care’s Environmental Impact
Providence’s WE ACT scorecard helps employees in its 51 hospitals see how their actions affect greenhouse gas emissions, which contribute to climate change.
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Joseph Betancourt @jbetancourtpr.bsky.social · 17/04/2025
Fixing drug affordability requires more than finger-pointing. It means understanding the system — and changing what no longer serves people. Bipartisan momentum is building on PBM practices. With smart policy, we can lower costs and protect patients.
commonwealthfund.org
What Pharmacy Benefit Managers Do, and How They Contribute to Drug Spending
Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to regulate pharmacy benefit managers.
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Joseph Betancourt @jbetancourtpr.bsky.social · 10/04/2025
A program that touches half of all births and millions of lives should be understood, not politicized. Find out how #Medicaid is financed — and why it matters to EVERYONE, here:
commonwealthfund.org
How Do We Pay for Medicaid?
This explainer looks at how Medicaid is funded jointly by the federal government and the states, the program’s spending, and its administrative costs.
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Joseph Betancourt @jbetancourtpr.bsky.social · 08/04/2025
The potential cuts to #Medicaid and SNAP aren't just a #healthcare issue. They're a jobs issue, a household issue, and an economic stability issue. This is about ALL of us.
commonwealthfund.org
How Potential Federal Cuts to Medicaid and SNAP Could Trigger the Loss of a Million-Plus Jobs, Reduced Economic Activity, and Less State Revenue
Combined losses from proposed cuts to Medicaid and SNAP would reach $1.1 trillion over a decade, including a $95 billion loss of federal funding in 2026 alone.
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Joseph Betancourt @jbetancourtpr.bsky.social · 05/04/2025
As someone who has spent my career in health care, I know what’s at stake when we dismantle systems that protect people’s lives. The recent HHS layoffs risk undoing years of progress. Find my full thoughts over on the @commonwealthfund.org blog.
commonwealthfund.org
Making America Healthy
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Joseph Betancourt @jbetancourtpr.bsky.social · 04/04/2025
Job-based health insurance is the norm in the U.S.—but for many families, it’s becoming unaffordable. Premiums, deductibles, and out-of-pocket costs are eating into paychecks. This analysis helps show where workers are hit hardest—and how policy can make a difference.
commonwealthfund.org
How Affordable Is Job-Based Health Coverage for Workers?
The costs of job-based insurance paid by employees can pose a considerable financial burden, particularly for households with low and moderate incomes.
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Joseph Betancourt @jbetancourtpr.bsky.social · 03/04/2025
Most of us don’t know what a PBM is — but their decisions can shape your pharmacy experience and out-of-pocket costs. See here for what you need to know about PBMs and how state and federal policymakers can improve transparency and accountability around their work.
commonwealthfund.org
What Pharmacy Benefit Managers Do, and How They Contribute to Drug Spending
Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to regulate pharmacy benefit managers.
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Joseph Betancourt @jbetancourtpr.bsky.social · 01/04/2025
Medicaid is vital — and it's complex. This explainer breaks down how dollars flow from federal and state governments to care delivery. If you’ve ever wondered how #Medicaid actually works, this is for you, because it matters to EVERYONE.
commonwealthfund.org
How Do We Pay for Medicaid?
This explainer looks at how Medicaid is funded jointly by the federal government and the states, the program’s spending, and its administrative costs.
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Joseph Betancourt @jbetancourtpr.bsky.social · 25/03/2025
We can’t build a stronger, healthier nation by pulling the rug out from those who need it most. These proposed cuts would set us ALL back. #Medicaid #SNAP
commonwealthfund.org
How Potential Federal Cuts to Medicaid and SNAP Could Trigger the Loss of a Million-Plus Jobs, Reduced Economic Activity, and Less State Revenue
Combined losses from proposed cuts to Medicaid and SNAP would reach $1.1 trillion over a decade, including a $95 billion loss of federal funding in 2026 alone.
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Joseph Betancourt @jbetancourtpr.bsky.social · 24/03/2025
We need to talk about affordability. Working families shouldn’t have to choose between #healthcare and the basics. But in too many states, insurance that's tied to employment is pushing budgets to the breaking point. @sararcollins.bsky.social and her colleagues explore the impacts and options here:
commonwealthfund.org
How Affordable Is Job-Based Health Coverage for Workers?
The costs of job-based insurance paid by employees can pose a considerable financial burden, particularly for households with low and moderate incomes.
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Joseph Betancourt @jbetancourtpr.bsky.social · 21/03/2025
The new administration has a chance to get digital mental health right—by strengthening oversight, setting evidence standards, and making care truly accessible. With leadership like that, we can expand #mentalhealth care and deliver a lifeline to Americans facing access barriers.
bit.ly
Increasing Access to Safe, Effective, and Secure Digital Mental Health Technology Should Be a Federal Priority
Ensuring that digital mental health technology is safe, effective, and secure is critical to addressing the mental health crisis that threatens our country.
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Joseph Betancourt @jbetancourtpr.bsky.social · 17/03/2025
$34 billion in lost economic activity. 286,000 jobs gone. $2.1 billion in lost state revenue. Letting ACA tax credits lapse isn’t just bad for #healthcare — it’s bad for the economy.
bit.ly
The Cost of Eliminating the Enhanced Premium Tax Credits
Unless Congress extends the enhanced premium tax credits, 4 million more Americans will become uninsured, and many will have trouble accessing affordable care.
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Joseph Betancourt @jbetancourtpr.bsky.social · 14/03/2025
Another international comparison report where the U.S. is an outlier. Not in a good way. Though we spend more on health care than any other country, we have worse outcomes—including in terms of health care quality and equity.
buff.ly
Health Care Workers in Canada, the U.K., and the U.S. Report Racial and Ethnic Discrimination in the Health Care System
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
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Joseph Betancourt @jbetancourtpr.bsky.social · 13/03/2025
A single medical bill shouldn’t cost someone their financial future. No one should be denied a home loan because they experienced a crisis that left them with #medicaldebt. A rule that stops lenders from penalizing people for medical bills is on hold, despite bipartisan support.
bit.ly
The Federal Rule on Medical Debt
Federal and state policymakers have several options to expand coverage and take action to help reduce medical debt and its impact on patients.
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Joseph Betancourt @jbetancourtpr.bsky.social · 10/03/2025
Medicaid reentry programs are more than policy—they’re about dignity, opportunity, and ensuring every person has a chance to thrive after incarceration.
commonwealthfund.org
Expanding Health Insurance for Formerly Incarcerated People
Determining whether interventions for formerly incarcerated people are working is difficult without data to measure health outcomes and incarceration history.
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Joseph Betancourt @jbetancourtpr.bsky.social · 06/03/2025
This isn’t just about numbers—it’s about people. The loss of ACA tax credits means fewer jobs and fewer insured families. We need policy that strengthens—not weakens—our state and local economies.
bit.ly
The Cost of Eliminating the Enhanced Premium Tax Credits
Unless Congress extends the enhanced premium tax credits, 4 million more Americans will become uninsured, and many will have trouble accessing affordable care.
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Joseph Betancourt @jbetancourtpr.bsky.social · 04/03/2025
Hospitals have the power to cut emissions and costs. Providence’s WE ACT scorecard isn’t just a tool for this work—it’s a roadmap for health systems that’re serious about tackling climate change.
buff.ly
Measuring and Minimizing Health Care’s Environmental Impact
Providence’s WE ACT scorecard helps employees in its 51 hospitals see how their actions affect greenhouse gas emissions, which contribute to climate change.
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Joseph Betancourt @jbetancourtpr.bsky.social · 28/02/2025
Differences in health care go beyond access—they undermine health itself. Recent work from colleagues at The Commonwealth Fund explores what’s driving these disparities and considers some of the solutions health care workers are calling for.
commonwealthfund.org
Health Care Workers in Canada, the U.K., and the U.S. Report Racial and Ethnic Discrimination in the Health Care System
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
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Joseph Betancourt @jbetancourtpr.bsky.social · 24/02/2025
Everyone deserves access to health care. Extending Medicaid to people reentering society after incarceration reflects our values and commitment to equity.
buff.ly
Expanding Health Insurance for Formerly Incarcerated People
Determining whether interventions for formerly incarcerated people are working is difficult without data to measure health outcomes and incarceration history.
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Joseph Betancourt @jbetancourtpr.bsky.social · 21/02/2025
Choosing a health plan shouldn’t mean sacrificing access to necessary care. It’s time to ensure Medicare works for everyone, no matter their health needs.
buff.ly
Do Medicare Advantage Provider Networks Change the Way Beneficiaries Use Health Care?
Patients with complex health problems need to see a range of specialists, but not all of those providers are likely to be part of Medicare Advantage plan networks.
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Joseph Betancourt @jbetancourtpr.bsky.social · 17/02/2025
You may know that every year, 72 million Americans get health insurance & care thanks to #Medicaid. But many Americans don’t know this. Part of my work involves helping people understand how #healthcare & health policies work, or don’t work. To that end, I'm asking you to share this explainer video.
buff.ly
What Is Medicaid?
Every year, 72 million Americans get health insurance and health care thanks to Medicaid. In fact, it’s the single-largest health insurer in America — and co...
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Joseph Betancourt @jbetancourtpr.bsky.social · 14/02/2025
Hospitals exist to heal. That mission can extend beyond patients and to the planet. Impressive story here detailing Providence’s WE ACT scorecard which is helping to make health care part of the climate solution.
buff.ly
Measuring and Minimizing Health Care’s Environmental Impact
Providence’s WE ACT scorecard helps employees in its 51 hospitals see how their actions affect greenhouse gas emissions, which contribute to climate change.
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Joseph Betancourt @jbetancourtpr.bsky.social · 13/02/2025
Not everyone experiences health care the same way, and this has real consequences. High-quality care for all isn’t a distant ideal—it’s an achievable goal. But we have to start by tackling the systemic discrimination that undermines care for millions of Americans.
buff.ly
Health Care Workers in Canada, the U.K., and the U.S. Report Racial and Ethnic Discrimination in the Health Care System
By continuing on our website, you agree to our use of the cookie for statistical and personalization purpose. Learn More
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Joseph Betancourt @jbetancourtpr.bsky.social · 31/01/2025
When financial incentives drive plan recommendations, patient needs take a back seat. Who will step up to prioritize patients over profits? CMS released a rule that sought to address this issue, but its implementation is currently stalled. Find the story here ⬇️
buff.ly
A New Rule to Protect Medicare Beneficiaries Against Inappropriate Sales Tactics Is Stuck in the Courts
Lawsuits are stalling a rule aimed at curbing insurance agents’ and brokers’ ability to inappropriately steer beneficiaries into private Medicare plans.
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Joseph Betancourt @jbetancourtpr.bsky.social · 29/01/2025
“What gets measured gets done.” For people with serious mental illness, measuring recovery, quality of life, and social support—not just clinical processes—can transform care. This roadmap is a call to action for payers and providers alike.
buff.ly
Rethinking Behavioral Health Care Measures to Improve Outcomes for People with Serious Mental Illness
Rethinking measurements and payment models could drive significant improvements in how people with serious mental illness receive support and treatment
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Joseph Betancourt @jbetancourtpr.bsky.social · 27/01/2025
Medicaid isn’t a luxury—it’s a lifeline. Work requirements are shown to hit low-income communities the hardest. As barriers to access, work requirements ignore the challenges people face and put their health at risk. Common sense solutions and compromises are fair, but evidence matters.
buff.ly
Work Requirements for Medicaid Enrollees
This explainer defines Medicaid work requirements, updates their current status at the federal and state levels, and describes their impact on enrollees.
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Reposted by Joseph Betancourt
The Commonwealth Fund @commonwealthfund.org · 24/01/2025
You might know that every year, 72 million Americans get health insurance and health care thanks to #Medicaid. But most Americans don’t know this. Please take a moment to watch our short video explaining how the Medicaid works & who it helps, and please consider sharing it with your people!
youtube.com
What Is Medicaid?
YouTube video by The Commonwealth Fund
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Joseph Betancourt @jbetancourtpr.bsky.social · 24/01/2025
In rural America, Medicaid is more than health insurance—it’s a bridge to care and stability for millions. To get a better sense of the role #Medicaid plays in rural communities—and the stakes if funding is cut--see this piece by @joanalker1.bsky.social and @edwincpark.bsky.social.
ccf.georgetown.edu
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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Joseph Betancourt @jbetancourtpr.bsky.social · 23/01/2025
The health care system is at a crossroads. In my latest video, I highlight the need for courage to confront profit-driven care, unaffordable access, and disparities that continue to shortchange Americans. It's time to act. Together, we can make 2025 a year of meaningful change.
buff.ly
A New Vision for Health Care in 2025
In a year marked by big changes, the Commonwealth Fund remained committed to bringing about an equitable health system that works for everyone. In his new vi...
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Joseph Betancourt @jbetancourtpr.bsky.social · 22/01/2025
The numbers are staggering: $4.9 trillion in #healthcare spending in 2023, yet outcomes remain uneven and affordability elusive for too many. It’s time to ask tough questions about value and prioritize solutions that work for patients, providers, and payers alike.
buff.ly
National Health Expenditures In 2023
Faster Growth As Insurance Coverage And Utilization Increased
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