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Krutika Amin

@krutika.bsky.social
1.2K followers 152 following 108 posts

CCIIO/CMS/HHS. Health economics PhD. #healthpolicy #healthecon

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Krutika Amin @krutika.bsky.social · 16/04/2024
I did a talk on price transparency! hctransparencysummitportal.com/auditorium Some @PetersonCHealth @KFF work I talked about: 1/4 Price transparency bipartisan legislation passed House last year, so Congressional action on price transparency is possible: www.healthsystemtracker.org/brief/policy...
hctransparencysummitportal.com
HC Transparency Summit
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Krutika Amin @krutika.bsky.social · 16/04/2024
Federal law capping insulin costs to $35 a month is still on Dems health policy agenda. Why? > Reuters: Eli Lilly's nationwide insulin pricing settlement called off www.reuters.com/legal/litiga...
reuters.com
Eli Lilly's nationwide insulin pricing settlement called off
A settlement between Eli Lilly and purchasers of its insulin drugs that would have capped prices and provided $13.5 million to resolve claims that the company inflated the drugs' cost has fallen apart, after an unfavorable ruling from the judge overseeing the case.
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Krutika Amin @krutika.bsky.social · 08/04/2024
"For too many Americans drugs are unaffordable... [and] having to ration life saving drugs." - linakhanFTC w jonstewart: youtu.be/oaDTiWaYfcM?... Fact check: Looking at #insulin, over 1 in 5 non-elderly adults (18-64 years) with private insurance rationed insulin due to cost.
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Adrianna McIntyre @adrianna.bsky.social · 05/04/2024
New paper w/Ben Sommers & Rebecca Smith: Looking at self-reported insurance in Census data, we document a big disconnect between (1) "actual" growth in Medicaid (in administrative data) during continuous coverage, (2) self-reported Medicaid coverage, and (3) self-reported uninsurance #healthpolicy
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Krutika Amin @krutika.bsky.social · 07/04/2024
Relatedly to today's NYT on MultiPlan and $UHG nytimes.com/2024/04/07/u... (from Chris Hamby), Multiplan and United Healthcare are among top 3 entities getting claims disputed through the federal No Surprises Act process: healthsystemtracker.org/brief/indepe... #KFF
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Krutika Amin @krutika.bsky.social · 05/04/2024
🧵HHS finalized the 2025 annual regulation (NBPP or Payment Notice) for ACA Marketplaces and individual/small group market. Quick takes on premium impact, and other implications. Rule: www.cms.gov/files/docume... #healthpolicy
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Krutika Amin @krutika.bsky.social · 02/04/2024
How do gross margins vary by health insurance market? See #KFF analysis. *Note: Positive margins do not necessarily translate into profitability since they do not account for administrative expenses or tax liabilities www.kff.org/medicare/iss...
kff.org
Health Insurer Financial Performance in 2021 | KFF
Using health insurer financial data for 2021, we find that Medicare Advantage insurers reported gross margins that were at least twice as high as those reported by insurers in the individual/non-group...
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Sam Austin @samva.bsky.social · 29/03/2024
Have seen versions of this graph in other spots (maybe from KFF too). Prolonged and persistent implosion of workforce in long‐term care facilities post-pandemic is scary.
Graph showing cumulative ٪ change in health sector employment by setting Feb 2020 to Feb 2024. All selected settings have rebounded and surpassed prepandemuc baseline, except elderly care facilities (~ down 1%) and skilled nursing facilities (down ~ 8٪)
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Krutika Amin @krutika.bsky.social · 28/03/2024
Latest health sector job numbers in charts: -Employment in hospitals and clinics now back to pre-COVID projections -Home- and nursing care jobs have seen higher average wage increases www.healthsystemtracker.org/chart-collec... #KFF #polisky #healthpolicy
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Krutika Amin @krutika.bsky.social · 28/03/2024
Biden Admin has finalized rule limiting short-term limited duration (STLD) plans to 4 months instead of up to 3-years. #KFF estimate: 1.2M were buying non-ACA-compliant plans (like grandfathered and short-term plans) in mid-2022, down from 5.7M in mid-2015. www.kff.org/affordable-c... #healthpolicy
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Krutika Amin @krutika.bsky.social · 27/03/2024
Of the net new #ACA Marketplace sign ups without APTCs (about 140,000), some could be ICHRA enrollees. Hard to put an exact figure on it though. See stats in updated KFF State Health Facts @jaredortaliza.bsky.social @mattmcgough.bsky.social @cynthiaccox.bsky.social #healthpolicy
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Krutika Amin @krutika.bsky.social · 27/03/2024
CMS released 2024 ACA Marketplace plan selections public use files. Total sign ups* tallied 21.4Million. From last year, sign ups with premium help increased by 4.9M and by about 140,000 without APTC. *Thru end of open enrollment for @healthcaregov.bsky.social & SBMs www.kff.org/affordable-c...
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Krutika Amin @krutika.bsky.social · 26/03/2024
Nevada has requested CMS to pause its review of Nevada’s 1332 waiver application which included a reinsurance program and a public option. Letter rescinding the application: www.cms.gov/files/docume... What’s going on? Thread🧵 #healthpolicy
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Dan Diamond @ddiamond.bsky.social · 26/03/2024
Anti-abortion activists resurrected the 1873 Comstock Act, saying it bans abortion drugs by mail. Big takeaway today: Justices Alito and Thomas seem open to the argument. And now they can tee up a roadmap for Trump to crack down on abortion nationwide. www.washingtonpost.com/health/2024/...
washingtonpost.com
Supreme Court focus on Comstock Act suggests potential threat to abortion access
Justices Samuel A. Alito Jr. and Clarence Thomas repeatedly invoked the 151-year-old law Tuesday during oral arguments in an abortion pill case.
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Krutika Amin @krutika.bsky.social · 26/03/2024
CMS estimated projections of total health expenditures from 2010 and 2015 extended out through 2031 indicate that CMS now expects health spending to be $1.9T less than what CMS expected in 2010 and $800B less than 2015 projections. www.healthsystemtracker.org/chart-collec...
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Krutika Amin @krutika.bsky.social · 25/03/2024
The No Surprises Act now protects privately insured patients from balanced bills on many out-of-network items and services, but not all. Explainer: www.kff.org/health-costs... For example--this $97,000 out-of-network air ambulance bill. kffhealthnews.org/news/article... #healthpolicy
kffhealthnews.org
A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary? - KFF Health News
There are legal safeguards to protect patients from big bills like out-of-network air-ambulance rides. But insurers may not pay if they decide the ride wasn’t medically necessary.
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Krutika Amin @krutika.bsky.social · 21/03/2024
🧵What market forces are at play in the UnitedHealthcare $uhg and Mount Sinai New York contract negotiations? And why are we seeing more of these provider-health plan fights and fall outs of late? #healthpolicy #medSky
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Sam Austin @samva.bsky.social · 20/03/2024
you're on your own to figure all this out (part 143,326)
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Krutika Amin @krutika.bsky.social · 20/03/2024
At a work event, someone mentioned the polio vaccine -- and I very reflexively spat out "H2P". Appropriate or inappropriate conversation interrupter?!? #Pitt #H2P 😆
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Krutika Amin @krutika.bsky.social · 19/03/2024
The No Surprises Act prohibits many balance bills ("surprise billing") for privately insured patients. Balance bills can and do still happen due to: -billing mistakes -not protected under NSA -service is not covered by plan What happens then? See: www.kff.org/health-costs... #healthpolicy
kff.org
What resources are available for privately insured patients who get surprise balance bills? | KFF
Most patients do not know about the new surprise billing protections and likely also do not know of resources available to seek recourse for incorrect medical bills. This brief provides resources to p...
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Krutika Amin @krutika.bsky.social · 14/03/2024
With ACA individual market enrollment growth, is the market getting healthier? Maybe. Risk scores dropped -6% from 2022 to 2023, based on new 2023 interim data. We won't know how much of this is due to risk adjustment model changes until June 30th report. www.cms.gov/files/docume... #healthpolicy
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Krutika Amin @krutika.bsky.social · 14/03/2024
"When asked to rank those resumes 1,000 times, GPT 3.5 — the most broadly-used version of the model — favored names from some demographics more often than others" @flowingdata.com flowingdata.com/2024/03/13/r...
flowingdata.com
Racial bias in OpenAI GPT resume rankings
AI is finding its way into the HR workflow to sift through resumes. This seems like a decent idea on the surface, until you realize that the models that the AI is built on lean more towards certain…
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Krutika Amin @krutika.bsky.social · 11/03/2024
Matthew Rae and I are speaking about KFF work on medical debt at the U.S. Census Bureau's 2024 Survey of Income and Program Participation (SIPP) Conference on March 21, 2024. Registration ends this Friday (March 15): www.census.gov/programs-sur... Program here: www2.census.gov/programs-sur...
census.gov
SIPP Conference
Virtual conference on March 21, 2024 highlighting policy and programmatic uses of SIPP data.
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Krutika Amin @krutika.bsky.social · 08/03/2024
3 in 10 uninsured and 2 in 10 privately insured non-elderly adults taking insulin reported rationing insulin because of the cost. #SOTU2024 #policysky www.healthsystemtracker.org/chart-collec...
healthsystemtracker.org
How does cost affect access to healthcare? - Peterson-KFF Health System Tracker
Although most adults are in good health and have health insurance, more than 1 in 4 adults (28%) reported delaying or foregoing healthcare due to cost.
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Philip Bump @pbump.com · 08/03/2024
As/if you listen to SOTU commentary, remember that the net effect of the speech on presidential approval ratings is, on average, less than 1 percentage point.
washingtonpost.com
Analysis | State of the Union addresses don’t usually have much political effect
The pomp of the annual speech feeds on its own importance, but polling suggests it doesn’t change how Americans view the president.
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Krutika Amin @krutika.bsky.social · 08/03/2024
What do you think Manchin is chewing Romney's ear off over? "West Virginia has the highest ACA individual market premiums and 2nd worst health plan liability risk scores in the country based on the latest data. Let me explain HHS PLRS and risk adjustment." #SOTU2024 #SOTU #healthpolicy
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Krutika Amin @krutika.bsky.social · 08/03/2024
What is the drinking game this SOTU?! And also what are you drinking? I'm ready #SOTU24 #SOTU2024
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Krutika Amin @krutika.bsky.social · 07/03/2024
🇺🇸 U.S.: 1 in 8 voters say abortion is the most important issue for their vote 🇫🇷 France: Parliament voted 780 to 72 in favor of a constitutional amendment to protect women's freedom to have abortions www.kff.org/womens-healt... #polisky #healthpolicy #policysky
kff.org
KFF Health Tracking Poll March 2024: Abortion in the 2024 Election and Beyond | KFF
This poll finds 1 in 8 voters say abortion is the most important issue to their vote. They are younger, lean Democratic, and generally want abortion to be legal in all or most cases. The poll also gau...
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Krutika Amin @krutika.bsky.social · 07/03/2024
What are the candidates' main health policy positions for their 2nd term? President Biden: Will say wants to build on the Inflation Reduction Act, which built on Obamacare during SOTU President Trump: Has said will try to repeal Obamacare, again #SOTU2024 #POTUS #SOTU #polisky #healthpolicy
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Mara Reed @geyserite.bsky.social · 07/03/2024
Naeher taking penalty kicks will never get old. Such a lovely, ridiculous, dramatic, swampy game. #USWNT
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warrior rabbit @warriorrabbit.bsky.social · 07/03/2024
USWNT
@sammymewy

•@AlyssaNaeher you absolute legend. Congrats @USWNT, on to the final! LFG

The Women's Game @WomensGameMIB 

NAILS FOR BREAKFAST 🧤
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Krutika Amin @krutika.bsky.social · 07/03/2024
Try telling me women's sports aren't edge of your seat insane peak drama #Concacaf #USWNT #canada
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Krutika Amin @krutika.bsky.social · 06/03/2024
NEW: For private plans, typical payment for patient-provider email message claims was $39 in 2021. Providers argue payments not enough to offset the workload and payers argue higher payments and volume of these could increase health premiums and spending. www.healthsystemtracker.org/brief/charge...
healthsystemtracker.org
Charges for emails with doctors and other healthcare providers - Peterson-KFF Health System Tracker
The widespread adoption of electronic health records has improved the ability for patients and providers to send secure electronic messages (emails) to each other through online portals. The typical c...
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Krutika Amin @krutika.bsky.social · 05/03/2024
Is France trolling the U.S. now?! #polisky #policysky #healthpolicy www.lemonde.fr/en/politics/...
lemonde.fr
France, first to protect abortion in Constitution, sends message to 'women of the world'
French lawmakers voted 780 to 72 in favor of a constitutional amendment to protect women's freedom to have abortions. A public ceremony will be held to officially mark this occasion on March 8, for In...
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Krutika Amin @krutika.bsky.social · 05/03/2024
#polisky #policysky
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Krutika Amin @krutika.bsky.social · 05/03/2024
Congress spending deal does *not* include health care issues that passed in the House (at least as of now): -Medicare site-neutral payment -PBM reform -codification of price transparency regs To find out more, see KFF analysis: www.healthsystemtracker.org/brief/policy... #healthpolicy
healthsystemtracker.org
Health Cost and Affordability Policy Issues and Trends to Watch in 2024 - Peterson-KFF Health System Tracker
While issues of health care costs and affordability may not be at the forefront of this year’s election, they remain a major concern among the public. Health spending in the United States is projected...
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Krutika Amin @krutika.bsky.social · 05/03/2024
“Today, the majority goes beyond the necessities of this case to limit how Section 3 can bar an oathbreaking insurrec- from becoming President,” the three wrote. Barrett said now was “not the time to amplify disagreement with stridency.” www.wsj.com/articles/sup...
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Krutika Amin @krutika.bsky.social · 04/03/2024
Biden Admin is appealing a district court decision to limit Obamacare's preventive services mandate. www.cnn.com/2024/03/04/p... KFF found 6 in 10 privately insured or about 100 million people received ACA preventive care in a typical year: www.healthsystemtracker.org/brief/preven... #healthpolicy
healthsystemtracker.org
Preventive services use among people with private insurance coverage - Peterson-KFF Health System Tracker
The majority of privately insured people in the U.S. received an ACA preventive service in 2018. Ongoing litigation could limit access to these services.
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Krutika Amin @krutika.bsky.social · 01/03/2024
Books I got through on my vacation and highly recommend! (I suppose there are upsides to drowning your phone in the Arabian Sea 🌊😆) Have you read any of these?
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Krutika Amin @krutika.bsky.social · 28/02/2024
KFF resources 👓 Price transparency: www.healthsystemtracker.org/archive/?_sf... ⏳ No Surprises Act and surprise billing facts and figures: www.healthsystemtracker.org/archive/?_sf... ❓ No Surprises Act Quiz: www.kff.org/quiz/no-surp... 📠 Surprises to continue www.kff.org/private-insu...
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Krutika Amin @krutika.bsky.social · 28/02/2024
I am speaking about the Implications of CMS Price Transparency Payer-Negotiated Rates Disclosure Requirements at the National Health Care Transparency & No Surprises Act Summit! Agenda and registration link: hctransparencysummit.com #healthpolicy
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Krutika Amin @krutika.bsky.social · 26/02/2024
Highly recommend this @KFF Wonk Shop discussion. It's also available as a podcast: shows.acast.com/6238b4c3dc63... #healthpolicy
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Elizabeth Pathak, PhD @bethpathak.bsky.social · 22/02/2024
The word you’re looking for is “inevitable” … not “integral”! Integral implies intentionality. Embryo loss is undesirable but inevitable for almost every IVF case.
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Larry Levitt @larrylevitt.bsky.social · 22/02/2024
Watch a recorded version of today’s great Health Wonk Shop discussion of health insurance prior authorization. Or listen to the podcast. Pay no attention to the part where my computer crashed and I had to quickly switch to my phone. www.kff.org/other/event/...
kff.org
The Health Wonk Shop: Prior Authorization in Health Insurance: A Needed Tool to Contain Costs or an Excessive Barrier to Needed Care? | KFF
Nearly 1 in 5 consumers with health insurance say their insurer delayed or denied care in the past year due to its requirements for prior authorization, a process through which insurers can require pa...
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Adrianna McIntyre @adrianna.bsky.social · 22/02/2024
Just finalized a new case study for my MPH-level health politics class, on Ohio Issue 1 (the 2023 reproductive rights amendment to the state constitution) scholar.harvard.edu/sites/schola... Faculty should feel free to borrow/adapt with attribution! #healthpolicy
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Rakesh Singh @rsingh.bsky.social · 19/02/2024
On this Day of Remembrance of Japanese American Incarceration, here is an entry about their incarceration during WWII in KFF's timeline of policies and events that shaped health disparities. www.kff.org/how-history-...
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Krutika Amin @krutika.bsky.social · 16/02/2024
New CMS data show providers win most surprise billing disputes & payment rates are north of the QPA payment standard. Legal challenges brought by providers are likely to further dilute the payment standard and initial CBO cost reduction estimates. www.healthsystemtracker.org/brief/surpri...
healthsystemtracker.org
How has the federal process for surprise medical billing disputes performed? - Peterson-KFF Health System Tracker
In late 2020, Congress passed and President Trump signed the No Surprises Act establishing new federal protections for consumers from surprise medical bills. The law became effective in 2022. A signif...
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Krutika Amin @krutika.bsky.social · 16/02/2024
The federal govt posted new data on the No Surprises Act disputes process between plans and providers. www.cms.gov/nosurprises/... No data yet on patients who may be still getting incorrect surprise bills prohibited under NSA and filing complaints on the patient disputes portal.🧵🩺💸
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Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 14/02/2024
fda commish califf raises concerns about 3rd party promotion of glp1s inappropriately. Orgs the fda doesn’t regulate like it regulates prescription drug advertisement. #healthpolicy
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