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Loren Adler

@lorenadler.bsky.social
3.6K followers 331 following 106 posts

Fellow and Associate Director, Brookings Institution Center on Health Policy | mostly health econ, occasionally budgets or Knicks

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Loren Adler @lorenadler.bsky.social · 21/04/2026
New Brookings databook on the No Surprises Act’s arbitration process: through 2024, IDR awards remained far above pre-law in-network commercial prices. For imaging, awards averaged 767% of Medicare vs. roughly 200% for average pre-law in-network prices. www.brookings.edu/articles/no-...
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Meg Tirrell @megtirrell.bsky.social · 21/04/2026
Moderna gets approval in Europe for world’s first combo covid/flu vaccine, for people age 50+: feeds.issuerdirect.com/news-release...
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Brad Lipton @bradlipton.bsky.social · 18/03/2026
1/ Very pleased to have a short article, "Statutory Hammers: Legislative Drafting in an Age of Cynical Litigation," published in the Harvard Journal on Legislation Online today. journals.law.harvard.edu/jol/2026/03/...
journals.law.harvard.edu
Statutory Hammers: Legislative Drafting in an Age of Cynical Litigation – Harvard Journal on Legislation
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Loren Adler @lorenadler.bsky.social · 03/03/2026
Indiana appears poised to ban insurer penalties when hospital care involves out-of-network ancillary clinicians. That blunts market forces by limiting contracting leverage in anesthesia, EM, radiology, & likely ↑ prices, spending, & premiums. wimsradio.com/2026/03/03/i...
wimsradio.com
Indiana First in Nation to Block Insurer Penalties That Threaten Patient Access
Indiana First in Nation to Block Insurer Penalties That Threaten Patient Access to Care Bipartisan SEA 189 stops insurer reimbursement cuts tied to out‑of‑network providers   Indiana has become the fi...
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AkivaMCohen @akivamcohen.bsky.social · 22/12/2025
Detainee they are interviewing was a college student in Columbia. Waited in Mexico until he had a 2024 immigration interview in CA - a scheduled appointment - where he was told he was a danger to society. Claims he has no criminal record, never even got a traffic ticket. Was immediately detained
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Jason L. Schwartz @jasonlschwartz.bsky.social · 05/12/2025
4-5 ACIP members seem fundamentally opposed to the committee’s central purpose throughout its history—to provide population-level recommendations for how vaccines _should_ be used—viewing even a rec. as an impediment to informed consent, etc. So we’ll be doing this over and over for other vaccines.
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Dan Diamond @ddiamond.bsky.social · 11/11/2025
scoop: RICHARD PAZDUR set to be named FDA's top drug regulator He'd initially turned down job leading agency's CDER but reconsidered
washingtonpost.com
FDA plans to tap oncology-expert Pazdur as nation’s top drug regulator
Richard Pazdur, a longtime Food and Drug Administration employee, would lead its center that oversees over-the-counter and the majority of prescription drugs.
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George Pearkes @peark.es · 27/10/2025
Hospital chain UHS just reported and joined peers in blowing the doors off on pricing. Revenue per comparable admission +9.8% YoY, revenue per comparable patient day +11.5% YoY. No wonder managed care name costs are exploding.
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Catherine Rampell @crampell.bsky.social · 26/09/2025
"experts say" www.cnn.com/2025/08/11/b...
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Lea Woods @lea9223.bsky.social · 10/07/2025
HHS announced today they will consider Head Start a welfare program, not an education program, and will subject it to new citizenship requirements. This goes against decades of legal precedence that all children in America have a right to education. Announcement here. www.hhs.gov/press-room/p...
hhs.gov
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Ben Rosen @benrosen.bsky.social · 09/07/2025
1977: why would the bartender in star wars even care if some robots with artificial intelligence came into his bar 2025: ohhh ok
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Bobby Kogan @bbkogan.bsky.social · 26/06/2025
Seventh set of Byrd droppings is out, and WOW! We won on trans care in Medicaid, provider taxes, FMAP, immigrants in Medicaid, and other issues. These victories are amazing for the people they help - and cost Rs more than $250 billion of their savings by rough calculations, largely not curable.
budget.senate.gov
Byrd Rule Violations Continue to Mount on the Republicans’ “One Big, Beautiful Bill” | U.S. Senate Committee On The Budget
The Official U.S. Senate Committee On The Budget
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Bobby Kogan @bbkogan.bsky.social · 16/06/2025
Finance Committee text is out - this has the Medicaid cuts and the tax cuts. Will go through it in this thread. But what we can say for certain is that, like the House version, this would be BY FAR the largest Medicaid cuts in history, kicking many millions of people off their health insurance.
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Loren Adler @lorenadler.bsky.social · 09/06/2025
An important point that the Big Beautiful Bill, as currently constructed, would barely dent federal spending when you factor in the added interest costs on the increased federal debt. Lots of damage for such a minimal net spending reduction. www.nytimes.com/2025/06/09/o...
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Loren Adler @lorenadler.bsky.social · 09/06/2025
More bureaucracy, more paperwork, and a less efficient government. No more coverage lifeline for people between jobs. That's what prior attempts with Medicaid work requirements have delivered, all without even increasing employment.
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Bobby Kogan @bbkogan.bsky.social · 09/06/2025
New JCT analysis of the House-passed budget reconciliation bill is out. Under the GOP plan, more tax cuts go to millionaires than the entire half of America combined. This graph shows just the tax side. Include the Medicaid & SNAP cuts (which we'll get from CBO soon), & it's a cut for the poorest.
Percent change in after tax income for 2027. The tax cuts for the top 5% are much larger than for anyone else. The top 1% on average gets $70,542 tax cut.
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Ezra Golberstein @egolberstein.bsky.social · 06/06/2025
This is VERY bad and chilling news. As far back as I can think of the federal government has allowed researchers access to restricted government data while upholding the highest standards of data security and confidentiality. These data belong to us all, they should be accessible to researchers.
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Loren Adler @lorenadler.bsky.social · 05/06/2025
A helpful rundown of the House-passed reconciliation bill's effects on Medicaid & the ACA, including how its scale compares to the 2017 repeal & replace efforts www.brookings.edu/articles/new...
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Loren Adler @lorenadler.bsky.social · 04/06/2025
From CBO: • 11.8 million lose coverage due to One Big Beautiful Bill provisions • 16M fewer w/ coverage in 2034 when incorporating the 4.2M expected coverage loss from expiration of enhanced ACA subsidies That's a 57% ↑ in # of uninsured compared to June 2024 current policy projection
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Loren Adler @lorenadler.bsky.social · 23/05/2025
In the search for spending savings, House Republicans could've gone after overpayments to insurers & hospitals in Medicare. Instead, they singled out people w/ the lowest incomes for the lion's share of cuts. Then re-directed that $$ mainly for more high-income tax cuts.
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Loren Adler @lorenadler.bsky.social · 22/05/2025
Quick summary of the "big, beautiful bill": >10 million more uninsured >1 million low-income seniors see higher Medicare premiums & cost-sharing Large ACA premium ↑ ~ 30% cuts to SNAP ~ $3 trillion in new debt Makes low-income households worse off & high-income households better off.
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Loren Adler @lorenadler.bsky.social · 21/05/2025
A look at how the House Republican proposals would cut health coverage: www.washingtonpost.com/opinions/202...
washingtonpost.com
Opinion | How do Republicans plan to cut health coverage? Two basic ways.
The House reconciliation plan’s provisions add up to millions more going without insurance.
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Edwin Park @edwincpark.bsky.social · 19/05/2025
Thread. 33 of 40 #Medicaid expansion states (+DC) will now face a 10 point cut in their expansion match rate under House GOP reconciliation bill. Latest language penalizes not only states using own funds to cover undocumented kids but also states covering legal immigrant kids/pregnant women (1/x)
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Andrew S. Kelly @askellyphd.bsky.social · 13/05/2025
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Daniel Drezner @dandrezner.bsky.social · 09/05/2025
This is Gary Cohn trying to reassure investors about the U.S. economy. He’s not very good at it: www.politico.com/news/2025/05...
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Jesse Eisinger @jeisinger.bsky.social · 06/05/2025
Amid all the other news, it's easy to become inured to the basic facts here. Öztürk: -Is not accused of committing any crime -Is nonviolent -Was in this country legally -Merely engaged in speech that the administration objects to -Has been locked up for six weeks
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Nathan K. Hensley @nathankhensley.bsky.social · 02/05/2025
Despite legal resident status and having been charged with no crime, our Georgetown colleague Badar Khan Suri has been designated a 'high risk' prisoner and for that reason gets only two hours of outdoor time PER WEEK. His traumatized son "cries all the time" and has ceased speaking.
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Rachel Sachs @rachelsachs.bsky.social · 02/05/2025
Republicans argued that allowing Medicare to negotiate drug prices (as passed in the 2022 IRA) would destroy pharmaceutical innovation in the US. Will CBO score the innovation impact of a nearly 40% cut to NIH funding - and if so, how?
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Rachel Sachs @rachelsachs.bsky.social · 30/04/2025
www.nytimes.com/2025/04/29/u...
Mr. Kennedy’s other statements in the interview were also rife with inaccuracies. “New drugs are approved by outside panels, not by the F.D.A. or the C.D.C.,” he declared.

That is false. Outside panels of experts do advise the F.D.A. on controversial or high-profile drug approval decisions, and some panel members have ties to industry that are publicly disclosed before the meetings begin. But the F.D.A. alone has authority to approve or reject new drugs, vaccines and other therapies. The C.D.C. has no role in drug approvals whatsoever.
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The Washington Post @washingtonpost.com · 29/04/2025
President Trump has proposed taking over Canada and Greenland, imprisoning U.S. citizens overseas and serving an unconstitutional third term. Most Americans — including many Republicans — oppose each one, according to a Post-ABC News-Ipsos poll.
washingtonpost.com
Most take Trump’s Canada, Greenland and third-term ideas seriously — and oppose them, poll finds
President Donald Trump has proposed taking over Canada and Greenland, imprisoning U.S. citizens overseas and serving an unconstitutional third term. Most Americans say they think he’s serious about ea...
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Aaron Reichlin-Melnick @reichlinmelnick.bsky.social · 22/04/2025
NEW from @nytimes.com: A bone-chilling account. A Venezuelan man detained alongside the 238 sent to El Salvador on March 15 seems to have disappeared off the face of the earth. His name isn't among the names of those sent to CECOT that day and no one spotted him among those men. He's just... gone.
Miriam Jordan
By Miriam Jordan
Miriam Jordan is a national immigration correspondent.
April 22, 2025, 5:04 a.m. ET
In late January, Ricardo Prada Vásquez, a Venezuelan immigrant working in a delivery job in Detroit, picked up an order at a McDonald’s. He was heading to the address when he erroneously turned onto the Ambassador Bridge, which leads to Canada. It is a common mistake even for those who live in the Michigan border city. But for Mr. Prada, 32, it proved fateful.
The U.S. authorities took Mr. Prada into custody when he attempted to re-enter the country; he was put in detention and ordered deported. On March 15, he told a friend in Chicago that he was among a number of detainees housed in Texas who expected to be repatriated to Venezuela.
That evening, the Trump administration flew three planes carrying Venezuelan migrants from the Texas facility to El Salvador, where they have been ever since, locked up in a maximum-security prison and denied contact with the outside world.
But Mr. Prada has not been heard from or seen. He is not on the list of 238 people who were deported to El Salvador that day. He does not appear in the photos and videos released by the authorities of shackled men with shaved heads.
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Olga Nesterova @onestpress.onestnetwork.com · 16/04/2025
Sen Van Hollen met with El Salvador's Vice President Félix Ulloa, who told him that the reason they are holding Kilmar Abrego Garcia at CECOT is because the Trump admin is paying them to do so. They also provided no evidence that Abrego Garcia is part of MS-13 or committed any crimes.
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Aaron Rupar @atrupar.com · 14/04/2025
Trump to Bukele: "Home-growns are next. The home-growns. You gotta build about five more places. It's not big enough."
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Jacob T. Levy @jacobtlevy.bsky.social · 14/04/2025
I had been doubtful that we were going to have a "this is the crisis moment" with Trump, as opposed to "everything about this is a destructive catastrophe." But the Abrego Garcia case is the crisis moment. 1/
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John Burn-Murdoch @jburnmurdoch.ft.com · 11/04/2025
NEW 🧵 The number of people travelling from Europe to the US in recent weeks has plummeted by as much as 35%, as travellers have cancelled plans in response to Trump’s policies and rhetoric, and horror stories from the border. Story: www.ft.com/content/6dc1...
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Sara Custer @saracuster.insidehighered.com · 09/04/2025
We're tracking the number of international students whose visas have been revoked by the State Department. We've confirmed over 300 so far and there are likely many more. Get in touch if you've got information you'd like to share with us www.insidehighered.com/news/global/...
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southpaw @nycsouthpaw.bsky.social · 07/04/2025
The Fourth Circuit is famously succinct. storage.courtlistener.com/recap/gov.us...
The United States Government has no legal authority to snatch a person who is lawfully present in the United States off the street and remove him from the country without due process. The Government's contention otherwise, and its argument that the federal courts are powerless to intervene, are unconscionable.
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David Atkins @davidoatkins.bsky.social · 04/04/2025
Under this theory, there is also nothing that prevents them from shipping *American citizens* to a gulag in El Salvador and saying "nothing we can do."
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southpaw @nycsouthpaw.bsky.social · 05/04/2025
If the government’s position is that being trafficked to El Salvador by Donald Trump and Stephen Miller amounts to a final and irreversible deprivation of all rights, then it seems to me every federal court has a duty to permanently enjoin the practice as soon as it possibly can.
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Popehat @kenwhite.bsky.social · 01/04/2025
The government’s statement is a flex, not a confession of error. The important elements of the flex are these: 1. We send enemies to brutal foreign labor camps. 2. We decide who enemies are. 3. We may decide you are an enemy based on a secret informant, or our view of your tattoos. /1
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Ben Wikler @benwikler.bsky.social · 01/04/2025
The Department of Government Efficiency, for example
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Bob Herman @bobjherman.bsky.social · 01/04/2025
Trump administration starts gutting HHS. Biggest hits come within FDA, CDC, and NIH. And then there's this within CMS. www.statnews.com/2025/04/01/h...
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Yoni Appelbaum @yappelbaum.bsky.social · 01/04/2025
NEW: In a court filing this evening, the Trump administration said that it had mistakenly deported a Maryland father to a notorious Salvadoran prison due to an "administrative error." www.theatlantic.com/politics/arc...
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Dan Diamond @ddiamond.bsky.social · 31/03/2025
in happier news: @zachlowenba.bsky.social is joining The Ringer and launching a podcast, Bill Simmons announced tonight extremely good development for NBA fans
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Chris Hayes @chrislhayes.bsky.social · 26/03/2025
This guy is in one of the worst prisons in the world with no way out and may spend the rest of his life there because, it appears, he has an autism awareness tattoo in honor of his little brother. www.motherjones.com/politics/202...
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riding hell for leather @drpepsi.bsky.social · 17/03/2025
(Me undoing the invention of Ozempic by deleting silly NIH grants) Jeff’s trying to bottle Gila monster spit again lmao
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riding hell for leather @drpepsi.bsky.social · 17/03/2025
I think of this whenever some conservative finds some supposedly wacky research topic that government grants pay for
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Prof. Bob Howarth @profbobhowarth.bsky.social · 14/03/2025
Just heard that Trump is putting an end to atmospheric monitoring site NY67 that is run out of my lab. This is one of the oldest NADP sites in the US, continually measuring acid rain and other pollutants since 1977. Closing it down is tragic.
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James Medlock @jdcmedlock.bsky.social · 15/03/2025
There’s a lot of great stuff coming out about “abundance” and meanwhile the titans of the tech industry have embraced bizarro world degrowtherism, blocking housing in their backyards, destroying basic science research, and fearmongering about vaccines. Sad!
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Mark Igra @markigra.sciences.social.ap.brid.gy · 15/03/2025
DOGE/SSA marked this person dead and *removed his savings from his bank account,* cancelled his social security and Medicare. #seattle www.seattletimes.com/seattle-news/p…
The Seattle Times
"There's nothing you need to do - we've deducted the funds from LEONARD A.
JOHNSON's account."
Uh oh. It itemized how $5,201 had been stricken from their bank account, on the grounds that Ned wasn't justified to get those benefits - because he was dead.
That was for payments he'd received in December and January.
Ned found that his February Social Security check hadn't been paid, and he's yet to receive his March check, either. His Medicare insurance had been canceled.
He also learned that when you die, your credit score gets marked as "deceased, do not issue credit," which makes it tough to get a loan.
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