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Sabrina Corlette

@sabrinacorlette.bsky.social
376 followers 107 following 81 posts

Research prof and co-director, Center on Health Insurance Reforms (CHIR) at Georgetown University #healthpolicywonk #swimmingobsessed #inagartenfan

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Sabrina Corlette @sabrinacorlette.bsky.social · 26/06/2025
What voters *thought* they were voting for in November: - cost relief What voters are getting: - eye-popping premium hikes due to Trump's budget bill chirblog.org/early-2026-r... @staceypogue.bsky.social
chirblog.org
Early 2026 Rate Filings Show Marketplace Policy Changes Contribute to Eye-Popping Rate Increases
This year, insurers are setting their rates for 2026 while Congress and the administration weigh several policies that are projected to cause premiums to spike and the number of people with Marketplac...
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Sabrina Corlette @sabrinacorlette.bsky.social · 29/05/2025
Holy cow - provider losses if the tax reconciliation bill passes would approach $1 trillion. Yes, that's trillion with a "t"! www.urban.org/research/pub...
urban.org
Reconciliation Bill and End of Enhanced Subsidies Would Cut Health Care Provider Revenue and Spike Uncompensated Care
The House of Representatives passed, and the Senate is now negotiating, a budget reconciliation bill that would impose federal funding cuts on Medicaid and the ACA Marketplaces.
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Sabrina Corlette @sabrinacorlette.bsky.social · 29/05/2025
Don't miss this event - it's a great opportunity to hear from innovative state leaders on ways to improve health care affordability!
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Sabrina Corlette @sabrinacorlette.bsky.social · 20/05/2025
Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors @jasonlevitis.bsky.social and @clinkeyoung.bsky.social chirblog.org/the-sleeper-...
chirblog.org
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
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Sabrina Corlette @sabrinacorlette.bsky.social · 19/05/2025
The House reconciliation bill = Affordable Care Act repeal, just under a different name. In addition to devastating Medicaid cuts, millions of moderate-income people will lose insurance/face higher costs & red tape. Our take: chirblog.org/death-by-slo...
chirblog.org
Death by Slow Strangulation: New Tactics in Longstanding Efforts to Repeal the Affordable Care Act
The U.S. House of Representatives is poised to take up legislation that, if enacted, would be tantamount to a repeal of the Affordable Care Act (ACA) for millions of Americans who will lose their heal...
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Sabrina Corlette @sabrinacorlette.bsky.social · 13/05/2025
Maybe his brain worm needed company? www.nytimes.com/2025/05/12/u...
nytimes.com
Kennedy Swims in Washington Creek That Flows With Sewage and Bacteria
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Reposted by Sabrina Corlette
Sarah Lueck @sarahl202.bsky.social · 07/05/2025
You can’t cut hundreds of billions from #Medicaid without harming people. New CBO analysis confirms proposals House Republican have floated would leave millions uninsured, each slashing billions from Medicaid w/ $170b-$472B in cuts coming from lower enrollment . www.cbo.gov/system/files...
cbo.gov
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/05/2025
Congress' twisted idea of a Mother's Day gift: a reconciliation package, that, when added to its failure to extend Marketplace tax credits, throws 13.7 MILLION people off of their insurance coverage. energycommerce.house.gov/posts/chairm...
energycommerce.house.gov
Chairman Guthrie Introduces Budget Reconciliation Text to be Marked Up
The Committee on Energy and Commerce is the oldest standing legislative committee in the U.S. House of Representatives and is vested with the broadest jurisdiction of any congressional authorizing com...
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Sabrina Corlette @sabrinacorlette.bsky.social · 24/04/2025
In our latest post for @commonwealthfund.org, Rachel Swindle & I delve into a proposed ACA rule that limits enrollment opportunities and increases paperwork. The result? Up to 2 million people to lose coverage in 2026. www.commonwealthfund.org/blog/2025/ne...
commonwealthfund.org
A New Rule to Limit ACA Enrollment Periods May Deter Sign-Ups and Worsen Risk Pools
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Sabrina Corlette @sabrinacorlette.bsky.social · 21/04/2025
Job announcement! The Georgetown Center on Health Insurance Reforms is seeking a Research Fellow to support projects focused on health care access and affordability. Great team, great work, great benefits - win win win! Check out our job announcement: chir.georgetown.edu/index/jobs/
chir.georgetown.edu
Employment Opportunities - Center on Health Insurance Reforms
Research FellowThe Center on Health Insurance Reforms (CHIR) at the Georgetown University McCourt School of Public Policy is seeking a Research Fellow to support projects focused on health insurance a...
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Sabrina Corlette @sabrinacorlette.bsky.social · 21/04/2025
If the Supreme Court rules to end the ACA's preventive services benefit in Braidwood case, states can help preserve access for their residents. @tarastraw.bsky.social & my roadmap: www.shvs.org/protecting-a...
shvs.org
Protecting Access to Preventive Services: A State Roadmap 
Protecting Access to Preventive Services: A State Roadmap
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Sabrina Corlette @sabrinacorlette.bsky.social · 17/04/2025
Trump administration proposal would be "death by a thousand cuts" for the Affordable Care Act - up to 2M people would lose coverage, millions more would face higher costs. @jasonlevitis.bsky.social @clinkeyoung.bsky.social and I sum it up: georgetown.app.box.com/file/1831720...
georgetown.app.box.com
Fact Sheet on CMS Marketplace Rule -- Final 4-11-25.pdf | Powered by Box
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Sabrina Corlette @sabrinacorlette.bsky.social · 28/03/2025
CMS recently reinstated the Marketplace brokers suspended last year for enrolling people in plans w/o consent. They deserve "due process," officials said. Apparently, these days you get due process if you're a fraudster, but not if you're a federal public servant www.nytimes.com/live/2025/03...
nytimes.com
Trump Administration Highlights: Cuts of 10,000 Jobs at Health Agency Reflect Kennedy’s and Trump’s Priorities
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Sabrina Corlette @sabrinacorlette.bsky.social · 24/03/2025
Here's something to celebrate! The ACA just turned 15: chirblog.org/heres-someth...
chirblog.org
Here’s Something to Celebrate: The Affordable Care Act Just Turned 15!
On March 23, 2025, we celebrated the 15th anniversary of the Affordable Care Act (ACA). In this post, CHIR experts reflect on how the law's reforms affected people's access to affordable, high quality...
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Reposted by Sabrina Corlette
Sarah Lueck @sarahl202.bsky.social · 20/03/2025
The Trump Administration’s proposed sweeping rule changes will raise premiums, increase costs, and make enrollment harder. Its own estimates show 2M people losing coverage. @sabrinacorlette.bsky.social says it’s like making people “crawl through broken glass.” www.healthcaredive.com/news/trump-a...
healthcaredive.com
Trump administration proposes ACA program integrity rule that would decimate enrollment
The rule is like “making people crawl through broken glass” for health insurance, one expert said.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
So let's call it what it is...yet another attempt by President Trump and his team to sabotage the ACA. As their own proposal acknowledges, the result will be a lot more people losing health insurance.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
There is nothing in the rule that would address the vulnerabilities associated with using EDE vendors, nor is there anything that strengthens CMS' ability to go after bad brokers or the scammy lead generators that are causing the fraud in the federal marketplace.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
And by the way, they want to increase the bureaucracy and complexity of the process for people at the same time they've slashed funding for consumer assisters (Navigators) by 90%. www.kff.org/quick-take/a...
kff.org
A 90% Cut to the ACA Navigator Program
Cutting funding for the trusted and impartial source of important information Navigators provide could have big impacts just as many consumers may need to re-evaluate their coverage options.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
This new Marketplace rule first mis-diagnoses the problem, then proposes solutions that will (1) increase paperwork burdens on low- and moderate income people and (2) hike premiums for low- and moderate income enrollees.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
Notably, none of the SBMs use EDE vendors (except for Georgia, which just launched their SBM this year). So they haven't had the fraud experienced by the federally run states.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
Is this a problem? YES. And CMS has taken steps to fix it, with signs of improvement. The main culprit is unscrupulous brokers taking advantage of vulnerabilities with HealthCare.gov and the web-brokers (called "EDE vendors) the feds use to drive enrollment. www.commonwealthfund.org/blog/2025/po...
commonwealthfund.org
Policymakers Can Protect Against Fraud in the ACA Marketplaces Without Hiking Premiums
Policymakers can strengthen oversight of entities involved in selling coverage to address fraud and ensure integrity in the ACA marketplaces.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
But what they don't acknowledge is that the state-based Marketplaces (SBMs) adopted the SAME (and often more generous) enrollment and affordability policies as the Biden admin, and they've had NO MEANINGFUL FRAUD. The fraud has been in the states where the feds run the marketplace (FFM).
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
Their basic thesis is that the Biden administration made it too easy and affordable for people to sign for health insurance, which has led to millions of fraudulent enrollments and higher costs for taxpayers.
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Sabrina Corlette @sabrinacorlette.bsky.social · 12/03/2025
Here's a thread (is it called a thread on Bluesky?) about the Trump admin's new ACA or "Marketplace Integrity" proposal... www.cms.gov/newsroom/fac...
cms.gov
2025 Marketplace Integrity and Affordability Proposed Rule | CMS
IntroductionToday, the Centers for Medicare & Medicaid Services (CMS) issued the “Marketplace Integrity and Affordability Proposed Rule” that proposes standards for the Health Insurance Marketplaces, ...
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Sabrina Corlette @sabrinacorlette.bsky.social · 11/03/2025
Once again, the Trump administration is trying to take down the Affordable Care Act, under the guise of preventing "fraud." What's galling about that is instead of taking on real fraud, their new rule would punish low- and middle income consumers. kffhealthnews.org/news/article...
kffhealthnews.org
Trump Health Care Proposal Billed as Consumer Protection but Adds Enrollment Hoops - KFF Health News
The proposal also would reverse a Biden administration policy that allowed “Dreamers” — immigrants in the country illegally who were brought here as children — from qualifying for subsidized ACA cover...
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Sabrina Corlette @sabrinacorlette.bsky.social · 10/03/2025
The Trump administration's war on the ACA continues, with a new proposed rule that - in their OWN words - would "increase administrative burden" and "deter some eligible low-income" from enrolling. The proposal = more paperwork + higher premiums. www.cms.gov/newsroom/fac...
cms.gov
2025 Marketplace Integrity and Affordability Proposed Rule | CMS
IntroductionToday, the Centers for Medicare & Medicaid Services (CMS) issued the “Marketplace Integrity and Affordability Proposed Rule” that proposes standards for the Health Insurance Marketplaces, ...
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Sabrina Corlette @sabrinacorlette.bsky.social · 06/03/2025
What to do about broker fraud in the ACA Marketplaces? My colleagues @staceypogue.bsky.social and Justin Giovannelli have answers, for @commonwealthfund.org. www.commonwealthfund.org/blog/2025/po...
commonwealthfund.org
Policymakers Can Protect Against Fraud in the ACA Marketplaces Without Hiking Premiums
Policymakers can strengthen oversight of entities involved in selling coverage to address fraud and ensure integrity in the ACA marketplaces.
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Sabrina Corlette @sabrinacorlette.bsky.social · 06/03/2025
The latest state in Gtown CHIR's State Spotlight series is...Massachusetts! In the wake of Steward Health Care's collapse, the state has adopted a number of reforms to beef up oversight of private equity and protect consumers. chirblog.org/state-spotli...
chirblog.org
State Spotlight: New Massachusetts Law Enhances Oversight of Private Equity in Health Care
Massachusetts has recently enacted a law to increase transparency and oversight of private equity in healthcare following the collapse of Steward Health Care, which exposed risks from private equity p...
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Sabrina Corlette @sabrinacorlette.bsky.social · 04/03/2025
As Congress debates massive cuts to Medicaid and ACA, some on the right are suggesting that having health insurance is bad for people. Gtown CHIR's Karen Davenport takes this self-serving argument head on: chirblog.org/coverage-mat...
chirblog.org
Coverage Matters: Enduring and Recent Evidence
As the federal budget reconciliation process heats up, Congressional committees will soon be drafting legislation that spells out the program cuts Congress will need to offset the cost of extending ex...
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Sabrina Corlette @sabrinacorlette.bsky.social · 04/03/2025
The final webinar of GtownCHIR's Corporate Transformation of Health Care series focused on SOLUTIONS. Thank you Jane Beyer, Evan Klein, Charles Miller & Meg Garratt-Reed for sharing your insights. If you missed any episodes, don't worry! Watch the recordings here: chir.georgetown.edu/events/
chir.georgetown.edu
Events - Center on Health Insurance Reforms
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
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Sabrina Corlette @sabrinacorlette.bsky.social · 28/02/2025
It's not too late! There's still time to register for our webinar on the Corporate Transformation of Health Care - we'll walk through real world policy solutions with state officials and experts. 1PM ET TODAY! bit.ly/3Vl6sUZ
bit.ly
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
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Sabrina Corlette @sabrinacorlette.bsky.social · 27/02/2025
So...if you thought this year's 'flu season was bad, buckle up. The FDA committee meeting to ID the strains for next fall's flu vaccine has been cancelled. This means vaccines won't be ready for their annual Sept roll out. www.nytimes.com/2025/02/26/u...
nytimes.com
F.D.A. Cancels Meeting of Vaccine Experts Scheduled to Advise on Flu Shots
The cancellation plays into fears among scientists who worry that Robert F. Kennedy Jr. will use his position as health secretary to sow doubts about vaccines.
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Sabrina Corlette @sabrinacorlette.bsky.social · 24/02/2025
The corporate takeover of health care is impacting cost and quality of care but policymakers have tools to help. Join us Friday 2/28 at 1pm ET to hear from state experts on how they are tackling this issue. bit.ly/3Vl6sUZ
bit.ly
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
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Sabrina Corlette @sabrinacorlette.bsky.social · 21/02/2025
Communities nationwide are experiencing the effects of the corporate transformation of healthcare. Register for our 2/28 webinar to hear from state experts as they share strategies for protecting patients and improving healthcare affordability. bit.ly/3Vl6sUZ
bit.ly
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
001
Sabrina Corlette @sabrinacorlette.bsky.social · 14/02/2025
These massive cuts to the Navigator program will eliminate a critical source of consumer assistance, at a time when big changes are looming for Marketplace enrollees.
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Sabrina Corlette @sabrinacorlette.bsky.social · 14/02/2025
Complex cases include families with mixed eligibility status, volatile income sources, and those who need to provide additional documentation to prove eligibility.
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Sabrina Corlette @sabrinacorlette.bsky.social · 14/02/2025
Navigators are there to help consumers with the most complex cases fill out their applications and select a health plan. They serve the most underserved and hard-to-reach populations. www.kff.org/report-secti...
kff.org
2022 Survey of ACA Marketplace Assister Programs and Brokers - Report - 10024 | KFF
Section 1: Help From Assister Programs During Open Enrollment Types of Assister Programs In all, based on administrative data, 3,490 Marketplace Assister Programs provided outreach and enrollment help...
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Sabrina Corlette @sabrinacorlette.bsky.social · 14/02/2025
The agency argues that Navigators aren't "cost effective" because they don't enroll a high volume of people. But that misses the point of the Navigator program.
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Sabrina Corlette @sabrinacorlette.bsky.social · 14/02/2025
Thread. Today CMS announced it would slash funding for Marketplace Navigators by 90%. www.cms.gov/newsroom/pre...
cms.gov
CMS Announcement on Federal Navigator Program Funding | CMS
The Centers for Medicare & Medicaid Services (CMS) today announced a reduction in funding for the Affordable Care Act (ACA) Navigator program to $10 million. The savings from this reduction will allow...
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Sabrina Corlette @sabrinacorlette.bsky.social · 13/02/2025
Don't miss Georgetown CHIR's webinar tomorrow - the 2nd in our 3-part series on the Corporate Transformation of Healthcare. All-star line up of speakers answer WHY it's happening and what YOU can do about it. Register now! burness.zoom.us/webinar/regi...
burness.zoom.us
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
001
Sabrina Corlette @sabrinacorlette.bsky.social · 12/02/2025
Job alert! Georgetown's Center on Health Insurance Reforms is hiring! We're looking for an up-an-coming health policy analyst to join our team. Great work, great colleagues, great benefits. Apply today! chir.georgetown.edu/index/jobs/
chir.georgetown.edu
Employment Opportunities - Center on Health Insurance Reforms
Research Fellow The Center on Health Insurance Reforms (CHIR) at the Georgetown University McCourt School of Public Policy is seeking a Research Fellow to support projects focused on health care polic...
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Sabrina Corlette @sabrinacorlette.bsky.social · 11/02/2025
Very helpful explainer of a GOP proposal that would raise taxes on people with ACA Marketplace insurance (to help pay for their tax cuts for corporations). @centeronbudget.bsky.social www.cbpp.org/blog/republi...
cbpp.org
Republican Proposals Would Raise Taxes for Enrollees in Affordable Care Act Marketplaces | Center on Budget and Policy Priorities
House Republicans are considering resurrecting a 2017 proposal that would raise taxes for people who buy their health coverage through the Affordable Care Act (ACA) marketplaces, as part of their...
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Sabrina Corlette @sabrinacorlette.bsky.social · 10/02/2025
The corporate transformation of our health systems is driving up costs and impacting patient care—what's behind this troubling trend? Join us Friday 2/14 at 1pm ET to learn why from national experts. bit.ly/3Vl6sUZ
bit.ly
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
0112
Sabrina Corlette @sabrinacorlette.bsky.social · 07/02/2025
Between the Braidwood case at SCOTUS & likely HHS Sec. Kennedy, lots of concern about preventive services. @tarastraw.bsky.social and I outline ways states can help preserve access to this lifesaving care. @rwjf.bsky.social www.shvs.org/protecting-a...
shvs.org
Protecting Access to Preventive Services: A State Roadmap 
Protecting Access to Preventive Services: A State Roadmap
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Reposted by Sabrina Corlette
Jalisa Clark @jalisahealth.bsky.social · 06/02/2025
There's an emerging trend among state employee health plans to use some form of provider-based reference pricing. What is provider-based reference pricing? How does it limit health care costs? What are the challenges and trade-offs? @sabrinacorlette.bsky.social www.healthaffairs.org/content/fore...
healthaffairs.org
State Spotlight: The Use Of Provider-Based Reference Pricing In Oklahoma And South Carolina | Health Affairs Forefront
Oklahoma and South Carolina are among nine states that use some form of provider-based reference pricing to contain spending growth in their state employee health plans. Officials in those states note...
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Sabrina Corlette @sabrinacorlette.bsky.social · 04/02/2025
The corporate takeover of health care is limiting patient choices and driving up costs—what's causing this troubling trend? Join us Friday 2/14 at 1pm ET to learn why from our experts. bit.ly/3Vl6sUZ
bit.ly
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
001
Sabrina Corlette @sabrinacorlette.bsky.social · 30/01/2025
As premiums become increasingly unaffordable, two state employee health plans (South Carolina & Oklahoma) have successfully used reference pricing to keep costs in check - a model for other states. My latest @healthaffairs.bsky.social blog with Karen Davenport. www.healthaffairs.org/content/fore...
healthaffairs.org
State Spotlight: The Use Of Provider-Based Reference Pricing In Oklahoma And South Carolina | Health Affairs Forefront
Oklahoma and South Carolina are among nine states that use some form of provider-based reference pricing to contain spending growth in their state employee health plans. Officials in those states note...
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Sabrina Corlette @sabrinacorlette.bsky.social · 29/01/2025
The corporate transformation of our health systems is reshaping the way care is delivered. What does that mean for patients and providers? Join us Friday 1/31 at 1pm ET to hear from experts and join the conversation. bit.ly/3Vl6sUZ
bit.ly
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
000
Sabrina Corlette @sabrinacorlette.bsky.social · 17/01/2025
Join us for a fantastic new webinar series on the Corporate Transformation of Health Care. First up on Jan. 31 - how corporatization is affecting patients and doctors, with editor-in-chief of Kaiser Health News, USPIRG, and the academy of emergency medicine. burness.zoom.us/webinar/regi...
burness.zoom.us
Welcome! You are invited to join a webinar: The Corporate Transformation of Health Care. After registering, you will receive a confirmation email about joining the webinar.
Health care is big business and is getting bigger. In recent years, health care mergers and acquisitions have ramped up, more corporate entities have entered the market, and maximizing profit has rise...
011
Sabrina Corlette @sabrinacorlette.bsky.social · 15/01/2025
Transparency may be the only health care policy lawmakers can agree on. And CHIR has a menu of options for state legislators!
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