Sign in

Sara Collins

@sararcollins.bsky.social
900 followers 297 following 6 posts

Senior Scholar, Expanding Coverage and Access and Tracking Health System Performance at the Commonwealth Fund commonwealthfund.org.

PostsRepliesMedia
Sara Collins @sararcollins.bsky.social · 18/09/2026
www.commonwealthfund.org/publications...
commonwealthfund.org
How Medical Bills and Debt Impact Americans with Private Insurance
Americans with private insurance are often frustrated in attempts to get and pay for care through their health plan, leaving them with bills they didn’t expect.
000
Reposted by Sara Collins
Adrianna McIntyre @adrianna.bsky.social · 04/09/2025
Ben Sommers and I have a new piece up at @jamahealthforum.com on how to think about generalizing lessons from unwinding to looming new Medicaid red tape requirements. jamanetwork.com/journals/jam... We appreciate support from the @commonwealthfund.org for this work!
2148
Sara Collins @sararcollins.bsky.social · 14/08/2025
Consumers are facing turbulent waters in the ACA marketplaces, we explain why www.commonwealthfund.org/blog/2025/co...
commonwealthfund.org
Consumers in the ACA Marketplaces Face Turbulent Waters in the Wake of Policy Changes
For the 24 million Americans who buy their coverage through ACA marketplaces, recent policy changes will make it harder to enroll and lead to increased premiums.
032
Sara Collins @sararcollins.bsky.social · 14/08/2025
The Advisory Committee on Immunization Practices has long been the gold standard for evidence-based vaccine guidance. But the overhaul by the Trump administration raises concerns about ACIP’s future as a respected expert body. MaryBeth Musumeci explains. www.commonwealthfund.org/publications...
commonwealthfund.org
The Advisory Committee on Immunization Practices: What It Does and How Recent Changes to It Will Affect Vaccine Affordability and Access
This explainer discusses what ACIP does, how it makes recommendations, and how administration actions may affect Americans’ ability to obtain affordable vaccines.
020
Reposted by Sara Collins
Michael Osterholm, PhD, MPH @mtosterholm.bsky.social · 07/08/2025
I don't think I've seen a more dangerous decision in public health in my 50 years in the business. Here's a special audio statement on my reaction to the HHS breaking announcement that it is terminating $500 million in investments in mRNA vaccine research. More details to come in today's podcast.
48249
Reposted by Sara Collins
NPR @npr.org · 05/08/2025
As Canadian wildfires spread smoke across the U.S. the air pollution is dangerous to health. But there are ways to protect yourself. Here's what to know.
n.pr
Wildfire smoke is like smoking 'half a pack a day.' Here's how to protect yourself
As Canadian wildfires spread smoke across the U.S. the air pollution is dangerous to health. But there are ways to protect yourself. Here's what to know.
1421265
Reposted by Sara Collins
Joan Alker @joanalker1.bsky.social · 04/08/2025
I picked up Paxlovid the other day for my mom who sadly has COVID (she’s a Medicare beneficiary with Part D coverage) and it cost $280!!! I was stunned.
032
Reposted by Sara Collins
Catherine Rampell @crampell.bsky.social · 04/08/2025
How Cuts to the Insurance Marketplaces Will Harm Entrepreneurs open.substack.com/pub/briefing...
open.substack.com
How Cuts to the Insurance Marketplaces Will Harm Entrepreneurs
Small business owners and the self-employed rely on the marketplaces, and coverage is about to become less affordable
715752
Reposted by Sara Collins
cira-csu.bsky.social @cira-csu.bsky.social · 04/08/2025
A ribbon of thick smoke from Canadian wildfires streams across the skies over North America, sullying the air quality over the Northeast US and Midwest.
0138
Reposted by Sara Collins
Larry Levitt @larrylevitt.bsky.social · 27/05/2025
The House-passed reconciliation bill causes an estimated 1.4 million undocumented immigrants to lose health coverage. That’s not because the federal government pays for Medicaid for them. It’s because the bill penalizes states using their own money to cover immigrants.
68639
Reposted by Sara Collins
Matt Fiedler @mattafiedler.bsky.social · 22/05/2025
The updated reconciliation language doubles down on the bill’s Marketplace cuts by ending “silver loading” for the 2026 plan year. This would greatly increase many Marketplace enrollees’ premiums, compounding increases due to expiration of enhanced tax credits.
22915
Reposted by Sara Collins
Christen Linke Young @clinkeyoung.bsky.social · 22/05/2025
Latest House bill text includes another blow to the ACA, ending “silver loading.” That would increase premiums by $350 for a hypothetical family. Here’s why: www.brookings.edu/articles/und...
brookings.edu
Understanding Marketplace "Silver Loading"
Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA.
04741
Reposted by Sara Collins
HealthBegins @healthbegins.bsky.social · 09/05/2025
"These policies will be a double financial hit to working-class families, likely leading to coverage losses, delayed health care, & medical debt." @sararcollins.bsky.social @commonwealthfund.org Proposed Rule Will Make Consumers Pay More for Health Insurance
commonwealthfund.org
Proposed Rule Will Make Consumers Pay More for Health Insurance and Care in the ACA Marketplaces
Proposed rule changes to ACA marketplace plans from the Trump administration would increase costs and reduce the financial protection plans offer.
035
Reposted by Sara Collins
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.
013
Sara Collins @sararcollins.bsky.social · 05/03/2025
New CBO estimates show Medicaid makes up 93% of spending under E&C jurisdiction, excluding Medicare. www.cbo.gov/system/files...
cbo.gov
000
Sara Collins @sararcollins.bsky.social · 05/03/2025
Getting health care isn’t like buying a refrigerator or car - why medical debt should be removed from consumer credit reports. www.commonwealthfund.org/publications...
commonwealthfund.org
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.
010
Reposted by Sara Collins
HealthBegins @healthbegins.bsky.social · 05/03/2025
"The United States stands alone among higher-income countries in the accumulation of #medicaldebt among its citizens." @sararcollins.bsky.social The Federal Rule on Medical Debt buff.ly/4biFT9z via @commonwealthfund.org
buff.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.
013
Reposted by Sara Collins
Alison Barkoff @abarkoff.bsky.social · 12/02/2025
Read our new Health Affairs article to learn more about what lies ahead for Medicaid in the budget reconciliation process. TL:dr — big cuts to #Medicaid hurt everyone! www.healthaffairs.org/content/fore...
healthaffairs.org
What Lies Ahead For Medicaid In Budget Reconciliation? | Health Affairs Forefront
Should Congress pursue a wide range of possible budget-cutting strategies during the budget reconciliation process, all Medicaid populations, from the youngest infants to the most vulnerable older adu...
22417
Reposted by Sara Collins
Akeiisa Coleman @acinthedc.bsky.social · 30/01/2025
Want to know some of what Medicaid does in your state? Know someone who needs a refresher on Medicaid basics? We've got you covered with new state fact sheets: www.commonwealthfund.org/publications... #Medicaid
commonwealthfund.org
How Medicaid Helps Your State
Check out our map and state fact sheets for state-by-state information on Medicaid's role in bringing access to care and federal dollars to states.
01711
Reposted by Sara Collins
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
01811
Reposted by Sara Collins
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…
14232
Reposted by Sara Collins
Timothy McBride @mcbridetd.bsky.social · 08/01/2025
Biden administration achieves fourth record-breaking ACA enrollment ahead of exit thehill.com/policy/healt...
thehill.com
Biden administration achieves fourth record-breaking ACA enrollment ahead of exit
The Biden administration has achieved a fourth consecutive record year in HealthCare.gov Marketplace enrollment, one week before the final sign-up deadline and its imminent exit from office. Nearly…
02210
Reposted by Sara Collins
Matthew Rae @mattrae.bsky.social · 11/12/2024
Without enhanced PTCs, nonexpansion states would see larger percentage declines...Although the 10 nonexpansion states account for just 28% of the nation’s under-65 population, they would account for 63% of the enrollment decline in subsidized Marketplace plans www.urban.org/urban-wire/f...
urban.org
Four Million People Will Lose Health Insurance If Premium Tax Credit Enhancements Expire in 2025
With the end of enhanced premium tax credits on the horizon, millions are at risk of losing health insurance, especially those living in states that haven’t expanded Medicaid eligibility.
021
Reposted by Sara Collins
Cynthia Cox @cynthiaccox.bsky.social · 05/12/2024
The CBO says not extending the enhanced ACA subsidies will lead to 3.8 million more people being uninsured. They also say premiums (before subsidies) will eventually be 7.9% higher without extension, because healthier people will drop coverage www.cbo.gov/system/files...
cbo.gov
35141
Reposted by Sara Collins
The Lancet @thelancet.com · 03/12/2024
Around 1.5 million deaths globally per year associated with air pollution from landscape fires between 2000 and 2019, study suggests. 🔗 bit.ly/4f5bxrb
World maps showing distribution of the 2267 communities used for time-series analyses and their mean (A,B) and maximum (C,D) daily LFS PM2·5 and ozone. LFS=landscape fire-sourced. PM2·5=fine particulate matter with a diameter of 2·5 μm or less. Copyright: 2024 Elsevier Ltd. All rights are reserved.
0239
Sara Collins @sararcollins.bsky.social · 21/11/2024
Our new survey out today finds nearly one in four U.S. working age adults have health coverage all year but are underinsured, facing high out-of-pocket costs or deductibles relative to their income that lead many to skip needed care or take on medical debt. www.commonwealthfund.org/publications...
commonwealthfund.org
The State of Health Insurance Coverage in the U.S.
This brief presents findings from the Commonwealth Fund Biennial Health Insurance Survey to describe the state of Americans’ health insurance coverage in 2024.
87727