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Zach Levinson

@zlevs100.bsky.social
373 followers 160 following 37 posts

Project Director of the KFF Project on Hospital Costs www.kff.org/person/zachary-levinson

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Zach Levinson @zlevs100.bsky.social · 29/07/2026
New KFF brief: Medicare’s proposed cuts to 340B drug payments would hit safety-net hospitals while benefiting for-profit hospitals, among other differences: www.kff.org/health-costs...
kff.org
Medicare’s Proposed Cut to 340B Drug Payments Would Hit Safety-Net Hospitals While Benefiting For-Profit Hospitals | KFF
This analysis finds that CMS’s proposed cut to Medicare reimbursement for 340B drugs, and accompanying increase for other outpatient services, would reduce revenues among safety-net hospitals while in...
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Zach Levinson @zlevs100.bsky.social · 06/07/2026
My new Quick Take considers the broader context of the Trump Administration's proposed site-neutral payment reforms for certain imaging services: www.kff.org/quick-insigh...
kff.org
The Trump Administration Continues to Advance Incremental Site-Neutral Payment Reforms
The Administration’s proposed changes for certain imaging services would further advance site-neutral payment reform but, like prior changes, are modest relative to more expansive options raised by Me...
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Scott Hulver @scotthulver.bsky.social · 02/07/2026
CMS is proposing to lower Medicare reimbursement for 340B drugs by almost $5 billion in CY2027. Because the proposal is budget neutral, those $5 billion will be redistributed to all hospitals through higher payments for non-drug outpatient services.
public-inspection.federalregister.gov
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Zach Levinson @zlevs100.bsky.social · 05/06/2026
We're hiring! The KFF Project on Hospital Costs is searching for a Senior Policy Analyst or Senior Data Analyst to work on timely policy analyses relating to hospital and health system spending, prices, finances, and business practices: kff.bamboohr.com/careers/115
kff.bamboohr.com
Senior Policy Analyst / Senior Data Analyst
KFF KFF is the leading health policy organization in the U.S. As a one-of-a-kind information organization, we bring together substantial capabilities in policy research, polling, and journalism in one...
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Zach Levinson @zlevs100.bsky.social · 16/01/2026
At a roundtable, the administration touted a $50 billion fund that will make large investments in rural health. That funding would accomplish more if not on the heels of an estimated $137 billion reduction in federal Medicaid spending in rural areas. www.kff.org/medicaid/how...
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Larry Levitt @larrylevitt.bsky.social · 06/01/2026
New: With first year awards from the rural health transformation fund out, our analysis shows wide variation in the amount per rural resident across states. www.kff.org/state-health...
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Reposted by Zach Levinson
Drew Altman @drewaltman.bsky.social · 06/01/2026
The Rural Fund grants are a grab bag from telehealth to mobile health to parks and trails for recreation. Our analysis based on rural population:
kff.org
First-Year Rural Health Fund Awards Range From Less Than $100 Per Rural Resident in Ten States to More Than $500 in Eight | KFF
This policy watch evaluates state awards through the rural health fund in 2026, the first year of the program. The analysis shows relatively modest variations in total awards this year across states b...
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Reposted by Zach Levinson
KFF @kff.org · 06/01/2026
NEW: The initial awards to states under the new federal Rural Health Transformation Program show relatively modest variation in total awards across states but wide variation in how much states will receive per rural resident. Our analysis: on.kff.org/3YW7Hv0
KFF map showing that first-year awards per rural resident vary widely across states, ranging from less than $100 in ten states to more than $500 in eight states according to KFF analysis.
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KFF @kff.org · 24/11/2025
⚡ KFF’s Zachary Levinson writes about the site-neutral payment reform included in the CMS’s 2026 final outpatient prospective payment system rule under traditional Medicare. #QuickTake on.kff.org/4odNESQ
KFF graphic featuring a quote from Zachary Levinson, KFF Project Director, Project on Hospital Costs. It says, “The Administration’s change to reimbursement for drug administration services represents a step forward in implementing site neutral payment reforms but is modest compared to some of the more sweeping options raised by MedPAC and others.”
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
CMS will decide which states to fund by the end of the year, and how to allocate the first year of funding across states. It is not yet clear how states will distribute funds across rural hospitals, other providers, and other state initiatives (9/9)
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
The analysis could not factor in the $12.5 billion that will be distributed based on CMS’s discretionary scoring of state policy, state initiatives, and other factors (8/9).
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
TX, CA, NM, MT, and AK are estimated to receive the largest amounts from the $37.5 billion. Most of the extra dollars they're estimated to receive are due to their large land area, one of several factors used to allocate funds based on state need (7/9).
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
Additionally, of the $12.5 billion based on measures of need, only 20% is directly based on total rural population (6/9).
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
This in part reflects the fact that estimated state awards vary much less than differences in rural populations, principally due to the equal distribution of the first $25 billion across all states with approved applications (5/9).
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
Estimated awards from the $37.5B are partially, but not closely, tied to rural population. E.g., TX has the most rural residents in the nation (4.3M) but is estimated to only receive about twice as much as RI, which has the fewest (about 25,000) (4/9)
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
Estimated awards from the $37.5B range from $550 million in Rhode Island to just over $1 billion in Texas over five years if all states are approved for funding (3/9).
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
The analysis examines $37.5B of the $50B fund: $25B to be distributed equally across states with approved applications (as required by law) and an additional $12.5B to be distributed based on measures of state need (as specified primarily by CMS) (2/9).
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Zach Levinson @zlevs100.bsky.social · 10/11/2025
The July 2025 reconciliation law created a $50B rural health fund to help offset the impact of the law on rural areas. Our brief suggests that state awards from most of the fund could vary only modestly despite large differences in rural health needs 👇(1/9): www.kff.org/state-health...
kff.org
State Awards From Most of the Rural Health Fund Could Vary Only Modestly Despite Large Differences in Rural Needs | KFF
This brief provides estimates of how $37.5 billion of the $50 billion rural health fund could be distributed across states if all states are approved for funding. Awards from the $37.5 billion could r...
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Zach Levinson @zlevs100.bsky.social · 29/09/2025
CMS's recent announcement includes many new details about the distribution of the rural health fund across states, but questions remain about which states will receive funding and how well awards will align with state need. More in our recent brief: www.kff.org/other-health...
kff.org
Key Takeaways from CMS's Rural Health Funding Announcement | KFF
This brief describes five key takeaways from CMS's Notice of Funding Opportunity for the $50 billion Rural Health Transformation Program. It includes information about how CMS intends to review state ...
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Zach Levinson @zlevs100.bsky.social · 26/09/2025
States will receive more from the $50 billion rural health fund if they adopt certain Make America Health Again (MAHA) policies. This and more from a new KFF brief examining CMS's recent funding announcement: www.kff.org/other-health...
kff.org
Key Takeaways from CMS's Rural Health Funding Announcement | KFF
This brief describes five key takeaways from CMS's Notice of Funding Opportunity for the $50 billion Rural Health Transformation Program. It includes information about how CMS intends to review state ...
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Zach Levinson @zlevs100.bsky.social · 25/09/2025
New KFF brief examines CMS's recent rural health fund announcement. While the $50B fund could help rural areas in a number of ways, it's unclear the extent to which it will benefit rural hospitals and offset their losses under the reconciliation law. More from the brief: www.kff.org/other-health...
kff.org
Key Takeaways from CMS's Rural Health Funding Announcement | KFF
This brief describes five key takeaways from CMS's Notice of Funding Opportunity for the $50 billion Rural Health Transformation Program. It includes information about how CMS intends to review state ...
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Zach Levinson @zlevs100.bsky.social · 15/09/2025
With today's announcement, it still remains to be seen how much of the $50 billion rural health fund will go to hospitals. According to CMS, payments to providers for care "cannot exceed 15% of the total" though other uses, like capital investments, could also benefit hospitals.
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Scott Hulver @scotthulver.bsky.social · 15/07/2025
CMS just released its 2026 proposed rule for hospital outpatient payments. Among its proposals: lowering reimbursement for drug administration services at hospitals to the physician reimbursement rate. Check out our brief to learn more about site neutral policies. www.kff.org/medicare/iss...
kff.org
Five Things to Know About Medicare Site-Neutral Payment Reforms | KFF
This brief examines key facts around proposals to align Medicare payments for outpatient services across care settings, otherwise known as “site-neutral payment reforms.”
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Zach Levinson @zlevs100.bsky.social · 27/06/2025
As well as the implications of the reconciliation bill for spending and coverage, including in rural areas (7/7): www.kff.org/medicaid/iss... www.kff.org/affordable-c... www.kff.org/policy-watch...
kff.org
How Might the Reconciliation Bill’s Medicaid Cuts Affect Rural Areas? | KFF
This analysis estimates that the House-passed reconciliation bill could lead Medicaid spending in rural areas to decrease by $119 billion and a 1.5 million drop in enrollment over 10 years.
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Zach Levinson @zlevs100.bsky.social · 27/06/2025
Recent work from KFF provides a deeper dive on rural hospitals, Medicaid and hospitals, and the implications of the reconciliation bill (6/7): www.kff.org/health-costs... www.kff.org/medicaid/iss... www.kff.org/medicaid/iss...
kff.org
What are the Implications of the 2025 Budget Reconciliation Bill for Hospitals? | KFF
On May 22, 2025, the U.S. House of Representatives passed a budget reconciliation bill that includes significant reductions in federal Medicaid spending to help offset the cost of tax cuts, along with...
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Zach Levinson @zlevs100.bsky.social · 27/06/2025
While the fund could help prop up rural hospitals, it doesn't address concerns about the millions of individuals who could lose Medicaid or ACA Marketplace coverage in rural and other areas, many of whom would also be at risk of losing SNAP benefits (5/7) www.kff.org/medicaid/iss...
kff.org
The Implications of Federal SNAP Spending Cuts on Individuals with Medicaid, Medicare and Other Health Coverage | KFF
Proposed changes in eligibility rules in both SNAP and Medicaid may jeopardize some people’s access to both adequate food and health care if various provisions of the bill take effect, in part because...
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Zach Levinson @zlevs100.bsky.social · 27/06/2025
Urban hospitals that serve a large share of Medicaid patients have been left out of the conversation and without support from the fund, though many are already in the red. These hospitals could also have a hard time absorbing any losses under the bill (4/7)
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Zach Levinson @zlevs100.bsky.social · 27/06/2025
The relief for hospitals and other providers would also be temporary, while major Medicaid and ACA cuts would be permanent (3/7).
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Zach Levinson @zlevs100.bsky.social · 27/06/2025
It's unclear: * How much of this fund would be used for hospitals, * Which hospitals would be targeted, and * Whether the fund would be enough to offset any losses for hospitals and other providers under the bill. (2/7).
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Zach Levinson @zlevs100.bsky.social · 27/06/2025
One of the biggest flashpoints for the "One Big Beautiful Bill Act" has been its impact on roughly 1800 rural hospitals, which is why Senate Republicans are proposing a new $15 billion rural health fund. However, there are still questions and concerns about the bill 👇 (1/7)
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Zach Levinson @zlevs100.bsky.social · 05/05/2025
A new @KFF analysis finds that Medicaid covers at least one in five hospital inpatient days in nearly every state as Congress considers potential cuts to the program. The data illustrate the importance of Medicaid to hospitals. www.kff.org/medicaid/iss...
kff.org
Medicaid Covers at Least One in Five Hospital Inpatient Days in Nearly Every State | KFF
This analysis examines the share of inpatient hospital days that are covered by Medicaid nationally and by state at a time when Congress is considering potential cuts to the program. It finds that Med...
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Larry Levitt @larrylevitt.bsky.social · 16/04/2025
New: New: Many rural hospitals are struggling. But, less so in states that have expanded Medicaid under the ACA. www.kff.org/health-costs...
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Robin Rudowitz @robinr.bsky.social · 05/03/2025
Federal cuts to #Medicaid could have implications for hospitals - check out new brief: www.kff.org/medicaid/iss...
kff.org
5 Key Facts About Medicaid and Hospitals | KFF
We explain the role of Medicaid for hospitals, including how much spending on hospital care comes from Medicaid, the share of births covered by the program, and how Medicaid expansion has impacted hos...
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Larry Levitt @larrylevitt.bsky.social · 05/03/2025
Medicaid covers about one-fifth of all hospital spending. There's a hospital in pretty much every Congressional district, and it's often one of the biggest employers. www.kff.org/medicaid/iss...
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
Evaluating options to reduce spending on hospital services will require weighing the benefits of cost savings with the possibility of reduced access to care, with effects that could vary widely across hospitals and across the country. Link to full report: www.kff.org/health-costs...
kff.org
Hospital Margins Rebounded in 2023, But Rural Hospitals and Those With High Medicaid Shares Were Struggling More Than Others | KFF
This data note examines trends in hospital margins from 2018 through 2023 and how operating margins varied across different types of hospitals in 2023. It shows the industry overall experienced a rebo...
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
Operating margins varied across states, which could reflect a variety of unique circumstances facing hospitals across the country, such as demographics, hospital ownership and cost structure, commercial reimbursement rates, and state and local health and tax policy.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
Policymakers have explored options to rein in commercial prices. This analysis suggests that hospitals with the highest prices and largest commercial shares as a group are in a better position to absorb restraints on prices, though the impact would vary across hospitals.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
Operating margins were also higher than average among hospitals with high prices, especially among those that also had high commercial shares.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
In contrast to rural and high Medicaid share hospitals, operating margins were higher than average among hospitals with a relatively large share of commercial patients, system-affiliated hospitals, and (especially) for-profit hospitals.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
Operating margins were lower than average among rural hospitals and hospitals with a relatively large share of Medicaid patients.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
However, some hospitals struggled more than others in 2023, with about two in five (39%) having negative operating margins.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
We evaluated hospital margins and found that they rebounded in 2023 following a large decrease in 2022.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
For example, Senators Cassidy and Hassan recently released a framework for site-neutral payment reforms that would reinvest savings into rural and high-needs hospitals. www.cassidy.senate.gov/newsroom/pre...
cassidy.senate.gov
Cassidy, Hassan Release Policy Framework on Medicare Site-Neutral Reform to Lower Health Care Costs | U.S. Senator Bill Cassidy
WASHINGTON – U.S. Senators Bill Cassidy, M.D. (R-LA) and Maggie Hassan (D-NH) today released a legislative framework to address site-neutral Medicare payment reform to lower health care costs for pati...
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
There are ongoing questions about the effects of policies that reduce spending on hospital finances and access to care, with particular attention to the implications for rural and safety-net hospitals.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
The next Trump administration and Congress may seek to cut Medicaid spending, which could result in fewer dollars flowing to hospitals, among other policy changes affecting hospitals.
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Zach Levinson @zlevs100.bsky.social · 18/12/2024
New @KFF analysis finds that rural hospitals and those with high Medicaid shares were struggling more than others in 2023. Let’s break down why this and other findings matter in the context of policy options that would reduce spending on hospital care 👇
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