Grant Beebe, DrPH, MBA, NHA

I love so much of my work, but especially when we gather to celebrate the heart of long term and post acute care. Thanks for letting me crash a beautiful party, NYSHFA • NYSCAL!

KFF graphic featuring a quote from Alice Burns, KFF Associate Director, Program on Medicaid & Uninsured. It says, “The Senate’s budget plan is unusual because it establishes different tracks for reconciliation in each chamber: House committees are instructed to increase deficits by $2.3 trillion, with major cuts to Medicaid; and Senate committees are instructed to increase deficits by what amounts to $5.8 trillion, without clear implications for Medicaid cuts. If passed by the House, the plan could spur major differences in how the two chambers will proceed.”

⚡ KFF’s @alicelburns.bsky.social outlines the differences in the House and Senate reconciliation plans — and what it means for cuts to Medicaid. #QuickTake on.kff.org/4lpSJrb

Keep telling the truth. Bear the light.

More Americans Cannot Afford Medical Care: Gallup Poll A new survey found that 11 percent of Americans said they could not pay for medication and medical treatments.

Health care remains stubbornly unaffordable for millions of people in the U.S., according to a new survey. More than a third of those surveyed said they were to need medical care and would not be able to pay for it.

My Governing op-ed on how cutting #Medicaid harms both patients and state budgets. To insulate Congressional GOP leaders from blame, the cuts under discussion shift costs to states and make governors/legislatures be the ones to institute the specific damaging cuts. www.governing.com/magazine/cut...

Senator Cory Booker, his voice still booming after more than a day spent on the Senate floor railing against the Trump administration, surpassed Strom Thurmond for the longest Senate speech on record, in an act of astonishing stamina that he framed as a call to action. nyti.ms/4iXMx8m

5 Key Facts About Medicaid and Provider Taxes | KFF As Congress weighs potential cuts in federal Medicaid spending through budget reconciliation, one option under consideration is to limit the use of state taxes on providers. This brief uses data from ...

In light of the Medicaid budget debate, KFF’s new brief describes how states currently use provider taxes and the federal rules governing them:

New @kff.org research on how all states but Alaska rely on provider taxes to finance #Medicaid at the state level. If such taxes are restricted or prohibited entirely, states would be unable to replace lost revenues, forcing them to deeply cut their Medicaid programs. www.kff.org/medicaid/iss...

Putting $880 Billion in Potential Federal Medicaid Cuts in Context of State Budgets and Coverage | KFF This brief explores the magnitude of the potential federal Medicaid funding cuts under the House budget resolution. This brief puts the $880 billion in cuts in context by comparing the size of the cut...

NEW @kff.org analysis illustrates what $880B in potential federal #Medicaid cuts could mean for states and residents.

Potential Medicaid cuts represent:
29% of state Medicaid spending per resident
6% of state taxes per resident
19% of state education spending per pupil

www.kff.org/medicaid/iss...

How Potential Federal Cuts to Medicaid and SNAP Could Trigger the Loss of a Million-Plus Jobs, Reduced Economic Activity, and Less State Revenue Combined losses from proposed cuts to Medicaid and SNAP would reach $1.1 trillion over a decade, including a $95 billion loss of federal funding in 2026 alone.

We can’t build a stronger, healthier nation by pulling the rug out from those who need it most. These proposed cuts would set us ALL back.
#Medicaid #SNAP

Grateful to the Modern Medicaid Alliance for this advocacy brief!

modernmedicaid.org/wp-content/u...

Thousands of communities across the nation have #DrinkingWater contaminated with #PFAS, which has been linked to an increased risk of several adverse health effects.

On #WorldWaterDay, read about our guidance for PFAS testing and guidance for clinicians: buff.ly/a0nai2p

Dark blue background with white text that has a quote from KFF President and CEO Drew Altman that says, “Whatever the arguments for and against the Medicaid cuts that end up being proposed and however the politics play out, don’t expect very many states to replace lost federal funding.” This quote is from Drew Altman’s latest Beyond the Data column.

In his latest column, KFF’s Drew Altman discusses how difficult it will be for states to replace lost federal Medicaid funding should Congress make significant cuts. Read more:
www.kff.org/from-drew-al...

Why Most States Will Not Replace Federal Medicaid Cuts In his latest Beyond the Data column, KFF’s President and CEO Drew Altman discusses how difficult it will be for states to replace lost federal Medicaid funding should Congress make significant cuts.

KFF CEO Drew Altman explains why most states will likely not replace lost federal Medicaid funding should Congress make significant cuts. www.kff.org/from-drew-al...

KFF chart showing 4 pie charts that show the share of Medicare beneficiaries with and without Medicaid coverage overall and by age group. The pie charts show the breakdown people with Medicare and Medicaid overall, under 65, 65-84 and 85 and older. Overall, 82% of people with Medicare don’t have Medicaid coverage, and 18% have do. Those aged 65-84 and those 85 and older primarily have Medicare without Medicaid coverage (87% and 83% respectively); those under 65 are more split, with 45% only having Medicare and 55% having both Medicare and Medicaid coverage.

12.2 million Medicare beneficiaries (nearly 1 in 5) also have Medicaid coverage. Most in this group have low incomes and modest savings.

Medicaid coverage makes Medicare more affordable by paying the program’s premiums and, in most cases, cost sharing: on.kff.org/4iEtfEi

Infographic titled 'Medicaid Paid an Estimated 94.9% of Total Outlays Properly, and Improper Payments are Mostly Due to Insufficient Documentation.' The pie chart illustrates estimated improper Medicaid payments by error type in 2024: 15.6% ineligible beneficiaries, 2% non-enrolled providers, 3.6% other monetary loss, and 79.1% insufficient documentation. Source: Payment Error Rate Measurement (PERM) Supplemental Data, 2024

There are no reliable estimates of fraud in Medicaid.

While often cited when discussing fraud, improper payments are not a measure of fraud and are often tied to missing documentation or administrative steps: on.kff.org/4iulKAl

Americans Prioritize Strengthening Medicaid and Medicare | Milbank Memorial Fund As Congress works toward passing a budget reconciliation plan, lawmakers are considering massive cuts in federal financing for programs that provide

Excellent perspective from @milbankfund.bsky.social • www.milbank.org/2025/03/amer...

ACA Medicaid Expansion Improves Access to Care, Health, and Financial Security, Research Finds

The House Republican budget would require deep cuts to ACA’s #Medicaid expansion and could leave millions uninsured. Congress should maintain support for the expansion and consider federal solutions to close the coverage gap in remaining states. www.cbpp.org/blog/house-r...

KFF explains the facts about #Medicaid program integrity. Debunks the disinformation being circulated to justify draconian #Medicaid cuts which have nothing to do with curbing fraud: www.kff.org/medicaid/iss...

5 Key Facts about Medicaid Program Integrity | KFF Program integrity efforts work to prevent and detect fraud, waste, and abuse, to increase program transparency and accountability, and to recover improperly used funds. This brief explains what is kno...

Everyone wants to get rid of fraud and abuse in Medicaid (except the fraudsters, that is). But, some of the numbers used to characterize fraud are misleading, and getting rid of fraud requires investing in enforcement activities.
www.kff.org/medicaid/iss...

Line graph from KFF showing historical and projected enrollment percentages from 2007 to 2034 for Medicare Advantage and Traditional Medicare. The graph indicates that enrollment in Medicare Advantage is increasing over time, while Traditional Medicare sees a gradual decrease. Key projected points: 54% in 2024 for Medicare Advantage, increasing to 64% by 2034, while Traditional Medicare decreases from 46% in 2024 to 36% in 2034.

Since 2010, the share of Medicare beneficiaries in plans run by private Medicare Advantage insurers has more than doubled to 54%.

The Trump administration could weigh in on the pace of Medicare Advantage growth and the future of traditional Medicare: on.kff.org/4ir0yuL

New Urban Institute estimates of impact of eliminating 90% federal matching rate for #Medicaid expansion on hospitals and other health care providers. If in effect in 2026 and all states drop expansion, it would increase uncompensated care by $19 billion in single year: www.urban.org/research/pub...

Medicaid Fraud: The Improper Use of Improper Payments Welcome to another installment on the misuse of the Medicaid “improper payments” metric.   This conversation began in 2018, then continued in 2020,  2022, and this year.  For th…

My Georgetown CCF colleague Andy Schneider explains how critics of #Medicaid are grossly exaggerating and wildly misrepresenting federal error measurement rates to justify massive Medicaid cuts: ccf.georgetown.edu/2025/03/13/m...

Also, listen to this.

•gratia indomita•

INHALE: Open our eyes to see your hand at work in the world about us.

Pause.

EXHALE: Deliver us from presumption, that we may worthily serve others.

(2/2)

This Lent, I’m struggling. I know lots of us are.

I’m trying to be less afraid and more present, and I am loving the idea I saw here for a personal liturgy in rhythm with breath.

Adapting my favorite (and the best) from the BCP: Eucharistic Prayer C today (1/2)

KFF’s new interactive maps illustrate Medicaid enrollment numbers, including eligibility groups and the percentage enrolled, for each congressional district.

KFF’s new interactive maps show at least half of either Republican or Democratic congressional districts have 21% or more of residents enrolled in Medicaid: on.kff.org/3QYxUVM

KFF’s Health Policy 101 is a comprehensive resource for those interested in learning more about U.S. health policy.

Our newest chapter explores functions and history of public health, examines how public health is governed and delivered in the U.S., and more: on.kff.org/3QJy5nM

From the Federation of American Hospitals: “Congressional leadership can shape a budget resolution while avoiding Medicaid cuts that could deny care to children, seniors, and hardworking families.” www.fah.org/blog/avoid-a...

AHA Statement on House Budget Resolution | AHA On behalf of the hospitals, nurses, doctors and those who care for and serve the needs of the 72 million patients that rely on Medicaid, we urge you to consider the implications of hinging the budget ...

From American Hospital Association: “… we urge you to consider the implications of hinging the budget reconciliation bill’s fate on removing health care access for millions of our nation's patients.” www.aha.org/press-releas...