Cynthia Cox

“Some people “are going to be hit with this double whammy” of bigger monthly insurance bills and losing the subsidy that blunts their cost, said @cynthiaccox.bsky.social, a vice president at KFF.”

KFF graphic featuring a quote from Cynthia Cox, KFF Vice President and Director of the Program on the ACA. It says, “In total, due to the One Big Beautiful Bill Act and other policy changes, the number of people without health insurance is expected to increase by about 17 million. If all of this comes to pass, it would represent the biggest roll back of health insurance coverage ever due to federal policy changes.”

⚡ KFF’s @cynthiaccox.bsky.social explains how millions of people are expected to lose health insurance coverage over the next decade with cuts to Medicaid and the ACA in the reconciliation bill, as well as other ACA changes not in the bill. #QuickTake on.kff.org/3GrJ9V5

About 17 Million More People Could be Uninsured due to the Big Beautiful Bill and other Policy Changes In total, due to the One Big Beautiful Bill Act and other policy changes, the number of people without health insurance is expected to increase by about 17 million. If all of this comes to pass, it wo...

17 million people estimated to be without health insurance if the current version of the OBBBA under consideration by Senate passes, according to most recent CBO estimates. www.kff.org/quick-take/a... #healthinsurance #access #affordability @cynthiaccox.bsky.social @kff.org

Medicaid cuts put lives and communities at risk.

“Without Medicaid… I would be dead.”

Home care. Rural hospitals. Coverage for 100,000+ kids — all threatened.

The CBO says 16 million more could be uninsured by 2034.

The stakes couldn’t be higher.

If you want to understand how appropriating funding for ACA cost-sharing subsidies saves the government money and decreases premium assistance for enrollees, check out this analysis from 8 years ago by me and
@cynthiaccox.bsky.social.
www.kff.org/affordable-c...

Also unlike the ACA repeal debate, I am unsure how widely the projected loss of coverage for ~10 million people is known. The ACA debate was clearly healthcare focused. This time, I'm seeing lots of articles referencing the "budget bill," "policy bill," "tax bill," etc. The stakes are less clear.

Covered California (CA’s ACA marketplace) is projecting that 30% of people enrolled through Covered California will lose/drop marketplace coverage as a result of Republican cuts.

Again, I ask, where is the health care industry lobby?

This is 600,000 fewer marketplace plans in California, alone.

Per this estimate, the GOP bill would leave an extra 38,000 Mainers without health insurance - on top of the current figure of 82,000.

Maine hasn’t seen that number of uninsured people since ~2015 when the economy was much worse and LePage kicked folks off MaineCare.

#mepolitics

How Will the 2025 Reconciliation Bill Affect the Uninsured Rate in Each State?: Allocating CBO’s Partial Estimates of Coverage Loss | KFF Legislation passed by the Energy and Commerce Committee could increase the number of people without health insurance by 8.6 million, due largely to changes to Medicaid and the ACA. Combining the provi...

NEW: STATE BY STATE
How many more people might be #uninsured with the House GOP Reconciliation Bill?

www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social

The Spotlight Is on Medicaid Cuts, But the ACA Marketplaces Could See a One-Third Cut in Enrollment In his latest column, President and CEO Drew Altman shows how proposals contained in the House reconciliation bill could result in a one-third reduction in ACA Marketplace enrollment. “While all eyes ...

All eyes are on #Medicaid, and for good reason. But the ACA #Obamacare Marketplaces are also expecting big coverage losses. @drewaltman.bsky.social @kff.org
www.kff.org/from-drew-al...

Marketplace Enrollees with Unpredictable Incomes Could Face Bigger Penalties Under House Reconciliation Bill Provision | KFF This analysis illustrates how provisions included in the House budget reconciliation bill could expose Marketplace enrollees with unpredictable incomes to higher penalties when filing taxes if they un...

NEW: Many workers, especially those who work shifts or gigs, have volatile incomes.
ACA #obamacare enrollees with less predictable incomes could face coverage barriers and bigger penalties under the House GOP reconciliation package & other expected policy changes @kff.org www.kff.org/affordable-c...

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...

Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act
chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social

KFF CEO @drewaltman.bsky.social is now on Blue Sky! Follow him for everything health policy @kff.org @kffhealthnews.org

Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.

As this study shows, there are many areas of improvement needed in our healthcare system.

How has the quality of the U.S. healthcare system changed over time? www.healthsystemtracker.org/chart-collec... by @lynnemargalit.bsky.social @emmawage.bsky.social @cynthiaccox.bsky.social via @kff.org

Enrollment Growth in the ACA Marketplaces | KFF This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occur...

(1/2) NEW: Enrollment in the ACA Marketplaces more than doubled since 2020, growing by 12.9M enrollees. Of that increase, 11.4M of the new enrollees (88% of the growth) are from states where President Trump won during the 2024 election. www.kff.org/policy-watch... @cynthiaccox.bsky.social

What should you do if you think you have the measles? To help control the spread of measles, experts say people who think they're infected should take precautions before visiting a doctor’s office or the emergency room.

“If you have any concerns” about being infected with measles, “do not just show up at the pediatrician’s office. Do not just show up at the ER,” Brown said. “Call first so they can be prepared.”

www.nbcnews.com/health/kids-...

the classic windows xp wallpaper with your friend darth the red panda, a red panda wearing a darth vader outfit and with blue sky butterfly wings, flying above

hello ok i am awake what did i miss
tell me every thing

Cancer caused by HPV is increasing in some women in the U.S. The percentage of women screened for cervical cancer fell, especially in rural areas, as rates of the disease have been edging up among women in their 30s and 40s.

Now that doctors have changed the way they screen for cervical cancer, many women are being told they tested positive for “high-risk” HPV. What does this mean? Does it give you a high risk of cancer? Does it mean the HPV shot failed? Learn more in my latest story!

www.nbcnews.com/health/cance...

Soooo this flight went fine but on tonight’s return flight to DCA we had to abruptly abort our landing after touching down to avoid crashing into another plane on the runway. After another loop around we landed safely but it was quite scary.

DOGE’s Cuts at the USDA Could Cause US Grocery Prices to Rise and Invasive Species to Spread Thousands of US Department of Agriculture employees, including food inspectors and disease-sniffing dog trainers, remain out of work, leaving food to rot in ports and pests to proliferate.

Thousands of US Department of Agriculture employees, including food inspectors and disease-sniffing dog trainers, remain out of work, leaving food to rot in ports and pests to proliferate.

Missed this story last night portending something bad for AHRQ

AHRQ fills a hugely important void in the medical and health care research space: it funds work that doesn't map cleanly to a disease, body part, or special population (e.g., older Americans)

www.politico.com/news/2025/03...

Multiple sources tell me AHRQ is about to be destroyed. A terrible loss for our country.

Trump Administration Forces Maine Parents To Visit Social Security Offices To Register Newborns The Social Security Administration canceled contracts that allowed Maine parents to sign up newborns for Social Security numbers at the hospital.

The Trump admin canceled contracts with Maine's CDC supporting "enumeration at birth" -- the way 99% of American babies get their Social Security Numbers.

Now Maine parents have to visit field offices in-person to get their newborn SSNs

Why?

No reason given.

www.huffpost.com/entry/maine-...

The Census Scientific Advisory Committee, which advises the Census Bureau on research and methodology across various Census programs and activities, has been terminated as of 2/28/25.

This is another blow against federal data collection.

What Does the Federal Government Spend on Health Care? | KFF As Congressional Republicans and President Trump search for trillions of dollars in cuts to mandatory federal spending that could help offset the cost of extending expiring tax cuts, this brief…

Great breakdown in this @kff.org post showing where we're spending money on health care and where the damage will be if there are cuts.

What Does the Federal Government Spend on Health Care? buff.ly/43agCMC by @jcubanski.bsky.social @alicelburns.bsky.social @cynthiaccox.bsky.social

This chart shows the share of women who have had no births by the end of their childbearing years in four countries: the United States, Sweden, Japan, and Spain. Each country's data is represented on separate graphs, plotted against the years from 1918 to 1972 along the horizontal axis, labeled as "Women's birth year." The vertical axis indicates the percentage of women who have had no births, ranging from 0% to 30%. In the United States graph, the percentage starts around 15% in 1918, dips slightly mid-century, and then rises again to near 20% by the early 1970s. The Sweden graph shows a relatively stable line around 10–15% throughout the years, with no significant fluctuations. Japan's graph trends upward, reaching around 25% by the end of the timeline. In Spain, the share steadily increases, culminating in over 20% by 1972, indicating a growing trend in women having no births. The data source is cited as the "Human Fertility Database (2024)." The chart is published by Our World in Data.

What share of women reach the end of their childbearing years without having children?

This chart compared the data for the US, Sweden, Spain, and Japan. Note that the horizontal axis shows women's birth years.

We’re just waiting for the gavel here. All the Rs save for Massie now on board. 217 wins.

Challenges with effective price transparency analyses - Peterson-KFF Health System Tracker The Transparency in Coverage (TiC) rule aimed to make healthcare prices easily comparable, but the reported data may pose many barriers to effective analysis.

For all the promise of #pricetransparency using the data is hard. New from the Peterson-@kff.org health system tracker, a user guide on tackling the data, and some not-so-obvious pitfalls

www.healthsystemtracker.org/brief/challe...

Trump signed an executive order today building on #PriceTransparency. But what should we make of the data already posted? Coincidentally, @kff.org just published an analysis of the Transparency in Coverage data. It's not always easy to make out heads or tails