Research faculty, health policy @georgetownccf. DMV Arkansan. @umich sports leanings, Hogs❤️1st. Tweets on: Medicaid/CHIP + interesting (to me) miscellany.
Washington, DC
Joined December 2008
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Elisabeth Wright Burak retweeted
It’s a health care election thebulwark.com/p/why-2026-is…
Elisabeth Wright Burak retweeted
This is good news for millions of people with chronic illnesses covered by Medicaid.
Judge strikes down Trump admin's definition of 'medically frail' in Medicaid work rules politi.co/4iMsHir
Elisabeth Wright Burak retweeted
States dealing with tight deadline pressure, insufficient resources, and a "chaotic partner" as race to implement HR 1 says @JoanAlker1 during @NAMD conference. fiercehealthcare.com/payers/…
Elisabeth Wright Burak retweeted
Federal Judge Throws a Lifeline to Medicaid Enrollees by Vacating CMS’s Unlawful Impairment Test ccf.georgetown.edu/2026/11/0… via @GeorgetownCCF
Elisabeth Wright Burak retweeted
This is an insane ad by Kansas Senator Roger Marshall, and when I first saw it, I thought it reeked of involvement by the candidate or the candidate’s spouse.
A classic case of a candidate feeling embattled and not feeling defended enough — it’s at this point that many candidates for office make the most reckless decisions.
And there’s no way professional Senate campaign staff or the NRSC would run such an ad.
And it turns out it’s much worse.
Per The New York Times, Marshall went around his campaign staff, hired his own film crew, then delivered the ad to his campaign and tried to get them to buy airtime for it. When they wouldn’t, he started passing the ad around to others, and that’s how it got posted on Twitter.
For those who aren’t aware, when Marshall was a practicing physician, he filed hundreds of lawsuits against patients. Some of those patients were arrested when they didn’t show up for court dates; others had their wages garnished.
Marshall frequently charged 18 percent interest on their bills.
Marshall’s billing practices were also first reported by the New York Times.
(Link to NYT story below)
Elisabeth Wright Burak retweeted
Our newest @georgetownccf team member + Texas native GJ and @AKohlerTX examine the maternal mortality crisis in Texas in this blog.
Report Examines Worsening Maternal Morbidity in Texas, How Improving Care Could Cut Medicaid Costs ccf.georgetown.edu/2026/10/0… via @GeorgetownCCF
Elisabeth Wright Burak retweeted
New blog from @adamsearing dives into the challenges of giving birth in rural areas.
Federal Government is Propping up Rural Health with Grants, Knocking it Down with Medicaid Cuts ccf.georgetown.edu/2026/10/1… via @GeorgetownCCF
Elisabeth Wright Burak retweeted
And so it begins. Pregnant woman disenrolled by mistake. Long waits to get through to the call center for help. No clarity on the rules.
Medicaid work reporting requirements don’t work. nebraskapublicmedia.org/en/n…
Elisabeth Wright Burak retweeted
It really seems like it should be a bigger deal that 11% of states who responded to this survey identified *withdrawing from SNAP entirely* as a potential risk of the massive cost shift that's about to hit state budgets thanks to H.R. 1. aphsa.org/wp-content/uploads…
ALT Looking Ahead When asked about the potential impacts of the upcoming state benefit cost share requirement, states identified a range of possible operational, fiscal, and policy challenges. Survey findings show: • 42% of states identified freezing or reducing hiring as a potential risk. • 29% of states identified narrowing eligibility policies as a potential risk. • 11% of states identified withdrawing from SNAP as a potential risk. • 5% of states identified temporarily pausing SNAP operations as a potential risk.
Elisabeth Wright Burak retweeted
The evidence shows the same thing about SNAP's work requirement: it doesn't increase employment or earnings, but lots of people lose the benefits they need to afford groceries — including people who are working or should be exempt.
The Trump Administration's analysis justifying its #Medicaid work requirement rule relies on flawed assumptions and ignores evidence showing work requirements cause large coverage losses while failing to increase employment: tinyurl.com/44sbmpys
Elisabeth Wright Burak retweeted
The Trump Administration's analysis justifying its #Medicaid work requirement rule relies on flawed assumptions and ignores evidence showing work requirements cause large coverage losses while failing to increase employment: tinyurl.com/44sbmpys
Elisabeth Wright Burak retweeted
Every time I open this report, I find a new methodological choice to marvel at.
If your model assumes sunshine and rainbows, your result will be sunshine and rainbows.
In their release of the Medicaid work requirements rule, CMS touts an ASPE report as evidence that work requirements increase employment. In fact, the report assumes “illustrative” impacts that are “not necessarily what is or will occur in the real world”. tinyurl.com/2czhrtcw
Elisabeth Wright Burak retweeted
The report also includes a (less than 1-page) literature review including studies of several programs…but not Medicaid. That may be because the three peer-reviewed Medicaid studies all found no impacts of work requirements on employment or hours worked.
Elisabeth Wright Burak retweeted
In their release of the Medicaid work requirements rule, CMS touts an ASPE report as evidence that work requirements increase employment. In fact, the report assumes “illustrative” impacts that are “not necessarily what is or will occur in the real world”. tinyurl.com/2czhrtcw
Statement from @joanalker: New Federal Medicaid Work Reporting Rule Threatens Coverage for Vulnerable Americans ccf.georgetown.edu/2026/06/0… via @GeorgetownCCF
Elisabeth Wright Burak retweeted
Behavioral health was the most frequently expanded Medicaid benefit over the past decade, with states adding crisis services, community-based care, peer supports, and SUD treatment.
Federal policy changes and tighter state budgets could threaten those gains: on.kff.org/4nRoVFu
Elisabeth Wright Burak retweeted
New report: Texas has the highest uninsured rate in the nation of kids under the age of six, at 10.8%.
ccf.georgetown.edu/2026/06/0…
@GeorgetownCCF @putkids1st #txlege
Uninsurance Among Youngest Children on the Rise as Families Face Growing Economic Pressure ccf.georgetown.edu/2026/06/0… via @GeorgetownCCF
Elisabeth Wright Burak retweeted
👀👀 New from CBO - 3 million kids will lose Medicaid bcuz of the Trump budget bill last year with huge cuts to Medicaid.
Remember the rhetoric that kids would be protected? Not so.
When kids lose Medicaid the child uninsured rate goes up.
cbo.gov/system/files/2026-05…
Elisabeth Wright Burak retweeted
Kudos to the @GeorgetownCCF team - our 43 state tracker on Medicaid work reporting requirements is live!
We will be tracking enrollment, state policy choices and operations, vendors and admin costs, materials for consumers etc.
Here's Montana.
ccf.georgetown.edu/feature/t…