I study administrative burdens in health insurance coverage, strategies to reduce these barriers, and the politics of health reform also @adrianna.bsky.social
Boston (via Michigan and DC)
Joined January 2010
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When we talk about health insurance premiums, we typically frame them as financial burdens, because they often are!
But—absent auto-pay—paying premiums is also a hassle, and I had this nagging question: what do tiny premiums do to enrollment?
We try to answer that here. 🧵
Adrianna McIntyre (@adrianna.bsky.social) retweeted
City and state officials, health insurers and advocates are ramping up efforts to reach millions of low-income people at risk of losing their health insurance.
Listen to today’s Tradeoffs episode:
tradeoffs.org/2026/10/29/sta…
Adrianna McIntyre (@adrianna.bsky.social) retweeted
After expiration of enhanced #AffordableCareAct Marketplace subsidies at the end of 2025, Massachusetts Marketplace disenrollment increased compared with prior years, including in a state with additional premium support and a low uninsured rate.
Disenrollment was highest among enrollees who lost both federal subsidies and state wraparound subsidies, indicating that subsidy policy changes may affect coverage continuity even under relatively favorable state conditions.
ja.ma/4suXLql
Adrianna McIntyre (@adrianna.bsky.social) retweeted
The Trump admin announced they canceled ACA coverage for 760,000 people. Insurers were asked to reach out to these people and they didn't respond w/in 30 days. Some were likely fraudulently enrolled, some were likely legitimately enrolled. We don't yet know the collateral damage.
can’t believe Dan is back on the “sus HHS Secretary flights” beat
Exclusive: The White House has given RFK Jr access to military aircraft as the health secretary has criss-crossed the country.
RFK Jr used private flight to join GOP candidates in Iowa last month.
w @rachel_roubein @abtran
washingtonpost.com/health/20…
Adventures in "arbitrary and capricious" land!
“What if Trump said, ‘I want to do these [$500 ACA refunds], but only in states that voted for me in the last election’? What is stopping him from doing that, but not stopping him from doing this?” statnews.com/2026/09/10/trum…
Medicaid is an animating issue in the Georgia gubernatorial race — even the GOP candidate is saying that he would (kinda, sorta, maybe, partially?) expand the program.
georgiarecorder.com/2026/09/…
No state has yet been successful in partially expanding Medicaid — that is, pulling down enhanced match for enrollees up to 100% FPL, while keeping 100-138% FPL folks in the Marketplaces — but Utah came close in 2019 under the prior Trump administration
politico.com/story/2019/03/2…
#tbt to this NEJM perspective I wrote with @nicholas_bagley and @allanmjoseph nine(!!!) years ago
nejm.org/doi/abs/10.1056/NEJ…
Adrianna McIntyre (@adrianna.bsky.social) retweeted
Sad to share that Peter Barton Hutt, the longtime food and drug lawyer who charmed his Harvard students (and our readers) with scorpion lollipops and the code of Hammurabi, passed away this morning at the age of 91, according to a family member.
wsj.com/health/calories-food…
Adrianna McIntyre (@adrianna.bsky.social) retweeted
A thread of Dean Karlan trolling Elsevier's stupid required "article highlights"
🧵
Georgia is facing a Medicaid funding shortfall because the state has to adapt its work requirement policies to new federal standards, which are more lenient than what the state had implemented and budgeted for in their partial expansion (receiving only standard FMAP).
Link to story: georgiarecorder.com/2026/08/…
Adrianna McIntyre (@adrianna.bsky.social) retweeted
“Flailing regimes dehumanize minorities to distract from their failures.”
A brave and elegant piece.
Even though she knew the mob would come for her and her job, she kept serving her country. You have to read this. Gift link.
How Trump fired the person worthy enough to brief VP Mike Pence over a bathroom rule.
theatlantic.com/magazine/202…
Back in 2013, GOP officials in AR made the case for budget neutrality of its "private option" 1115 waiver by arguing the state would otherwise need to stand up a costly new managed care regime to expand Medicaid.
Now it's the first state to face waiver non-renewal under OBBBA.
Medicaid coverage for low-income Arkansans next year is in question, owing to an arcane change under congressional Republicans’ One Big Beautiful Bill Act.
@philgalewitz reports⤵️
kffhealthnews.org/medicaid/t…
Adrianna McIntyre (@adrianna.bsky.social) retweeted
An update on what I'm changing for my intro stats Fall course for MPPs. TL;DR work at home is for learning, work in person is for assessing. Front-loading development of statistical intuition and domain expertise, followed by facility with AI tools.
tedsvo.substack.com/p/puttin…