Adrianna McIntyre
@adrianna.bsky.social
Assistant Professor of Health Policy and Politics at @hsph.harvard.edu
I study how administrative burdens impede health insurance coverage, strategies to reduce these barriers, and the politics of health reform
she/her/Michigander
I study how administrative burdens impede health insurance coverage, strategies to reduce these barriers, and the politics of health reform
she/her/Michigander
Pinned
Adrianna McIntyre
@adrianna.bsky.social
· Nov 11
Hi, new friends.
I mostly research and write about health insurance coverage and access — specifically, how to improve take-up and retention in Medicaid and marketplace plans. I also study the politics of health reform.
Sidekick Nellie cares less about health policy and more about kibble policy.
I mostly research and write about health insurance coverage and access — specifically, how to improve take-up and retention in Medicaid and marketplace plans. I also study the politics of health reform.
Sidekick Nellie cares less about health policy and more about kibble policy.
Reposted by Adrianna McIntyre
Much of the implementation discussions of HR 1/OBBA have centered on work requirements & other #Medicaid expansion provisions. A new brief from @clasp.org discusses how nonexpansion states will be impacted by HR 1/OBBA www.clasp.org/publications... #healthpolicy
Impact of Medicaid Cuts in H.R. 1 on Non-Expansion States | CLASP
Medicaid programs in the 10 non-expansion states will be harmed significantly by the H.R. 1. Eligibility and financing changes will force non-expansion states to make difficult decisions and likely le...
www.clasp.org
December 2, 2025 at 7:32 PM
Much of the implementation discussions of HR 1/OBBA have centered on work requirements & other #Medicaid expansion provisions. A new brief from @clasp.org discusses how nonexpansion states will be impacted by HR 1/OBBA www.clasp.org/publications... #healthpolicy
Reposted by Adrianna McIntyre
Toad knows what’s up
Frog knocked at Toad’s door. “Toad, wake up,” he cried. “Come out and see how wonderful the winter is!”
“I will not,” said Toad. “I am in my warm bed.”
“I will not,” said Toad. “I am in my warm bed.”
December 2, 2025 at 2:46 PM
Toad knows what’s up
Reposted by Adrianna McIntyre
"As one senior researcher told me, decades of painstaking work vanished overnight in an attack by an inexperienced and ideologically driven staff intent on dismantling the bureaucracy without understanding its purpose."
A lot has happened this year. If you'd like a recap of what's happened to education research and statistics, here's my attempt. This might be a good one to listen to on your commute today. (Audio play button below headline. 16 minutes long.) hechingerreport.org/proof-points...
How Trump 2.0 upended education research and statistics in one year
Decades of carefully built infrastructure aimed at improving and tracking how American children learn vanished in an ideological attack
hechingerreport.org
December 1, 2025 at 8:02 PM
"As one senior researcher told me, decades of painstaking work vanished overnight in an attack by an inexperienced and ideologically driven staff intent on dismantling the bureaucracy without understanding its purpose."
This is tomorrow!
I'm looking forward to moderating a conversation next Tuesday with former state officials from Massachusetts and Florida, as states look ahead to a health care landscape that can, understatedly, be described as "in flux"
You can register to stream live on YouTube: hsph.harvard.edu/events/whats...
You can register to stream live on YouTube: hsph.harvard.edu/events/whats...
December 1, 2025 at 7:00 PM
This is tomorrow!
Some other deadlines besides December 31:
December 15: The last day to pick a marketplace plan to have coverage starting January 1
January 15: The last day to pick a plan before being locked out of marketplace coverage (save for a "qualifying life event") until 2027
punchbowl.news/archive/1212...
December 15: The last day to pick a marketplace plan to have coverage starting January 1
January 15: The last day to pick a plan before being locked out of marketplace coverage (save for a "qualifying life event") until 2027
punchbowl.news/archive/1212...
December 1, 2025 at 4:01 PM
Some other deadlines besides December 31:
December 15: The last day to pick a marketplace plan to have coverage starting January 1
January 15: The last day to pick a plan before being locked out of marketplace coverage (save for a "qualifying life event") until 2027
punchbowl.news/archive/1212...
December 15: The last day to pick a marketplace plan to have coverage starting January 1
January 15: The last day to pick a plan before being locked out of marketplace coverage (save for a "qualifying life event") until 2027
punchbowl.news/archive/1212...
Reposted by Adrianna McIntyre
🧵HHS today announced that Martin Kulldorff has been hired to advise Secretary Kennedy on science policy.
Kulldorff is one of many in government who share ties to the Brownstone Institute, a think-tank whose associates seek to limit the government’s role in protecting Americans from disease.
Kulldorff is one of many in government who share ties to the Brownstone Institute, a think-tank whose associates seek to limit the government’s role in protecting Americans from disease.
December 1, 2025 at 3:20 PM
🧵HHS today announced that Martin Kulldorff has been hired to advise Secretary Kennedy on science policy.
Kulldorff is one of many in government who share ties to the Brownstone Institute, a think-tank whose associates seek to limit the government’s role in protecting Americans from disease.
Kulldorff is one of many in government who share ties to the Brownstone Institute, a think-tank whose associates seek to limit the government’s role in protecting Americans from disease.
seasonal snoozes
December 1, 2025 at 2:02 AM
seasonal snoozes
when you want to make sure there will be enough dinner rolls
November 27, 2025 at 6:11 PM
when you want to make sure there will be enough dinner rolls
Checking in on some hometown headlines ahead of the holiday
November 26, 2025 at 6:36 PM
Checking in on some hometown headlines ahead of the holiday
I look forward to seeing Republicans champion these reforms in the substantially larger (and moderately more expensive) employer-sponsored insurance market
Oh wait
Oh wait
Markwayne Mullin on healthcare: "What the president would like to do is say, hey, if you take care of yourself -- you don't smoke, you don't dip, you're not drinking, you're not overweight, you're working out -- then you should pay less than the guy that obviously is not taking care of himself."
November 26, 2025 at 6:17 PM
I look forward to seeing Republicans champion these reforms in the substantially larger (and moderately more expensive) employer-sponsored insurance market
Oh wait
Oh wait
Reposted by Adrianna McIntyre
If you would rather live in Boston than Chicago you are an idiot
Bluesky: “Obviously the housing crisis is the only reason anyone would choose to live outside of NYC”
Actual Americans: “Vegas, baby!”
Actual Americans: “Vegas, baby!”
November 25, 2025 at 9:23 PM
If you would rather live in Boston than Chicago you are an idiot
Reposted by Adrianna McIntyre
Do you have a paper on health insurance policy in the Marketplace, MA, or group markets that you would like to present @ashecon.bsky.social in a panel with @dmaanderson.bsky.social @paulshafer.bsky.social sky.social and me? If so, please shoot me an email or DM!
November 25, 2025 at 8:09 PM
Do you have a paper on health insurance policy in the Marketplace, MA, or group markets that you would like to present @ashecon.bsky.social in a panel with @dmaanderson.bsky.social @paulshafer.bsky.social sky.social and me? If so, please shoot me an email or DM!
Speaker Johnson says "most House Republicans don’t have an appetite for extending enhanced Affordable Care Act subsidies"
However, red states have seen the most Marketplace growth since 2020, 80% of subsidies flow to enrollees in Trump-won states, and half of Republicans support ePTC extension.
However, red states have seen the most Marketplace growth since 2020, 80% of subsidies flow to enrollees in Trump-won states, and half of Republicans support ePTC extension.
Exclusive | Speaker Johnson Warns White House GOP Is Wary of Trump’s Healthcare Push
The top House Republican said of little GOP support for extending the expiring ACA subsidies.
www.wsj.com
November 25, 2025 at 4:49 PM
Speaker Johnson says "most House Republicans don’t have an appetite for extending enhanced Affordable Care Act subsidies"
However, red states have seen the most Marketplace growth since 2020, 80% of subsidies flow to enrollees in Trump-won states, and half of Republicans support ePTC extension.
However, red states have seen the most Marketplace growth since 2020, 80% of subsidies flow to enrollees in Trump-won states, and half of Republicans support ePTC extension.
Reposted by Adrianna McIntyre
Great opportunity for the right person!
🚨We're hiring! A tenure track position at McGill University in the area of #bioethics and / or philosophy of science, with a special focus on the ethics of medical technologies. Please share widely. #philsky #ethics #philsci philjobs.org/job/show/30402
Assistant Professor (Tenure Track), Department of Equity, Ethics, and Policy and Department of Philosophy, McGill University
- PhilJobs:JFP
Assistant Professor (Tenure Track), Department of Equity...
An international database of jobs for philosophers
philjobs.org
November 25, 2025 at 4:33 PM
Great opportunity for the right person!
I'm looking forward to moderating a conversation next Tuesday with former state officials from Massachusetts and Florida, as states look ahead to a health care landscape that can, understatedly, be described as "in flux"
You can register to stream live on YouTube: hsph.harvard.edu/events/whats...
You can register to stream live on YouTube: hsph.harvard.edu/events/whats...
November 25, 2025 at 3:32 PM
I'm looking forward to moderating a conversation next Tuesday with former state officials from Massachusetts and Florida, as states look ahead to a health care landscape that can, understatedly, be described as "in flux"
You can register to stream live on YouTube: hsph.harvard.edu/events/whats...
You can register to stream live on YouTube: hsph.harvard.edu/events/whats...
part of me loves having a pile of manuscripts to review over a holiday break because it feels like the one part of my job, outside teaching, that I can explain to relatives and they at least sort of get it
November 24, 2025 at 10:48 PM
part of me loves having a pile of manuscripts to review over a holiday break because it feels like the one part of my job, outside teaching, that I can explain to relatives and they at least sort of get it
Reposted by Adrianna McIntyre
People have to sign up for ACA marketplace coverage by December 15 to have health insurance January 1. Even if Congress passed an extension with tweaks to the premium tax credits, computer systems could not be reprogrammed immediately.
November 24, 2025 at 6:45 PM
People have to sign up for ACA marketplace coverage by December 15 to have health insurance January 1. Even if Congress passed an extension with tweaks to the premium tax credits, computer systems could not be reprogrammed immediately.
New reporting on the other site that actually Trump's health care plans is coming in two weeks
November 24, 2025 at 6:26 PM
New reporting on the other site that actually Trump's health care plans is coming in two weeks
I don't often know if a court opinion is going to be completely withering based on its first sentence but "a former White House aide with no prior prosecutorial experience" does a thing
November 24, 2025 at 5:55 PM
I don't often know if a court opinion is going to be completely withering based on its first sentence but "a former White House aide with no prior prosecutorial experience" does a thing
Comparing the reported details of the "White House plan" on extending enhanced subsidies to the Suozzi et al bipartisan bill reminds me of students complaining about group work where one person waits for everyone else to share their work, then runs the draft through ChatGPT to fill in their parts.
November 24, 2025 at 5:28 PM
Comparing the reported details of the "White House plan" on extending enhanced subsidies to the Suozzi et al bipartisan bill reminds me of students complaining about group work where one person waits for everyone else to share their work, then runs the draft through ChatGPT to fill in their parts.
Friends don't let friends who can't explain silver-loading write about appropriating funds for cost-sharing reductions
I think @proptermalone.bsky.social can declare victory on his prediction that the GOP was eager to find a way to extend ACA subsidies (even if they've gone about it in a VERY dumb way). Two year extension + following details in the White House plan.
www.politico.com/news/2025/11...
www.politico.com/news/2025/11...
November 24, 2025 at 3:52 PM
Friends don't let friends who can't explain silver-loading write about appropriating funds for cost-sharing reductions
Reposted by Adrianna McIntyre
Charging minimum premiums would in itself like cut enrollment by about a million 1/
www.brookings.edu/articles/how...
www.brookings.edu/articles/how...
November 24, 2025 at 2:36 PM
Charging minimum premiums would in itself like cut enrollment by about a million 1/
www.brookings.edu/articles/how...
www.brookings.edu/articles/how...
Reposted by Adrianna McIntyre
See @adrianna.bsky.social et al. on the effect when low-income enrollees paying $0 for Massachusetts ConnectorCare were charged premiums under $10 come January. About 14% dropped coverage. 2/
Small Marketplace Premiums Pose Financial And Administrative Burdens: Evidence From Massachusetts, 2016–17 | Health Affairs Journal
Health insurance premiums are primarily understood to pose financial barriers to coverage. However, the need to remit monthly premium payments may also create administrative burdens that negatively af...
www.healthaffairs.org
November 24, 2025 at 2:39 PM
See @adrianna.bsky.social et al. on the effect when low-income enrollees paying $0 for Massachusetts ConnectorCare were charged premiums under $10 come January. About 14% dropped coverage. 2/
The Scott proposal hews most closely to Trump’s various remarks.
“While ACA plans would still be required to cover people with pre-existing conditions under the Scott proposal, it is likely that the ACA Marketplace would collapse in states that seek a waiver under his approach.”
“While ACA plans would still be required to cover people with pre-existing conditions under the Scott proposal, it is likely that the ACA Marketplace would collapse in states that seek a waiver under his approach.”
Proposals from Senators Scott and Cassidy to convert ACA premium tax credits into health accounts present trade-offs that benefit healthy people at the expense of sick people. Senator Scott's proposal, in particular, would destabilize the insurance market in some states.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
November 21, 2025 at 10:48 PM
The Scott proposal hews most closely to Trump’s various remarks.
“While ACA plans would still be required to cover people with pre-existing conditions under the Scott proposal, it is likely that the ACA Marketplace would collapse in states that seek a waiver under his approach.”
“While ACA plans would still be required to cover people with pre-existing conditions under the Scott proposal, it is likely that the ACA Marketplace would collapse in states that seek a waiver under his approach.”
Heck of a legacy that Bill Cassidy has secured for himself.
HOT OFF THE PRESSES: RFK Jr. told me he personally instructed CDC to abandon its longstanding position that vaccines don't cause autism. He acknowledged that large-scale studies of MMR vaccine and thimerosal show no link. But he cited gaps in vaccine safety science.
www.nytimes.com/2025/11/21/u...
www.nytimes.com/2025/11/21/u...
Kennedy Says He Told C.D.C. to Change Website’s Language on Autism and Vaccines
www.nytimes.com
November 21, 2025 at 7:20 PM
Heck of a legacy that Bill Cassidy has secured for himself.