Adrianna McIntyre
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adrianna.bsky.social
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
Pinned
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 appreciate the candor in this piece, grim as it is.
His lab was humming with discovery. After one year under Trump, it’s almost silent
John Quackenbush built a lab that is at the forefront of human genetics research and bioinformatics. Trump administration cuts have put it in danger of collapse.
www.statnews.com
December 6, 2025 at 12:54 AM
Someone has to figure out an abundance/Medicare-Medicaid crossover issue so we can have a paper that talks about NIMBYs, YIMBYs, QMBs, and SLMBs
December 5, 2025 at 9:31 PM
Most Marketplace enrollees in the latest KFF survey (1) say that it is already somewhat or very difficult to afford their monthly premiums and (2) say they could not afford if their premiums increased by $300/year

www.kff.org/public-opini...
2025 KFF Marketplace Enrollees Survey | KFF
This survey explores how ACA Marketplace enrollees expect to respond if their premium payments doubled as expected in 2026 when enhanced premium tax credits are set to expire. About a third would very...
www.kff.org
December 5, 2025 at 9:23 PM
Is there any estimate — national, state-level, I'll take any estimate — of the share of Medicaid beneficiaries whose enrollment is prompted by/at a medical visit? (Versus filling out application paperwork outside of/without the help of a health care provider.)
December 5, 2025 at 4:52 PM
Reposted by Adrianna McIntyre
After 5 transformative years, Dean @ashishkjha.bsky.social is stepping down.

Join us in thanking Dean Jha for navigating #BrownSPH through an extraordinary period and for building our school into one of the best! Gratitude also to Dr. Francesca Beaudoin, who leads #BrownSPH as Interim Dean in 2026.
School of Public Health Dean Dr. Ashish K. Jha to depart Brown
After arriving in the throes of the COVID-19 pandemic, Jha will leave at the end of December 2025 to dedicate time to an initiative to confront pandemic and biosecurity threats.
www.brown.edu
December 4, 2025 at 5:25 PM
Republicans have been favoring the talking point that enhanced subsidies were meant to be a temporary COVID relief measure.

I think you can make a plausible argument about that for the initial policy, but not for the extension written into the August 2022 Inflation Reduction Act.
December 4, 2025 at 7:45 PM
Health insurance researchers, send us your stuff!

If you have questions about this special issue, please feel free to reach out to me or Miranda.
2. "The Politics of Private Health Insurance." Guest editors: @mirandayaver.bsky.social and @adrianna.bsky.social.

Deadline to submit: February 1 (can be full research articles, commentaries, or "tracking health reform" pieces)

We look forward to reviewing your work!
December 4, 2025 at 7:42 PM
Reposted by Adrianna McIntyre
Come work with me! #EconJobMarket
The Federal Trade Commission is hiring PhD Economists (very late, because shutdown)!

Please repost/quote so JMCs can see.

- no experience: www.usajobs.gov/job/851497400
- some experience: www.usajobs.gov/job/851497300
- much experience: www.usajobs.gov/job/851496000

#Economics #EconSky
December 4, 2025 at 4:55 PM
uh huh
December 4, 2025 at 3:42 PM
Grim new analysis from KFF: The administration's move to re-adopt the public charge rule could have a chilling effect that leads to several million people dropping Medicaid coverage — including tens of thousands of citizen children

www.kff.org/medicaid/pot...
December 3, 2025 at 8:22 PM
Reposted by Adrianna McIntyre
Obamacare premiums are set to spike for tens of millions of Americans next month, hitting the rich, the poor and the middle class alike. A lot of Republicans, however, aren't eager to cut a deal. Here's why:
www.politico.com/news/2025/12...
December 3, 2025 at 2:33 PM
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
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.”
December 2, 2025 at 2:46 PM
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
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...
December 1, 2025 at 7:00 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 1, 2025 at 4:01 PM
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.
December 1, 2025 at 3:20 PM
seasonal snoozes
December 1, 2025 at 2:02 AM
when you want to make sure there will be enough dinner rolls
November 27, 2025 at 6:11 PM
Checking in on some hometown headlines ahead of the holiday
November 26, 2025 at 6:36 PM
I look forward to seeing Republicans champion these reforms in the substantially larger (and moderately more expensive) employer-sponsored insurance market

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
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!”
November 25, 2025 at 9:23 PM
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
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.
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
Reposted by Adrianna McIntyre
Great opportunity for the right person!
November 25, 2025 at 4:33 PM