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
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...
www.kff.org/medicaid/pot...
December 3, 2025 at 8:22 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...
www.kff.org/medicaid/pot...
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...
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'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...
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
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.
Using pooled data from 2021 and 2023, @chiamass.bsky.social finds that about in in eight (13%) Massachusetts residents has medical debt — and that share grows to one in six (17%) when subsetting to people with high deductible plans.
www.chiamass.gov/assets/docs/...
www.chiamass.gov/assets/docs/...
November 20, 2025 at 3:55 PM
Using pooled data from 2021 and 2023, @chiamass.bsky.social finds that about in in eight (13%) Massachusetts residents has medical debt — and that share grows to one in six (17%) when subsetting to people with high deductible plans.
www.chiamass.gov/assets/docs/...
www.chiamass.gov/assets/docs/...
Sorry, is today, more than two weeks into open enrollment for 2026, the *first* time the Senate Finance Committee is hosting a hearing related to the expiring enhanced tax credits? When we've known their expiration date for literal years?
November 19, 2025 at 4:30 PM
Sorry, is today, more than two weeks into open enrollment for 2026, the *first* time the Senate Finance Committee is hosting a hearing related to the expiring enhanced tax credits? When we've known their expiration date for literal years?
Thinking about this ten-year-old Peter Suderman joint for no reason at all
www.politico.com/magazine/sto...
www.politico.com/magazine/sto...
November 18, 2025 at 8:13 PM
Thinking about this ten-year-old Peter Suderman joint for no reason at all
www.politico.com/magazine/sto...
www.politico.com/magazine/sto...
President Deals wants you to negotiate directly with health insurers over your monthly premium. Or to haggle with your doctor over the cost of your appointment. Or both, it's not really clear.
(Nobody has ever asked for this)
(Nobody has ever asked for this)
November 18, 2025 at 4:28 PM
President Deals wants you to negotiate directly with health insurers over your monthly premium. Or to haggle with your doctor over the cost of your appointment. Or both, it's not really clear.
(Nobody has ever asked for this)
(Nobody has ever asked for this)
when it is time for sleep but also you just remembered you have a bone
November 18, 2025 at 4:31 AM
when it is time for sleep but also you just remembered you have a bone
To be clear, I think Sen. Cassidy is the probably the only character in this latest health policy debate who has any idea that is more than half-baked, but I cannot make heads or tails of the assertion that this would be "easier to adopt" than a clean extension.
November 17, 2025 at 10:44 PM
To be clear, I think Sen. Cassidy is the probably the only character in this latest health policy debate who has any idea that is more than half-baked, but I cannot make heads or tails of the assertion that this would be "easier to adopt" than a clean extension.
Cassidy says if you funnel eAPTCs into FSAs, insurers can just use their no-extension estimates. Maybe true, but how is this supposed to work for enrollees?
www.washingtonpost.com/politics/202...
www.washingtonpost.com/politics/202...
November 17, 2025 at 3:28 PM
Cassidy says if you funnel eAPTCs into FSAs, insurers can just use their no-extension estimates. Maybe true, but how is this supposed to work for enrollees?
www.washingtonpost.com/politics/202...
www.washingtonpost.com/politics/202...
Very excited to be guest-editing a special issue of @jhppl.bsky.social on the politics of private health insurance, alongside @mirandayaver.bsky.social
Send us your papers!
assets-us-01.kc-usercontent.com/f7ca9afb-82c...
Send us your papers!
assets-us-01.kc-usercontent.com/f7ca9afb-82c...
November 14, 2025 at 6:56 PM
Very excited to be guest-editing a special issue of @jhppl.bsky.social on the politics of private health insurance, alongside @mirandayaver.bsky.social
Send us your papers!
assets-us-01.kc-usercontent.com/f7ca9afb-82c...
Send us your papers!
assets-us-01.kc-usercontent.com/f7ca9afb-82c...
I see that Georgia is bringing some serious acronym game to the Rural Health Transformation Program
November 13, 2025 at 4:56 AM
I see that Georgia is bringing some serious acronym game to the Rural Health Transformation Program
got sick of one fresh hell so I found another
(these are $250 pet food bowls and the only time I’ve seen “petware” as a shopping category)
(these are $250 pet food bowls and the only time I’ve seen “petware” as a shopping category)
November 12, 2025 at 3:51 AM
got sick of one fresh hell so I found another
(these are $250 pet food bowls and the only time I’ve seen “petware” as a shopping category)
(these are $250 pet food bowls and the only time I’ve seen “petware” as a shopping category)
awww. gave Nellie some extra bedtime pats in honor of George
November 11, 2025 at 4:45 AM
awww. gave Nellie some extra bedtime pats in honor of George
area pup has decided she is now petrified of exactly one half of one flight of stairs
November 11, 2025 at 2:06 AM
area pup has decided she is now petrified of exactly one half of one flight of stairs
The authors also find that "a meaningful portion of all spending reductions came from well-off consumers who were predictably sick" — again, despite (1) HSAs being pre-funded to a level sufficient to cover the deductible in the first year and (2) most employees still being under the deductible level
November 10, 2025 at 10:16 PM
The authors also find that "a meaningful portion of all spending reductions came from well-off consumers who were predictably sick" — again, despite (1) HSAs being pre-funded to a level sufficient to cover the deductible in the first year and (2) most employees still being under the deductible level
The authors find that the entirety of reduced spending — because HDHPs *do* reduce spending — came entirely from people seeking less care.
They weren't adept at distinguishing "high" and "low" value care; they scaled back all forms of care.
They weren't adept at distinguishing "high" and "low" value care; they scaled back all forms of care.
November 10, 2025 at 10:11 PM
The authors find that the entirety of reduced spending — because HDHPs *do* reduce spending — came entirely from people seeking less care.
They weren't adept at distinguishing "high" and "low" value care; they scaled back all forms of care.
They weren't adept at distinguishing "high" and "low" value care; they scaled back all forms of care.
Before getting to the findings, two key facts about the study context:
1. Employees were high-income; fewer than 10% had incomes under $100K and more than a quarter had incomes over $150K (this is employee income, not household)
2. HSAs were *pre-funded* to the deductible level
1. Employees were high-income; fewer than 10% had incomes under $100K and more than a quarter had incomes over $150K (this is employee income, not household)
2. HSAs were *pre-funded* to the deductible level
November 10, 2025 at 9:57 PM
Before getting to the findings, two key facts about the study context:
1. Employees were high-income; fewer than 10% had incomes under $100K and more than a quarter had incomes over $150K (this is employee income, not household)
2. HSAs were *pre-funded* to the deductible level
1. Employees were high-income; fewer than 10% had incomes under $100K and more than a quarter had incomes over $150K (this is employee income, not household)
2. HSAs were *pre-funded* to the deductible level
As the ~discourse~ seems to bend interminably towards Republicans trying to figure out how they can (further) HDHP-ify ACA coverage, it's worth revisiting what is probably our best (most rigorous) study on the effect of deductibles in health insurance.
academic.oup.com/qje/article-...
academic.oup.com/qje/article-...
November 10, 2025 at 9:51 PM
As the ~discourse~ seems to bend interminably towards Republicans trying to figure out how they can (further) HDHP-ify ACA coverage, it's worth revisiting what is probably our best (most rigorous) study on the effect of deductibles in health insurance.
academic.oup.com/qje/article-...
academic.oup.com/qje/article-...
