David Schleifer
@davidschleifer.bsky.social
Associate Director of Programs at the Peterson Center on Healthcare, focused on affordability and transparency. Views are my own, or a least I hope so.
Legal immigrants face loss of Obamacare help, threatening insurance markets
Legal immigrants face loss of Obamacare help, threatening insurance markets
The GOP megabill stripped subsidies from hundreds of thousands of green card holders and other legal migrants. Experts predict ripple effects for citizens.
buff.ly
November 11, 2025 at 3:17 PM
Legal immigrants face loss of Obamacare help, threatening insurance markets
New analysis from 46brooklyn Research raises questions about Cigna's role in setting #pharmaceutical prices, as its subsidiary Quallent Pharmaceuticals sells generics at prices that skew higher than many competing suppliers buff.ly/YZJjdmy #healthcare #healthpolicy #healthecon
buff.ly
November 7, 2025 at 7:50 PM
New analysis from 46brooklyn Research raises questions about Cigna's role in setting #pharmaceutical prices, as its subsidiary Quallent Pharmaceuticals sells generics at prices that skew higher than many competing suppliers buff.ly/YZJjdmy #healthcare #healthpolicy #healthecon
How are states using #hospital price caps to save money? buff.ly/nyBc2hH #healthcare #healthpolicy #healthecon
Health Affairs Journal
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buff.ly
November 7, 2025 at 3:17 PM
How are states using #hospital price caps to save money? buff.ly/nyBc2hH #healthcare #healthpolicy #healthecon
Looking forward to this Health Affairs event on employers' and unions' perspectives on rising #healthcare prices and the role of middlemen
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
November 6, 2025 at 5:31 PM
Looking forward to this Health Affairs event on employers' and unions' perspectives on rising #healthcare prices and the role of middlemen
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
Reposted by David Schleifer
“Sixty-three thousand dollars for a broken ankle and a cut to the knee, with no head injury or internal damage... just to stay there overnight.”
@kffhealthnews.org
@kffhealthnews.org
Doctor Tripped Up by $64K Bill for Ankle Surgery and Hospital Stay - KFF Health News
A doctor in Colorado became the patient after an accident totaled her car and sent her to the operating room. The hospital kept her overnight, but her insurer stopped paying after she left the emergency room.
kffhealthnews.org
November 5, 2025 at 5:03 PM
“Sixty-three thousand dollars for a broken ankle and a cut to the knee, with no head injury or internal damage... just to stay there overnight.”
@kffhealthnews.org
@kffhealthnews.org
Reposted by David Schleifer
NASHP has released new site-neutral payment model legislation for states to adapt, addressing rising health care costs and payment differences across care settings.
See the full post loom.ly/x38PoZY
#HealthPolicy #HealthCareCosts
See the full post loom.ly/x38PoZY
#HealthPolicy #HealthCareCosts
November 5, 2025 at 1:56 PM
NASHP has released new site-neutral payment model legislation for states to adapt, addressing rising health care costs and payment differences across care settings.
See the full post loom.ly/x38PoZY
#HealthPolicy #HealthCareCosts
See the full post loom.ly/x38PoZY
#HealthPolicy #HealthCareCosts
Looking forward to this Health Affairs event on employers' and unions' perspectives on rising #healthcare prices and the role of middlemen
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
November 5, 2025 at 3:40 PM
Looking forward to this Health Affairs event on employers' and unions' perspectives on rising #healthcare prices and the role of middlemen
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky
UnitedHealthcare pays the physician groups it owns ~17% more than outside physician groups, according to new analysis of payers' rates in Transparency in Coverage (TiC) data buff.ly/XjCtbR4 #healthcare #healthpolicy #healthecon
UnitedHealth pays its own physician groups 17% more than outside ones, study shows
The findings are similar to an analysis STAT conducted, and raise questions about why UnitedHealth pays its doctors more.
buff.ly
November 4, 2025 at 7:50 PM
UnitedHealthcare pays the physician groups it owns ~17% more than outside physician groups, according to new analysis of payers' rates in Transparency in Coverage (TiC) data buff.ly/XjCtbR4 #healthcare #healthpolicy #healthecon
Reposted by David Schleifer
November’s #LipidoftheMonth is a rare phospholipid with links to ferroptosis
lipidmaps.org/updates/lipi...
lipidmaps.org/updates/lipi...
November 1, 2025 at 11:10 AM
November’s #LipidoftheMonth is a rare phospholipid with links to ferroptosis
lipidmaps.org/updates/lipi...
lipidmaps.org/updates/lipi...
Great ep. of @relentleshealth.bsky.social with Elizabeth Mitchell discussing why PBGH embarked on its big #healthcare cost and quality transparency project and how the findings are empowering employers with comparative price info buff.ly/VhXa290 #healthcare #healthpolicy #healthecon
EP491: Incumbent TPAs and Consultants Getting Called to Jumbo Employer Client HQ to Answer Awkward Questions, With Elizabeth Mitchell | A Scrupulously Fair Assessment of What is Wrong and Right about American Healthcare - A Healthcare Industry Podcast
Elizabeth Mitchell of PBGH, joins Relentless Health Value to share insights on health care purchasing and the challenges for incumbent TPAs.
buff.ly
October 31, 2025 at 6:50 PM
Great ep. of @relentleshealth.bsky.social with Elizabeth Mitchell discussing why PBGH embarked on its big #healthcare cost and quality transparency project and how the findings are empowering employers with comparative price info buff.ly/VhXa290 #healthcare #healthpolicy #healthecon
Reposted by David Schleifer
We just dropped this fantastic episode with Elizabeth Mitchell from the Purchaser Business Group on Health (PBGH). It's a must listen for self-insured employers.
Check out the show notes for a link to the PBGH Health Care Data Demonstration Project covering...
cc-lnk.com/EP491
Check out the show notes for a link to the PBGH Health Care Data Demonstration Project covering...
cc-lnk.com/EP491
EP491: Incumbent TPAs and Consultants Getting Called to Jumbo Employer Client HQ to Answer Awkward Questions, With Elizabeth Mitchell | A Scrupulously Fair Assessment of What is Wrong and Right about ...
Listen On Your Favorite App Today, back on the pod, we have Elizabeth Mitchell, CEO of PBGH , the Purchaser Business Group on Health. Elizabeth Mitchell is...
cc-lnk.com
October 30, 2025 at 4:23 PM
We just dropped this fantastic episode with Elizabeth Mitchell from the Purchaser Business Group on Health (PBGH). It's a must listen for self-insured employers.
Check out the show notes for a link to the PBGH Health Care Data Demonstration Project covering...
cc-lnk.com/EP491
Check out the show notes for a link to the PBGH Health Care Data Demonstration Project covering...
cc-lnk.com/EP491
The North Carolina State Health Plan spends $4.5 billion annually covering the state's public employees. Fascinating case study in Health Affairs about how the North Carolina State Health Plan is trying to become a smarter, more active #healthcare purchaser buff.ly/5zTR21i #healthpolicy #healthecon
Solving The Challenges Of Employee Health Benefits: The North Carolina State Health Plan Story | Health Affairs Forefront
The North Carolina State Health Plan experience shows us that large, self-insured employers can work to bend the cost curve with dynamic market-driven tools, filtering the complex health care system…
buff.ly
October 30, 2025 at 4:10 PM
The North Carolina State Health Plan spends $4.5 billion annually covering the state's public employees. Fascinating case study in Health Affairs about how the North Carolina State Health Plan is trying to become a smarter, more active #healthcare purchaser buff.ly/5zTR21i #healthpolicy #healthecon
New Turquoise dashboard assesses 3 aspects of payers’ TiC files for hospitals and ambulatory surgery centers. This is exciting b/c TiC files are very valuable sources of comparative #healthcare price data, but the usability of the data remains challenging buff.ly/8XhUGRF #healthpolicy #healthecon
Introducing Payer Transparency Scores
Transparency in Coverage, now measured
buff.ly
October 29, 2025 at 6:50 PM
New Turquoise dashboard assesses 3 aspects of payers’ TiC files for hospitals and ambulatory surgery centers. This is exciting b/c TiC files are very valuable sources of comparative #healthcare price data, but the usability of the data remains challenging buff.ly/8XhUGRF #healthpolicy #healthecon
"Elevance plans to charge 10% administrative penalties, relative to the amount of claims, if health systems refer patients to out-of-network clinicians." I hope their directories are up to date! buff.ly/Cb4AmJz #healthcare #healthpolicy #healthinsurance
Why one insurer is clamping down on out-of-network referrals
The new policy tied to the Elevance Health subsidiary may result in lower out-of-pocket costs for commercially insured patients.
buff.ly
October 29, 2025 at 2:17 PM
"Elevance plans to charge 10% administrative penalties, relative to the amount of claims, if health systems refer patients to out-of-network clinicians." I hope their directories are up to date! buff.ly/Cb4AmJz #healthcare #healthpolicy #healthinsurance
"A federal credit reporting law generally takes precedence over state measures barring medical debt and other items on consumer credit reports, the Trump administration said." via @bloomberg.com buff.ly/VcqPLVT #healthcare #healthpolicy
US Law Overrides State Bans on Medical Debt Reporting, CFPB Says
A federal credit reporting law generally takes precedence over state measures barring medical debt and other items on consumer credit reports, the Trump administration said.
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October 28, 2025 at 2:17 PM
"A federal credit reporting law generally takes precedence over state measures barring medical debt and other items on consumer credit reports, the Trump administration said." via @bloomberg.com buff.ly/VcqPLVT #healthcare #healthpolicy
"Whatever political opposition existed around restricting #pharmaceutical prices via government intervention...seems to have largely disappeared. In other words, price controls are all the rage." buff.ly/MfvxAIN via @axios.com #healthcare #healthecon #healthpolicy
Axios Future of Health Care - 1 big thing: Price controls are winning
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buff.ly
October 24, 2025 at 6:50 PM
"Whatever political opposition existed around restricting #pharmaceutical prices via government intervention...seems to have largely disappeared. In other words, price controls are all the rage." buff.ly/MfvxAIN via @axios.com #healthcare #healthecon #healthpolicy
Reposted by David Schleifer
How government drug price controls became all the rage. www.axios.com/2025/10/24/d...
Why drug price controls are all the rage
The new conversation is around how to limit costs through policymaking.
www.axios.com
October 24, 2025 at 2:30 PM
How government drug price controls became all the rage. www.axios.com/2025/10/24/d...
Employers pay ~$20,000 per year for #healthinsurance for employees with families. This isn't about companies' bottom lines. School districts, city governments, public universities are all employers. High #healthcare costs limit their ability to deliver public services bit.ly/4npgnnF #healthpolicy
October 24, 2025 at 2:16 PM
Employers pay ~$20,000 per year for #healthinsurance for employees with families. This isn't about companies' bottom lines. School districts, city governments, public universities are all employers. High #healthcare costs limit their ability to deliver public services bit.ly/4npgnnF #healthpolicy
"U.S. employers and workers are being squeezed by the steepest run-up in #healthinsurance costs in years, with average family premiums nearing $26,993 in 2025 and pressure building for even sharper increases in 2026, according to a recent KFF survey." #healthcare #healthpolicy
The 'quiet alarm bell' on U.S. health costs: Employers are backed into a corner, and workers are paying the price | Fortune
Family premiums neared about $27,000 in 2025 and could climb further next year.
buff.ly
October 23, 2025 at 6:50 PM
"U.S. employers and workers are being squeezed by the steepest run-up in #healthinsurance costs in years, with average family premiums nearing $26,993 in 2025 and pressure building for even sharper increases in 2026, according to a recent KFF survey." #healthcare #healthpolicy
Reposted by David Schleifer
In his latest column, KFF’s @drewaltman.bsky.social discusses the obstacles employers face trying to control their health care costs — and why they’ve never been meaningful supporters of government cost-containment efforts. https://on.kff.org/4qmrfoV
October 22, 2025 at 4:20 PM
In his latest column, KFF’s @drewaltman.bsky.social discusses the obstacles employers face trying to control their health care costs — and why they’ve never been meaningful supporters of government cost-containment efforts. https://on.kff.org/4qmrfoV
Reposted by David Schleifer
For $27K, you could buy a new car — or insure a family of four for a year. New survey shows cost of job-based coverage jumps again. https://kffhealthnews.org/news/article/workplace-health-insurance-premiums-family-plans-kff-survey/
A New Car vs. Health Insurance? Average Family Job-Based Coverage Hits $27K - KFF Health News
KFF data shows that 2025 marked the first time in two decades that the annual cost of covering a family of four rose by 6% or more for three consecutive years.
kffhealthnews.org
October 22, 2025 at 4:30 PM
For $27K, you could buy a new car — or insure a family of four for a year. New survey shows cost of job-based coverage jumps again. https://kffhealthnews.org/news/article/workplace-health-insurance-premiums-family-plans-kff-survey/
That's basically the price of a car, every year
Astonishing: The cost of health insurance for a family jumps to $27,000 from @tarabannow.bsky.social www.statnews.com/2025/10/22/h...
October 22, 2025 at 4:39 PM
That's basically the price of a car, every year
More detail from Embold about how their quality data was used PBGH's recent project focused on employer #healthcare price and quality data and improving purchasing buff.ly/krkmRuP #healthpolicy #healthecon
Embold Health - Embold Health Brings Quality Data to PBGH’s Health Care Data Demonstration Project
Embold Health joined PBGH’s Data Demonstration Project, pairing cost transparency with physician-level quality data to define true healthcare value.
buff.ly
October 22, 2025 at 2:17 PM
More detail from Embold about how their quality data was used PBGH's recent project focused on employer #healthcare price and quality data and improving purchasing buff.ly/krkmRuP #healthpolicy #healthecon
I am so excited to see this work coming to fruition! PBGH worked with 5 large employers to analyze #healthcare claims, price, and quality data and to identify opportunities for savings and higher-value care. Learn how employers are using these insights at buff.ly/kJqyNre #healthecon #healthpolicy
PBGH Health Care Data Demonstration Project
Gain powerful insights into real health care costs and quality. Download PBGH’s groundbreaking Health Care Data Project report today.
buff.ly
October 20, 2025 at 4:22 PM
I am so excited to see this work coming to fruition! PBGH worked with 5 large employers to analyze #healthcare claims, price, and quality data and to identify opportunities for savings and higher-value care. Learn how employers are using these insights at buff.ly/kJqyNre #healthecon #healthpolicy
California #hospitals are suing over the state’s efforts to curb #healthcare spending buff.ly/Z74OCkR #healthecon #healthpolicy
The policy was supposed to curb health care costs for patients. Now hospitals are suing
Hospitals argue that spending caps imposed by an affordability office will result in layoffs, cuts in health care services and reduced access to care for Californians.
buff.ly
October 16, 2025 at 6:50 PM
California #hospitals are suing over the state’s efforts to curb #healthcare spending buff.ly/Z74OCkR #healthecon #healthpolicy