Thom Walsh
@thomwalsh.bsky.social
Health policy, health systems, public service, Vermont, Dartmouth, visit www.thomwalsh.net
The debate over Medicaid work requirements isn’t going away—and it’s not just a policy disagreement. It’s a real issue with consequences: coverage losses, hospital strain, rising premiums. Would love to hear from others working in health policy or regulation.
June 5, 2025 at 7:17 PM
The debate over Medicaid work requirements isn’t going away—and it’s not just a policy disagreement. It’s a real issue with consequences: coverage losses, hospital strain, rising premiums. Would love to hear from others working in health policy or regulation.
Yesterday, I was on Attitude with Arnie Arnesen (www.podomatic.com/podcasts/sta...) to discuss why Medicaid Work Requirements Don't Work, my op ed at the Washington Monthly (washingtonmonthly.com/2025/05/27/m...)
June 5, 2025 at 12:50 PM
Yesterday, I was on Attitude with Arnie Arnesen (www.podomatic.com/podcasts/sta...) to discuss why Medicaid Work Requirements Don't Work, my op ed at the Washington Monthly (washingtonmonthly.com/2025/05/27/m...)
Reposted by Thom Walsh
The cost of covering a family of four through workplace insurance now exceeds $35,000 — nearly triple what it cost 20 years ago as annual growth in health costs have far outpaced wages, via @maya-goldman.bsky.social in Axios www.axios.com/2025/06/04/a... #healthcare #healthpolicy #medsky
Annual cost of insuring a family tops $35,000
Growing pharmacy and outpatient facility costs drove most of the increase, per Milliman.
www.axios.com
June 4, 2025 at 3:29 PM
The cost of covering a family of four through workplace insurance now exceeds $35,000 — nearly triple what it cost 20 years ago as annual growth in health costs have far outpaced wages, via @maya-goldman.bsky.social in Axios www.axios.com/2025/06/04/a... #healthcare #healthpolicy #medsky
Medicaid work requirements sound like a nudge toward personal responsibility.
But they reduce hospital revenue, raise private premiums, and cut coverage for working people.
This is a feature, not a bug.
I explain in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
But they reduce hospital revenue, raise private premiums, and cut coverage for working people.
This is a feature, not a bug.
I explain in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
May 29, 2025 at 4:55 PM
Medicaid work requirements sound like a nudge toward personal responsibility.
But they reduce hospital revenue, raise private premiums, and cut coverage for working people.
This is a feature, not a bug.
I explain in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
But they reduce hospital revenue, raise private premiums, and cut coverage for working people.
This is a feature, not a bug.
I explain in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
Medicaid work requirements don’t just fail.
They weaken hospitals, raise premiums, and hurt the people already working.
My latest in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
They weaken hospitals, raise premiums, and hurt the people already working.
My latest in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
Medicaid Work Requirements Don’t Work | Washington Monthly
The White House and Congressional Republicans Love Medicaid work requirements. but they don't work and weill lead to more unemployment.
washingtonmonthly.com
May 27, 2025 at 2:09 PM
Medicaid work requirements don’t just fail.
They weaken hospitals, raise premiums, and hurt the people already working.
My latest in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
They weaken hospitals, raise premiums, and hurt the people already working.
My latest in Washington Monthly:
washingtonmonthly.com/2025/05/27/m...
Reposted by Thom Walsh
His book is There is No Place for Us. It's an important read. www.briangoldstone.net
May 19, 2025 at 5:44 PM
His book is There is No Place for Us. It's an important read. www.briangoldstone.net
"We assume we can have an exploitative, ruthlessly competitive, profit-for-profit's-sake economy, and yet remain a decent and a democratic nation." This Wendell Berry quote lands especially true while reading @brian-goldstone.bsky.social's devastating book on those who are working & homeless.
May 20, 2025 at 8:58 AM
Reposted by Thom Walsh
No one complains about "able-bodied" people qualifying for employer-provided health benefits (which get a substantial government tax subsidy).
Yet, there is criticism of Medicaid covering low-income people who are "able-bodied," most of whom are working.
Yet, there is criticism of Medicaid covering low-income people who are "able-bodied," most of whom are working.
March 14, 2025 at 8:39 PM
No one complains about "able-bodied" people qualifying for employer-provided health benefits (which get a substantial government tax subsidy).
Yet, there is criticism of Medicaid covering low-income people who are "able-bodied," most of whom are working.
Yet, there is criticism of Medicaid covering low-income people who are "able-bodied," most of whom are working.
Reposted by Thom Walsh
Anyone in Alabama State Gov or with a large employer in the state ?
You are getting RIPPED off by PBMs.
www.linkedin.com/posts/gregre...
You are getting RIPPED off by PBMs.
www.linkedin.com/posts/gregre...
Greg Reybold on LinkedIn: Dont know how Alabama employers can keep carrying the water of Big PBMs…
Dont know how Alabama employers can keep carrying the water of Big PBMs and Insurers after this.
Big employers in Alabama are spending more than anyone on…
www.linkedin.com
February 24, 2025 at 10:09 PM
Anyone in Alabama State Gov or with a large employer in the state ?
You are getting RIPPED off by PBMs.
www.linkedin.com/posts/gregre...
You are getting RIPPED off by PBMs.
www.linkedin.com/posts/gregre...
Reposted by Thom Walsh
“I expect you will eventually find someone who is enough of a fool, or enough of a coward, to file your motion. But it was never going to be me.”
February 14, 2025 at 5:09 PM
“I expect you will eventually find someone who is enough of a fool, or enough of a coward, to file your motion. But it was never going to be me.”
Reposted by Thom Walsh
Imagine if @aoc @sanders.senate.gov , every dem, SIMULTANEOUSLY held Town Halls where they allowed grant and contract recipients to explain to the country what it is they do and why it's important
Invite all media. Including RW podcasters. @spaces Flood the zone
Call it a Day Of Transparency
Invite all media. Including RW podcasters. @spaces Flood the zone
Call it a Day Of Transparency
February 11, 2025 at 6:51 PM
Imagine if @aoc @sanders.senate.gov , every dem, SIMULTANEOUSLY held Town Halls where they allowed grant and contract recipients to explain to the country what it is they do and why it's important
Invite all media. Including RW podcasters. @spaces Flood the zone
Call it a Day Of Transparency
Invite all media. Including RW podcasters. @spaces Flood the zone
Call it a Day Of Transparency
Reposted by Thom Walsh
AOC spot on , this is what leadership looks like.
January 29, 2025 at 12:06 AM
AOC spot on , this is what leadership looks like.
Reposted by Thom Walsh
This. This is what overthrew the elite enslavers in the 1859s and the robber barons in the 1890s. We need these new papers everywhere.
In Rhode Island, as elsewhere, the local news crisis is being solved one community at a time. @phileil.bsky.social reports for Rhode Island Monthly (I'm quoted):
The Local News Revolution in Rhode Island - Rhode Island Monthly
Bill Bartholomew lives in a former industrial building on the south side of Providence. His apartment has high ceilings, a wide-open floor plan and wires
www.rimonthly.com
January 26, 2025 at 3:14 PM
This. This is what overthrew the elite enslavers in the 1859s and the robber barons in the 1890s. We need these new papers everywhere.
Reposted by Thom Walsh
Fuck him up, Catherine.
Jennings: This salute trutherism is outrageous.
Rampell: Do it right now on TV! If you think it’s a normal way to greet people, do it right now on TV. Why won’t you?!
Rampell: Do it right now on TV! If you think it’s a normal way to greet people, do it right now on TV. Why won’t you?!
January 28, 2025 at 4:05 AM
Fuck him up, Catherine.
Reposted by Thom Walsh
This week's Internet winner goes to...
January 24, 2025 at 8:49 AM
This week's Internet winner goes to...
Reposted by Thom Walsh
This is written by the bishop who stood up to Orange Voldemort. Everyone should be buying this. It's available on Amazon for $14. I'm an atheist and I'm buying it. #booksky
January 22, 2025 at 4:48 PM
This is written by the bishop who stood up to Orange Voldemort. Everyone should be buying this. It's available on Amazon for $14. I'm an atheist and I'm buying it. #booksky
Been meaning to read this. Seems an appropriate day to start.
January 20, 2025 at 2:33 PM
Been meaning to read this. Seems an appropriate day to start.
Reposted by Thom Walsh
You’re the US Marines band at the White House and Mavis Staples 👑 walks into the room so you start playing "I’ll Take You There" and this happens👇
December 24, 2024 at 1:37 AM
You’re the US Marines band at the White House and Mavis Staples 👑 walks into the room so you start playing "I’ll Take You There" and this happens👇
Reposted by Thom Walsh
A few thoughts on Brian Thompson, the slain UnitedHealthcare CEO, and the process of writing about him.
What we learned about Brian Thompson, slain UnitedHealthcare CEO
He's become a symbol. He was also a person.
dandiamond.substack.com
December 18, 2024 at 2:16 PM
A few thoughts on Brian Thompson, the slain UnitedHealthcare CEO, and the process of writing about him.
To understand what makes healthcare insurance so expensive, learn more about hospital prices. Members of the general public, search for the term "medical trend". For state authorities wishing to do more about prices & affordability, go to www.milbank.org/focus-areas/...
Peterson-Milbank Program for Sustainable Health Care Costs | Milbank Memorial Fund
Peterson-Milbank Program for Sustainable Health Care Costs The Peterson-Milbank Program for Sustainable Health Care Costs supports state-led efforts to
www.milbank.org
December 16, 2024 at 8:46 PM
To understand what makes healthcare insurance so expensive, learn more about hospital prices. Members of the general public, search for the term "medical trend". For state authorities wishing to do more about prices & affordability, go to www.milbank.org/focus-areas/...
Reposted by Thom Walsh
imagine a country so furious about drag performers that it voted for polio
December 13, 2024 at 10:15 PM
imagine a country so furious about drag performers that it voted for polio
States' efforts to understand & address healthcare consolidation - nashp.org/states-effor...
#NASHP #healthpolicy #healthsystems #stateregulation
#NASHP #healthpolicy #healthsystems #stateregulation
- NASHP
State policymakers are working to understand the evolving business dynamics of health care consolidation. and are seeking to mitigate the potential negative consequences for consumers and the provider...
nashp.org
December 13, 2024 at 7:52 PM
States' efforts to understand & address healthcare consolidation - nashp.org/states-effor...
#NASHP #healthpolicy #healthsystems #stateregulation
#NASHP #healthpolicy #healthsystems #stateregulation
Reposted by Thom Walsh
Last year Drew Altman and I wrote about how the complexity of our health care and insurance system is the enemy of access and affordability. It all seems newly relevant today.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Complexity in the US Health Care System Is the Enemy of Access and Affordability
This JAMA Forum discusses the complexity of the US health care system, including the types of coverage and many plans offered, denial or other problems accessing coverage, and confusion regarding expl...
jamanetwork.com
December 11, 2024 at 4:42 PM
Last year Drew Altman and I wrote about how the complexity of our health care and insurance system is the enemy of access and affordability. It all seems newly relevant today.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...