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Sheldon Weisgrau

@acaresource

Health policy wonk, advocate, and reformer. Working to make Missouri healthier. Still not from around here.

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15.11.2024
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Latest posts by Sheldon Weisgrau @acaresource

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04.02.2026 21:13 πŸ‘ 30 πŸ” 8 πŸ’¬ 1 πŸ“Œ 0
Infographic titled β€œKFF Tracking Poll Finds Significant Concerns About Health Care Costs.” It shows: A third (32%) say that they are β€œvery worried” about their ability to afford health care for them and their families – more than say the same about affording food and groceries (24%), rent or mortgage (23%), monthly utility bills (22%), or gasoline and other transportation costs (17%). A majority (56%) of the public expect health care costs for their family to become less affordable in the coming year. About 1 in 5 say that their health care costs have increased more quickly than other necessities, like utilities and groceries.

Infographic titled β€œKFF Tracking Poll Finds Significant Concerns About Health Care Costs.” It shows: A third (32%) say that they are β€œvery worried” about their ability to afford health care for them and their families – more than say the same about affording food and groceries (24%), rent or mortgage (23%), monthly utility bills (22%), or gasoline and other transportation costs (17%). A majority (56%) of the public expect health care costs for their family to become less affordable in the coming year. About 1 in 5 say that their health care costs have increased more quickly than other necessities, like utilities and groceries.

Across a range of measures, KFF’s latest poll finds significant concern about health care costs.

Dig into the findings: https://on.kff.org/49XZyLG

29.01.2026 14:32 πŸ‘ 13 πŸ” 3 πŸ’¬ 0 πŸ“Œ 2

9 in 10 Marketplace enrollees (90%) expect that the expiration of the enhanced premium tax credits will have an impact on the amount they pay monthly for their health insurance, including 7 in 10 (69%) who say it will have a β€œmajor impact.”

More from our latest poll: https://on.kff.org/4ptXoK8

04.12.2025 21:20 πŸ‘ 12 πŸ” 5 πŸ’¬ 1 πŸ“Œ 0
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How ACA Marketplace costs compare to employer-sponsored health insurance - Peterson-KFF Health System Tracker Prior to the Affordable Care Act (ACA), insurers selling coverage to individuals would deny people with serious pre-existing conditions and high-risk occupations, exclude coverage for certain services...

With all the talk about ACA costs being out of control, they are actually quite similar to and slightly less than employer (group) health costs.

The problem is health care costs, not the ACA.

17.11.2025 19:21 πŸ‘ 57 πŸ” 18 πŸ’¬ 5 πŸ“Œ 3

Something I think gets lost in the debate over ACA enhanced premium tax credits: 65% of ACA marketplace enrollees have incomes under 200% of the poverty level ($31,300 for a single person). These are folks who make too much for Medicaid but don't have access to employer coverage.

06.11.2025 15:23 πŸ‘ 58 πŸ” 27 πŸ’¬ 6 πŸ“Œ 2
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Grantmakers In Health Seeks Nominations for 2026 Leadership and Advocacy Awards - Grantmakers In Health Grantmakers In Health is pleased to announce a call for nominations for both its Andy Hyman Award for Advocacy and Terrance Keenan Leadership Award in Health Philanthropy.

Grantmakers in Health has opened nominations for the 2026 Terrance Keenan Leadership Award in Health Philanthropy and the Andy Hyman Award for Advocacy. More information and a link to submit nominations can be found here: www.gih.org/gih-news/gra...

09.10.2025 19:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Translating support for the ACA into support at the ballot box is the challenge...

03.10.2025 14:11 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire | KFF KFF estimates that, if Congress allows the enhanced premium tax credits to expire at the end of this year, ACA Marketplace enrollees on average would see their premium payments more than double next y...

New, and a big deal: Based on updated data and changes made by the Trump administration, we now estimate that ACA enrollees would see their out-of-pocket premiums increase by 114% if enhanced premium tax credits are allowed to expire.
www.kff.org/affordable-c...

30.09.2025 14:45 πŸ‘ 20 πŸ” 31 πŸ’¬ 0 πŸ“Œ 4
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Close to 5M could become uninsured if Congress doesn’t extend subsidies, report says β€’ Missouri Independent Without congressional action, close to 5 million who buy their health insurance on Affordable Care Act marketplaces wouldn't be able to absorb the price hike.

Unless Congress acts, health insurance premiums are going up. Way up. missouriindependent.com/2025/09/22/r... @urbaninstitute.bsky.social @missouriindependent.com.web.brid.gy

23.09.2025 14:03 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs A government watchdog has raised concerns about high administrative costs in Georgia's Medicaid program. The U.S.

Georgia's Medicaid work requirement program spends more on administrative costs than on providing care and has enrolled less than 3% of the eligible population. Thanks to HR 1, we'll be rolling it out to the whole country. Senseless. @apnews.com apnews.com/article/geor...

19.09.2025 17:39 πŸ‘ 118 πŸ” 65 πŸ’¬ 4 πŸ“Œ 3

Math.

04.09.2025 17:56 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The Republican tax and spending law cuts federal Medicaid spending in rural areas by $137 billion over a decade, much more than the temporary $50 billion rural health relief fund.

21.08.2025 21:16 πŸ‘ 15 πŸ” 10 πŸ’¬ 3 πŸ“Œ 0

Whenever proposals to control drug prices come up, we hear about the loss of innovation and potential life saving medicines. Where are those voices now?

20.08.2025 15:27 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

As many as 200,000 Missourians will lose their health insurance as a result of federal policies.

20.08.2025 15:23 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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As Medicaid Turns 60, Its Future Hangs in the Balance - Missouri Foundation for Health Missouri holds a central role in the history of health care in the United States. Sixty years ago, on July 30, 1965, President Lyndon B. Johnson traveled to Independence, Missouri, to stand side-by-si...

As Medicaid Turns 60, Its Future Hangs in the Balance: mffh.org/news/as-medi...

30.07.2025 17:42 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Upwards of 160,000 of them will be in Missouri.

21.07.2025 21:00 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Nice marmot.

18.07.2025 17:56 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Medicaid, SNAP cuts could lead to nearly 500,000 lost healthcare jobs: report A large portion of the 1.2 million jobs that could be lost nationwide in 2029 would come from the healthcare sector, like roles at hospitals, physician offices, pharmacies and long-term care providers...

Medicaid cuts affect all: "The cuts to federal funding would likely damage state economies, lowering revenue for providers and then impacting other businesses in their supply chains β€” as well as the jobs and incomes of their workers..." @commonwealthfund.org www.healthcaredive.com/news/medicai...

27.06.2025 16:14 πŸ‘ 1 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Not to diminish the other harmful provisions in OBBB, but the coverage losses are what will cause the most damage to providers and (obviously) patients.

25.06.2025 22:36 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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No one knows better than Josh Hawley that β€˜work requirements’ are Medicaid cuts β€’ Missouri Independent No one knows better than Missouri U.S. Sen. Josh Hawley that "work requirements" are actually Medicaid cuts.

I wrote about the cruel farce that is Josh Hawley pretending to defend Medicaid & SNAP.

Missouri’s failure to administer SNAP under *current* law is the subject of a 3 year lawsuit. Medicaid is also a mess. Hawley knows we can’t handle more red tape w/o dropping many more eligible people:

23.06.2025 12:33 πŸ‘ 139 πŸ” 56 πŸ’¬ 6 πŸ“Œ 2
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House Republicans’ Big, β€˜Beautiful’ Bill Would Make Health Care More Expensive for Americans With Medicare and Other Insurance A new Center for American Progress analysis shows how House Republican health care cuts would cost many families with Medicaid, Medicare, ACA marketplace plans, and job-based coverage up to thousands ...

Americans can expect higher premiums, deductibles, & out-of-pocket costs across Medicaid, Medicare, ACA, and employer coverage if House Republicans' recon bill is enacted. The latest from @andreaducas.bsky.social & @groundwork.bsky.social AndrΓ©s Arguello: www.americanprogress.org/article/hous...

12.06.2025 17:15 πŸ‘ 26 πŸ” 23 πŸ’¬ 1 πŸ“Œ 1
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Opinion | This senator’s comment on Medicaid cuts was brutal but accurate It is hard to articulate a justification for ballooning the federal debt in service of saving fewer lives.

"It is hard to articulate a comprehensible justification for ballooning the federal debt in service of saving fewer lives." www.washingtonpost.com/opinions/202...

09.06.2025 14:17 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Bottom line...

04.06.2025 16:14 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The original House bill would have led to about 10 million more uninsured people, according to CBO. The amended version that passed would lead to more people losing health insurance. If this bill gets enacted, it would represent the biggest rollback in federal support for health care ever.

22.05.2025 13:48 πŸ‘ 123 πŸ” 81 πŸ’¬ 8 πŸ“Œ 7
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Cuts to Medicaid Affect All Missourians - Missouri Foundation for Health The U.S. Congress is currently at work on a budget to set future tax and spending policy. Β As the House and Senate quickly work through the process (leaders have targeted Memorial Day to complete the ...

Let me help with that. Analysis by Missouri Foundation for Health shows that as many as 350,000 Missourians could lose coverage. More than 1 in 5 residents of Rep. Alford's district are on Medicaid. A quarter of them could lose coverage. mffh.org/news/cuts-to...

14.05.2025 18:49 πŸ‘ 9 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
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He Became the Face of Georgia’s Medicaid Work Requirement. Now He’s Fed Up With It. A 54-year-old mechanic called Pathways to Coverage a β€œgreat program” at the governor’s press conference. But after getting kicked off the health insurance program for low-income Georgians twice, burea...

More red tape and bureaucratic hassles. People who qualify for coverage falling through the cracks. Now Congress wants to expand failed programs like Georgia Pathways to all 50 states. We already know this doesn't work. Why is it even on the table? www.propublica.org/article/geor... @propublica.org

14.05.2025 15:23 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Health Insurance Coverage in Rural and Urban Missouri by Xiaoyu Huang, MSW Candidate;Β Sarah A. Eisenstein, PhD; and Timothy D. McBride, PhD, MS | May 2025 This brief explores comparisons of insurance coverage for persons living in rural and urban…

Medicaid plays a vital role in rural Missouri, covering nearly a quarter of residents. Cuts will disproportionally harm rural communities, resulting in higher uninsurance and larger disparities with urban areas. #equity sites.wustl.edu/cahsper/item... @cahsperiph.bsky.social @mcbridetd.bsky.social

09.05.2025 15:27 πŸ‘ 5 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

Medicaid cuts won't make America healthy again. They will make millions of Americans uninsured again.

08.05.2025 21:43 πŸ‘ 6 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Medicaid cuts = loss of these benefits.

05.05.2025 15:29 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Changes in Missouri Medicaid Enrollment:Β Adult Expansion Group and Disability Over the 2021-2024 Period by Timothy D. McBride, PhD, MS; Sarah A. Eisenstein, PhD; and Claire Ami Pavlides, MPH Candidate | April 2025 The expansion of Medicaid in Missouri was approved by voters in Missouri through the pa…

New research shows that many choose coverage through Medicaid expansion rather than disability, offsetting more than half of Missouri's expansion costs. Cuts would increase the state's cost of covering these enrollees. sites.wustl.edu/cahsper/item... @mcbridetd.bsky.social @cahsperiph.bsky.social

01.05.2025 19:53 πŸ‘ 4 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0