cc @enbp.bsky.social

I don't know how to talk about this stuff to normal without sounding crazy. I think it's pretty close to an objective statement to say that this administration is ruining American science, but that sounds like I just don't like Trump.

happy second birthday to this goober

This is the closest thing economists have to consensus statements or economic policy guidelines.

found a reason to talk about silver-loading in my class sorry in advance to my students

omg

when the pup is paying more attention to the TV than you are

Whoa, congrats!

I was genuinely gobsmacked to hear that Nebraska had no intention of staffing up to handle increased enrollee confusion, renewal paperwork, and caseload management burdens as they race to implement work requirements

Understanding CMS’s “Emmy” Medicaid Work Requirement Tools CMS recently announced it is developing a suite of resources to support states in implementing the Medicaid work requirement (which takes effect in most states in January 2027), including technical pr...

A helpful overview of the "Emmy" consent-based verification tool that CMS is piloting with states as they work to implement Medicaid work requirements, and the companion "Emmy API" to streamline access to certain data sources:

What's a little order-of-magnitude data interpretation error between friends

apnews.com/article/new-...

unclear if the pollening is starting or I'm just getting sick

sent this to my husband immediately

oh hey I know one of those people

(RIP to the K01 that will never be resubmitted)

Even "[i]f you were willing to roll the dice and assume that AHRQ will at some point do something, you literally cannot submit to the agency. It is not possible to request funds from the agency,” said Dr. Leora Horwitz, a researcher who received AHRQ funding in the past (leorahorwitzmd.bsky.social)

‘Nobody answers’: The unraveling of a patient care research agency A small federal agency responsible for studying how health care works for patients is largely dormant despite receiving millions of dollars from Congress for research into antibiotic resistance, healt...

"AHRQ hasn’t funded any new research projects in almost a year, and it hasn’t issued grant funding for existing projects since before the end of the previous fiscal year in September."

academia is humbling but maybe houseplants are more humbling?

(this skeet in loving memory of a recently-purchased prayer plant)

The big complaint in my field is that good policy implementation doesn't win elections. But doing the work *alongside* operational transparency to show people what you're doing, and for whom, may be the successful model of the future: building trust by being trustworthy.

Not the main point here, but I do not ever recall a federal agency making significant programmatic and personnel changes as a result of the PRESIDENT'S BUDGET PROPOSAL, which does not change any law or funding allocations. Congress hasn't acted yet.

What are we doing here?

For the APPAM crowd: I'm still looking for a home for a paper on SNAP work requirements — please feel free to reach out if you're still pulling together a panel where it might be a good fit!

(Policy RCT panels would also work)

This is very cool!

(to be clear this is a joke and I think The Pitt using its platform to call attention to administrative burdens in Medicaid is fantastic)

I...worked on this issue for years..and...they just...televised it

Just sent you a DM!

Press release announcing former HHS Secretary Sylvia Mathews Burwell as a new member of the Harvard Corporation

"Now that's a name I've not heard in a long time" meme

A tension that I am forced to sit with, uncomfortably, is that states that pour money into improving system capacity to automatically exempt and qualify people subject to work requirements will likely be far more successful at protecting coverage continuity than those who don't spend gobs of money.

I’m proud, and also sad, to be quoted in Science News about how the Agency for Healthcare Research and Quality (aka AHRQ) has been effectively disbanded, with no research funding being disbursed, while Congress continues to fund its (my!) work

It hurts me, but more, it hurts patients