@GeorgetownCCF

Based at Georgetown University's @mccourtschool, CCF is a nonpartisan policy and research center with a mission to improve health coverage for kids & families.

 Washington, DC
ccf.georgetown.edu/
Joined February 2012
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  • Following4K
  • Followers5.8K
976Media
Medicaid is the MVP of the healthcare system serving the needs of people across the lifespan. @GeorgetownCCF published a series of fact sheets explaining how Medicaid helps bring down costs and meets the needs of America’s families. ccf.georgetown.edu/tag/fact-…
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Joan Alker@JoanAlker1Oct 16
Our newest @georgetownccf team member + Texas native GJ and @AKohlerTX examine the maternal mortality crisis in Texas in this blog. Report Examines Worsening Maternal Morbidity in Texas, How Improving Care Could Cut Medicaid Costs ccf.georgetown.edu/2026/10/0… via @GeorgetownCCF

Report Examines Worsening Maternal Morbidity in Texas, How Improving Care Could Cut Medicaid Costs

There’s no doubt that the United States maternal health crisis is severe. The U.S. has the highest maternal mortality rate among high-income nations, and the Centers for Disease Control and Prevent...

ccf.georgetown.edu
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Texans Care for Children@putkids1stOct 9
Report Examines Worsening Maternal Morbidity in Texas, How Improving Care Could Cut Medicaid Costs #TXlege @GeorgetownCCF @AKohlerTX ccf.georgetown.edu/2026/10/0…

Report Examines Worsening Maternal Morbidity in Texas, How Improving Care Could Cut Medicaid Costs

There’s no doubt that the United States maternal health crisis is severe. The U.S. has the highest maternal mortality rate among high-income nations, and the Centers for Disease Control and Prevent...

ccf.georgetown.edu
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What do results from first state to impose the Medicaid work reporting mandate reveal? ccf.georgetown.edu/2026/09/3… via @GeorgetownCCF

What do Results from First State to Impose Medicaid Work Mandate Reveal?

At a recent Medicaid Advisory Committee meeting, the state of Nebraska, the first in the nation to implement what will soon be a mandatory Medicaid work reporting requirement (WRR), shared the first...

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Texans Care for Children@putkids1stOct 1
These delays for families are getting even worse! More Medicaid applications are piling up in state offices as Texans are stuck waiting to start prenatal care or take their kids to the doctor. We just published the new data: txchildren.org/new-data-medi… #TXlege
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Joan Alker@JoanAlker1Oct 1
Nebraska, the 1st state to start Medicaid work reporting requirements, released data on the 1st few mos. Over 1,000 people lost/were denied coverage - the vast majority NOT bcuz they’re not working but bcuz of red tape and process failures. My new blog ccf.georgetown.edu/2026/09/3…

What do Results from First State to Impose Medicaid Work Mandate Reveal?

At a recent Medicaid Advisory Committee meeting, the state of Nebraska, the first in the nation to implement what will soon be a mandatory Medicaid work reporting requirement (WRR), shared the first...

ccf.georgetown.edu
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Joan Alker@JoanAlker1Sep 28
👀Friday PM drop from CMS on Medicaid waivers. Lots of "overlay" letters sent to states to conform w/ OBBA Of note so far -Tennessee must apply Medicaid work reporting rules to its parent only expansion -But CMS expects all parents will be exempt -TN must still do outreach
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Bridget Early@bridget__earlySep 22
New from me: Nebraska was the first state to begin Medicaid work requirement implementation post-HR1. So far, the process has been riddled with confusion, coverage losses, conflicting information and long call center wait times: modernhealthcare.com/politic…

Nebraska started work requirements early. Here’s how it’s going

Medicaid work requirements will take effect nationwide in January. Nebraska got a head start.

modernhealthcare.com
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Joan Alker@JoanAlker1Sep 22
Replying to @bridget__early
@bridget__early has scooped the 1st data I have seen on Nebraska Medicaid work reporting requirements and it is worse than I expected. Incomplete data shows that 1,000 have explicitly lost/denied coverage and almost half of new applicants are not getting thru the red tape.
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Joan Alker@JoanAlker1Sep 14
Our new report out today highlights the additional challenges that rural communities will face with Medicaid work reporting requirements. These problems will NOT be addressed by the rural health transformation fund nor will the woes of rural hospitals. ccf.georgetown.edu/2026/09/1…

Rural Communities at Greater Risk of Harmful Impacts from New Medicaid Work Reporting Requirements 

In 2025, Congress passed H.R. 1, legislation which requires work reporting requirements as a condition of Medicaid eligibility in the 41 states, including Washington, D.C., that have expanded...

ccf.georgetown.edu
Daniel Payne@_daniel_payneSep 14
Some hospital leaders are avoiding the fund meant to help them weather the cuts to Medicaid. More on the future of rural care in the latest installment of our new series, Unraveled: statnews.com/2026/09/14/rura…

The GOP’s $50 billion rural health fund is coming up short, hospital leaders say

Hospital leaders were excited about the Rural Health Transformation Fund until they saw the fine print.

statnews.com
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Joan Alker@JoanAlker1Sep 14
A new report from me and @AdamSearing Rural Communities at Greater Risk of Harmful Impacts from New Medicaid Work Reporting Requirements  ccf.georgetown.edu/2026/09/1… via @GeorgetownCCF PS: The problems we identify here will not be addressed by the Rural Health Trans Fund.

Rural Communities at Greater Risk of Harmful Impacts from New Medicaid Work Reporting Requirements 

In 2025, Congress passed H.R. 1, legislation which requires work reporting requirements as a condition of Medicaid eligibility in the 41 states, including Washington, D.C., that have expanded...

ccf.georgetown.edu
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Georgetown Center for Children and Families retweeted
Joan Alker@JoanAlker1Sep 1
The @georgetownccf webinar on Medicaid Financing: Part 2 Provider Taxes is on September 10th at 1p ET. You can register below.
Joan Alker@JoanAlker1Sep 1
Replying to @GeorgetownCCF
@GeorgetownCCF is hosting a free webinar open to all on Medicaid Financing: Provider Taxes LOL. What a fun topic. But with new rules coming into place this may be the webinar for you. Register here: georgetown.zoom.us/webinar/r…

Video Conferencing, Web Conferencing, Webinars, Screen Sharing

Zoom is the leader in modern enterprise video communications, with an easy, reliable cloud platform for video and audio conferencing, chat, and webinars across mobile, desktop, and room systems. Zoom...

georgetown.zoom.us
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Joan Alker@JoanAlker1Aug 31
Our Medicaid tracker is updated and # of kids enrolled since Jan 2025 in ths US is now ⬇️ 2.45 million. That's a lot. Why is this important? Some continue to miss the point. When Medicaid child enrollment declines, the # of uninsured kids typically goes up.
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Joan Alker@JoanAlker1Aug 28
👀New: Monthly Medicaid/CHIP data is out from @CMSGov and shows a 2 million drop in children from May 2025 to May 2026 -- a 5% decline in 1 yr.👀 This is not primarily due to Medicaid unwinding (which was over) or fertility declines as some have claimed.
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Joan Alker@JoanAlker1Aug 26
Our new issue brief: How Are Parents Impacted By Medicaid Work Reporting Requirements? ccf.georgetown.edu/2026/08/2… via @GeorgetownCCF 👀 In 27 states + DC no custodial parent should lose Medicaid due to work reporting requirements coming 1/1/27.👀 Spread the word please.
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Joan Alker@JoanAlker1Aug 24
Our latest @georgetownccf report looks at uninsured rates for children under 3 as of 2024. The # is going up, and this is before huge Medicaid enrollment losses in the last 18 mos. States in blue have ⬆️ rates of uninsured babies and toddlers. ccf.georgetown.edu/2026/08/1…
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Joan Alker@JoanAlker1Aug 14
Nebraska is the first state to implement Medicaid work reporting requirements. NE Medicaid director (who came from right wing groups that promote them) just resigned as disenrollments are about to heat up. governor.nebraska.gov/gov-pi…
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Joan Alker@JoanAlker1Aug 13
My new blog with @AKohlerTX - important message that is not out there... Almost All Custodial Parents, Caretaker Relatives Should Not be Impacted by Medicaid Work Reporting Requirements in 28 States ccf.georgetown.edu/2026/08/1… via @GeorgetownCCF

Almost All Custodial Parents, Caretaker Relatives Should Not be Impacted by Medicaid Work Reporting...

As states rush to implement complex new work reporting requirement provisions before January 2027, the new Interim Final Rule (IFR) released by the Centers for Medicare and Medicaid Services (CMS)...

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Georgetown Center for Children and Families retweeted
Joan Alker@JoanAlker1Aug 5
We’ve update our Medicaid enrollment tracker and the news for children isn’t good. Since January 2025 there has been a shocking drop of 2.3 million kids enrolled in Medicaid/CHIP. This means the child uninsured rate is likely going up.
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Joan Alker@JoanAlker1Aug 3
And so it begins. Pregnant woman disenrolled by mistake. Long waits to get through to the call center for help. No clarity on the rules. Medicaid work reporting requirements don’t work. nebraskapublicmedia.org/en/n…

Nebraska becomes first state to disenroll Medicaid recipients under new work requirements

The first work requirement-related disenrollments begin in Nebraska on Saturday. While the state Medicaid director estimates this will impact 200 Nebraskans, advocates are concerned that the number...

nebraskapublicmedia.org
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Joan Alker@JoanAlker1Jul 30
Judge just denied request from the blue state AGs for a preliminary injunction to hold up parts of the Medicaid work requirement, but he has put the case on an expedited schedule and made clear that his ruling doesn’t pertain to the merits of the case.
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