William Schpero (@wschpero) header
William Schpero (@wschpero) profile picture

William Schpero

@wschpero

Associate professor @WCMPopHealthSci @WeillCornell @Cornell. Health economist studying Medicaid, the health care safety net, and inequity.

 New York, NY
williamschpero.com
Joined February 2009
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Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)Photo by William Schpero (@wschpero)
Posting only irregularly on X. Find me on LinkedIn: linkedin.com/in/wschpero/
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Research in @JAMAHealthForum from @wschpero and @pragyakakani finds that expansion of Medicaid eligibility may protect access to pharmacies in low-income communities. Learn more: bit.ly/401f44U
Study Finds Medicaid May Protect Access to Pharmacies

Study Finds Medicaid May Protect Access to Pharmacies

Pharmacy availability is often compromised in low-income communities, which are  more likely  to be in “pharmacy deserts” and  affected  by pharmacy closures. Lack of access to pharmacies negatively

phs.weill.cornell.edu
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We're thrilled to have Dr. Daniel Polsky (@JHU_BDPs, @JohnsHopkinsSPH, @JHUCarey) present at our Grand Rounds next week: bit.ly/4cl9ly7
Image from Weill Cornell Medicine Population Health Sciences (@WCMPopHealthSci)
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We’re proud to announce that @wschpero and Dr. Yasin Civelek are part of the 2025-2026 cohort of @NIHCMfoundation Research Grantees! Congrats to Dr. Schpero and Dr. Civelek on this achievement: bit.ly/4qwmfwR
Image from Weill Cornell Medicine Population Health Sciences (@WCMPopHealthSci)
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Who delivers maternity care matters. 👩‍⚕️ More than 90 percent of births are physician-led. But what happens when Certified Nurse Midwives (CNMs) gain full authority to practice independently? 🧵 Here’s what I find in my #JMP:
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Research from @wschpero, @EmmaBethMcGinty, and Michael Liu in @Health_Affairs Scholar finds that for a decade, more than 60 percent of the US population lived in regions with psychiatric bed shortage. Learn more: bit.ly/47gTNbY
Regional changes in inpatient psychiatric bed capacity and availability of alternative psychiatric...

Regional changes in inpatient psychiatric bed capacity and availability of alternative psychiatric...

AbstractIntroduction. The US faces a growing mismatch between demand for inpatient psychiatric care and available capacity. Little is known about the chara

academic.oup.com
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.@WSchpero and colleagues have developed a checklist, described in @JAMAHealthForum, to improve Medicaid policy research. Learn more: bit.ly/4qP29PV
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We are excited today to launch the T-MSIS Analytic Files (TAF) Analysis Reporting Checklist, which is designed to guide reporting of research using the TAF, the new generation Medicaid claims data. See @JAMAHealthForum: jamanetwork.com/journals/jam… Links to key resources⬇️ 1/N
Image from William Schpero (@wschpero)
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For more: ➡️ Publication in @JAMAHealthForum: jamanetwork.com/journals/jam… ➡️ Checklist and Related Resources: tafchecklist.org ➡️ Video Explainer: youtube.com/watch?v=27_tnhlN… 5/N
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We are grateful for support from @commonwealthfnd and @RWJF. cc @ACintheDC @khemp64 @WCMPopHealthSci 6/6
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For decades, the narrowly defined Emergency Medicaid (EM) program has reimbursed hospitals for emergency care provided to uninsured, low-income immigrants. In @NEJM, we write in defense of state flexibilities in EM, which now seem at risk: nejm.org/doi/full/10.1056/NE…
Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

nejm.org
Joshua Budhu (@JoshuaBudhu) profile pictureJoshua Budhu@JoshuaBudhu4 Oct 2025
🧵Emergency Medicaid accounts for <1% of Medicaid spending — yet saves lives & money. Restricting it ignores evidence, burdens states, and harms those who keep our communities running. Our latest via @NEJM: Preserving State Authority and Access to Care nejm.org/doi/full/10.1056/NE…
Image from Joshua Budhu (@JoshuaBudhu)
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cc @WCMPopHealthSci @CornellCHEQ
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In their new Forefront article, @DhruvKhullar, @wschpero, @EmmaBethMcGinty, @colleenlbarry, and Amelia M. Bond of @WeillCornell and @CornellBPP discuss a survey which suggests that many of the country’s leading health care policy experts believe that work requirements are likely to result in large numbers of people disenrolled from the Medicaid program for administrative reasons without a substantial increase in rates of employment. healthaffairs.org/content/fo…
Leading Health Policy Scholars: Medicaid Work Requirements Won’t Increase Employment | Health...

Leading Health Policy Scholars: Medicaid Work Requirements Won’t Increase Employment | Health...

Although there remains uncertainty about the eventual impact of work requirements, this survey suggests that many of the country’s leading health care policy experts believe that they are likely to...

healthaffairs.org
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For many years, the Clark Center at Chicago Booth has regularly surveyed leading economists to assess consensus on timely economic policy issues. We are excited today to launch the Cornell Health Policy Insight Panel, where we extend that model to health policy. 1/N ⬇️
Image from William Schpero (@wschpero)
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Every 5-6 weeks, the Cornell Health Policy Center (CHPC) will survey 64 leading health policy researchers on the most pressing health policy topics of the day. To start: effects of Medicaid work requirements under the One Big Beautiful Bill Act. 2/N
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Check out our article at Health Affairs Forefront: healthaffairs.org/content/fo… Dig through individual responses (with comments) on the CHPC website: healthpolicycenter.cornell.e… 3/3
Leading Health Policy Scholars: Medicaid Work Requirements Won’t Increase Employment | Health...

Leading Health Policy Scholars: Medicaid Work Requirements Won’t Increase Employment | Health...

Although there remains uncertainty about the eventual impact of work requirements, this survey suggests that many of the country’s leading health care policy experts believe that they are likely to...

healthaffairs.org
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During debate on the OBBBA, I realized we know very little about health care needs and use in the adult Medicaid expansion population. We have a short paper out in @Health_Affairs Scholar this week that uses national Medicaid claims data in an attempt to fill that gap: ⬇️ 1/N
Image from William Schpero (@wschpero)
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2. The OBBBA includes work requirement exemptions for certain groups, including folks who are "medically frail" or in treatment for SUD. Our paper is an early proof-of-concept that states could use claims to automate exemptions (if allowed to do so in final regs). 5/N
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Link to Paper: academic.oup.com/healthaffai… cc @WCMPopHealthSci 6/6
Diagnosed health conditions and health care use among Medicaid expansion enrollees, 2019 and 2022

Diagnosed health conditions and health care use among Medicaid expansion enrollees, 2019 and 2022

As of 2025, 40 states and the District of Columbia have implemented expansions of Medicaid eligibility under the Affordable Care Act (ACA).1 A large body o

academic.oup.com
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