Paula Chatterjee
@ChatterjeePaula
Followers
1K
Following
2K
Media
61
Statuses
481
doctor & health policy researcher @PennMedicine | safety-net health care, state policies, hospital finances
Philadelphia, PA
Joined May 2015
RT @neilmhta: what happens when a hospital closes? . today, it’s more likely than ever to turn into housing. my latest for the WSJ: https….
0
9
0
RT @AnnalsofIM: From the Annals ‘Spotlight on 2024’ collection: A nationally representative study of Medicare beneficiaries with modest inc….
0
2
0
RT @wschpero: 📢Please help spread the word:. We are hiring a post-doc in health policy and economics at @WCMPopHealthSci. This person will….
0
21
0
Excited to moderate this session on Monday @ 11am with such a great set of papers (and more!). See you there #AHA24 @AHAScience.
@AHAScience #AHA24 is just around the corner!. Our research team will be presenting impactful and timely work focused on the intersection of health care policy, access & quality, and cardiovascular health. Swing by and check out this incredible group of mentees work! @SmithBIDMC
0
2
9
RT @PennLDI: New research from LDI Fellows @ElinoreJKaufman and @ChatterjeePaula reveals that rural non-trauma centers provide essential in….
journals.lww.com
injuries, but rural residents have limited access to designated TCs. Rural NTCs may constitute an under-recognized source of TC. Methods: We used the National Emergency Department Sample to conduct a...
0
4
0
RT @PennLDI: Can Medicare protect older adults from financial hardship due to hospitalization? . A new study shows that many Medicare benef….
ldi.upenn.edu
Penn LDI Fellows found widespread financial precarity among Medicare recipients when they need to cover the out-of-pocket cost of a hospital visit.
0
1
0
RT @PennLDI: How can we design value-based care models that work for community health centers? 🏥. Join Michael Curry, Esq, Amanda Pears Kel….
ldi.upenn.edu
LDI talks with experts to examine what constitutes “value” in community health centers and how to design value-based payment models that support them.
0
2
0
RT @mad_sters: New @NEJM Perspective piece on VP Harris' policy proposal to "Expand Medicare to Cover Long-term Care at Home." @DavidCGrabo….
0
50
0
We hope this is a timely addition to the conversation about affordability in health care, particularly with an election on the horizon. And very grateful to @eric_t_roberts, Syama Patel and Eliza Macneal for their partnership in this work!.
1
0
1
We can do things to change this. Policymakers can: . 1) Target the "economic middle" of beneficiaries for financial protections. 2) Revise Medicaid eligibility to consider income OR assets instead of income AND assets. 3) Expand eligibility for partial Medicaid benefits.
1
0
0
Financial precarity was also more common among beneficiaries with:. 1) less than a high school education.2) at least 3 chronic conditions .3) at least 3 limitations in activities of daily living
1
0
0
Financial precarity is not uniformly distributed across populations. In some scenarios, financial precarity among self-reported Black and Hispanic beneficiaries was double that of White beneficiaries. These disparities persisted even within the same income ranges.
1
0
1
Here's what we find: . Financial precarity is common among beneficiaries who live between 100-400% of FPL. Depending on the scenario, between 30-51% of beneficiaries could be considered financially precarious if exposed to the Medicare hospital deductible.
1
0
0
Why focus on people within 100-400% of FPL? . 1) It's above the cutoff for Medicaid benefits to cover Medicare cost sharing. 2) It's the “economic middle”of Medicare & includes 51% of beneficiaries. 3) It aligns with other financial assistance programs (ACA premium subsidies).
1
0
0
We then simulate what would happen to beneficiaries who live between 100-400% of FPL if they were unexpectedly hospitalized and had to pay for the Medicare hospital deductible ($1,600). We wanted to know how many would enter financial precarity if they had to pay this cost.
1
0
0
This is where we come in. We present 4 potential scenarios for "financial precarity" that combine different features of income, assets, wealth, and insurance status.
1
0
1
This has been a known problem for decades. Policymakers have been trying to extend financial protections in Medicare to address financial precarity among older adults. But it's proven hard to know who exactly should be considered "financially precarious.".
1
0
0
Out of pocket health care costs can be substantial for Medicare beneficiaries. Supplemental insurance through Medicaid or private plans can shield individuals from these costs. But eligibility for these programs can be strict, often limited to those with incomes <100% of FPL.
1
0
0
The purpose of health insurance is to protect patients from financial ruin in the event that they need to use health care. This is a story of how insurance is not "insurance-ing" in America.
4
28
64