In addition to the Program’s signature policy briefs and data notes, the Geiger Gibson Program faculty and staff author peer-reviewed publications, reports and blogs for prestigious health policy outlets such as The Commonwealth Fund, Health Affairs, Kaiser Family Foundation, and The Milbank Quarterly. Additionally, the program’s legal research and impact analyses is presented in amicus scholars briefs designed to provide the courts with expert analyses of the implications of legal actions under review.
In The Commonwealth Fund’s Issue Brief, Leighton Ku, Kristine Namhee Kwon, Maddie Krips, Taylor Gorak, and Joseph J. Cordes estimate the impact of the bill on the economies, employment, and state and local tax revenues for every state and the District of Columbia in 2029, when the policies are fully implemented, finding gross domestic products to fall by $154 billion and the loss of 1.22 million jobs nationwide.
In a blog post for The Commonwealth Fund’s to the Point, Sara Rosenbaum and colleagues consider the implications of the mandatory Medicaid work requirements in the budget reconciliation bill passed in the U.S. House of Representatives on May 22, 2025. Mandatory work requirements could cause nearly 5.6 million community health center patients nationally to lose coverage over 5 years. Health center revenue losses could reach up to $32 Billion.
Deep Medicaid Spending Cuts Put Health Care Coverage at Risk for One of Five Enrolled Children
In this analysis in the Commonwealth Fund's To the Point, the Geiger Gibson Program shows that in 2020, 21 percent of children who were enrolled in Medicaid and generally counted in a "child" category - one in five - fell into an optional eligibility group. As Congress considers unprecedented cuts to Medicaid funding, children whose eligibility is not required by federal law are at risk of losing their health care coverage.
In an article in the May 2025 edition of Health Affairs, Leighton Ku, Kristine Namhee Kwon, Feygele Jacobs and Sara Rosenbaum examine the effects of eligibility assistance on insurance enrollment at both the health center and state levels, finding that eligibility assistance modestly increases insurance coverage among health center patients, but this assistance does not significantly increase overall Medicaid, CHIP, or Marketplace enrollment, nor does it raise federal expenditures.
A cost evaluation of the Teaching Health Center Graduate Medical Education (THCGME) program was conducted to measure direct medical education (DME) and indirect medical education (IME) costs, assess the effect of teaching health center (THC) characteristics on residency training costs, and develop a method and formula for per-resident amount (PRA) payments in baseline and future years for the THCGME program. The cost evaluation revealed that the per-resident amount (PRA) payments currently used in the THCGME program underfunds actual net training costs. The analysis is published in Academic Medicine
In this Commonwealth Fund brief, authors Leighton Ku, Taylor Gorak, Kristine Namhee Kwon, Maddie Krips, Leticia Nketiah and Joseph J. Cordes estimate the state-level economic, employment, and budgetary impact of a nationwide Medicaid work requirement and a reduction in DC’s federal Medicaid matching rate.
‘Limit Save Grow’ Medicaid Work Mandate Legislation: The Worst Way To Operationalize A Bad Policy
In Health Affairs Forefront, Sara Rosenbaum and Alex Somodevilla discuss Medicaid work mandate legislation and examine the 2023 House-passed "Limit Save Grow" Act.
In an article for Health Affairs Forefront, Jessica Schubel, Alison Barkoff, H. Stephen Kaye, Marc Cohen, and Jane Tavares explore the impact of proposed Medicaid cuts on older adults and people with disabilities, particularly on Home and Community-Based Services (HCBS). “History Repeats? Faced with Medicaid Cuts, States Reduced Support for Older Adults and Disabled People” (April 16, 2025). A related table with state-level data of reductions can be found here.
Public comment by APHA and GWU public health scholars on CMS proposed regulation, CMS-9884-P, titled "Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability," as filed on April 7, 2025.
Report from The Commonwealth Fund and GWU’s Milken Institute School of Public Health analyzes the impact of potential federal funding cuts of least $880 billion in Medicaid and $230 billion to the Supplemental Nutrition Assistance Program (SNAP) over 10 years. The report shows that if implemented, these cuts could result in the loss of 1 million jobs, a $113 billion decline in states’ gross domestic products (GDPs), and loss of $8.8 billion in state and local tax revenue in 2026 alone. Medicaid and SNAP cuts could cause a combined $1.1 trillion loss to critical programs and services nationwide by 2035.
