🚨 New paper: As a PCP, I often hear from patients that managing their health care feels like a full-time job. To understand this better, we analyzed the first nationally-representative US survey of older adults’ self-reported treatment burden: agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

Women physicians face a persistent gender wage gap, which we've found is due in part to volume-based (FFS, or $/visit) payment models. In a new #JAMAHealthForum study, we find that under Medicare Advantage value-based payment (VBP), the gap reverses (!). jamanetwork.com/journals/jam... @jama.com

⭐️future-doc @nickdaley.bsky.social presenting our work on RTBT tools and telemedicine contributions to primary care access in Medicare. Posters 53-4, come on by #SGIM25 cc @jefflinder.bsky.social

Inspiring plenary talk on tackling food insecurity by Seth Berkowitz at #SGIM25. I had the chance to chat with Seth about his study, listen here 👇🏽

Dr. Stone has had incredible impact in her career. Proud to be one of many lucky enough to be mentored by her. #SGIM25

On my way to #SGIM25 @societygim.bsky.social and excited to share my chat with @lisarotenstein.bsky.social @sethberkowitz.bsky.social and @lizdzeng.bsky.social about studies they're about to present #SGIM25. Check out the @jamainternalmed.com episode below.

👇🏽New study led by @nickdaley.bsky.social finds that for most older adults, every extra day getting health care costs them an extra $49 out-of-pocket. And above certain thresholds, these extra days offer diminishing marginal returns on care satisfaction. @jama.com

Docs & patients know the pain of chasing borderline/incidental findings w/ a string of visits, tests and treatments. Yet after that initial test, these cascades can feel unavoidable. In a new @journalgim.bsky.social, @ishaniganguli.bsky.social and I explore reasons why & potential solutions:

"In an unprecedented move, the US National Institutes of Health (NIH) has begun mass terminations of research grants that fund active scientific projects because they no longer meet 'agency priorities'" www.nature.com/articles/d41...

Yesterday, President Trump addressed members of Congress in the joint session, but he had little to say about health care. Here's what our team is reading to make sense of what's happening in health policy...

Glad to share our new @health.nationalacademies.org report on Medicare primary care valuation. We outline systemic challenges with the current approach that have cascading effects on the private sector and on patient outcomes, and we recommend a path forward. bit.ly/4bozVUz #primarycare

Congress must decide if it will extend Medicare telehealth coverage beyond March 2025. Our new JAMA IM study shows how this may benefit Medicare patients + taxpayers. TLDR: Telemedicine ⬇️ some low-value test use + spending (eg,onsite EKGs,blood tests) + ⬇️ total visit spending. shorturl.at/w6l5l

People who work or have worked at HHS, NIH, FDA, CMS, CDC, HRSA and other health agencies - we want to hear from you. Researchers who rely on federal funding from any of these entities, we also want to hear from you. Reach out to us: www.propublica.org/tips/ Or find me on Signal: 347-549-0332 🔎

With RFK Jr saying he wants to stop NIH doing infectious disease research “for 8 years” and Trump now slashing the NIH and CDC workforce, what exactly is the plan for tackling the H5N1 bird flu outbreak?

It's incredibly disheartening to hear about dedicated public health professionals getting mass-laid off from CDC. Including first year epidemic intelligence service officers. This program has been the backbone of outbreak investigations in US since 1951. Decimating this workforce makes us less safe.

A new Trump formula for NIH grants could have very broad effects. We dug into the numbers to show what it means for every university and hospital. www.nytimes.com/interactive/... @aatishb.bsky.social @emmbadger.bsky.social @ethansinger.bsky.social @irineoc.bsky.social @fparis.bsky.social

1. Today the NIH director issued a new directive slashing overhead rates to 15%. I want to provide some context on what that means and why it matters. grants.nih.gov/grants/guide...

A wonderful, thought-provoking piece by Paula Span @thenewyorktimes.bsky.social featuring our work. Thank you for sharing @adambeckman.bsky.social!

Hey #healthpolicy crew! Looking into RFK Jr.’s beliefs on chronic conditions. Hoping to interview a few chronic condition experts on best evidence to treat cc. All suggestions welcome. RT’s (or what they’re called here appreciated)

Tomorrow! Join @NASEM Health and Medicine Division’s Nov 14 public meeting to explore federal efforts to strengthen the primary care workforce and review recent consensus study reports on primary care payments. To register: secure-web.cisco.com/1gJCDDL9TQkk...

1/ I've been practicing #medicine, as a #primarycare doc and then a #hospitalist, for over a decade. Cross-cutting any #social or #partisan divides is an increasingly common feeling: people are feeling #stuck and #trapped. I think we are seeing the reverberations of that feeling everywhere.

New @ Annals Intern Med TLDR: We find the average older adult in traditional Medicare spends 3 weeks per year getting health care, mostly (17 days) ambulatory care like office visits, tests, and treatments. 11% of these adults spent 50+ days per year (!). www.acpjournals.org/doi/10.7326/...

New in JAMA Network Open: Our RCT of a peer comparison/education intervention to improve PCP-patient medical test conversations during annual visits jamanetwork.com/journals/jam...

Our new study, out last week @bmj_latest, tackles racial disparities in low-value care - services that offer patients little to no benefit yet can cause both direct and cascading harms and divert resources from needed care. (1)🧵👇