‼️ Here are our key results: By 7 years after enrollment, relative to before enrollment, HMP enrollees had average reductions of nearly $1000 in medical debt in collections (75% relative reduction) and rates of subprime credit score went down by 25 percentage points (30-50% relative reduction) ‼️ 5/n

🚨🚨🚨 Tl; dr: Enrollment in Medicaid expansion is associated with dramatic long-term improvements in credit score and reductions in medical debt sent to collections! Published today in @jamanetworkopen.com (full paper is linked below) Read on for more details 1/n www.uofmhealth.org/health-lab/m...

UM Board of Regents has honored Kenneth M. Langa with a Distinguished University Professorship. His research shapes our understanding of #aging, #CognitiveImpairment & #dementia. He is co-director of the NIH-funded #HealthAndRetirementStudy, the largest, most influential study of aging in the U.S.

Please join us at the Annual JGIM Webinar on Quality Improvement Science and Implementation Science. We'll have presentations of three top QIS/IS articles, an intro by Lenny López, & a discussion led by Nathalie Moise of Columbia University. us06web.zoom.us/meeting/regi... ‪@journalgim.bsky.social‬

Meta’s income statement (via @simongerman600.bsky.social), their R&D budget, for VR glasses, the metaverse, and to show you 0.2% more effective adds, is nearly equal to the NIH budget…

Not sure why we're seeing Lp(a) treated as though it's valuable for regular use. The clinical data is unimpressive. jamanetwork.com/journals/jam... jamanetwork.com/journals/jam... www.ahajournals.org/doi/full/10....

Our new research: primary care docs manage 15 portal messages/tasks for every hour of patient facing care. 17/hr for family med docs/ doi.org/10.1007/s116... #medsky #primarycare #familymedicine

Lincare Made Billions While Repeatedly Defrauding Medicare. Feds Did Little To Rein It In. www.propublica.org/article/linc...

Lincare is paid to rent oxygen equipment to patients, with HHS covering most of the monthly bills. But those rental fees often add up to many times what it would cost simply to buy the equipment. (Published Nov. 2024) By @peterelkind.bsky.social

also www.youtube.com/watch?v=uHQn...

Coming up with grant name acronyms: www.google.com/search?clien...

Published an opinion piece in @bmj.com with @raj-mehta.bsky.social. I bet no one has opinions about the topic. www.bmj.com/content/388/...

"A study of federally funded research projects in the United States estimated that principal investigators spend on average about 45% of their time on administrative activities related to applying for and managing projects rather than conducting active research" www.pnas.org/doi/10.1073/...

Envisioning a class action suit with everyone who paid for that thing.

New tools for dynamic-treatment effect estimation with instrumental variables show the effects of revascularization on quality of life are larger and more persistent than conventional analyses suggest, from Angrist, Ferman, Gao, Hull, Tecchio, Yeh https://www.nber.org/papers/w33296

I don't know who needs to know this, but Pro Publica has an online thing that will format a letter to your US health insurance company to demand the records behind a claim denial. (which the insurance is then legally required to provide in most cases) projects.propublica.org/claimfile/

tl;dr Healthcare access disparities cascade through the entire ML pipeline. Check out our working paper here: arxiv.org/pdf/2412.07712

Is there a future role for primary prevention of HF that differs from what we're already doing to prevent ASCVD? Do different risk scores help us identify it?

Today in @annalsofim.bsky.social we looked at the new PREVENT HF risk score. We found that 15 million Americans have HF risk >10%, >4 million of whom have ASCVD risk <10%. www.acpjournals.org/doi/10.7326/...

last night, Hallie Prescott had her NEJM review on sepsis released: www.nejm.org/doi/full/10.... Today I had the pleasure of giving some remarks on her installation as the Toews Family Legacy Professor at the University of Michigan

Great article on the limitations and harms of recommending lifestyle advice in guidelines that recognizes that lifestyle advice has harms to patient, provider, and system and is almost always less effective than is commonly presented. @vmontori.bsky.social www.acpjournals.org/doi/10.7326/...

AHA's lipid guidelines do not recommend Lp(a) testing. An AHA Scientific Statement says not yet, but we should rethink it after technical lab issues are worked out. But AHA also releases glossy brochures clearly encouraging use. 🤷

Pretty sure critical care trials are positive <5% of the time.

Anyone have a good reason why grants rules would put tight restrictions on how many papers you're allowed to cite? Cutting citations doesn't feel like the best possible use of anyone's time.

The term "pre-diabetes" has historically been scoffed at, but the risk of diabetes papers from @jeremysussman.bsky.social highlight how we can start to direct GLP-1s in a sensible way prior to low cost options. www.bmj.com/content/350/...

Has anyone seen a description of what “funding riskier bets” looks like in practice? Is it removing prelim data from NIH applications? A strong recommendation to study sections? A change in evaluation criteria?

But then the pandemic hit. And we sent all those children with asthma home to their supposedly dirty homes. And guess what? Severe asthma WENT AWAY! During quarter 2 2020, when there would typically be 1400 kids in #pedsICU’s around the US, there were 241. 6/17 journal.chestnet.org/article/S001...

A thread about the pathophysiology of childhood asthma and how the pandemic exposed just how wrong so many of the underlying assumptions were, and how much biases and racism inpacted our understanding. 🧵 1/17

We did a podcast on this paper - I highly recommend Annals On Call - The Challenge of Diagnosing Community-Acquired Pneumonia | Annals of Internal Medicine www.acpjournals.org/doi/10.7326/...

Brutal article on UnitedHealth using an algorithm to thoughtlessly limit mental health coverage. www.propublica.org/article/unit...

One more plug for our scientific statement: Primary prevention is the core of medical treatment for heart disease. Primary prevention is provided by primary care. With some support and innovation, primary care could be doing a whole lot more. www.ahajournals.org/doi/10.1161/...

The coming norm where doctors' AI tools create prior auth requests run into insurers' AI tools' prior auth denials will resemble War Games with reinforcement learning done thousands of times daily. I guess better the AI tools do it than the rest of us. kffhealthnews.org/news/podcast...

It's wild how much easier it is to find really terrifying stories about AI in health than it is to find simple wins. www.fiercehealthcare.com/payers/unite...

Great article on a common problem in predictive algorithms in health. Another risk to look for. www.aisnakeoil.com/p/does-the-u...

Excited to see our AHA Statement released! 🆕 AHA statement published on The Role of Primary Care in Achieving Life’s Essential 8. ✍🏼 📷 : Actions and evidence-based strategies to promote Life’s Essential 8 in primary care. Thanks to Maddy Sterling's great leadership, who is sadly not on Bluesky.

Remember, even if the ACA survives, the decision to classify contraception as a preventive service (and thus not subject to copays, deductibles, etc) is ultimately a regulatory determination by HHS that could be reversed in the next administration.

Current unclear labeling and inadequate testing norms may, I fear, be creating a situation where it is impossible for new entrants to prove superiority Plus three big US firms + GPOs = market failure I found the market info hidden in this article fascinating: www.forbes.com/sites/kerrya...

Blue Shield of California struck an unusual deal to buy a lower-cost version of Humira directly from a manufacturer, bypassing the giant pharmacy benefit managers that normally determine which maker’s drug will go to tens of millions Americans. www.bloomberg.com/news/article...

Submissions to the Learning Health Systems special issue of JGIM should go under "Abstracts Collection" in Editorial Manager. Thanks for submitting!

JGIM is having a special issue on Learning Health Systems in General Medicine. Please submit! Also, contact us with questions. Abstracts Due: September 30, 2024 Final Manuscripts Due: December 16, 2024 www.sgim.org/news/call-fo...

Patient went into depth about how I needed to check their magnesium at least weekly since when they were hospitalized the inpatient team did it daily. I bit my tongue.

Wendy Netter Epstein: “ineffective devices provide a false sense that problems have been solved, quelling innovation in necessary areas, and engendering mistrust in the health care system.”

Massive hail at 85 degrees. Physics is wrong.

So if I understand correctly, a Facebook-funded study brought together Facebook employees and with academics funded by Facebook to use data provided by Facebook to show the Facebook didn't affect the election, and then via PNAS's contributed track chose their own reviewer—also funded by Facebook.

Does anyone know existing ways to "phenotype" primary care practice? I'm looking for measures not of good vs. bad, but descriptives of the type of care someone providers.

I raise you to Making someone a Kidney transplant candidate!