💬 Viewpoint: The CMS Ambulatory Specialty Model mandates value-based payment for specialists treating costly chronic conditions. However, issues such as risk adjustment limitations, administrative burdens, and potential inequities remain. ja.ma/3YN8NZO

Our new study in The Lancet leverages a natural experiment to evaluate how state-level anti-immigration measures impact physical and mental health. @thelancet.com #medsky #cardiosky www.thelancet.com/journals/lan...

H-1B visa–sponsored physicians are twice as prevalent in rural counties and nearly 4 times as common in high-poverty areas, highlighting the potential harm of rising visa costs to health care access. ja.ma/4hIxv6E

A recent policy change dramatically ⬆️ H-1B visa fees to $100,000 Our new @jama.com study finds that rural and high-poverty U.S. counties are especially reliant on H-1B doctors & health care workers jamanetwork.com/journals/jam...

H-1B visa–sponsored physicians are twice as prevalent in rural counties and nearly 4 times as common in high-poverty areas, highlighting the potential harm of rising visa costs to health care access. ja.ma/47Iw84h

Work requirements enacted as part of a Medicaid expansion program in Georgia did not increase insurance coverage or employment relative to neighboring states that did not expand Medicaid, a study suggested. https://www.medpagetoday.com/publichealthpolicy/medicaid/117748?trw=no

New BMJ Research finds the implementation of work requirements with Medicaid expansion in Georgia did not increase health insurance coverage or employment. These findings have important implications after recently enacted legislation www.bmj.com/content/390/...

1/8 Evidence keeps piling up: Medicaid work requirements do not increase employment. They just make it harder for people to get health insurance. Latest evidence comes from a BMJ study on Georgia. 🧵

Medicaid work requirements will soon be mandatory nationwide Our new @bmj.com study shows that in Georgia - the only state to expand Medicaid with work requirements - work requirements impeded gains in Medicaid coverage without increasing employment www.bmj.com/content/390/...

Medicaid work requirements will soon be implemented nationwide Our new @bmj.com study shows what happened to insurance coverage and jobs when Georgia rolled them out in 2023. bit.ly/3VE1QsK Featured in @nytimes.com #medsky www.nytimes.com/2025/09/30/w...

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com! Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on?? jamanetwork.com/journals/jam...

Surprise medical bills can be financially devastating Our new @bmj.com study finds that the No Surprises Act - a recent law banning surprise medical bills - significantly ⬇️ out-of-pocket costs for patients without raising premiums. Study link: t.co/hZTOVoNSy5 #medsky #cardiosky

Our @jama.com study leveraged a natural experiment to show that cutting SNAP benefits leads to ⬆️ food insecurity AND worse physical health. The One Big Beautiful Bill’s deep cuts to SNAP are especially alarming. Thanks for sharing @robcaliff.bsky.social! jamanetwork.com/journals/jam...

Sure seems time to examine the purpose of health insurance if this is correct: "Both Humana and CVS’ Aetna, for example, made changes last year designed to drive away 10% of their least profitable Medicare Advantage members." www.statnews.com/2025/08/01/h...

Rishi Wadhera of @harvardmed.bsky.social speaks with JAMA Associate Editor Karen Joynt Maddox about how measures of patient care experience changed after private equity acquisition of US hospitals. ja.ma/4hao2DC

"When private equity takes over a hospital, things generally get worse for patients." -- Rishi Wadhera, MD, MPP, MPhil, of @harvardmed.bsky.social, discussing research on private equity's impact on hospitals. www.medpagetoday.com/hospitalbase...

Our @jama.com study leveraged a natural experiment to show that cutting SNAP benefits leads to ⬆️ food insecurity AND worse physical health. The One Big Beautiful Bill’s deep cuts to SNAP are especially alarming. Thanks for sharing @robcaliff.bsky.social! jamanetwork.com/journals/jam...

Private equity-acquired hospitals may be cherry picking low-risk HF patients and performing more profitable cardiac catheterizations. “There’s been growing concern that…they may select for certain types of patients to maximize reimbursement," said @rkwadhera.bsky.social www.tctmd.com/news/private...

In @jaccjournals.bsky.social, we find that after private equity firms acquired hospitals, clinical risk ⬇️ & catheterizations ⬆️ among patients w/ heart failure, but outcomes didn't improve Big thanks to @rkwadhera.bsky.social, Michael, Andrew, and Vicky! jacc.org/doi/full/10.1016/j.jacc.2025.05.037

In this national study, #heartfailure outcomes didn’t improve after private equity hospital acquisitions, despite a 📉 in the clinical risk of patients. Transfer-outs nearly doubled for Black adults with HF. www.jacc.org/doi/10.1016/... #ARM25 #JACC @danielyjohnson.bsky.social @rkwadhera.bsky.social

Our new JAMA Cardiology study finds that many US adults don't know that they have hypertension, diabetes, or high cholesterol Nearly 1 in 3 young adults w/ hypertension, 2 in 5 with diabetes, and 1 in 4 with high cholesterol are unaware of their condition. bit.ly/45an6MC #medsky #cardiosky

Our new study in JAMA Cardiology finds that from 2013-2023, an increasing proportion of US adults were unaware that they had hypertension, especially young adults and women Huge thanks to 🌟 mentors @rkwadhera.bsky.social and Lucas Marinacci jamanetwork.com/journals/jam...

In a Cardio Business interview, Smith Ctr. for Outcomes Research Assoc. Director @rkwadhera.bsky.social discusses the rapid growth of private equity in cardiology, & the implications for quality & patient outcomes. cardiovascularbusiness.com/video/2025-0...

This BIDMC article discusses findings of a recent study published in @jama.com, bit.ly/3HhgqSN, focusing on cuts to food stamps and the link to rising food insecurity and declining health in the US. Study co-authors include HPM's Sara Bleich and Jose Figueroa (@joefigs.bsky.social).

Congress has proposed deep cuts to SNAP, which provides nutritional benefits to >40 million Americans Our new @jama.com study finds that ⬇️ SNAP benefits not only ⬆️ food insecurity, but also leads to significant ⬆️ poor physical health #medsky jamanetwork.com/journals/jam...

After the end of emergency allotments, there were increases in food insecurity and poor physical health days among SNAP participants. ja.ma/43dp8ZN @rkwadhera.bsky.social

Congress has proposed deep cuts to SNAP, which provides nutritional benefits to >40 million Americans Our new @jama.com study finds that ⬇️ SNAP benefits not only ⬆️ food insecurity, but also leads to significant ⬆️ poor physical health #medsky jamanetwork.com/journals/jam...

Our new Annals of Internal Medicine study finds a concerning ⬆️ uninsured rates among working-age US adults after the end of the continuous enrollment provision (Medicaid "unwinding") on March 2023 #medsky www.acpjournals.org/doi/10.7326/... @annalsofim.bsky.social

New @nejm.org study with alarming results. The wealthiest Americans do not live as long as the wealthiest in other countries. In fact, mortality among the wealthiest Americans appeared to be similar to people in the poorest quartile in northern and western Europe. www.nejm.org/doi/full/10....

From JAMA Cardiology: Rural adults in the US have higher rates of cardiometabolic risk factors and cardiovascular diseases compared to urban adults, with disparities largely explained by social risk factors. #ACC25 https://ja.ma/41QUhTm

#ACC25 is just around the corner! Our Health Policy Team will be presenting timely research on the effects of private equity acquisitions, telehealth parity policies, & the Inflation Reduction Act on cardiovascular health Come by to check out this amazing group of trainees work! #cardiosky

The prevalence of adults with diabetes did not significantly change between 2013 and 2023, but glycemic control among those with diagnosed disease worsened between 2021 and 2023. https://ja.ma/4khkCBe

"We need to ensure that our younger adult patients are coming in for their annual checkups." -- @rkwadhera.bsky.social, of Beth Israel Deaconess Medical Center, on the stark worsening of glycemic control among young adults with #diabetes over the past few years. www.medpagetoday.com/primarycare/...

Our new JAMA study finds that glycemic control worsened among US adults with diabetes in 2021-2023 following a decade of stability This change was most pronounced in young adults (20-44 years), in whom control ⬇️ 20% (!) and HgbA1c levels ⬆️ by 1% t.co/4Z8woN6LBB @jama.com #Cardiosky

Prevalence & Control of #Diabetes Among US Adults, 2013 to 2023 #CardioSky #MedSky jamanetwork.com/journals/jam... @jama.com @rkwadhera.bsky.social @psatishmd.bsky.social @drmonalidesai.bsky.social @dreprime.bsky.social

February is American Heart Month. Read the #NIHCM Newsletter to learn about cardiovascular health and chronic diseases: bit.ly/4hySgAA #HeartMonth #EmpowerHeartsToSaveLives | @americanheart.bsky.social @harvardmed.bsky.social @rkwadhera.bsky.social @ahajournals.bsky.social

Cardiovascular Hospitalizations Among Older Adults in the US 🇺🇸 & Denmark 🇩🇰 jamanetwork.com/journals/jam... @jama.com @rkwadhera.bsky.social @pnatarajanmd.bsky.social @load-dependent.bsky.social @anastasiasmihaili.bsky.social @mchonig.bsky.social

Patient care experience declined significantly at hospitals acquired by private equity, raising concerns about patient satisfaction and care quality. by Bhatla A, Bartlett VL (...) Wadhera RK et 2 al. in JAMA #MedSky 📖 read the article:

Patient care metrics decline significantly after private equity acquisitions jamanetwork.com/journals/jam...

"Patient-reported care experience, an important dimension of care quality, worsened after private equity acquisition of US hospitals." jamanetwork.com/journals/jam...

Check out this @medpagetoday.bsky.social article on our @jama.com study demonstrating that patient care experience significantly worsens after private equity takes over a hospital Study: bit.ly/40qZRuNArticle www.medpagetoday.com/hospitalbase...

Rishi Wadhera of @harvardmed.bsky.social speaks with JAMA Associate Editor Karen Joynt Maddox about how measures of patient care experience changed after private equity acquisition of US hospitals. ja.ma/4fQdOal

Private equity acquisitions of US hospitals have increased over the past decade, and such acquisitions were associated with a worsening of patient care experience compared to non-acquired hospitals. #MedSky ja.ma/3WaBGhK

The rapid growth of private equity in health care has attracted widespread attention & concern Our new @jama.com study finds that when private equity takes over a hospital, patients' care experience significantly worsens. jamanetwork.com/journals/jam...

A new @nbcnews.com article covers our study in JACC, highlighting the collision of factors driving ⬆️ cardiovascular mortality among young adults in #rural communities Study @jaccjournals.bsky.social - www.jacc.org/doi/10.1016/... News article: www.nbcnews.com/health/heart...

The high cost of inhalers has drawn scrutiny from patients & policymakers Our new JAMA Internal Medicine study evaluates the implications of 3 of the largest manufacturers recently capping out-of-pocket costs for many brand-name inhalers at $35/month. bit.ly/4iXwtUl

Our new @jama.com study finds that cold weather related deaths more than doubled from 1999 to 2022 in the US. Death rates were highest among elderly (≥75 years), Black, & American Indian or Alaska Native adults. jamanetwork.com/journals/jam...

No one should die of cold exposure. This is 100% preventable. We choose not to prevent people from living in conditions in which this happens. @jama.com @kbibbinsdomingo.bsky.social jamanetwork.com/journals/jam...

We are so thrilled to welcome this truly exceptional class to the Beth Israel Deaconess Medical Center Cardiovascular Medicine Fellowship next year!!! #cardiosky

"There's no reason that young adults in any parts of the country - rural or urban - should be experiencing ⬆️ cardiovascular death rates." Appreciate @tctmd.bsky.social covering our study out in #jaccjournals tctmd.com/news/rural-cou… Study: https://www.jacc.org/doi/10.1016/j.jacc.2024.09.1215