🚨New Publication🚨 Risk-based provider payment is more common in Medicare Advantage than any other segment of US health care financing. What happens to broad categories of health care utilization, and low-value service use, when provider groups adopt these contracts? jamanetwork.com/journals/jam...

Ipsos finds Trump’s approval rating is decreasing almost entirely because of anti-incumbent economic anxiety. Approval rating among people who say the economy is the # 1 issue is -24pts since Jan. It’s stable for people who index on all other issues www.ipsos.com/en-us/lesson...

Get this: Coffee suppressed atrial fibrillation! Unexpected results for recurrence from a randomized trial in participants after cardioversion from AF #AHA25 @jama.com jamanetwork.com/journals/jam...

A Sharon Begley byline, almost 5 years after her death. Upon hearing the news James Watson had died, a STAT reporter said in our Slack, "I wish I could read what Sharon would have written." Incredible news: Sharon in fact did pre-write a Watson obit. And it is masterful and excoriating. 🧪🧬🧫

Why is Trump proposing a weird subsidy program that actually sounds like the ACA?? The truth is that Obamacare is fundamentally very conservative (Mitt Romney's plan!) and any attempt at meaningful reform can only go left ... Who will we buy health insurance from again?

Hey kids the Trump Healthcare Plan just dropped!

Change in Headline

Shielding Chart xkcd.com/3158/

also stuck on "fOr"

wild set of results from @atheendar.bsky.social

I'm writing a book on this and why I think it's happening. Here are some forces at play that may explain our poor performance with life expectancy since the 1980s.

totally heartbreaking. addiction policy shouldn't be partisan and SAMHSA is such a drop in the bucket, less than 1/3rd of the support given to Argentina this month.

🚨 New Working Paper! 🚨 Excited to share our new study with Professor @lhoehnvelasco.bsky.social, and @reinahuang.bsky.social on Public Payment Mandates & Provider Supply: a look at how Medicaid reimbursement helped bring Certified Nurse-Midwives (CNMs) into mainstream U.S. healthcare 🧵

it is coming to my attention that a lot of people in the mid-late career start going insane when they realise that all they have worked to attain is in fact ephemeral and fleeting. adding this to the packet of failure modes to be cautious about.

Wow. This is the paper I have been waiting for. Mobile apps are brain rot, with meaningfully bad economic consequences for those who overuse them.

Tired: air traffic controllers calling in sick Wired: orthopedic surgeons canceling hip replacements

It’s hard to put into words how inspiring Dr. Sue Goldie is. An extraordinary teacher, researcher, leader, and mentor to so many of us @hsph.harvard.edu who now shares her deeply personal story fighting against Parkinson’s disease. Her story in @nytimes.com www.nytimes.com/interactive/...

More CDC Cuts :: NCHS Edition 📊🔫 At least 1/3 of the staff at the National Center for Health Statistics has been cut (and remain cut). This is catastrophic for our nation’s health data. Say goodbye to national health statistics that you can trust, healthcare surveys, NHANES and data systems.

I finally made the switch to R from stata, and as a fierce long-time defender of stata, I can concede that R is leagues better in almost every way. Still, I do wish there was an easier way to diagnose merges w/o complicated code. GPT hasn't helped, and joyn doesn't seem to do it right. Any advice?

🐹 Before viral videos on TikTok or YouTube, there was Hampsterdance. Full of dancing hamster GIFs & a sped-up tune, it became one of the internet’s first viral hits. You can still dance to it on the #WaybackMachine ➡️ web.archive.org/web/19991222... #Wayback1T 🧵

This year’s #NobelPrize in Physics honors researchers who demonstrated quantum mechanical effects in electric circuits on a chip. https://scim.ag/46T4qQK

Rite Aid closes all remaining stores after 63 years in business

Today's Nobel Prize in Medicine went to the discoverers of regulatory T-cells. How could this discovery about our immune systems change the world? Here is one possible way: leading to treatments for terrible neurological diseases. (1/3)

Multi-generational vulture nests hold 700 years of human artifacts www.popsci.com/environment/...

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...

Clinicians can enhance patient understanding by using numerical data instead of verbal probabilities, consistent denominators, absolute risk comparisons, and clear context for unfamiliar data types. ja.ma/4pAC3zi

Federal funding reportedly sent to Harvard for about 200 grants totaling $46 million. Some welcome relief hopefully to so many. Story below: www.thecrimson.com/article/2025...

Secret Panel HERE 🐢 tapas.io/episode/2491229

New 🐟 just dropped. 🧪🌎 www.mbari.org/news/mbaris-...

I am beyond excited to announce that ggplot2 4.0.0 has just landed on CRAN. It's not every day we have a new major #ggplot2 release but it is a fitting 18 year birthday present for the package. Get an overview of the release in this blog post and be on the lookout for more in-depth posts #rstats

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...

I worked as a rehab nurse liaison for years, and anecdotally, can confirm what your research revealed. Another interesting avenue, look at comparing Medicare Advantage-covered IP days across the different insurance providers. I would presume a noticeable difference would present between the carriers

Thread. Super interesting new article with implications for a wide range of important topics in health policy, including hospital finances, patient outcomes, hospital capacity, insurance design, and more.

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...

Known for his intellectual and illuminating touch on the podium, the refined conductor was also surprisingly outspoken when it came to politics and his peers.

Co-discoverer of reverse transcriptase at 32, Nobel Prize at 37, played a key role at the 1975 Asilomar comference.

Ben Sommers and I have a new piece up at @jamahealthforum.com on how to think about generalizing lessons from unwinding to looming new Medicaid red tape requirements. jamanetwork.com/journals/jam... We appreciate support from the @commonwealthfund.org for this work!

As national medical, scientific, public health and patient organizations, we call for the resignation of HHS Secretary Robert F. Kennedy Jr. to ensure the health of the American people. Our statement: https://bit.ly/45LeJHi

New statement: IDSA, APHA and partners call for RFK Jr. to resign: "Our country needs leadership that will promote open, honest dialogue — not disregard decades of lifesaving science, spread misinformation, reverse medical progress and decimate programs that keep us safe." bit.ly/3JOgDya

BREAKING: A federal judge reverses the Trump administration's cut of billions of dollars to Harvard University.

🧪 And House appropriators say: no cuts to NIH budget! House subcommittee version just came out (link below). Holds NIH flat at $48 billion. To be clear: this is far from over. But a good sign that science still matters across both sides of aisle. YOUR VOICE MATTERS!!

9 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American." It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...

The letter is ready, thanks to all those who helped out! Starting to gather signature now, please consider signing (link at top of letter) & spread the word. docs.google.com/document/d/1...

I'm out of here for the night, but I'll end with this. GOVERNOR LISA COOK IS AN EXCEPTIONAL ECONOMIST, EDUCATOR, POLICY LEADER, AND HUMAN BEING. LET THE RECORD SHOW THAT HER LEGACY WILL OUT LIVE THEIRS. THANK YOU AND GOOD NIGHT.

Primary care doc here. Bruising like this is pretty common as folks get older (definitely by 78 like DJT) and their skin loses "cushioning" subcutaneous fat. Trump also takes a baby aspirin daily. That could be enough to explain this if he thwacked his hand on something, even lightly.

The submissions for the new Massachusetts seal, flag and motto are up, and my friends, they are a *trip* www.mass.gov/doc/massachu...

AI's high scores on medical exams may be misleading. A new study shows that when the correct answer is replaced with "None of the other answers," model accuracy plummets. This suggests a reliance on pattern recognition over genuine clinical reasoning. #MedSky #MedAI #MLSky

NEW: Justice Amy Coney Barrett is swing vote as #SCOTUS lets Trump admin cut off $783 million in NIH grants deemed tainted by DEI or gender ideology. Another 🔥 partial dissent from Justice Ketanji Brown Jackson who says high court's playing Calvinball www.politico.com/news/2025/08...