Adam Wilk

Asst. Prof. of Health Policy and Management, @EmoryRollins. Health econ. & health services research. he/him/his

[Adam Wilk @AdamSWilk]

Three major and interrelated mental hurdles every student in a research-oriented graduate degree program has to contend with and, at some point, hopefully, make peace with:
1. #ImpostorSyndrome. You are smart. You know things. You belong here.
https://t.co/36kucauyFX

[Adam Wilk @AdamSWilk]

💯%. Sensible reform from @UREssien @JayBLusk @DusetzinaS. Moral hazard is not a myth, but the idea affects health policy in too many ways.
Cost-Sharing Reform for Improved Health Care Equity and Value in Chronic Disease Treatments https://t.co/CwhfVktWCQ via @JAMAHealthForum

[Outset Medical @OutsetMedical]

“There’s no place like home,” says Paul Hall, 64. He's one of ~780K Americans with ESRD, requiring either dialysis, or a transplant, to live.

Now, Mr. Hall dialyzes at home at any hour he pleases, thanks to #TabloDialysis.

Read more in today's @NYTimes: https://t.co/J35eUe5uij

[Emory Health Services Research Center @EmoryHSR]

JOB ALERT: @EmoryHSR is looking for a dynamic biostatistician to join our team! Full details: https://t.co/SriMZc55Zy

To apply, send 1) a cover letter with a brief description of your interest in the position, 2) a current CV, & 3) three references to Tracy at: [email protected]

[Emory Health Services Research Center @EmoryHSR]

Join our team! @EmoryHSR is looking for a Senior Scientist! Full description here: https://t.co/q96KdE7dnI

To apply, send 1) a cover letter with a brief description of your interest in the position, 2) a current CV, & 3) three references to Tracy at: [email protected]

[Emory Health Services Research Center @EmoryHSR]

Join our team!
@EmoryHSR
is looking for an Epidemiologist! Full description here: https://t.co/wSvXffaBEY

To apply, send 1) a cover letter with a brief description of your interest in the position, 2) a current CV, & 3) three references to Tracy at: [email protected]

[Eugene Lin @eugelin06]

Really excited to share this paper! I’ll do a tweet thread later because I’m recovering from #KidneyWk and starting clinical service

Also, we did an interview on the podcast, which summarizes the paper

https://t.co/rpzsWaqMyC

[Adam Wilk @AdamSWilk]

Interesting evidence potentially pointing to reason for plateauing PD growth in the U.S.
A Comparison of US Medicare Expenditures for Hemodialysis and Peritoneal Dialysis https://t.co/pB9CwzoRqn

[Adam Wilk @AdamSWilk]

Relevant thinking for those who would like to engage with these ideas more:
https://t.co/fry7v1Zgne
https://t.co/cbdkZUHyBe
https://t.co/mGLIe19x5t

[Adam Wilk @AdamSWilk]

Three major and interrelated mental hurdles every student in a research-oriented graduate degree program has to contend with and, at some point, hopefully, make peace with:
1. #ImpostorSyndrome. You are smart. You know things. You belong here.
https://t.co/36kucauyFX

[Adam Wilk @AdamSWilk]

I claim as a part of my own identity very few marginalized identities. Identifying with the experiences of those who have experienced what others call "impostor syndrome" -- when it is in fact marginalization -- is something I am continually working on in myself.

[Eric Weinhandl @eric_weinhandl]

We are 72 hours after online publication of the linked analysis of ETC, and I have some thoughts. 🧵

Financial Incentives to Facilities and Clinicians Treating End-stage Kidney Disease and Use of Home Dialysis https://t.co/twE7133yDH via @JAMAHealthForum part of @JAMANetwork

[Yunan Ji @YunanJi]

🚨New Paper Alert🚨 @liraneinav, @nealemahoney, Amy Finkelstein and I study the first year of the ESRD Treatment Choice model, a nationwide RCT that provides financial incentives to dialysis facilities and clinicians to increase home dialysis use.

[Adam Wilk @AdamSWilk]

@lindsbullinger @danieldench1 @Gen_Pov @sppgatech @GATechEcon @GTliberalarts @_JanetCummings

[Adam Wilk @AdamSWilk]

@eugelin06 @eric_weinhandl @nupur_nephron @SBdoc33 @GrahamAbra @hswapnil @mikejohansenmd @JAMAHealthForum @AJKDonline I rechecked some of that sample size math this afternoon because, I agree, it seemed wild that the ultimate sample was only 18k pts.
Incident only + age >66 + only 9 months = dwindling sample!

[Adam Wilk @AdamSWilk]

@eugelin06 @eric_weinhandl @nupur_nephron @SBdoc33 @GrahamAbra @hswapnil @mikejohansenmd @JAMAHealthForum @AJKDonline My partial understanding is that this is rough, maybe unacceptably imprecise because dates of service (start/through) on SNF claims don't need to be super accurate or complete (hence Eric's concern). Still it may be what they did. (We punted on SNF in our related paper.)

[Adam Wilk @AdamSWilk]

@eric_weinhandl @eugelin06 @nupur_nephron @SBdoc33 @GrahamAbra @hswapnil @mikejohansenmd @JAMAHealthForum @AJKDonline I do think you can get to 20% home dialysis in this study (relative to USRDS stats) when you account for exclusions of:
- low-volume facilities (<11 pts)
- SNF care and dementia
- individuals without Medicare Part B coverage
- privately insured individuals (w/o Medicare)

[Adam Wilk @AdamSWilk]

It's only 9 months of post-experience, and it's limited to older Medicare beneficiary pts (age 66+), where there may be lesser potential to increase home dialysis % in ETC-assigned facilities.
But it's one early data point that ETC didn't really shake things up that much.
🤔

[Adam Wilk @AdamSWilk]

Medicare ETC Model evaluation paper from Ji et al.
Financial Incentives to Facilities and Clinicians Treating End-stage Kidney Disease and Use of Home Dialysis https://t.co/K9B6kf7zKG in @JAMAHealthForum

[Adam Wilk @AdamSWilk]

Observed: No difference in home dialysis % of incident patients (treatment measured at 90 days) between ETC-assigned and control HRRs, controlling for lagged outcomes and lots of other factors.
Did not look at transplant-related outcomes.

[Abraham Gutman @abgutman]

A young man is in a mental health crisis. He attacked his grandmother.

Instead of police, a mobile crisis unit arrives.

No sirens or flashing lights — and no guns.

The counselors only talk. He agrees to get a psych eval.

Alternative response in action. https://t.co/AEwQOb7Y7r