Professor of health policy w/ expertise in access to care, Medicaid, Veterans' health. Former @BUSPH_HLPM @DeptofDefense @USArmy (CIV) @AlumsPMF. Views my own.
🚨New research in @Health_Affairs Scholar!
Arkansas had some of the nation's strictest Medicaid eligibility rules, and the highest rates of uninsurance among low-income adults.
What changed after their unique 2014 Medicaid expansion? 🧵
LINK: https://t.co/Nu9pYbCLzR
... blood pressure elevation (SBP 140-145mmHg) were 15% **LESS** likely to have their BP medications uptitrated.
The consequence?
A significant increase in strokes in these patients — 5 more strokes per 1,000 patients!
For decades, many health economists have pushed ...
Extraordinary study in JAMA IM confirms what many of us have warned against: "pay-for-performance" incentives in medicine reward "teaching to the test" with potentially harmful results
In this quasi-experimental study, incentivizing doctors to control blood pressure (BP)...
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At the school talent show, 11-year-old Samuel didn’t just find his voice — he found his flock. The autistic student with Tourette syndrome can mimic 50 different birds, a talent that had gone unnoticed until that unforgettable performance. @SteveHartmanCBS is On the Road.
This choice comes as a big surprise to states. As recently as last month, CMS was telling them in regular meetings that it would allow them to exclude people based on medical diagnoses alone. That's what Nebraska--already live with its requirement--is doing.
Was glad to have the chance to join @selenasd on All Things Considered yesterday to chat about the new work requirements regulation, which is will dial up paperwork — and, as a result, coverage losses — for some of the most vulnerable Medicaid enrollees
https://t.co/RRCI5fzgnN
New article in @PNASNews:
We all know that ChatGPT loves to delve, bolster, leverage, encompass, showcase, underscore, et cetera. I analyzed full text of 7.3 million journal articles published 2020-2025, hunting for 228 words that spiked after ChatGPT launched in late 2022.
The Farm Bill -- passed by the House, now being considered in the Senate -- contains a measure that would ban states from banning horriffically abusive farming practices.
The cruelty is the point.
https://t.co/NzkOPNalQ3
.@onceuponA sharing new RCT evidence testing effects of work requirements for SNAP
Some enrollees get exemptions, others did not
Work requirements had very small effects on employment, but large effects on enrollment
Preview of what to expect in Medicaid next year #ARM26
Authors can't be trusted to run their own robustness checks.
In 17 AER papers, only 12/211 robustness checks "fail" with p > 0.05 (white).
In robustness checks chosen by 3rd parties, almost *half* of them fail (blue).
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Medicaid work requirements are projected to cause many workers to lose eligibility due to weekly fluctuations in the number of hours worked
New research by Paul Shafer, @THCallaghan, @bjdickmayhew at #ARM26
Many Veterans use care outside the VA, and simple risk adjustment will miss a lot of comorbidities and outcomes
Predictive quality is notably improved when accounting for VA-purchased community care data, less so for Medicare/Medicaid!
New research at #ARM26 by @megan
Seniors are already the wealthiest age group in America. Washington spends 6x as much on seniors as people under 25. So state and local govts moving in the same direction is totally absurd. Empty pandering to win a primary.
I hadn't been following the Gino vs Harvard drama once it became obvious Gino was guilty, but this from Harvard's latest filing is nuts. They imaged the laptop at the start of the investigation, so they caught her when she made a fake, backdated file with "data" from her research
The Inflation Reduction Act was associated with a roughly 50% relative ⬇️ in cost-related medication nonadherence. Making drugs affordable helps people take them.
Important work led by @lucas_marinacci from our group.
https://t.co/M4ABjl8RfN