@ishaniganguli.bsky.social
Health services researcher, primary care doctor, and writer | Associate Professor @HarvardMed @BrighamDGIM via @MassGeneral @BostonGlobe | Associate Editor @JAMAInternalMed
Reposted
🚨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...
Health Care Utilization and Low-Value Service Use After Risk-Based Contract Adoption
This cohort study examined whether health care organizations’ transition to risk-based payment contracts in Medicare Advantage was associated with changes in health care utilization or use of low-valu...
jamanetwork.com
November 10, 2025 at 5:43 PM
🚨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...
Reposted
If you're in health policy or medicine and confused about what to do with all the recent DiD innovations -- or curious about their adoption in the medical literature -- @brownbiostatistics.bsky.social PhD student Shuo Feng has you covered!
onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com/doi/10.1002/...
October 10, 2025 at 1:02 PM
If you're in health policy or medicine and confused about what to do with all the recent DiD innovations -- or curious about their adoption in the medical literature -- @brownbiostatistics.bsky.social PhD student Shuo Feng has you covered!
onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com/doi/10.1002/...
Reposted
🚨 New paper: As a PCP, I often hear from patients that managing their health care feels like a full-time job. To understand this better, we analyzed the first nationally-representative US survey of older adults’ self-reported treatment burden: agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
Treatment Burden Among Older Adults in the United States, 2022
Background Treatment burden refers to the patient-perceived effort of managing health and health care, which impacts quality of life and engagement in care. International studies of treatment burden...
agsjournals.onlinelibrary.wiley.com
June 27, 2025 at 10:09 PM
🚨 New paper: As a PCP, I often hear from patients that managing their health care feels like a full-time job. To understand this better, we analyzed the first nationally-representative US survey of older adults’ self-reported treatment burden: agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
Women physicians face a persistent gender wage gap, which we've found is due in part to volume-based (FFS, or $/visit) payment models. In a new #JAMAHealthForum study, we find that under Medicare Advantage value-based payment (VBP), the gap reverses (!).
jamanetwork.com/journals/jam... @jama.com
jamanetwork.com/journals/jam... @jama.com
Gender Differences in Physician Earnings and Outcomes Under Medicare Advantage Value-Based Payment
This cohort study assesses gender differences in reimbursed earnings and quality among primary care physicians participating in full risk-sharing arrangements with Medicare Advantage plans, which now ...
jamanetwork.com
May 27, 2025 at 11:11 PM
Women physicians face a persistent gender wage gap, which we've found is due in part to volume-based (FFS, or $/visit) payment models. In a new #JAMAHealthForum study, we find that under Medicare Advantage value-based payment (VBP), the gap reverses (!).
jamanetwork.com/journals/jam... @jama.com
jamanetwork.com/journals/jam... @jama.com
⭐️future-doc @nickdaley.bsky.social presenting our work on RTBT tools and telemedicine contributions to primary care access in Medicare. Posters 53-4, come on by #SGIM25
cc @jefflinder.bsky.social
cc @jefflinder.bsky.social
May 16, 2025 at 10:16 PM
⭐️future-doc @nickdaley.bsky.social presenting our work on RTBT tools and telemedicine contributions to primary care access in Medicare. Posters 53-4, come on by #SGIM25
cc @jefflinder.bsky.social
cc @jefflinder.bsky.social
Inspiring plenary talk on tackling food insecurity by Seth Berkowitz at #SGIM25. I had the chance to chat with Seth about his study, listen here 👇🏽
🎙️ In this podcast episode, Lisa Rotenstein, Seth Berkowitz, and Elizabeth Dzeng each discuss the work they are presenting at #SGIM25 with JAMA Internal Medicine Associate Editor @ishaniganguli.bsky.social.
🎧 Listen now: edhub.ama-assn.org/jn-learning/...
🎧 Listen now: edhub.ama-assn.org/jn-learning/...
3 Studies From the Society of General Internal Medicine Annual Meeting
Lisa S. Rotenstein, MD, MBA, MSc, Seth Berkowitz, MD, MPH, and Elizabeth Dzeng, MD, PHD, MPH, each sit down one on one with JAMA Internal Medicine Associate Editor Ishani Ganguli, MD, MPH, to discuss the work they are presenting at the 2025 Society of General Internal Medicine Annual Meeting.
edhub.ama-assn.org
May 16, 2025 at 4:17 PM
Inspiring plenary talk on tackling food insecurity by Seth Berkowitz at #SGIM25. I had the chance to chat with Seth about his study, listen here 👇🏽
On my way to #SGIM25 @societygim.bsky.social and excited to share my chat with @lisarotenstein.bsky.social @sethberkowitz.bsky.social and @lizdzeng.bsky.social about studies they're about to present #SGIM25. Check out the @jamainternalmed.com episode below.
🎙️ In this podcast episode, Lisa Rotenstein, Seth Berkowitz, and Elizabeth Dzeng each discuss the work they are presenting at #SGIM25 with JAMA Internal Medicine Associate Editor @ishaniganguli.bsky.social.
🎧 Listen now: edhub.ama-assn.org/jn-learning/...
🎧 Listen now: edhub.ama-assn.org/jn-learning/...
3 Studies From the Society of General Internal Medicine Annual Meeting
Lisa S. Rotenstein, MD, MBA, MSc, Seth Berkowitz, MD, MPH, and Elizabeth Dzeng, MD, PHD, MPH, each sit down one on one with JAMA Internal Medicine Associate Editor Ishani Ganguli, MD, MPH, to discuss the work they are presenting at the 2025 Society of General Internal Medicine Annual Meeting.
edhub.ama-assn.org
May 14, 2025 at 10:39 PM
On my way to #SGIM25 @societygim.bsky.social and excited to share my chat with @lisarotenstein.bsky.social @sethberkowitz.bsky.social and @lizdzeng.bsky.social about studies they're about to present #SGIM25. Check out the @jamainternalmed.com episode below.
👇🏽New study led by @nickdaley.bsky.social finds that for most older adults, every extra day getting health care costs them an extra $49 out-of-pocket. And above certain thresholds, these extra days offer diminishing marginal returns on care satisfaction.
@jama.com
@jama.com
Health care contact days outside of the home, while often necessary, can place burdens on older adults and caregivers. In a new JAMA IM study, @ishaniganguli.bsky.social, John Orav, and I look at the relationship between contact days and other measures of patient experience. Key findings ⬇️
Contact Days, Care Experience, and Out-of-Pocket Spending
This cross-sectional study examines the level of satisfaction in care, ease of managing care, and out-of-pocket expenses among patients enrolled in traditional Medicare.
jamanetwork.com
March 17, 2025 at 11:19 PM
👇🏽New study led by @nickdaley.bsky.social finds that for most older adults, every extra day getting health care costs them an extra $49 out-of-pocket. And above certain thresholds, these extra days offer diminishing marginal returns on care satisfaction.
@jama.com
@jama.com
Reposted
Docs & patients know the pain of chasing borderline/incidental findings w/ a string of visits, tests and treatments. Yet after that initial test, these cascades can feel unavoidable. In a new @journalgim.bsky.social, @ishaniganguli.bsky.social and I explore reasons why & potential solutions:
Safe, Then Sorry? — The Psychological Biases that Drive Care Cascades - Journal of General Internal Medicine
Journal of General Internal Medicine -
link.springer.com
March 7, 2025 at 8:49 PM
Docs & patients know the pain of chasing borderline/incidental findings w/ a string of visits, tests and treatments. Yet after that initial test, these cascades can feel unavoidable. In a new @journalgim.bsky.social, @ishaniganguli.bsky.social and I explore reasons why & potential solutions:
Reposted
"In an unprecedented move, the US National Institutes of Health (NIH) has begun mass terminations of research grants that fund active scientific projects because they no longer meet 'agency priorities'"
www.nature.com/articles/d41...
www.nature.com/articles/d41...
Exclusive: NIH to terminate hundreds of active research grants
Studies that touch on LGBT+ health, gender identity and DEI in the biomedical workforce could be terminated, according to documents obtained by Nature.
www.nature.com
March 6, 2025 at 3:08 AM
"In an unprecedented move, the US National Institutes of Health (NIH) has begun mass terminations of research grants that fund active scientific projects because they no longer meet 'agency priorities'"
www.nature.com/articles/d41...
www.nature.com/articles/d41...
Reposted
Yesterday, President Trump addressed members of Congress in the joint session, but he had little to say about health care.
Here's what our team is reading to make sense of what's happening in health policy...
Here's what our team is reading to make sense of what's happening in health policy...
March 5, 2025 at 8:45 PM
Yesterday, President Trump addressed members of Congress in the joint session, but he had little to say about health care.
Here's what our team is reading to make sense of what's happening in health policy...
Here's what our team is reading to make sense of what's happening in health policy...
Glad to share our new @health.nationalacademies.org report on Medicare primary care valuation.
We outline systemic challenges with the current approach that have cascading effects on the private sector and on patient outcomes, and we recommend a path forward.
bit.ly/4bozVUz
#primarycare
We outline systemic challenges with the current approach that have cascading effects on the private sector and on patient outcomes, and we recommend a path forward.
bit.ly/4bozVUz
#primarycare
Improving Primary Care Valuation Processes to Inform the Physician Fee Schedule
Read online, download a free PDF, or order a copy in print.
bit.ly
February 28, 2025 at 7:52 PM
Glad to share our new @health.nationalacademies.org report on Medicare primary care valuation.
We outline systemic challenges with the current approach that have cascading effects on the private sector and on patient outcomes, and we recommend a path forward.
bit.ly/4bozVUz
#primarycare
We outline systemic challenges with the current approach that have cascading effects on the private sector and on patient outcomes, and we recommend a path forward.
bit.ly/4bozVUz
#primarycare
Congress must decide if it will extend Medicare telehealth coverage beyond March 2025.
Our new JAMA IM study shows how this may benefit Medicare patients + taxpayers.
TLDR: Telemedicine ⬇️ some low-value test use + spending (eg,onsite EKGs,blood tests) + ⬇️ total visit spending.
shorturl.at/w6l5l
Our new JAMA IM study shows how this may benefit Medicare patients + taxpayers.
TLDR: Telemedicine ⬇️ some low-value test use + spending (eg,onsite EKGs,blood tests) + ⬇️ total visit spending.
shorturl.at/w6l5l
Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries
This cohort study aims to quantify the association between telemedicine adoption and low-value testing among fee-for-service Medicare beneficiaries.
shorturl.at
February 24, 2025 at 9:48 PM
Congress must decide if it will extend Medicare telehealth coverage beyond March 2025.
Our new JAMA IM study shows how this may benefit Medicare patients + taxpayers.
TLDR: Telemedicine ⬇️ some low-value test use + spending (eg,onsite EKGs,blood tests) + ⬇️ total visit spending.
shorturl.at/w6l5l
Our new JAMA IM study shows how this may benefit Medicare patients + taxpayers.
TLDR: Telemedicine ⬇️ some low-value test use + spending (eg,onsite EKGs,blood tests) + ⬇️ total visit spending.
shorturl.at/w6l5l
Reposted
People who work or have worked at HHS, NIH, FDA, CMS, CDC, HRSA and other health agencies - we want to hear from you.
Researchers who rely on federal funding from any of these entities, we also want to hear from you.
Reach out to us: www.propublica.org/tips/
Or find me on Signal: 347-549-0332 🔎
Researchers who rely on federal funding from any of these entities, we also want to hear from you.
Reach out to us: www.propublica.org/tips/
Or find me on Signal: 347-549-0332 🔎
February 24, 2025 at 4:43 PM
People who work or have worked at HHS, NIH, FDA, CMS, CDC, HRSA and other health agencies - we want to hear from you.
Researchers who rely on federal funding from any of these entities, we also want to hear from you.
Reach out to us: www.propublica.org/tips/
Or find me on Signal: 347-549-0332 🔎
Researchers who rely on federal funding from any of these entities, we also want to hear from you.
Reach out to us: www.propublica.org/tips/
Or find me on Signal: 347-549-0332 🔎
Reposted
With RFK Jr saying he wants to stop NIH doing infectious disease research “for 8 years” and Trump now slashing the NIH and CDC workforce, what exactly is the plan for tackling the H5N1 bird flu outbreak?
BREAKING: StatNews reports that more than 5,000 HHS employees across NIH, CDC and other public health and research agencies will be fired this afternoon. www.statnews.com/2025/02/14/f...
Trump administration to fire thousands at health agencies
The Trump administration is set to eliminate thousands of federal health care jobs Friday, targeting employees across agencies who were hired in the past one to two years.
www.statnews.com
February 14, 2025 at 5:58 PM
With RFK Jr saying he wants to stop NIH doing infectious disease research “for 8 years” and Trump now slashing the NIH and CDC workforce, what exactly is the plan for tackling the H5N1 bird flu outbreak?
Reposted
It's incredibly disheartening to hear about dedicated public health professionals getting mass-laid off from CDC. Including first year epidemic intelligence service officers. This program has been the backbone of outbreak investigations in US since 1951. Decimating this workforce makes us less safe.
February 14, 2025 at 6:49 PM
It's incredibly disheartening to hear about dedicated public health professionals getting mass-laid off from CDC. Including first year epidemic intelligence service officers. This program has been the backbone of outbreak investigations in US since 1951. Decimating this workforce makes us less safe.
Reposted
A new Trump formula for NIH grants could have very broad effects. We dug into the numbers to show what it means for every university and hospital. www.nytimes.com/interactive/... @aatishb.bsky.social @emmbadger.bsky.social @ethansinger.bsky.social @irineoc.bsky.social @fparis.bsky.social
How Trump’s Medical Research Cuts Would Hit Colleges and Hospitals in Every State
Changes to a key funding formula will reduce research grants at hospitals and universities by billions — and may discourage future research.
www.nytimes.com
February 14, 2025 at 6:45 PM
A new Trump formula for NIH grants could have very broad effects. We dug into the numbers to show what it means for every university and hospital. www.nytimes.com/interactive/... @aatishb.bsky.social @emmbadger.bsky.social @ethansinger.bsky.social @irineoc.bsky.social @fparis.bsky.social
Reposted
1. Today the NIH director issued a new directive slashing overhead rates to 15%.
I want to provide some context on what that means and why it matters.
grants.nih.gov/grants/guide...
I want to provide some context on what that means and why it matters.
grants.nih.gov/grants/guide...
NOT-OD-25-068: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates
NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates NOT-OD-25-068. OD
grants.nih.gov
February 8, 2025 at 12:18 AM
1. Today the NIH director issued a new directive slashing overhead rates to 15%.
I want to provide some context on what that means and why it matters.
grants.nih.gov/grants/guide...
I want to provide some context on what that means and why it matters.
grants.nih.gov/grants/guide...
A wonderful, thought-provoking piece by Paula Span @thenewyorktimes.bsky.social featuring our work.
Thank you for sharing @adambeckman.bsky.social!
Thank you for sharing @adambeckman.bsky.social!
"So Many Days Lost at the Doctor’s Office" by Paula Span superbly describes the wearying hoops patients are asked to jump through, based on @ishaniganguli.bsky.social's thoughtful research
www.nytimes.com/2024/11/23/h...
www.nytimes.com/2024/11/23/h...
So Many Days Lost at the Doctor’s Office
Medical care can be wearying and time-consuming, especially for seniors. Researchers are beginning to quantify the burdens.
www.nytimes.com
November 25, 2024 at 3:24 PM
A wonderful, thought-provoking piece by Paula Span @thenewyorktimes.bsky.social featuring our work.
Thank you for sharing @adambeckman.bsky.social!
Thank you for sharing @adambeckman.bsky.social!
Reposted
Hey #healthpolicy crew! Looking into RFK Jr.’s beliefs on chronic conditions.
Hoping to interview a few chronic condition experts on best evidence to treat cc.
All suggestions welcome.
RT’s (or what they’re called here appreciated)
Hoping to interview a few chronic condition experts on best evidence to treat cc.
All suggestions welcome.
RT’s (or what they’re called here appreciated)
November 14, 2024 at 10:27 PM
Hey #healthpolicy crew! Looking into RFK Jr.’s beliefs on chronic conditions.
Hoping to interview a few chronic condition experts on best evidence to treat cc.
All suggestions welcome.
RT’s (or what they’re called here appreciated)
Hoping to interview a few chronic condition experts on best evidence to treat cc.
All suggestions welcome.
RT’s (or what they’re called here appreciated)
Tomorrow! Join @NASEM Health and Medicine Division’s Nov 14 public meeting to explore federal efforts to strengthen the primary care workforce and review recent consensus study reports on primary care payments.
To register: secure-web.cisco.com/1gJCDDL9TQkk...
To register: secure-web.cisco.com/1gJCDDL9TQkk...
Standing Committee on Primary Care - November Open Meeting
Register for this event from the National Academies of Sciences, Engineering, and Medicine.
secure-web.cisco.com
November 14, 2024 at 1:26 AM
Tomorrow! Join @NASEM Health and Medicine Division’s Nov 14 public meeting to explore federal efforts to strengthen the primary care workforce and review recent consensus study reports on primary care payments.
To register: secure-web.cisco.com/1gJCDDL9TQkk...
To register: secure-web.cisco.com/1gJCDDL9TQkk...
Reposted
1/ I've been practicing #medicine, as a #primarycare doc and then a #hospitalist, for over a decade.
Cross-cutting any #social or #partisan divides is an increasingly common feeling: people are feeling #stuck and #trapped.
I think we are seeing the reverberations of that feeling everywhere.
Cross-cutting any #social or #partisan divides is an increasingly common feeling: people are feeling #stuck and #trapped.
I think we are seeing the reverberations of that feeling everywhere.
November 11, 2024 at 4:41 PM
1/ I've been practicing #medicine, as a #primarycare doc and then a #hospitalist, for over a decade.
Cross-cutting any #social or #partisan divides is an increasingly common feeling: people are feeling #stuck and #trapped.
I think we are seeing the reverberations of that feeling everywhere.
Cross-cutting any #social or #partisan divides is an increasingly common feeling: people are feeling #stuck and #trapped.
I think we are seeing the reverberations of that feeling everywhere.
New @ Annals Intern Med
TLDR: We find the average older adult in traditional Medicare spends 3 weeks per year getting health care, mostly (17 days) ambulatory care like office visits, tests, and treatments.
11% of these adults spent 50+ days per year (!).
www.acpjournals.org/doi/10.7326/...
TLDR: We find the average older adult in traditional Medicare spends 3 weeks per year getting health care, mostly (17 days) ambulatory care like office visits, tests, and treatments.
11% of these adults spent 50+ days per year (!).
www.acpjournals.org/doi/10.7326/...
January 24, 2024 at 5:59 PM
New @ Annals Intern Med
TLDR: We find the average older adult in traditional Medicare spends 3 weeks per year getting health care, mostly (17 days) ambulatory care like office visits, tests, and treatments.
11% of these adults spent 50+ days per year (!).
www.acpjournals.org/doi/10.7326/...
TLDR: We find the average older adult in traditional Medicare spends 3 weeks per year getting health care, mostly (17 days) ambulatory care like office visits, tests, and treatments.
11% of these adults spent 50+ days per year (!).
www.acpjournals.org/doi/10.7326/...
New in JAMA Network Open: Our RCT of a peer comparison/education intervention to improve PCP-patient medical test conversations during annual visits jamanetwork.com/journals/jam...
November 9, 2023 at 11:11 PM
New in JAMA Network Open: Our RCT of a peer comparison/education intervention to improve PCP-patient medical test conversations during annual visits jamanetwork.com/journals/jam...