Jose Figueroa, MD, MPH
joefigs.bsky.social
Jose Figueroa, MD, MPH
@joefigs.bsky.social
Doctor @BrighamWomens | Associate Prof of Health Policy & Management @HarvardHPM @HarvardHSPH | @harvardmed | Faculty Director of BWH MLP Program
Big picture:

Strong performance on prevention *within* the health care system isn’t enough to protect us if prevention *outside* it remains weak.

Work in collaboration w/ Irene Papanicolas @brownpublichealth.bsky.social, Tania Sawaya, & Sara Bleich @harvardhpm.bsky.social @hsph.harvard.edu
October 28, 2025 at 11:29 AM
3. Public health policies lag far behind — the US has much weaker regulation of food, tobacco, alcohol, and firearms.

At the same time, we eat more calories, have higher obesity prevalence, and more illicit drug/opioid use. This is why Americans are more likely to die prematurely.
firearms.at
October 28, 2025 at 11:29 AM
3 key takeaways:

1. When it comes to performance *within* primary healthcare system, the US actually *performs better* than most countries (e.g., higher screening, vaccinations, and chronic disease management rates).

2. But millions still lack coverage & reliable access to affordable primary care
October 28, 2025 at 11:29 AM
We often hear that the U.S. underinvests in primary care and prevention—and that this explains why Americans live shorter, less healthy lives.

In our new @thelancetph.bsky.social, we take a closer look at this issue.

#IrenePapanicolas @Brown

www.sciencedirect.com/science/arti...
Comparing US prevention efforts to other high-income countries
Life expectancy in the USA is considerably lower than in most high-income countries, with many deaths considered preventable. The extent by which poor…
www.sciencedirect.com
October 28, 2025 at 11:29 AM
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/...
Sue Goldie Has Parkinson’s Disease
An acclaimed researcher is an expert at explaining complicated problems. Now she has to confront the most vexing question: What is happening to her?
www.nytimes.com
October 14, 2025 at 2:11 PM
Three key findings:

1. In just 1yr, we saw a ~55% enrollment growth among full-benefit duals and >68% among partial duals into C-SNPs.

2. About 1 in 4 duals in 2025 C-SNPs came from plans w/ some form of integration.

3. About 15% of C-SNPs could be terminated if CMS applied “look-alike” rule
September 23, 2025 at 1:49 PM
In new #HealthAffairs Forefront piece, we show a troubling trend:

Rapid growth of “Chronic Condition Special Needs Plans (C-SNPs)” enrolling dual-eligibles.

We argue their growth is threatening national integrated care efforts for duals.

www.healthaffairs.org/do/10.1377/f...
Growth Of C-SNPs May Be Jeopardizing Medicare-Medicaid Integration | Health Affairs Forefront
With the new availability of Medicare enrollment data for 2025, we examine ongoing enrollment growth of chronic condition special needs plans (C-SNPs) overall and among the dual-eligible population.
www.healthaffairs.org
September 23, 2025 at 1:49 PM
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...
Harvard Receives $46 Million in Federal Grants, Ending 4-Month Freeze | News | The Harvard Crimson
Millions of dollars in federal research grants from the National Institutes of Health began to flow to Harvard on Friday, the first grant money to return to the University since a judge struck down th...
www.thecrimson.com
September 19, 2025 at 8:43 PM
Reposted by Jose Figueroa, MD, MPH
Viewpoint: #Medicaid is vital for low-income, dual-eligible adults and people with disabilities, but coverage disruptions due to administrative barriers increase health risks. ja.ma/4pBxGUO
September 14, 2025 at 4:00 PM
Sign of a broken health care system when patients with cancer feel like this:

“I always told myself the stress of dealing with insurance was worse than the cancer.”

Insights from patients w/ cancer dealing with prior authorizations in @jamanetworkopen.com study

jamanetwork.com/journals/jam...
Patient Perspectives on Prior Authorization for Cancer Care
This qualitative study characterizes the perspectives of patients with cancer regarding their experience with prior authorization for cancer care.
jamanetwork.com
July 29, 2025 at 4:38 PM
The true cost of the reconciliation bill will be measured in lives—over 50,000 per year.

It’s a predictable result when you cut off insurance to people who are old, poor and sick.

Eric Roberts @pennldi.bsky.social and I discuss @msnbc.com @harvardhpm.bsky.social

www.msnbc.com/opinion/msnb...
Opinion | The true cost of the GOP’s megabill will be measured in lives. Tens of thousands of lives.
It’s a predictable result when you cut off health insurance to people who are old, poor and sick.
www.msnbc.com
July 1, 2025 at 12:33 AM
Promising development in Congress:

A bipartisan group of House and Senate lawmakers considering finally fixing the MA to VA cost-shifting loophole that currently leads to billions in MA profits to provide zero care while VA foots the bill.

Story by @wsj.com

www.wsj.com/politics/pol...
Exclusive | Lawmakers Seek to Close VA Loophole That Funnels Billions to Private Medicare Insurers
A Wall Street Journal investigation found the federal government paid insurers an estimated $44 billion from 2018 through 2021 to cover veterans in Medicare Advantage plans who were also getting healt...
www.wsj.com
June 24, 2025 at 6:14 PM
Our new @JAMAHealthForum study adds more evidence on how Medicare Advantage plans enrolling veterans are maximizing profits by not paying for care.

Veterans in high-veteran MA plans are much more likely to have surgical care paid by VA than plan itself—even when surgery occurs in non-VA hospitals…
Veterans enrolled in high-veteran Medicare Advantage plans are more likely to have their surgical care costs shifted to the Veterans Health Administration instead of being covered by the MA plans.

#ARM25 @academyhealth.bsky.social

https://ja.ma/4jKGy6e
June 12, 2025 at 12:00 AM
I’m honored and excited to have been selected as one of the 2025 Aspen Ideas Health Fellows this year!

Forum brings together a diverse set of people working on issues related to improving health.

Full list of @aspenideas.bsky.social Health Fellows:

www.aspenideas.org/articles/202...
2025 Aspen Ideas: Health Fellows | Aspen Ideas
The Aspen Ideas: Health Fellows are a diverse group of health leaders who are selected for their innovative work, inspired accomplishments, and ability to transform ideas into action. Get to know the ...
www.aspenideas.org
June 6, 2025 at 9:21 PM
Reposted by Jose Figueroa, MD, MPH
I want to emphasize that this is 18,000 avoidable deaths per year *of Medicare enrollees.*

They aren't in CBO's "uninsured" count — they're older people and folks with disabilities on Medicare who won't get extra financial help because of a proposed moratorium on a regulation.
CBO projects that House reconciliation bill will cause 1.38 million low-income Medicare beneficiaries to lose Medicaid coverage

We estimate that this will lead to over 18,000 avoidable deaths per year stemming from loss of drug subsidies

Link to our memo led by @pennldi.bsky.social:
bit.ly/4mwfcDA
May 24, 2025 at 12:21 PM
Estimates are based on our recent @nejm.org study showing that loss of subsidized coverage (the Part D Low-Income Subsidy) led to significant increases in mortality among low-income Medicare beneficiaries.

@pennldi.bsky.social @harvardhpm.bsky.social

Link to study: www.nejm.org/doi/full/10....
Loss of Subsidized Drug Coverage and Mortality among Medicare Beneficiaries | NEJM
A total of 14 million Medicare beneficiaries receive the Low-Income Subsidy (LIS), which reduces cost sharing in Medicare Part D. Losing the LIS may impede medication access and affect mortality. U...
www.nejm.org
May 24, 2025 at 12:38 AM
CBO projects that House reconciliation bill will cause 1.38 million low-income Medicare beneficiaries to lose Medicaid coverage

We estimate that this will lead to over 18,000 avoidable deaths per year stemming from loss of drug subsidies

Link to our memo led by @pennldi.bsky.social:
bit.ly/4mwfcDA
May 24, 2025 at 12:38 AM
Last week was hard for us @hsph.harvard.edu after losing all NIH grants.

This week, we are forced to reckon with what’s next, including shutting down research portfolios, considering staffing cuts, and scrambling to cover salaries.

HSPH: “ground zero” of NIH cuts

www.nytimes.com/2025/05/21/u...
Federal Cuts Become ‘All Consuming’ at Harvard’s Public Health School
www.nytimes.com
May 21, 2025 at 4:09 PM
Great summary of 2 recent studies in @npr.org by @lesliemwalker.bsky.social that show:

1) Value of having Medicaid (Wyse & Meyer, NBER)

2) Human costs of losing Medicaid & linked subsidized drug coverage in @nejm.org

Lives saved in study 1 and lives lost in study 2

www.npr.org/sections/sho...
New studies show what's at stake if Medicaid is scaled back
Researchers studied the health care program's effect on the health of millions of Americans and found tens of thousands of lives were saved.
www.npr.org
May 21, 2025 at 1:28 PM
Reposted by Jose Figueroa, MD, MPH
Veterans in Medicare Advantage and Traditional Medicare used dental and vision services at similar rates, with no significant difference in total spending. #SGIM25

https://ja.ma/3ZficKj
May 15, 2025 at 9:05 PM
Taken together, the comprehensive CMS payments MA plans get to care for vets (especially those who get little to no medical care paid by MA) are simply not justified by the “extra” MA supplemental benefits.

Urgent need for VA and CMS to fix this inefficiency to tune of $BILLIONS per year.
May 16, 2025 at 12:59 PM
Using national survey data, we find:

1. No significant differences in total utilization or spending of dental & vision services between vets in MA vs TM.

2. MA plans only spend ~$82 per veteran enrollee on dental care and ~$6 more on vision aids than what TM vets get.
May 16, 2025 at 12:59 PM
Many veterans enrolling in Medicare Advantage get zero care paid by plans.

MA insurers argue that vets get extra benefits (vision + dental).

But in new @jama.com study, we find that this claim is NOT actually the truth.

@adambeckman.bsky.social @hsph.harvard.edu

jamanetwork.com/journals/jam...
May 16, 2025 at 12:59 PM
Reposted by Jose Figueroa, MD, MPH
Loss of Subsidized Drug Coverage and Mortality among Medicare Beneficiaries | New England Journal of Medicine www.nejm.org/doi/full/10....
How important is help with drug costs? For dual Medicare-Medicaid beneficiaries, it saves lives.
Loss of Subsidized Drug Coverage and Mortality among Medicare Beneficiaries | NEJM
A total of 14 million Medicare beneficiaries receive the Low-Income Subsidy (LIS), which reduces cost sharing in Medicare Part D. Losing the LIS may impede medication access and affect mortality. U...
www.nejm.org
May 15, 2025 at 3:02 PM