Josh Lang
@joshlangmd.bsky.social
340 followers 180 following 53 posts
Professor and Associate Director of Translational Research, GU Medical Oncologist at the University of Wisconsin Carbone Cancer Center. https://langlab.labs.wisc.edu/ #prostatecancer #cancerbiology #biomarkers
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Reposted by Josh Lang
ravimadan.bsky.social
Restaging w/ #PSMA Imaging in #mCRPC #ProstateCancer: When Seeing More Is Detrimental to Care

Sadly a year later this remains true & the frequency of this is 📈

@ascocancer.bsky.social @ascopost.bsky.social

ascopubs.org/doi/pdf/10.1...
Reposted by Josh Lang
fumikochino.bsky.social
🗣️"The system is horribly broken & it hurts patients unnecessarily”
🗣️"They wrote me off as a dead man”
 
Navigating #priorauth requires tech savvy, an understanding of insurance processes, knowledge of personal rights, & time to engage in the process.
 
@ascocancer.bsky.social @astro-org.bsky.social
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
Reposted by Josh Lang
donmoyn.bsky.social
Shout out to the WSJ journalists who reported on Vought’s impoundment by footnote, causing the White House to walk it back. Impact journalism!!
Reposted by Josh Lang
fumikochino.bsky.social
"It is a nightmare waking up every day wondering if some people halfway across the country will approve what my doctors have said is my only chance."

📄 New #PriorAuth in cancer report shows the scope of the problem & the need to #fixpriorAuth @cancercare.bsky.social

www.cancercare.org/redtape
THE HEALTH INSURANCE
MAZE
How Cancer Patients Get Lost in the Red Tape of Utilization Management Key Report Themes
CANCERCATE
Over 80 Years ef Help and Hope
• Prior authorization is widespread and repetitive
• Prior authorization leads to time burdens and care delays
• Coverage stoppages surprise patients and interrupt care
• Insurance problems affect stress, health, finances, and trust
• Self-advocacy barriers include gaps in insurance literacy and system awareness
• Employer-sponsored plans carried highest administrative burdens, followed by Medicare Advantage, then Traditional Medicare Needed At Least One Prior Authorization for Cancer Treatment, Past 12 Months, by Insurance Type
joshlangmd.bsky.social
This is how it begins...
Reposted by Josh Lang
milwaukee--brewers.bsky.social
Memorial Day dub

There we go

#MilwaukeeBrewers#BrewersBaseball #MLB
Reposted by Josh Lang
realbowtiedoc.bsky.social
Grateful to @ascocancer.bsky.social Ed Book 📗@n8pennell.bsky.social for this #MedEd publication

🛣️ How to move forward in #EarlyCareer
🚧 Overcoming barriers
⚙️ Switching gears
⏰ Making time and space

🔗: ascopubs.org/doi/10.1200/...

@ericroeland.bsky.social
@ryannipp.bsky.social
Reposted by Josh Lang
gu-cast.bsky.social
Special episode of GU Cast from Guy’s Hospital focused on #RadiationCystitis. Unique clinic dedicated to these unfortunate patients learn from Yasmin and Ramesh and team. Some great insights youtu.be/d4A2_swZOHw?...
Radiation cystitis!!! Help!!
YouTube video by GU Cast
youtu.be
Reposted by Josh Lang
wcphelps.bsky.social
Latest data on measles in the US. The total number of cases has already reached 800 in the first 4 months of 2025 with 85 hospitalizations and 3 deaths. There were 285 total cases last year. 🧪
www.cidrap.umn.edu/measles/us-m...
US measles total climbs to 800 cases, 10 outbreaks
www.cidrap.umn.edu
Reposted by Josh Lang
yukselurun.bsky.social
What if we screened smarter, not just more?
In BARCODE1, men with high polygenic risk (top 10%) had MRI + biopsy—
40% had prostate cancer.
Over half needed treatment.
Most would’ve been missed by PSA alone.
Genetics is rewriting the rules.
@nejm.org @myesmo.bsky.social @oncoalert.bsky.social
Reposted by Josh Lang
drsgraff.bsky.social
The act will disenfranchise vets/active/overseas military from voting as well (who often have less access to reams of documents)

LDF Denounces House Passage of SAVE Act, Urges Senate to Reject Bill that Will Disenfranchise Millions of Americans - naacpldf.org/press-release/…#HellNoN#VotesForVetsts
joshlangmd.bsky.social
We have known for years that uninsured and underinsured patients with cancer have the worst clinical outcomes. Medicaid is the only lifeline for many of these patients to get the care they need. As an oncologist, I have personally seen the harm caused lack of coverage. Our patients deserve better.
Reposted by Josh Lang
donmoyn.bsky.social
Whatever fraud there is in Medicaid is largely on the provider side, not beneficiaries. It's health insurance, its not cash.

"Fraud" here means going to a doctor if you are unemployed.
atrupar.com
Mike Johnson on Medicaid: "What we've talked about is returning work requirements ... you return the dignity of work to young men who need to be out working instead of playing video games all day. We have a lot of fraud, waste, and abuse in Medicaid."
Reposted by Josh Lang
viveksubbiah.bsky.social
🚨 Hot off the press! 🚨 The @myesmo.bsky.social ESMO Precision Oncology Working Group, has unveiled key "Recommendations for structuring Molecular Tumour Boards (MTBs) in clinical practice", now published in ESMO's flagship journal Annals of Oncology 🧬🏥
www.annalsofoncology.org/article/S092...
Reposted by Josh Lang
oncoalert.bsky.social
Low-dose CT for lung cancer screening in a high-risk population (SUMMIT): a prospective, longitudinal cohort study out on LANCET Oncology

www.thelancet.com/journals/lan...

These findings support the feasibility and effectiveness of large-scale lung cancer screening in a diverse population.
Reposted by Josh Lang
glaucomflecken.bsky.social
I understand this concern, but the anti-vaxx arguments are already everywhere on social media. We have to have people refuting this stuff. Can’t let it go completely unchecked.
jeffreywuhl.bsky.social
Do you worry that he’s giving them credibility by “debating” them?
Reposted by Josh Lang
mcuban.bsky.social
Just in NIH grants, It looks like beautiful Iowa City, home of the U of Iowa, will lose $71m in funding. That's almost $1k per resident. And that's before all the other cuts to SSA, FDA, etc.

Anyone in Iowa City that can offer more insight?
scienceimpacts.org
H/T to Prathima !
SCiMaP
scienceimpacts.org
Reposted by Josh Lang
govpritzker.illinois.gov
This is not efficiency, this is abandonment.

Americans deserve health care that works for them — and instead, the Trump administration is wreaking havoc on seniors, people with disabilities, and our most vulnerable.

In Illinois, we will stand up against these attacks.
The Trump administration restructures federal health agencies, cuts 20,000 jobs
The reduction in force comes along with a reorganization of the Department of Health and Human Services, consolidating 28 divisions to 15.
www.npr.org
Reposted by Josh Lang
rowanwalrath.bsky.social
The NIH is set to lose ~1,200 ppl as part of the HHS restructuring.

An NIH researcher had not yet received news internally about plans to restructure the agency as of Thursday morning, less than an hour after Kennedy's statement published. cen.acs.org/policy/US-De... @cenmag.bsky.social #chemsky
US Department of Health and Human Services to lay off 10,000 employees
Cuts will affect the Food and Drug Administration, Centers for Disease Control and Prevention, and the National Institutes of Health
cen.acs.org
Reposted by Josh Lang
jonrauch.bsky.social
A friend drove two hours today for her breast cancer chemotherapy only to learn it was canceled due to NIH cuts. Clinical trial ended midstream. No treatment, no restart, no plan, no information. Her bro-in-law's chemo was also canceled.