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Reposted

Audrey D. Zhang @audreydzhang.bsky.social · Jun 27

🚨 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

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 27

cc @nickdaley.bsky.social @hneprash.bsky.social @laurenshughes.bsky.social @ddiamond.bsky.social @mdaware.org @drneelshah.bsky.social @wrightcensored.bsky.social @arghavansallesmd.medsky.social @michaelannica.bsky.social @dangoren.bsky.social @meddly.bsky.social @dusetzinas.bsky.social

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 27

What does this tell us? Even with its flaws, VBP may align better with traditionally gendered practice patterns - like more face-to-face and asynchronous time with patients - that are also likely good for patients and that all PCPs regardless of gender want to provide.

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 27

Using MA claims/Star rating data for 872 PCPs in 7 states who took on full risk for their MA patients, we found women PCPs had better quality outcomes and their patients had fewer ED visits and hospitalizations. Women earned the same per patient under FFS and *MORE* under VBP.

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 27

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

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

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 16

⭐️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

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 16

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 👇🏽

JAMA Internal Medicine @jamainternalmed.com · May 14

🎙️ 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/...

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

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 16

Dr. Stone has had incredible impact in her career. Proud to be one of many lucky enough to be mentored by her. #SGIM25

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 14

cc @evemd1.bsky.social @carygross.bsky.social @ilanarichman.bsky.social @timandersonmd.bsky.social

ishaniganguli.bsky.social @ishaniganguli.bsky.social · May 14

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.

JAMA Internal Medicine @jamainternalmed.com · May 14

🎙️ 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/...

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

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · Mar 17

👇🏽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

Nick Daley @nickdaley.bsky.social · Mar 17

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

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Reposted

Nick Daley @nickdaley.bsky.social · Mar 7

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

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Reposted

Stand Up for Science! @standupforscience.bsky.social · Mar 6

"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...

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

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Reposted

Tradeoffs @tradeoffs.org · Mar 5

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...

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · Feb 28

So good to co-chair this report w/ @asaf-bitton.bsky.social and to work on it w/ esteemed Standing Committee for Primary Care colleagues incl
@kgrumbach.bsky.social @laurenshughes.bsky.social @drkamleigh.bsky.social

cc @commonwealthfund.org @arnoldventures.bsky.social
@milbankfund.bsky.social

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · Feb 28

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

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

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · Feb 25

Thanks Aaron!

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · Feb 24

These results should help to reassure policymakers concerned about telemedicine worsening care quality and spending.

Huge thanks to funders @commonwealthfund.org @arnoldventures.bsky.social

cc our fantastic team incl @davidmcutler.bsky.social @andrewlhicks.bsky.social
@jama.com

ishaniganguli.bsky.social @ishaniganguli.bsky.social · Feb 24

Using 100% Medicare claims + “DiD” analyses, we compared patients attributed (pre-pandemic) to health systems that later adopted telemed a lot or a little. Patients in high-telemed systems saw either a relative drop or no change across 20 tests, plus ⬇️ spending on a few tests and on visits overall.

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ishaniganguli.bsky.social @ishaniganguli.bsky.social · Feb 24

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

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

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Reposted

Annie Waldman @anniewaldman.bsky.social · Feb 24

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 🔎

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Reposted

Prof Gavin Yamey @gavinyamey.bsky.social · Feb 14

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?

Josh Marshall @joshtpm.bsky.social · Feb 14

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

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Reposted

BK. Titanji @boghuma.bsky.social · Feb 14

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.

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Reposted

Margot Sanger-Katz @sangerkatz.bsky.social · Feb 14

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

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Reposted

Carl T. Bergstrom @carlbergstrom.com · Feb 8

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...

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

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