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Reposted by Kevin Grumbach

josh farkas 💊 @pulmcrit.bsky.social · 13d

if a patient with opioid use disorder is admitted to ICU (eg for pneumonia) & they clearly tell you their dose of buprenorphine or methadone, we should just believe them and give it to them

in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery

a man is sitting at a table with a sign that says `` change my mind '' on it .

ALT: a man is sitting at a table with a sign that says `` change my mind '' on it .

media.tenor.com

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Kevin Grumbach @kgrumbach.bsky.social · 15d

Are you a PCP pulling your hair out trying to maneuver through maddening insurance and pharma barriers to getting your patients the medications they need? A 2 word solution: pharmacy technicians. Check out our study @annalsofem.bsky.social on the benefit of adding pharm techs to primary care teams👇

UCSF Dept. of Family & Community Medicine @ucsffamilymed.bsky.social · 16d

A new study just published in the @annalsofem.bsky.social (Sept/Oct 2025) shows that integrating pharmacy technicians in team-based primary care:
- Reduces clinician and nurse admin burden
- Improves efficiency & care
- Expands patient medication access
👉https://www.annfammed.org/content/23/5/412

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John Ross @johnrossmd.bsky.social · 25d

Important paper from @mlbarnett.bsky.social and colleagues

Patients with Medicare Advantage linger in hospital for a long time because of the limited rehab options it covers (tracks w/ what I see)

More evidence that Medicare Advantage is hot garbage that funnels public monies into private pockets

Michael L. Barnett @mlbarnett.bsky.social · Sep 8

Overall, we estimate that longer hospital stays for Medicare Advantage patients are contributing to close to 2 million extra hospital bed days occupied by people who don't need to be there any more annually. This is a huge waste and bad for patient care.

Why is this happening?

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Primary Care Collaborative @thepcc.org · 25d

Since its inception, traditional Medicare has been tied to a fee-for-service model.

As we mark its 60th birthday, Congress must devote political willpower to change this outdated model and reverse the erosion of America's health.

From PCC's Ann Greiner:

Why a Hybrid Payment Model Offers Hope for Primary Care as Medicare Turns 60 - PCC

Sixty years ago, we relied on typewriters, rotary phones and slide rules to get work done. As we have replaced these tools with better, more advanced technology, our work environment has changed…

thepcc.pub

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Kevin Grumbach @kgrumbach.bsky.social · 26d

-CMS must use more objective, valid data sources for valuating services than currently provided by the RUC
-Add on APCM Beh Health Integration codes are a good step to support beh health integration but need continuing refinement 2/2

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Kevin Grumbach @kgrumbach.bsky.social · 26d

Top line recs from @health.nationalacademies.org responding to 2026 CMS fee rules:
-AdvPrimCareMng(APCM) services are largely preventive and should be exempt from cost-sharing
-efficiency adjustments are justified for procedural and diagnostic services 1/2
www.nationalacademies.org/our-work/res...

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Gideon Lukens @gidlukens.bsky.social · 27d

Today’s ACS data show health coverage inequities increased in 2024 for Black & Latino ppl, and ppl with low and moderate incomes. These trends were likely driven by the drop in Medicaid enrollment. tinyurl.com/yttxmmp5

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Primary Care Collaborative @thepcc.org · 26d

In a comment letter to the Centers for Medicare and Medicaid Services, the Primary Care Collaborative and its Better Health — NOW campaign expressed appreciation for several MPFS modernization proposals that strengthen whole-person #PrimaryCare.

thepcc.pub/2026MPFSLETT...

thepcc.pub

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Kevin Grumbach @kgrumbach.bsky.social · Sep 5

Bravo to the authors and journal @annfammed.bsky.social Wonderful to see the broad interest in the important findings

Annals of Family Medicine @annfammed.bsky.social · Sep 5

Published in our latest issue, the study entitled "𝘽𝙤𝙙𝙮 𝙈𝙖𝙨𝙨 𝙄𝙣𝙙𝙚𝙭 𝙫𝙨 𝘽𝙤𝙙𝙮 𝙁𝙖𝙩 𝙋𝙚𝙧𝙘𝙚𝙣𝙩𝙖𝙜𝙚 𝙖𝙨 𝙖 𝙋𝙧𝙚𝙙𝙞𝙘𝙩𝙤𝙧 𝙤𝙛 𝙈𝙤𝙧𝙩𝙖𝙡𝙞𝙩𝙮 𝙞𝙣 𝘼𝙙𝙪𝙡𝙩𝙨 𝘼𝙜𝙚𝙙 20-49 𝙔𝙚𝙖𝙧𝙨." has been mentioned by 169 news outlets, the most ever for one article at Annals @altmetric.com #FMsky #Medsky

www.annfammed.org/content/23/4...

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George Takei @georgetakei.bsky.social · Sep 5

Laugh crying.

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Dennis Goris @dennisgoris.bsky.social · Aug 28

I miss the old brand #CDC

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Primary Care Collaborative @thepcc.org · Aug 29

According to CMS, primary care centric ACOs once again outperformed their peers participating in MSSP in 2024. It's yet another piece of evidence that when primary care leads, savings and better outcomes follow.

Our statement: thepcc.org/news/stateme...

Statement: Primary Care Centric ACOs Continue to Lead the Pack - PCC

Primary care led ACOs in MSSP generated nearly double the savings as compared to other ACOs and had excellent performance on quality.

thepcc.org

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Kevin Grumbach @kgrumbach.bsky.social · Aug 22

Ditto

Andy Pasternak @tubadrew.bsky.social · Aug 22

It's depressing that groups like @NAPCRG are having to do this, but given the attacks on primary care research, I'm proud that an organization I've been a part of for a long time is taking a stand www.citizen.org/news/health-...

Health Research Groups Sue HHS For Halting Grantmaking at Agency for Healthcare Research and Quality - Public Citizen

WASHINGTON, D.C. — Today, nonprofit organizations Society of General Internal Medicine (SGIM) and North American Primary Care Research Group (NAPCRG) sued Robert…

www.citizen.org

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Jon Shaffer @jonshaffer.bsky.social · Aug 13

The Guardian is covering the rise of @defendpublichealth.bsky.social.

#IHAT is evidence-based policy making and grassroots people powered movement building for justice and rights.

MAHA is policy-based evidence making rooted in fascist politics and capital-serving eugenic ideas. #IHATnotMAHA

Screen shot of the article in The Guardian titled, "‘Distracting the public’: group of health professionals call for RFK Jr to be removed".

"Ahead of the second Maha report, grassroots Defend Public Health warns that everything HHS is doing is ‘horrifying’"

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Kevin Grumbach @kgrumbach.bsky.social · Aug 13

Amen to that

Kenny Lin, MD, MPH @kennylinafp.bsky.social · Aug 13

You know what would have been justified? Deploying the National Guard to protect our essential public health workers at CDC from violent attackers fed vaccine misinformation by their HHS Secretary.

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Kevin Grumbach @kgrumbach.bsky.social · Jul 30

On 60th anniversary of Medicare+Medicaid, @aijenpoo.bsky.social‬ explains double whammy of Medicaid cuts + immigration policies. Immigrants crucial to home care workforce. Loss of TPS will decimate this workforce. Ominous for elderly & people with disabilities. www.democracynow.org/2025/7/30/me...

60 Years After LBJ Signed Medicaid & Medicare, GOP Cuts Threaten Lifeline for Millions

Today marks the 60th anniversary of the creation of Medicare and Medicaid — and nearly one month since President Trump’s federal budget slashed nearly $1 trillion from Medicaid to extend tax cuts for ...

www.democracynow.org

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Scott Fabricant MD PhD @safabric.bsky.social · Jul 27

I hate that anti-abortionists have stolen the term "pro-life". Screw that, I'M pro-life! I'm pro affordable healthcare, medical research and vaccines. I'm pro food stamps, school lunches, and child tax credits. I'm pro foreign aid so millions of children don't die of malaria and TB. That's pro-life!

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Kevin Grumbach @kgrumbach.bsky.social · Jul 26

And sorry about your injury. Hope you are feeling better.

Kevin Grumbach @kgrumbach.bsky.social · Jul 26

I am skeptical that a radiologist shortage is the fundamental problem. US has a robust supply of radiologists. It takes a radiologist about 15 seconds to interpret a bone X-ray. The problem is a terrible process at this health system.

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Leora Horwitz @leorahorwitzmd.bsky.social · Jul 23

Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy

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Kevin Grumbach @kgrumbach.bsky.social · Jul 23

Thanks for this extremely clear summary. Awful policies but helpful to have you explain the full extent of this calamity for coverage, access and affordability.

Reposted by Kevin Grumbach

UCSF Dept. of Family & Community Medicine @ucsffamilymed.bsky.social · Jul 21

📢 UCSF Family & Community Medicine is hiring an Administrative Director!

Lead a nationally recognized team advancing health equity, research, and clinical excellence at Zuckerberg SF General @zsfgcare.bsky.social.

💼 $143K–$215K | Full-time | Flex schedule
📍 San Francisco
🔗 Apply: bit.ly/46Vh1V8

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Kevin Grumbach @kgrumbach.bsky.social · Jul 21

CBOs proved themselves to be essential for the COVID pandemic response. They are threatened with big loss of funding just when we need them as critical partners to respond to the intensifying pandemic of social and health injustice. Highly recommend this upcoming webinar. shorturl.at/QKiR0

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Primary Care Collaborative @thepcc.org · Jul 19

Utah is facing a primary care shortage.

"The state is 49th in the U.S. in primary care doctors per capita, only 96 per every 100,000 people."

This is causing problems for patients in the Beehive State. Read more from @getgephardt.bsky.social‬ in‪ @ksl.com‬:

Utah needs primary care doctors. Can the Utah doctor shortage be fixed?

If you've waited weeks even months to see a doctor, you're not alone. Experts warn of a 'critical' shortage of primary care doctors in Utah.

ksltv.com

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Kevin Grumbach @kgrumbach.bsky.social · Jul 18

Applaud this effort by these organizations. @aafp.org where are you?

1kr5ur43m.bsky.social @1kr5ur43m.bsky.social · Jul 18

www.idse.net/Policy-Publi... America's doctors are attempting to save America's children from Donald Trump's choice for human health and services secretary Robert F Kennedy !

RFK Jr Vaccine Lawsuit IDSA

IDSA, APHA, AAP, ACP, MPHA and SMFM join lawsuit against RFK Jr. alleging unilateral changes to vaccine policy unlawful.

www.idse.net

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