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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

The BMJ @bmj.com · 7d

New BMJ Research finds the implementation of work requirements with Medicaid expansion in Georgia did not increase health insurance coverage or employment.

These findings have important implications after recently enacted legislation
www.bmj.com/content/390/...

Trends in health insurance coverage and employment in Georgia and Medicaid non-expansion states

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Alt CDC (they/them) @altcdc.altgov.info · 6d

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Evidence keeps piling up: Medicaid work requirements do not increase employment. They just make it harder for people to get health insurance.

Latest evidence comes from a BMJ study on Georgia. 🧵

Insurance coverage and employment after Medicaid expansion with work requirements: quasi-experimental difference-in-differences study

Objective To understand how health insurance coverage and employment changed among working age adults with low incomes in Georgia, the first state to implement Medicaid expansion with work requirement...

www.bmj.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Daniel Y. Johnson @danielyjohnson.bsky.social · 8d

Medicaid work requirements will soon be mandatory nationwide

Our new @bmj.com study shows that in Georgia - the only state to expand Medicaid with work requirements - work requirements impeded gains in Medicaid coverage without increasing employment

www.bmj.com/content/390/...

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Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · 8d

Medicaid work requirements will soon be implemented nationwide

Our new @bmj.com study shows what happened to insurance coverage and jobs when Georgia rolled them out in 2023. bit.ly/3VE1QsK

Featured in @nytimes.com #medsky
www.nytimes.com/2025/09/30/w...

Medicaid Work Requirements Don’t Boost Employment, Study Shows

www.nytimes.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

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

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com!

Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on??

jamanetwork.com/journals/jam...

Question Has hospital length of stay increased more for Medicare
Advantage beneficiaries than for traditional Medicare beneficiaries
since the COVID-19 pandemic?Findings In this cohort study involving more than 89 million
hospitalizations from 2017 to the third quarter of 2023, Medicare
Advantage beneficiaries experienced disproportionately greater
increases in extended hospital stays, especially among those
discharged to skilled nursing facilities.Meaning These findings suggest that the Medicare Advantage
plan design and practices may contribute to hospital discharge
delays, with implications for patient outcomes and hospital
capacity as enrollment continues to rise.

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Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · Aug 28

Surprise medical bills can be financially devastating

Our new @bmj.com study finds that the No Surprises Act - a recent law banning surprise medical bills - significantly ⬇️ out-of-pocket costs for patients without raising premiums.

Study link: t.co/hZTOVoNSy5
#medsky #cardiosky

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · Jul 30

Our @jama.com study leveraged a natural experiment to show that cutting SNAP benefits leads to ⬆️ food insecurity AND worse physical health.

The One Big Beautiful Bill’s deep cuts to SNAP are especially alarming.

Thanks for sharing @robcaliff.bsky.social!
jamanetwork.com/journals/jam...

Robert Califf @robcaliff.bsky.social · Jul 13

Seems like a bad idea to cause more food insecurity and physical disability.

jamanetwork.com/journals/jam...

Changes in Physical and Mental Health After the End of SNAP Emergency Allotments

This cross-sectional study uses data from the Behavioral Risk Factor Surveillance System to examine how Supplemental Nutrition Assistance Program emergency allotments impacted physical and mental heal...

jamanetwork.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Robert Califf @robcaliff.bsky.social · Aug 4

Sure seems time to examine the purpose of health insurance if this is correct: "Both Humana and CVS’ Aetna, for example, made changes last year designed to drive away 10% of their least profitable Medicare Advantage members."

www.statnews.com/2025/08/01/h...

In health insurers’ race to offload unprofitable members, winners begin to emerge

If you’ve followed health insurance earnings lately, you might be experiencing some whiplash. But some lessons about the industry have also emerged.

www.statnews.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

JAMA @jama.com · Jan 10

Rishi Wadhera of @harvardmed.bsky.social speaks with JAMA Associate Editor Karen Joynt Maddox about how measures of patient care experience changed after private equity acquisition of US hospitals.

ja.ma/4hao2DC

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

MedPage Today @medpagetoday.com · Jan 13

"When private equity takes over a hospital, things generally get worse for patients." -- Rishi Wadhera, MD, MPP, MPhil, of @harvardmed.bsky.social, discussing research on private equity's impact on hospitals.
www.medpagetoday.com/hospitalbase...

Patient Care Deteriorates After Private Equity Acquisition of Hospitals

Study supports other research showing worse outcomes after private equity acquisition

www.medpagetoday.com

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Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · Jul 30

Our @jama.com study leveraged a natural experiment to show that cutting SNAP benefits leads to ⬆️ food insecurity AND worse physical health.

The One Big Beautiful Bill’s deep cuts to SNAP are especially alarming.

Thanks for sharing @robcaliff.bsky.social!
jamanetwork.com/journals/jam...

Robert Califf @robcaliff.bsky.social · Jul 13

Seems like a bad idea to cause more food insecurity and physical disability.

jamanetwork.com/journals/jam...

Changes in Physical and Mental Health After the End of SNAP Emergency Allotments

This cross-sectional study uses data from the Behavioral Risk Factor Surveillance System to examine how Supplemental Nutrition Assistance Program emergency allotments impacted physical and mental heal...

jamanetwork.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

TCTMD @tctmd.bsky.social · Jun 24

Private equity-acquired hospitals may be cherry picking low-risk HF patients and performing more profitable cardiac catheterizations. “There’s been growing concern that…they may select for certain types of patients to maximize reimbursement," said @rkwadhera.bsky.social www.tctmd.com/news/private...

Private Equity-Backed Hospitals Appear to 'Cherry-Pick' HF Patients

Acquired hospitals may be inappropriately selecting patients and doing more profitable cardiac caths.

www.tctmd.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Daniel Y. Johnson @danielyjohnson.bsky.social · Jun 10

In @jaccjournals.bsky.social, we find that after private equity firms acquired hospitals, clinical risk ⬇️ & catheterizations ⬆️ among patients w/ heart failure, but outcomes didn't improve

Big thanks to @rkwadhera.bsky.social, Michael, Andrew, and Vicky!

jacc.org/doi/full/10.1016/j.jacc.2025.05.037

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

JACC Journals @jaccjournals.bsky.social · Jun 10

In this national study, #heartfailure outcomes didn’t improve after private equity hospital acquisitions, despite a 📉 in the clinical risk of patients. Transfer-outs nearly doubled for Black adults with HF. www.jacc.org/doi/10.1016/...

#ARM25 #JACC @danielyjohnson.bsky.social @rkwadhera.bsky.social

Heart Failure Care and Outcomes After Private Equity Acquisition of U.S. Hospitals:

www.jacc.org

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Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · Jun 5

Our new JAMA Cardiology study finds that many US adults don't know that they have hypertension, diabetes, or high cholesterol

Nearly 1 in 3 young adults w/ hypertension, 2 in 5 with diabetes, and 1 in 4 with high cholesterol are unaware of their condition.

bit.ly/45an6MC #medsky #cardiosky

Hypertension, Diabetes, and High Cholesterol Awareness Among US Adults

This cross-sectional study evaluated the changes in the proportion of US adults who were unaware they had hypertension, diabetes, or a high cholesterol level using 2013 to 2023 data from the National ...

jamanetwork.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Daniel Y. Johnson @danielyjohnson.bsky.social · Jun 4

Our new study in JAMA Cardiology finds that from 2013-2023, an increasing proportion of US adults were unaware that they had hypertension, especially young adults and women

Huge thanks to 🌟 mentors @rkwadhera.bsky.social and Lucas Marinacci

jamanetwork.com/journals/jam...

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

BIDMC CardioVascular Institute @bidmc-cvi.bsky.social · Jun 2

In a Cardio Business interview, Smith Ctr. for Outcomes Research Assoc. Director @rkwadhera.bsky.social discusses the rapid growth of private equity in cardiology, & the implications for quality & patient outcomes. cardiovascularbusiness.com/video/2025-0...

https://cardiovascularbusiness.com/video/2025-05-29/rishi-wadhera-explains-pros-and-cons-plus-potential-outcomes-private-equity-cardiology”

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Harvard Health Policy and Management @harvardhpm.bsky.social · May 20

This BIDMC article discusses findings of a recent study published in @jama.com, bit.ly/3HhgqSN, focusing on cuts to food stamps and the link to rising food insecurity and declining health in the US. Study co-authors include HPM's Sara Bleich and Jose Figueroa (@joefigs.bsky.social).

Cuts to Food Stamps Linked to Rising Food Insecurity, Declining Health for Millions of Americans, Study Shows

A BIDMC study found that the end of COVID-era SNAP benefits may have resulted in increased food insecurity and deteriorating health for Americans.

www.bidmc.org

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · May 12

Congress has proposed deep cuts to SNAP, which provides nutritional benefits to >40 million Americans

Our new @jama.com study finds that ⬇️ SNAP benefits not only ⬆️ food insecurity, but also leads to significant ⬆️ poor physical health #medsky

jamanetwork.com/journals/jam...

Changes in Physical and Mental Health After the End of SNAP Emergency Allotments

This cross-sectional study uses data from the Behavioral Risk Factor Surveillance System to examine how Supplemental Nutrition Assistance Program emergency allotments impacted physical and mental heal...

jamanetwork.com

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

JAMA @jama.com · May 12

After the end of emergency allotments, there were increases in food insecurity and poor physical health days among SNAP participants.

ja.ma/43dp8ZN @rkwadhera.bsky.social

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Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · May 12

Congress has proposed deep cuts to SNAP, which provides nutritional benefits to >40 million Americans

Our new @jama.com study finds that ⬇️ SNAP benefits not only ⬆️ food insecurity, but also leads to significant ⬆️ poor physical health #medsky

jamanetwork.com/journals/jam...

Changes in Physical and Mental Health After the End of SNAP Emergency Allotments

This cross-sectional study uses data from the Behavioral Risk Factor Surveillance System to examine how Supplemental Nutrition Assistance Program emergency allotments impacted physical and mental heal...

jamanetwork.com

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Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · Apr 30

Our new Annals of Internal Medicine study finds a concerning ⬆️ uninsured rates among working-age US adults after the end of the continuous enrollment provision (Medicaid "unwinding") on March 2023 #medsky

www.acpjournals.org/doi/10.7326/...
@annalsofim.bsky.social

Insurance Coverage Among Working-Age U.S. Adults After the End of the Medicaid Continuous Enrollment Provision | Annals of Internal Medicine

www.acpjournals.org

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

Jose Figueroa, MD, MPH @joefigs.bsky.social · Apr 3

New @nejm.org study with alarming results.

The wealthiest Americans do not live as long as the wealthiest in other countries.

In fact, mortality among the wealthiest Americans appeared to be similar to people in the poorest quartile in northern and western
Europe.

www.nejm.org/doi/full/10....

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Reposted by Dr. Rishi Wadhera, MD MPP MPhil

JAMA @jama.com · Mar 31

From JAMA Cardiology: Rural adults in the US have higher rates of cardiometabolic risk factors and cardiovascular diseases compared to urban adults, with disparities largely explained by social risk factors.

#ACC25 https://ja.ma/41QUhTm

Figure 1. Cardiometabolic Risk FActors and Cardiovascular Diseases by Age in Rural and Urban Areas, 2022

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Dr. Rishi Wadhera, MD MPP MPhil @rkwadhera.bsky.social · Mar 25

@accintouch.bsky.social

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