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Jose Figueroa, MD, MPH

@joefigs.bsky.social
526 followers 214 following 41 posts

Doctor @BrighamWomens | Associate Prof of Health Policy & Management @HarvardHPM @HarvardHSPH | @harvardmed | Faculty Director of BWH MLP Program

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Jose Figueroa, MD, MPH @joefigs.bsky.social · 28/10/2025
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
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 28/10/2025
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
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 28/10/2025
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
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 28/10/2025
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...
sciencedirect.com
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…
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 14/10/2025
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/...
nytimes.com
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?
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 23/09/2025
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
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 23/09/2025
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...
healthaffairs.org
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.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 19/09/2025
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...
thecrimson.com
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...
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Reposted by Jose Figueroa, MD, MPH
JAMA Health Forum @jamahealthforum.com · 14/09/2025
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
JAMA Health Forum viewpoint: "Mitigating the Dangers of Medicaid Churn Among Dual-Eligible Beneficiaries" by Eric T. Roberts and José F. Figueroa, published online September 12, 2025.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 29/07/2025
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...
jamanetwork.com
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.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 01/07/2025
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...
msnbc.com
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.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 24/06/2025
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...
wsj.com
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...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 12/06/2025
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…
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 06/06/2025
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...
aspenideas.org
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 ...
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Adrianna McIntyre @adrianna.bsky.social · 24/05/2025
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.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 24/05/2025
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....
nejm.org
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...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 24/05/2025
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
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 21/05/2025
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...
nytimes.com
Federal Cuts Become ‘All Consuming’ at Harvard’s Public Health School
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 21/05/2025
Link to study 1: www.nber.org/papers/w33719 Link to study 2, which is our @nejm.org study led by Eric Roberts: www.nejm.org/doi/full/10....
nejm.org
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...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 21/05/2025
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...
npr.org
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.
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Reposted by Jose Figueroa, MD, MPH
JAMA @jama.com · 15/05/2025
Veterans in Medicare Advantage and Traditional Medicare used dental and vision services at similar rates, with no significant difference in total spending. #SGIM25 ja.ma/3ZficKj
Table 1. Characteristics of Veterans With Medicare Advantage
vs Traditional Medicare, 2018-2021
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 16/05/2025
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.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 16/05/2025
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.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 16/05/2025
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...
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Reposted by Jose Figueroa, MD, MPH
Ellen Meara @ermeara.bsky.social · 15/05/2025
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.
nejm.org
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...
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Reposted by Jose Figueroa, MD, MPH
Adrianna McIntyre @adrianna.bsky.social · 14/05/2025
As @lesliemwalker.bsky.social writes for Tradeoffs today, discussing the paper’s findings, that regulation “was poised to help nearly 1 million more duals gain this extra medication assistance, but the latest Republican proposal delays that rule until 2035.”
mailchi.mp
Tradeoffs: How Cutting Medicaid Could be Deadly
Two new research papers add important data to the fierce political debate over Medicaid in Washington, D.C. Both offer strong evidence that Medicaid, the public insurance program that covers more than...
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Reposted by Jose Figueroa, MD, MPH
Adrianna McIntyre @adrianna.bsky.social · 14/05/2025
Talk about some timely research. Here's the punchline: "Loss of drug subsidies after Medicaid disenrollment was associated with higher mortality among low-income Medicare beneficiaries." www.nejm.org/doi/full/10....
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Aaron Schwartz @aschwartz.bsky.social · 14/05/2025
Eric Roberts and @joefigs.bsky.social led a groundbreaking new study on Medicaid and Medicare, out today in NEJM. I’m lucky to have been a part of it. Medicare saves lives. But is it enough to save lives of the most vulnerable Americans? The study suggests no; Medicaid still matters. (1/11)
nejm.org
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...
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Reposted by Jose Figueroa, MD, MPH
Adrianna McIntyre @adrianna.bsky.social · 02/05/2025
The White House's "skinny budget" clarifies that they are, indeed, proposing to end all new extramural AHRQ funding while folding it into ASPE. www.whitehouse.gov/wp-content/u... (Standard disclaimer that AHRQ is an agency created and funded by Congress, not at the whims of the executive branch)
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 02/05/2025
This progress, however, is currently at threat with recent cuts to HIV programs. hsph.harvard.edu/news/hiv-car...
hsph.harvard.edu
HIV care quality has been improving for older adults | Harvard T.H. Chan School of Public Health
More people living with HIV and enrolled in Medicare are taking modern, less toxic antiretroviral drugs than ever before, according to a new study led by Harvard Chan School. This progress may be upen...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 02/05/2025
Quality of care has been improving for older people with HIV (PWH) In new @JAMANetwOpen study, we show rates of filling older, toxic ART among PWH has substantially declined to near zero in favor of newer/preferred ART regimens. jamanetwork.com/journals/jam...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 30/04/2025
And congrats to Meredith Rosenthal who will serve as interim chair! @harvardhpm.bsky.social @hsph.harvard.edu
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 30/04/2025
After 28 years, the legendary Arnie Epstein is stepping down as chair of HPM at HSPH @hsph.harvard.edu He’s been an incredible chair that has guided & grown the department for nearly 3 decades, and we will all miss him as our chair… @harvardhpm.bsky.social
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 25/04/2025
New study on Y1 of ACO REACH finds that it did not achieve its goal of enrolling organizations that serve beneficiaries with high levels of social risk. “Without broader participation, ACO REACH is unlikely to achieve its goal of reducing health inequities.” jamanetwork.com/journals/jam...
jamanetwork.com
Year 1 of Medicare’s Accountable Care Organization Realizing Equity, Access, and Community Health Model
This cross-sectional study compares characteristics between participants in Accountable Care Organization Realizing Equity, Access, and Community Health with Medicare Shared Savings Program and the br...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 15/04/2025
As Harvard prepares for its defense against the federal govt and the looming NIH freeze, Mass General Brigham (MGB) leadership begins to distance itself from the Harvard name…
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 03/04/2025
Study led by Sara Machado & Irene Papanicolas from #BrownSPH
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 03/04/2025
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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Jose Figueroa, MD, MPH @joefigs.bsky.social · 01/04/2025
I’m so sorry to hear this, Yev.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 31/03/2025
Agencies of the federal government just announced that they will begin comprehensive review of federal contracts and grants of “@Harvard and its affiliates.” Up to $225.6 million in contracts at stake plus >$8.7 billion in grants. www.hhs.gov/about/news/t...
hhs.gov
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 31/03/2025
Across the board, US states are all falling behind other countries when it comes to avoidable deaths. Check out great @medscape.com explanation and short video by @fperrywilson.bsky.social on our recent #JAMAIM study www.medscape.com/viewarticle/...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 31/03/2025
How are MA plans recruiting a veterans that get most of their care paid by VA and not by MA? 1. Make it cheap to enroll (offer $0 premiums & cash backs) 2. Offer no Part D drug coverage (rare for MA) Our new #JAMAHealthForum study led by PhD student Allie Dorneo jamanetwork.com/journals/jam...
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Reposted by Jose Figueroa, MD, MPH
Melissa Garrido @garridomelissa.bsky.social · 29/03/2025
Viewpoint from former VA employees, including former Veterans Health Administration Undersecretary for Health and former director of the Health Services Research program jamanetwork.com/journals/jam...
jamanetwork.com
Veterans Affairs Research Under Threat
This Viewpoint discusses the critical importance of continued funding for the intramural research program in the Department of Veterans Affairs.
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Reposted by Jose Figueroa, MD, MPH
Timothy Caulfield @caulfieldtim.bsky.social · 25/03/2025
"Avoidable mortality [eg, vaccine-preventable deaths & road traffic collisions] has worsened across all US states, while other high-income countries show improvement" RFK jr's (et al) Dark Age 2.0 ain't gonna help this situation. Study: jamanetwork.com/journals/jam...
jamanetwork.com
Avoidable Mortality Across US States and High-Income Countries
This population-based, cross-sectional study investigates avoidable mortality trends and health care spending in all US states compared with member countries of the European Union and Organisation for...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 24/03/2025
Avoidable mortality has worsened for all US states while other high-income countries show improvement. And while other countries seem to gain health with more spending, no such relationship exists across US states. Our new @JAMA_IM study led by @IPapanicolas jamanetwork.com/journals/jam...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 21/03/2025
Big congratulations to all medical students matching today! Especially excited to welcome the new 2025-2026 Class of #Brigham&Women’sHospital (BWH) Internal Medicine Interns! We are looking forward to working with you all very soon! @harvardmed.bsky.social
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Harvard T.H. Chan School of Public Health @hsph.harvard.edu · 20/03/2025
“Excluding [dual noneligibles] from national discussions of health care access undermines our country’s public health goals,” says Harvard Chan’s Jose Figueroa. In this Q&A, @joefigs.bsky.social discusses policy solutions to help deliver health care to older undocumented people:
hsph.harvard.edu
Addressing the health care needs of undocumented seniors | Harvard T.H. Chan School of Public Health
Harvard Chan School's Jose Figueroa discusses policy solutions to help deliver health care to older undocumented people, a growing population left behind by public insurance.
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 19/03/2025
Commonwealth Care Alliance is going bankrupt… The health for ~50K low-income people, many with disability or complex medical needs, now in the balance… @bostonglobe.com www.bostonglobe.com/2025/03/19/b...
bostonglobe.com
State prepares in case of collapse of Commonwealth Care Alliance, insurer for 50,000 poor, elderly, and disabled people - The Boston Globe
Commonwealth Care Alliance has been running out of money for months. Now, state officials are working to maintain services for its members.
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Jon Oberlander @oberlanderunc.bsky.social · 26/02/2025
Medicaid at 60 special issue from JHPPL is out, ungated. All-star lineup includes: @povertyscholar.bsky.social @pamherd.bsky.social @laurawherryr.bsky.social @joefigs.bsky.social @charleywillison.bsky.social @ericpatashnik.bsky.social & more read.dukeupress.edu/jhppl/issue/...
read.dukeupress.edu
Volume 50 Issue 2 | Journal of Health Politics, Policy and Law | Duke University Press
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 10/02/2025
Well, change is definitely coming to the Mass General Brigham (MGB) world… Nice email to wake up to today…
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Laura Burke @lauraburke20.bsky.social · 09/01/2025
I’m delighted to share our recent work t.co/VGpLro9Kmo suggesting that much of the growth in VA spending on ED visits to non-VA (“community”) EDs is due a shift in payer for ED visits from Medicare to the VA, rather than a large change in where veterans are seeking emergency care.
t.co
https://ja.ma/4iNxoXl
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