Alex Philips
@AlexPPhilips
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M4 @BrownMedicine | Medicare Advantage, price transparency, and APCD health services research @BrownHSPP @Brown_SPH
Rhode Island, USA
Joined November 2018
In sum: “Can we preserve the broad goals of preclerkship medical education while supporting medical students in a decision they have already made to learn on their own time? We believe the answer is yes.”. Our @NPR opinion piece takeaways🧵.
npr.org
Most first- and second-year medical students don't attend lectures. A student and a professor suggest it's a good time to think a lot about medical education, starting with "flipping the classroom."
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RT @JAMASurgery: Enrolling in a hospital-owned #Medicare Advantage plan and undergoing a surgical procedure at the affiliated hospital were….
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📰 Paper out today in @JAMASurgery with @gero5 @djmeyers2 @Thomasctsai suggesting that aligning care through payer-hospital integration in Medicare Advantage is associated with better postsurgical outcomes. @CAHPR_BrownSPH @BrighamSurgery @BrownMedicine
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Same caveats for this price data as w/ previous papers- esp the large proportion of payer-provider contracts which do not determine prices by CPTs . Thoughtful response to our piece here:. @CAHPR_BrownSPH @BrownMedicine .#Ophthalmology #PriceTransparency.
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📰 Price variation paper out in @JAMAOphth coauthored with @CM_Whaley . Payer-reported Clarify Transparency in Coverage (TiC) data from national insurers show huge variation by payer + geography. @DGlaucomflecken wonder what Jonathan would think!👀*nod*.
Variability in commercial insurance payment rates for ophthalmology procedures highlights the impact of market dynamics, insurer negotiations, and geographic factors. @AlexPPhilips
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Another big issue: Many contracts don’t set prices by CPT. At @AcademyHealth #ARM2025, had great convos about this. With @Clarify_Health , we can see contract structure & (try to) impute prices where needed [easier said than done, and assumptoms involved].
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Working with payer-reported price transparency data is exciting but tough: decentralized, huge files, inconsistent formats, “zombie rates”….Great summary in this CRS report:
lnkd.in
This link will take you to a page that’s not on LinkedIn
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Want to see the data by payer? I put it here —didn’t fit in the letter due to figure limits.
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📰#GeneralSurgery price variation letter in @JAMANetworkOpen using payer-reported TiC data!.Same story:.-Facility >>> professional fees. -Commercial prices vary widely by payer & region—likely due to market power, not quality. Coauthored w/ @CM_Whaley .
Transparency in coverage data shows a large variation in commercial payments for common general and endoscopic surgeries, with facility fees four to nine times higher than physician fees.
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RT @Jabaluck: The modern economic case for public provision is not about public goods or market failures or externalities. It is about what….
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RT @Arnold_Ventures: Medicare Advantage plans — which cover more than 50% of Medicare beneficiaries — are abusing the payment system to ove….
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Had a great time presenting research from this past year @AcademyHealth #ARM25 !!. Pic creds @meehirdixit @CAHPR_BrownSPH
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📰 Another price variation letter out last week in @AnnalsofEM !. @CM_Whaley and I once again find notable price variation for ED eval across commercial payers and state. Which is particularly important since E&M in the ED is unpredictable/non-shoppable.
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We have more papers in different clinical service areas using this methodolgical approach slated for publication in the next few months, stay tuned! . @CAHPR_BrownSPH @BrownMedicine @Brown_SPH @BrownHSPP @ClarifyHealth.
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📰 New paper out today! . @CM_Whaley and I find major commercial price variation for imaging services using payer-reported Transparency in Coverage (TiC) data. Facility fee variation was 3-6x higher than physician fees, with major variation by payer/state.
lnkd.in
This link will take you to a page that’s not on LinkedIn
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Wrapping up @CAHPR_BrownSPH after a great year! . Thanks to my PIs @CM_Whaley and @ysingh_phd and to my mentors @djmeyers2 , @Andy_Ryan_dydx , @ibwilson_health . And to the best co-RAs @meehirdixit @gero5 . Onwards to my last year of med school before applying for residency!
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RT @BrownMedStuRes: Important perspective by @AlexPPhilips, MD’26, in @JAMA_current on how incentive structures sideline health policy educ….
jamanetwork.com
To the Editor I write regarding Dr Grover’s Viewpoint on the importance of health policy education for physicians in training.1 The article offers tangible action items for medical trainees and...
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RT @BrownMedStuRes: Great work by @AlexPPhilips MD’26 and @VikneshKasthuri MD’25 on the growing influence of private equity in medicine—and….
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RT @ysingh_phd: Check out this important piece on the implications of growing private equity in health care on medical trainees led by @Br….
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📰Health Affairs Forefront piece out today! Sudden ownership changes, faculty turnover, and program closures due to private equity create instability in medical training. Thanks to @ysingh_phd @CAHPR_BrownSPH for her input during the drafting process. @Brown_SPH @BrownMedicine.
In their new Forefront article, Alexander Philips, @VikneshKasthuri, Russell Hawes, Hunter Kramer, Barbara Chiu, Pragi Patel, and Hannah Harrelson from @BrownUniversity, @UVA, @KansasCityU, and @OhioMedicine discuss private equity’s influence on health care, highlighting its.
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