Alex Philips
@AlexPPhilips
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M4 @BrownMedicine applying #GeneralSurgery | Medicare Advantage, price transparency, and APCD health services research @BrownHSPP @Brown_SPH
Rhode Island, USA
Joined November 2018
Hi #MedTwitter, I'm Alex Philips, M4 @BrownMedicine applying #GeneralSurgery My interests include trauma/critical care, health policy, and medical education. I love to play ultimate frisbee in my free timeš„ Excited to meet everyone on the interview trail ahead of #Match2026!!
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In their new Forefront article, Nathan Hostert, @RozMurray3, @CM_Whaley, and @efusebrown from @Brown_SPH discuss how, when implemented in state employee health plans, reference-based hospital price caps have the potential to save states money that can be reallocated to crucial
healthaffairs.org
When implemented in state employee health plans, reference-based hospital price caps have the potential to save states money that can be reallocated to crucial services, while also increasing the...
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Had a great time at #ACSCC25! Presented some of the healthcare price variation and vertical integration work from my time @CAHPR_BrownSPH @Brown_SPH
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š New paper out today in @Health_Affairs! Thanks to my coauthors Nandita Radhakrishnan, @CM_Whaley , @ysingh_phd
@CAHPR_BrownSPH
@Brown_SPH Link: https://t.co/W4hkWy8rNl
healthaffairs.org
Hospital and private equity (PE) consolidation in health care is altering the physician practice landscape, with more than three-quarters of physicians employed by these corporate entities as of...
šØNew in @Health_Affairs led by @AlexPPhilips MD'26 @BrownMedicine: Hospital-affiliated physicians have professional fees 16ā20% higher, and PE-affiliated physicians 6ā10% higher, than independent physicians, adding to ~ $3B in extra commercial spending https://t.co/qaUMH1xhof
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Enrolling in a hospital-owned #Medicare Advantage plan and undergoing a surgical procedure at the affiliated hospital were associated with improved postsurgical outcomes. https://t.co/cicrOWkBzx
@gero5 @AlexPPhilips
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š° 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. https://t.co/X2AzxzHN49
@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: https://t.co/xPXjLyy6OQ
@CAHPR_BrownSPH @BrownMedicine
#Ophthalmology #PriceTransparency
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š° 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. https://t.co/fEINO4Ovbk
@DGlaucomflecken wonder what Jonathan would think!š*nod*
Variability in commercial insurance payment rates for ophthalmology procedures highlights the impact of market dynamics, insurer negotiations, and geographic factors. https://t.co/XY4P7Rz8XO
@AlexPPhilips
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Another big issue: Many contracts donāt 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, āzombie ratesāā¦ Great summary in this CRS report:
lnkd.in
This link will take you to a page thatās not on LinkedIn
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Want to see the data by payer? I put it here ādidnāt fit in the letter due to figure limits https://t.co/g21d0tIiUq
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š°#GeneralSurgery price variation letter in @JAMANetworkOpen using payer-reported TiC data! Same story: -Facility >>> professional fees. -Commercial prices vary widely by payer & regionālikely due to market power, not quality. Coauthored w/ @CM_Whaley
https://t.co/lLLZpZCkwz
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. https://t.co/MEbXlRwdra
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The modern economic case for public provision is not about public goods or market failures or externalities. It is about what can and can't be achieved by contracting.
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Medicare Advantage plans ā which cover more than 50% of Medicare beneficiaries ā are abusing the payment system to overcharge the government by billions every year. A new tool from @Brown_SPH shows how plan coding practices drive excess payments: https://t.co/iNCMkxUWkR
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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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š° Another price variation letter out last week in @AnnalsofEM ! https://t.co/eSzzMP8TOB
@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 isĀ 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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š° New paper out today! https://t.co/K9bJZx93UO
@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 thatās 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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