Atul Grover, MD, PhD
@AtulGroverMD
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Visiting Scholar, Stanford Medicine Clin Prof of Medicine @GWSMHS & Assoc @JohnsHopkinsSPH Former AAMC Executive Walker of #Jasmine Opinions not yours, yet
Here, Now
Joined April 2013
UHC/Change Healthcare processes 2/3 pt records 2 dialysis companies control 70% market 2 EHR vendors control majority of market In states, the largest health system controls about 20% of the market. ...and don't get me started on Alabama
In their new Forefornt article, @AtulGroverMD + @JBJaffery from @AAMCtoday discuss how regulation of health system consolidation should account for the market for health care goods and services within the range of areas that are relevant to patients.
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“America has the finest biomedical research enterprise on the globe, and it’s been recruiting talent from across the globe to keep it in a preeminent place... Constrictions on that ability to recruit people is another blow” https://t.co/McrXzYIScr
bostonglobe.com
Hundreds of foreign medical professionals work in Massachusetts with an H-1B visa. Now those work permits will cost $100,000.
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"The American College of Cardiology noted in its response to CMS that invoiced costs [are] ... around $1,000, are several times more expensive than the technical component payment for the underlying CT angiograms that they analyze" https://t.co/O3gRQpx6Y6 via @statnews
statnews.com
Medicare will pay more than $1,000 for AI to analyze a heart scan. Is that too much?
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"“Employers are going to partner directly with hospitals,” I've enjoyed hearing this for the last 15 years or so.
modernhealthcare.com
Hospitals and health systems are becoming a preferred partner for employers navigating rising healthcare costs.
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"Beginning Jan. 1, the UnitedHealth Group subsidiary will only pay for commercial and Medicare members to use remote patient monitoring devices when they have heart failure or hypertensive disorders of pregnancy"
modernhealthcare.com
The health insurance giant will end coverage of remote patient monitoring services for most chronic conditions next year.
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Vote. Tuesday November 4th. That's it. That's everything. That's the message. Tell your friends. Tell your family. Tell your neighbors. Vote. Vote. Vote. #vote #election2025 #jlmlf #goodtrouble
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"In areas where its insurance arm has a large market share, it pays Optum practices 61% more." https://t.co/lRMSzx459L via @statnews
statnews.com
The findings are similar to an analysis STAT conducted, and raise questions about why UnitedHealth pays its doctors more.
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"Contractors will earn 10%-20% of savings generated" https://t.co/sbAuk6eOqk
modernhealthcare.com
The Wasteful and Inappropriate Service Reduction, or WISeR, Model is set to take effect in January.
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NEW: Medicare has paused payments to doctors as the government shutdown drags on:
statnews.com
The Centers for Medicare and Medicaid Services backed off a plan to pause Medicare payments to doctors amid the government shutdown.
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indeed, and thank you.
PS: Health care is two words, not one
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States that expanded Medicaid coverage had significantly better cancer survival among patients in rural and high-poverty areas as compared with non-expansion states https://t.co/FwOH2gC143
medpagetoday.com
Residents of rural, high-poverty areas derived greatest benefit versus non-expansion states
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"rural market positions have a consistently higher median compensation level than their urban or suburban counterparts...[Physicians are] willing to take considerable pay cuts to go work in the major metropolitan areas"
modernhealthcare.com
Healthcare employers continue to throw more money at physicians, but some doctors are more interested in other perks.
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"subacute sclerosing panencephalitis (SSPE)...a rare complication of measles that causes damage to the brain over time and is almost always fatal." “Infants too young to be vaccinated rely on all of us to help protect them through community immunity.” https://t.co/HGqr7DgYgm
pulmonologyadvisor.com
A child in Los Angeles County has died from a rare brain disorder caused by a measles infection in infancy.
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"Once they adjusted for the contribution of genetics, the association between acetaminophen and autism virtually disappeared" https://t.co/WTPkJ7TrU6
statnews.com
A Harvard dean whose work was cited as justification for curtailing Tylenol use provided what a judge called 'unreliable' expert testimony against the drug’s maker
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"Medicare Advantage plans were significantly worse at meeting six out of the eight quality measures compared with traditional Medicare."
axios.com
Medicare needs to routinely monitor the quality of opioid use treatment it covers, researchers said.
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Better diversity in healthcare = better care for all. Why the US Needs a Racially and Ethnically Diverse Health Care Workforce https://t.co/IEa7p6J3r0 by @JoanneKenen via @MilbankFund CC: @DrVincentRamos @zakiyasummers @efuentes1 @AtulGroverMD @Adrienn22837325
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Trump administration blocks NIH from awarding any research grants and contracts https://t.co/56svIgCEDv via @statnews
statnews.com
The order applies to the entirety of new and, possibly, ongoing research grant dollars that go to universities and academic medical centers.
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For-profit medical rehab hospitals provide most inpatient physical therapy but tend to have worse readmission rates to general hospitals. Medicare doesn’t tell consumers about troubling inspections. https://t.co/M85IMiSG9N
nytimes.com
For-profit hospitals provide most inpatient physical therapy but tend to have worse readmission rates to general hospitals. Medicare doesn’t tell consumers about troubling inspections.
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“Every aspiring physician deserves a fair chance at a medical education — no matter their economic background. Federal student aid programs like Grad PLUS loans and PSLF help make that possible for nearly half of all medical students,” https://t.co/MKmHJgQq2C
aamc.org
Congressional proposals to eliminate Grad PLUS loans, cap borrowing, and exclude residents from Public Service Loan Forgiveness could strain primary care.
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"International doctors are often matched with hospitals in underserved communities in part because the positions are less coveted by U.S. applicants." https://t.co/X1z47yBb2H via @nbcnews
nbcnews.com
Many overseas doctors who were due to start residencies in July can't get to their programs because of a holdup with J-1 visa appointments.
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