BIDMC Smith Center
@SmithBIDMC
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Official account of the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology @BIDMChealth @BIDMCCVI. RTs ≠ Endorsements
Boston, MA
Joined July 2016
Medicare Advantage plans create billions $$ in excess costs for the government. Yet we find that population-level treatment and control of CV risk factors is no better in MA than FFS. New study in @CircOutcomes using novel linkage of NHANES+Medicare data: https://t.co/w3UYufUKlX
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Despite⬆️ spending and enrollment, Medicare Advantage doesn't outperform Traditional Medicare in managing CV risk factors. New study in @CircOutcomes by @AndrewOseran @RahulAggarwalMD @rkwadhera reveal similar suboptimal treatment & control rates. https://t.co/Bvozcg8CGp
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LATE Lunch Bites @SmithBIDMC Where our postdoctoral fellows & medical trainees get a front-row seat to wisdom from Nobel laureate @metrics52 Econometrics + science + life lessons = the best lunch in town
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Final call! The application deadline for the 2026-27 Zimetbaum Fellowship is now October 15th: https://t.co/Vz55auDNhe. Applications that have already been submitted should be forwarded to SmithCenter@bidmc.harvard.edu
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Swipe through to explore how hypertensive heart disease (HHD) mortality is rising among 15- to 44-year-olds in the U.S. Data from in press research in @AmJCardio: https://t.co/1hOjlcKNxv
@MMukherjeeMD @DocStrom @SumanthKhadkeMD
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@bmj_latest @SimarSBajaj @rkwadhera @danielyjohnson @lucas_marinacci @StephenMein @BrighamMedRes @rhodes_trust @harvardmed @SmithBIDMC Our findings suggest that federal work requirements are unlikely to generate meaningful job gains and will instead⬇️insurance coverage. See phenomenal🧵by lead author @danielyjohnson and many 🙏 @nytimes & @SimarSBajaj for coverage https://t.co/wWXbL8JsI1
https://t.co/c1WLueDepd
Medicaid work requirements will soon be mandatory nationwide Our new @bmj_latest study shows that in Georgia - the only state to expand Medicaid with work requirements - work requirements impeded gains in Medicaid coverage without increasing employment https://t.co/CsGcNrvqIw
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“Work requirements threaten to erode those gains with seemingly little upside” @rkwadhera cautions that Medicaid work requirements may not have intended effects on employment as legislation passes to implement work requirements nationwide. @nytimes
nytimes.com
A state-level preview of the Big Beautiful Bill’s Medicaid reforms didn’t improve employment or result in gains in insurance coverage.
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Georgia’s Medicaid expansion with work requirements, the first program of its kind, has not delivered expected gains in Medicaid coverage or employment, raising concerns as Congress plans to mandate work requirements nationwide. New in @BMJ_latest
https://t.co/RC6h5wY70n
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❔ How can AI improve efficiency in #echocardiography without losing diagnostic accuracy and clinical confidence? 📽️ Watch @DocStrom answer this question in his interview at #ASE25 🔗
transcatheteracademy.com
ASE 2025 - In this short discussion, Dr Jordan Strom (Beth Israel Deaconess Medical Centre, Boston, MA) discusses how AI is improving echocardiography workflows and how it can boost
🎙️NEW #ASE25 Interview 🌟 @DocStrom discusses how AI is improving #echocardiography workflows and how it can boost efficiency without compromising diagnostic accuracy. 📽️Watch here👉 https://t.co/ArX1g0Dpyi
#ASE2025 #TAVI #AorticStenosis #InterventionalCardiology #CardioEd
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CMS’s new WISeR model will expand Medicare prior auth using AI—but is it really wise? @LiuMichaelMD, @ktkadakia and @rkwadhera warn of misaligned incentives, opaque algorithms, & increases in care delays, denials, and admin burden. Perspective in @NEJM:
nejm.org
Use of prior authorization in traditional Medicare has historically been limited. But in June 2025, CMS announced the WISeR model, which will expand technology-enabled prior authorization.
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CMS (@CMSGov) will soon be rolling out the WISeR model - the first major expansion of prior authorization in FFS Medicare. In @NEJM, we highlight concerns about misaligned incentives, potential harm to patients, and added strain on health systems. Link: https://t.co/slwyYFi6Kk
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In @JAMACardio study, @BIDMChealth @SmithBIDMC scientists show nearly 6 in 10 US vs 3 in 10 Japanese older adults with diabetes quit semaglutide shots w/in 1 year. Lower discontinuation in Japan points to impact of costs, supply issues
jamanetwork.com
This cohort study evaluates frequencies and predictors of discontinuation of injectable semaglutide in older adults with diabetes in the US and Japan.
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Meet the Smith Center Research Fellows: Maxime Lebaz is a vascular surgeon from Paris, France conducting cardiovascular research with @EricSecemskyMD. Learn more about Maxime and his work here: https://t.co/5YCYHrrYu8
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Less than one week left! Apply by October 1st to the Zimetbaum Fellowship: https://t.co/8oplngDcrf
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Only two weeks left! Apply by October 1st to spend a year of research training in Boston: https://t.co/8oplngDcrf The Zimetbaum Fellowship provides dedicated mentorship in foundational biostats, outcomes research, and more!
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Congratulations @DocStrom!
Greatly honored to announce I have accepted a position as an Associate Editor @EchoResPract @BSEcho. I look forward to working to ensure the highest standards of quality in #EchoFirst science and clinical guidance are met as the journal grows. @SmithBIDMC @BidmcCvi @ASE360
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What an incredible meeting - #ASE2025 was amazing: a great 50th birthday celebration + wonderful science and friendships. So proud of my colleagues and lab and their accomplishments. Excited for June 2026 for #ASE2026 and booking now! #SeeYouInDenver @ASE360 @SmithBIDMC
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Come join me on Sunday at 12:15 PM in Nashville for a Lunch and Learn symposium sponsored on #CEUS #ASE2025 @ASE360 @SmithBIDMC @icus_society
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Join us Saturday at 11:15 AM in Plenary Ballroom C to see the newest tech in education in action - interactive case discussion featuring @dineshpmcc1 @maddiejane25 Jeremy Estep and Dan Kramer @SmithBIDMC #ASE2025 @ASE360 @DermotPhelanMD @tabrahammd @RWASECEO @DavidWienerMD
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For sites interested in joining renal denervation registry, please reach out to @EricSecemskyMD bidmc-rdnregistry@bidmc.harvard.edu @SmithBIDMC
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