Soleil Shah, MD MSc
@SoleilShahMD
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Resident Physician @BrighamMedRes | Previously @StanfordMed @USUKFulbright @ARPA_H @CMSInnovates @WHO
Boston, MA
Joined October 2018
Our new paper in @NEJM examines the massive investments into primary care by Amazon, CVS, Humana, and other corporations—what’s driving this trend and what are its implications for patients, clinicians, & trainees? 1/x
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RT @suhas_gondi: In @JAMA_current we explore the recent EO on most favored nation drug pricing, why we shouldn't import prices from other c….
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The most fun image & video creation tool in the world is here. Try it for free in the Grok App.
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RT @morgancheatham: enjoyed contributing to the National Academy of Medicine Clinicians’ Forum on AI in Health & Medicine facilitated by @p….
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RT @Farzad_MD: At one of the nation's most prestigious academic medical centers-. primary care physicians at Mass General Brigham have said….
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RT @Farzad_MD: 1/ I love reading the annual March MedPAC report to Congress on Medicare Payment Policy. such good, clear data and policy th….
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RT @Hayrook: The Trump admin appears poised to double down on one of Washington’s most entrenched orthodoxies: value-based payment (VBP) an….
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RT @JAMA_current: Viewpoint from @SoleilShahMD, @suhas_gondi, and @AmolNavathe: The ACO PC Flex model, introduced by @CMSGov, aims to signi….
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RT @JamesADiao: 🧵1/ Last year, a thoughtful reply to our @JAMA_current article sent me down a rabbit hole on CVD prevention. Should statin….
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RT @linakhanFTC: New report by @HHSGov gives an overview of concerns our agencies have heard about consolidation and the growing role of pr….
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RT @rkwadhera: The rapid growth of private equity in health care has attracted widespread attention & concern. Our new @JAMA_current study….
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RT @PCPCC: "ACO PC Flex does not simply bring spending up to the average; it also offers 2 notable 'enhancements' to the prospective paymen….
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RT @AcademyHealth: AcademyHealth CEO @aaronecarroll joins Dan Gorenstein on @tradeoffspod this week to unpack the real drivers of skyrocket….
tradeoffs.org
The murder of UnitedHealthcare's CEO has put health insurance companies in the spotlight. But insurers are just one piece of America’s broken and expensive health care system.
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8/x. Careful implementation could make ACO PC Flex a successful payment innovation in Medicare + an important step toward redressing our national underfunding of primary care. S/o to my incredible co-authors, @suhas_gondi & @AmolNavathe. Paper link:
jamanetwork.com
This Viewpoint discusses a new prospective payment model that supports primary care for accountable care organizations in the Medicare Shared Savings Program.
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7/x. In our piece, we dive into ACO PC Flex’s structure and highlight considerations for policymakers, including ensuring pass-through of ACO PC Flex’s dollars to primary care practices and expanding its funding approach to other payers (Medicaid) and “high-revenue” ACOs.
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6/x. ACO PC Flex represents a massive increase to current per bene spending on primary care in Medicare. A practice w/10k pts could boost its rev by $2.25M > helping retain/recruit staff, incent ⬆️“touch points” w/ pts, and do more things to boost primary care access/experience.
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5/x. Recognizing these issues, @CMSinnovates announced a new prospective payment model, “ACO Primary Care Flex”, that boosts upfront payments (by max of $200/bene per year) and does not count payments against shared savings. Full model details:
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4/x. This is partly by virtue of design. Medicare payments for primary care services count against shared savings, dampening incentives for ACOs to invest in them. Also most ACOs are paid post-service, limiting flexibility for non-revenue generating activities like calls/admin.
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3/x. Since the ACA, @CMSGov has created lots of payment models to help reduce costs while improving quality. One big example are ACOs, which lets docs share savings they produce for Medicare. While some ACOs have saved $, they haven't clearly increased primary care visits/access.
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2/x. Primary care is the foundation of a high-functioning health care system. Yet the US underinvests in it relative to peer countries. Americans are also less likely to have established PCP relationships + PCP wait times are soaring nationwide
commonwealthfund.org
This brief compares the state of primary care in the United States with nine other high-income nations, to better understand how to improve patient care.
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Our new paper in @JAMA examines one of Medicare’s most substantial increases in primary care payments to date—can this new policy experiment, starting in 2025, make a meaningful difference for clinicians and patients alike? 1/x
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RT @suhas_gondi: New in @JAMAPsych on private equity ownership of opioid treatment centers (fka methadone clinics) in US. Led by David Zhu,….
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