Jose Figueroa, MD, MPH
@joefigs2
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Associate Prof of Health Policy & Management @HarvardHPM @HarvardHSPH | Doctor @BrighamWomens | Faculty Director, Healthcare Quality & Outcomes Lab
Boston, MA
Joined August 2014
RT @DrKatzNYCHH: As a doctor, I know there isn’t always a treatment for every illness, but the prescription for homelessness is clear. Hous….
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Sign of a broken US health care system when patients with cancer feel like this:. “I always told myself the stress of dealing with insurance was worse than the cancer.”. Insights from patients dealing with prior authorizations in @JAMANetworkOpen study
jamanetwork.com
This qualitative study characterizes the perspectives of patients with cancer regarding their experience with prior authorization for cancer care.
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RT @Health_Affairs: In their new Forefront article, @joefigs2, @eric_t_roberts, Jessica Phelan, and Kenton Johnston from @HarvardChanSPH, @….
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RT @Bob_Wachter: We've lost another healthcare giant: Lucian Leape, the father of the modern patient safety movement and a person of remar….
nytimes.com
Despite resistance from the medical establishment, he found systemic ways to reduce errors, paving the way for a global standard. Thousands of lives have been saved.
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The true cost of the reconciliation bill will be measured in lives—over 50,000 per year. It’s a predictable result when you cut off insurance to people who are old, poor and sick. @eric_t_roberts and I discuss in @MSNBC @NBCNews @HarvardHPM @PennLDI .
msnbc.com
It’s a predictable result when you cut off health insurance to people who are old, poor and sick.
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It will be interesting to see what happens to MA stock of top insurers if “GUARD Act” becomes law—which fixes MA/VA loophole—given that the majority of “veteran MA affinity plans” are offered by major 3 insurers. Based on @JAMAHealthForum paper, Veteran MA affinity plans in
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In Dec 2024, @Humana stocks fell 6.5% amid concerns that the MA insurer was exposed due to their potential reliance on “veteran MA affinity plans” after the @WSJ article called out issue of duplicative payment. Link:.
investing.com
Humana stock falls amid concerns over veterans' plan earnings exposure
New bipartisan bill—the “GUARD” Act— aims to finally fix the duplicative MA & VA payment loophole. Estimated to save taxpayers >$12 billion per year. Informed by great research from @Brown_SPH @PennLDI @CornellLaw @BUSPH & @HarvardChanSPH + many others.
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Legislation calls for 3 key things:. 1. Allow VA to bill Medicare Advantage and Part D plans. 2. MA plans are prohibited from additional prior authorizations if ordered by VA. 3. Imposes penalties on MA insurers if they don’t pay the VA for services. Link to bill here:.
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New bipartisan bill—the “GUARD” Act— aims to finally fix the duplicative MA & VA payment loophole. Estimated to save taxpayers >$12 billion per year. Informed by great research from @Brown_SPH @PennLDI @CornellLaw @BUSPH & @HarvardChanSPH + many others.
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RT @davidevelasqu: In our (@joefigs2) @JAMANetworkOpen commentary, we discuss new research that underscores the vital role hospital leaders….
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Our new @JAMAHealthForum study adds more evidence on how MA plans enrolling veterans maximize profits by not paying for care. Veterans in high-veteran MA plans are much more likely to have surgical care paid by VA than plan itself—even when surgery occurs in non-VA hospitals….
Veterans enrolled in high-veteran Medicare Advantage plans are more likely to have their surgical care costs shifted to the Veterans Health Administration instead of being covered by the MA plans. #ARM25 @AcademyHealth .
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RT @JAMAInternalMed: Avoidable mortality increased in all US states between 2009 and 2021, while it decreased in other high-income countrie….
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RT @onceuponA: I want to emphasize that this is 18,000 avoidable deaths per year *of Medicare enrollees.* . They aren't in CBO's "uninsured….
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Estimates are based on our recent @NEJM showing that loss of subsidized coverage (the Part D Low-Income Subsidy) led to significant increases in mortality among low-income Medicare beneficiaries. @PennLDI @HarvardHPM . Link to @NEJM study:
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CBO projects that House reconciliation bill will cause 1.38 million low-income Medicare beneficiaries to lose Medicaid coverage. We estimate that this will lead to over 18,000 avoidable deaths/year stemming from loss of LIS. Link to memo led by @PennLDI:.
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RT @andreaducas: What happens when you kick 14 million people off their coverage? Illnesses and health care needs don't disappear - costs j….
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Last week was hard for us @HarvardChanSPH after losing all NIH grants. This week, we are forced to reckon with what’s next, including shutting down research, considering staffing cuts, and scrambling to cover salaries. HSPH: “ground zero” of NIH cuts.
nytimes.com
At the T.H. Chan School of Public Health, which relies heavily on federal support, a crisis response is underway and a reshaping of the institution feels inevitable.
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RT @NEJM: Special Article: Loss of Subsidized Drug Coverage and Mortality among Medicare Beneficiaries . #HealthPol….
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