Kevin Grumbach
@kgrumbach
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Family doctor committed to primary care transformation and health equity. Views are my own. @UCSFFamilyMed
San Francisco
Joined October 2012
How do we put #FMRevolution into action? The state of primary care is precarious. Tinkering will not save it from collapsing. We need revolutionary deeds. My @AnnFamMed article out today calls for 3 decisive actions 🧵
annfammed.org
The state of family medicine and primary care in the United States is precarious, afflicted by chronic underinvestment. Family physicians and their allies should not expect different policy outcomes...
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Yes, the next phase is all about attention to implementation-1. enforcement to reach 15% spend 2. assurance that increased PC spending truly flows to front line practices 3. our own accountability for increased investment improving care.
It could be VERY big but it will depend on how CA allows the money (the investment) to be counted. The insurers will surely try and shift money bogus monies to primary care to reach the 15% threshold but that will not help at all if allowed to get away with this. But a great.
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This is big.
California sets a 15% spending target to expand its primary care workforce and get more people access to preventative services. @vanesanchez_g reports. ⤵️
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RT @PCPCC: A new @Health_Affairs article provides important insights into how comprehensive #PrimaryCare can improve overall care and drive….
healthaffairs.org
There’s growing national recognition that we should redirect more of our health care dollars to make primary care stronger and more accessible. However, policy makers and other stakeholders need more...
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RT @Health_Affairs: In their new Forefront article, @kgrumbach, Deborah Cohen, and @YaldaJabbarpour of @UCSF, @OHSUNews, and @TheGrahamCent….
healthaffairs.org
Recent events make us pessimistic that for-profit corporate and private equity actors in the US can play a constructive role in advancing primary care as a common good. Much more assertive public...
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Primary care is imperiled and needs rescue. With @DebCohenPhD @YaldaJabbarpour we explain in @Health_Affairs Forefront why for-profit conglomerates and PE are exploiters not saviors and call for an American Recovery Act to rebuild primary care.
healthaffairs.org
Recent events make us pessimistic that for-profit corporate and private equity actors in the US can play a constructive role in advancing primary care as a common good. Much more assertive public...
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RT @BarackObama: Let’s go, Coach Kerr! Thanks for bringing home the gold for Team USA, and for your leadership at a crucial moment for our….
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Very encouraging direction on PC payment reform from CMS! A big step for team based care compensation.
Proposed Medicare Fee Schedule Brings Important New Tools to Primary Care: Has CMS Nailed It? @PCPCC @AAFP_advocacy @kgrumbach @FamiliesUSA @AARPpolicy @CommCatHealth @commonwealthfnd.
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Understandable coping strategy by PCPs in face of overwhelming workload in #PrimaryCare. But compounding access problem when fewer PCPs per capita + smaller panel sizes per PCP. US needs A LOT more PCPs and investment in PC teams to meet the nation’s needs.
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We discovered one more reason people have such difficulty accessing primary care: the avg family physician is caring for 25% fewer patients than they were a decade ago. New study with @TheCFHPV of family physician panel sizes now out.
jabfm.org
Underinvestment in primary care and erosion of the primary care physician workforce are resulting in patients across the US experiencing growing difficulty in obtaining access to primary care....
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RT @rshawnm: The burden should be on the plan, not the physician or their patients. Also, prior auth is a financial tool not a health care….
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RT @notcapnamerica: >>> Kids interview @KamalaHarris. "I don't like Donald Trump.". "Me either.".
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Agree with @AOC with one friendly amendment: “…WILL be subject to”.
Rep. @AOC says @KamalaHarris is "more than up to the task.". Also warns re: Harris: "It's going to be very important that we brace ourselves for some of the unfair, misogynistic, and racial undertones, overtones, explicit attacks and implicit attacks that she may be subject to."
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RT @jjfrey3MD: Mostly what we need is a plan, not just exhortation - more socioeconomic diversity in med students, moving education into co….
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RT @UCSFFamilyMed: 🚨NEW DATA ALERT🚨 Critical information for everyone working in #maternity care and #reproductivehealth @UCSF_ObGynRS @UC….
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RT @UCSFFamilyMed: Huge congrats 🎉🙌👏 to Adrian Tomes MD on being named a 2024 John A. Watson Faculty Scholar and recipient of the @UCSFMedi….
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RT @SoleilShahMD: Our new paper in @NEJM examines the widespread acquisitions of medical practices by UnitedHealth, Humana, Cigna, and othe….
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RT @TheGrahamCenter: ICYMI: new research in @JRuralHealth by #TheGrahamCenter’s Anuradha Jetty and former fellow Grace Walter found FPs pra….
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My medical opinion is that unfortunately Pres Biden’s medical team must have mixed up the NyQuil and DayQuil bottles last night before the debate ☹️.
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