Lucas Marinacci, MD
@lucas_marinacci
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@BIDMCVFellows @SmithBIDMC via @MGHMedicine @ProgClinEffect @ColumbiaPS
Dorchester, MA
Joined March 2020
A recent policy change dramatically ⬆️ H-1B visa fees to $100,000 In @JAMA_current, we find that rural and high-poverty U.S. counties are especially reliant on H-1B doctors & health care workers https://t.co/fOINzPdqK4
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A wonderful discussion with @HealthcareIssue on the Healthcare Policy Podcast about the expansion of prior authorization in Medicare under the WISeR Model, and the potential downsides for patients and clinicians. @LiuMichaelMD @SmithBIDMC
https://t.co/X9QcKcFM5D
thehealthcarepolicypodcast.com
Beginning this January 1 HHS will begin paying non-medical, AI companies for denying a "prior authorization" medical claims determined to have little to no clinical benefit or risk patient harm.
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A huge congratulations to super ⭐️@LiuMichaelMD on being named a @statnews #wunderkind! Michael has led important and impactful work on social policies and health @SmithBIDMC - so well deserved! https://t.co/t2DOoox9gX
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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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MD Certification should not be an ordeal—it should sustain a career of competent, compassionate, and continuously improving care. My @JACCJournals Editor’s Page explores how we can modernize physician certification to be relevant, humane, and effective. 🔗
jacc.org
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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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Medicaid work requirements will soon be rolled out nationwide under One Big Beautiful Bill Our @bmj_latest study shows what happened to insurance coverage & jobs when Georgia rolled them out in 2023. Featured in @nytimes
https://t.co/PDdmspekyj Read the study:
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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Our new @NEJM piece discusses how CMS’s plan to expand prior authorization in traditional Medicare - using opaque algorithms & private firms with financial incentives to deny care - risks compromising patient care and overburdening clinicians Link: https://t.co/5ca616oQjs
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Essence-TIMI 73b: Olezarsen Reduces Triglycerides in Patients With Moderate Hypertriglyceridemia and High CV Risk Written by @lucas_marinacci! Summary, analysis and more #ESCCongress coverage below! https://t.co/vLRQCroAxw
@CMichaelGibson @ceciliabahit
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Welcoming His Majesty King Felipe VI was a very special way to close our Congress and celebrate 75 years of the European Society of Cardiology. We were honored by His Majesty’s presence and hope that his words will raise awareness that cardiovascular disease is the world’s
El Rey, en el Congreso de la Sociedad Europea de Cardiología 2025 🗨️ Gracias por su compromiso con su oficio y su vocación: por hacer de la medicina una constante oportunidad para el aprendizaje.
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Stopping aspirin in the first few days after a PCI for acute coronary syndromes and giving Prasugrel or Ticagrelor alone did not meet meet non inferiority compared with Dual Antiplatelet Therapy for 12 months in death/MI / stroke / urgent revasc
nejm.org
Whether potent P2Y12 inhibitor monotherapy without aspirin initiated shortly after successful percutaneous coronary intervention (PCI) is effective and safe for patients with acute coronary syndrom...
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#ESCCongress #WCCardio 2025 in #Madrid: excited to launch the @worldheartfed "Roadmap on Single Pill Combination Therapies" for primary & secondary prevention of #CVD #Hypertension #cholesterol, which were included in the 2023 @WHO Essential Medicine List: https://t.co/2UBJR8jWd8
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VICTOR + VICTORIA: Vericiguat Showed Benefits Across the Spectrum of HFrEF Severity Written by @lucas_marinacci! Summary, analysis and more #ESCCongress coverage below! https://t.co/wbWkdOUkCQ
@CMichaelGibson @ceciliabahit
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VICTOR: Vericiguat Did Not Meet Primary Endpoint But Reduced CV Death in Stable, Ambulatory HFrEF Written by @lucas_marinacci! Summary, analysis and more #ESCCongress coverage below! https://t.co/s85dhOEkZF
@CMichaelGibson @ceciliabahit
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Enjoyed presenting at #ESCCongress2025 in Madrid a pooled analysis of SCORED + SOLOIST-WHF: ✅Sotagliflozin improved HF outcomes + reduced MACE 📷Benefits consistent across ages, even >75 yrs Important to study older adults in clinical trials Thankful to mentor @DLBHATTMD
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Incredibly excited to welcome @jamiemccabeMD to @BIDMChealth as Section Chief of Structural Heart Therapies; and to @SmithBIDMC where he will be the inaugural director of a new center devoted to innovation in cardiac technologies and techniques.
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Surprise medical bills can be financially devastating Our new @bmj_latest study finds that the No Surprises Act - a recent law banning surprise medical bills - significantly ⬇️ out-of-pocket costs for patients without raising premiums. Link: https://t.co/hZTOVoNSy5
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1/ In our latest @bmj_latest, we provide an initial evaluation of the No Surprises Act (NSA). Banning surprise medical bills resulted in a ~$600 reduction in average out-of-pocket spending 💸 among Americans with direct-purchase private insurance: Link: https://t.co/BJumZzh4JE
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The Smith Center Renal Denervation Registry is active and open to interested sites! Join 10+ sites across the U.S. and @ACCinTouch on this important hypertension research effort. Learn more about the registry how to participate here: https://t.co/wwebcPHTs7
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