Jose Figueroa, MD, MPH @joefigs2 Twitter profile

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Jose Figueroa, MD, MPH

@joefigs2

2 years

New @Health_Affairs study shows Black patients had *2.5 times* higher odds of negative descriptors (eg "non-adherent,” "agitated”) in EHRs even after SES/risk adjustment. Concerning for racial bias/racist thinking by docs/RNs Led by M.Sun @DrMonicaPeek E.Tung, T.Oliwa @UChicago

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Jose Figueroa, MD, MPH

@joefigs2

1 year

We lost an incredible person and dear colleague this week… Koji Nakashima, husband and father of two little girls, passed away on March 19th from cancer… He was incredible clinician, teacher, and colleague @BrighamWomens @BrighamHMU @BrighamDGIM Rest in peace, Koji…

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Jose Figueroa, MD, MPH

@joefigs2

2 years

The incredible @DrJoelKatz , longtime IM Program Director @BrighamMedRes , is stepping down after 22yrs of wonderful service to generations of @BrighamWomens interns and residents. @DrJoelKatz , thank you for everything you’ve done for us! We owe so much to you. We will miss you!

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Some news...I’ve officially transitioned to a tenure-track assistant prof job in health policy & management at @HarvardHPM @HarvardChanSPH this year. Grateful, excited (and tbh a bit nervous) about the opportunity. Here goes nothing!

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Jose Figueroa, MD, MPH

@joefigs2

3 years

Outstanding IM intern class coming to join us @BrighamMedRes @BrighamWomens this summer! 30% of interns are from diverse backgrounds/URiM A testament to the hard work & leadership from @valstonemd @DavidASanchezMD @DAbdelHameid @DrJoelKatz Welcome to the family! #MatchDay2021

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Jose Figueroa, MD, MPH

@joefigs2

1 year

Congrats to all medical students who matched today! Especially excited to welcome the incredible new incoming @BrighamMedRes intern class! @BrighamWomens 27% are from URM backgrounds! @Brigham_DI

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Outstanding IM intern class coming to join us @BrighamMedRes @BrighamWomens this summer! A testament to the hard work & leadership from @valstonemd @DrJoelKatz + many others Welcome to the family! #MatchDay2022

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Jose Figueroa, MD, MPH

@joefigs2

2 years

People with HIV are living longer in age of ART. Over 50% of them are now >50y, and many aging into Medicare. In new @Health_Affairs work, we take a close look at how HIV affects $$ in Medicare patients. @EmilyHyle @IngridKatzMD @ashishkjha

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Jose Figueroa, MD, MPH

@joefigs2

3 months

It’s that great time of year when we find out about the next generation of MDs joining us at @BrighamWomens ! Welcome to the incredible new @BrighamMedRes Intern Class of 2024! Amazing to see that 21% from URIM backgrounds! @Brigham_DI

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Jose Figueroa, MD, MPH

@joefigs2

5 years

There’s a new quality measure that gets closer to what patients actually care about: “healthy days at home.” Great new study by @LauraBurke20 @jzheng828 @ashishkjha in @HC_TheJournal showing how it may work.

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Jose Figueroa, MD, MPH

@joefigs2

4 months

Big news for @Brown_SPH Dr. Ateev Mehrotra, MD, MPH is becoming the next Chair of @BrownHSPP Huge gain for @BrownUniversity community and massive loss for @HMSHCP @harvardmed @BIDMChealth Congrats, Ateev! Well-deserved!

Announcing a new chair of the Department of Health Services, Policy and Practice

Accomplished physician, scholar and public health expert Ateev Mehrotra M.D., MPH, will join Brown's School of Public Health on July 1, 2024.

dean.sph.brown.edu

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Understanding the effect and complex interplay of individual #socialdeterminants with health has been challenging. In @JAMA_current , we argue that building “polysocial risk scores” may help provide a path forward. @afrakt @ashishkjha

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Jose Figueroa, MD, MPH

@joefigs2

10 months

We are looking for a post-doctoral fellow to join our @HarvardHPM @HarvardChanSPH research team! Research areas will focus on: 1. Medicare Advantage 2. Dual Eligibles 3. New Medicare APMs 4. Quality/Equity/Social Risk If interested, pls email ahedquist @hsph .harvard.edu with CV

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Jose Figueroa, MD, MPH

@joefigs2

4 years

COVID-19 is devastating nursing homes in the US. In new @JAMA_current piece, we ask what factors may explain why some NHs are better at controlling the spread of the disease than others in high COVID-19 burden states @rkwadhera @IPapanicolas @ashishkjha

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Jose Figueroa, MD, MPH

@joefigs2

11 months

Just announced: Dr. Jose C. Flores, MD, MPH will become the new Chair of Medicine at @MGHMedicine ! @MassGeneralNews @MassGenBrigham

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Excited to join the new @Health_Affairs Scholar journal as an Associate Editor! Looking forward to working with @KathrynP_phd @LorenAdler @DrRitaHamad @ihdezdelso @SimonFHaeder @cmoucheraud @saynikpay & others Please consider submitting your scholarly work starting early 2023!

Health Affairs

@Health_Affairs

2 years

Today, we are proud to announce a partnership agreement with @OxUniPress to publish the new journal. And we are pleased to share with you the first appointments to the inaugural editorial team and editorial board. Read more: #HAScholar

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Jose Figueroa, MD, MPH

@joefigs2

6 years

Hospitals accredited by Joint Commission do not have meaningfully better outcomes (mortality/pt satisfaction) than ones accredited by other private organizations or state agencies. Our @bmj_latest work led by @mirandalammd @ashishkjha @YFeyman @KimReimold

Association between patient outcomes and accreditation in US hospitals: observational study

Objectives To determine whether patients admitted to US hospitals that are accredited have better outcomes than those admitted to hospitals reviewed through state surveys, and whether accreditation...

www.bmj.com

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Structural racism has been deeply embedded in our US healthcare policies related to coverage, financing, and quality. Our new @Health_Affairs work explains how & its ultimate impact on health disparities. Work led by @ruqaiijah + @ProfBrieClark

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Jose Figueroa, MD, MPH

@joefigs2

7 months

Incredibly sad but important @Health_Affairs study led by Z. Song evaluating effect of gun violence on: 1. Kids/Teenagers who survived 2. Family members who lost a child Results: ⬆️pain disorders, mental illness, substance use in survivors ⬆️mental illness among family members

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Jose Figueroa, MD, MPH

@joefigs2

4 years

One commonly used measure for assessing “high quality” ambulatory care is avoidable hospitalizations. Historically, Black pts have had much higher rates. In new @Health_Affairs work, we ask: Are disparities *actually* getting better? @ashishkjha @LauraBurke20 @khorneffer8

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Jose Figueroa, MD, MPH

@joefigs2

6 years

Little to no relation between a physician’s medical school ranking and their subsequent patient outcomes. New @bmj_latest work by @ytsugawa1 @ashishkjha @AnupamBJena

Association between physician US News & World Report medical school ranking and patient outcomes...

Objective To investigate whether the US News & World Report (USNWR) ranking of the medical school a physician attended is associated with patient outcomes and healthcare spending. Design Observatio...

www.bmj.com

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Have the honor of testifying tomorrow in front of the Senate Aging Committee on how we can improve care for dual-eligible Medicare + Medicaid beneficiaries. Please join if interested! @HarvardChanSPH @HarvardHPM @Brigham_DI

Senate Aging Committee

@SenateAging

2 years

LIVE at 9:30 am ET on Thursday: "Improving Care Experiences for People with both Medicare and Medicaid." Tune in here or at .

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Jose Figueroa, MD, MPH

@joefigs2

1 month

Big and exciting news for @WUSTL ! @sandrogalea from @BUSPH becoming the inaugural dean of a new school of public health to launch in 2026 @mkruk (Prof @HarvardChanSPH ) also joining @WUSTLmed faculty to lead health systems comparison research globally

Galea appointed inaugural Margaret C. Ryan Dean of planned WashU School of Public Health - The...

Sandro Galea, MD, DrPH, one of the world’s most influential public health leaders, will become the inaugural Margaret C. Ryan Dean of the planned School of Public Health at Washington University in...

source.wustl.edu

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Jose Figueroa, MD, MPH

@joefigs2

6 months

Huge congratulations to @LauraBurke20 for getting her @AHRQ R01 funded! Objective of study is to help reduce diagnostic errors in US emergency departments. Multisite collaborative with @BIDMCEM @HarvardHPM + @DrMichelleLin & @asabbati1

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Declines in hospitalizations related to ambulatory care-sensitive conditions seem to be mostly explained by hospitals increasingly shifting patients to observation status and not better ambulatory care. Our @JAMAInternalMed study @ashishkjha @LauraBurke20

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Jose Figueroa, MD, MPH

@joefigs2

3 years

New special issue published today by our #ICCONIC collaborative in @HSR_HRET ! We performed a series of international comparisons across 11 countries. Objective? To examine differences in spending, utilization, and outcomes for high-need patients What are some key findings?

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Jose Figueroa, MD, MPH

@joefigs2

2 months

We are looking for post-doctoral fellows to join us at @HarvardHPM @HarvardChanSPH ! Research areas include: 1. Medicare Advantage 2. Dual Eligibles 3. New Medicare APMs 4. Quality/Equity/Social Risk 5. PE/consolidation If interested, pls email CV to ahedquist @hsph .harvard.edu

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Jose Figueroa, MD, MPH

@joefigs2

6 years

Over half (54.8%) of Duals who are high-cost remain persistently high-cost for 3yrs. Most of their spending (68.8%) in long-term care & little (<1%) is due to preventable hospitalizations. Our new @AnnalsofIM work @ashishkjha @DavidCGrabowski @zoemarklyon

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Does more spending on social services lead to lower spending on health care? Nope. Great new @Health_Affairs study of 35 OECD countries by @IPapanicolas @lwoskie @ashishkjha

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Jose Figueroa, MD, MPH

@joefigs2

1 year

12.5 million people are dual eligible for #Medicare & #Medicaid And they have complex medical + social needs that may be better addressed through integrated care Unfortunately, in new @Health_Affairs study, we document slow growth into fully financially integrated care models…

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Jose Figueroa, MD, MPH

@joefigs2

9 months

Officially announced today that @DavidBlumenthal joins @HarvardHPM @HarvardChanSPH as Professor of the Practice of Public Health & Health Policy! Welcome, Dr. Blumenthal!

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Our national strategy of improving health care quality is not really working. In our new @JAMA_current viewpoint, @ashishkjha , Katie Horneffer, and I argue for a fresh approach. Target quality for those who need it most: high-need, high-cost patients.

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Medicare #ACOs achieved less spending on patients with serious mental illness (schizophrenia/psychotic dz, bipolar disorder, major depression) How? Less spending on chronic medical conditions (& not on mental health disorders) New @Health_Affairs study

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Jose Figueroa, MD, MPH

@joefigs2

3 years

Great news for @HarvardHPM @HarvardChanSPH : Just announced today that @onceuponA @Alecia_McG our joining our dept this summer! Congrats and looking forward to working with both of you!

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Jose Figueroa, MD, MPH

@joefigs2

1 year

After 25 years of exceptional service & leadership, the incredible @DBatesSafety is stepping down as the @BrighamWomens Chief of the Division of General Internal Medicine & Primary Care @BrighamDGIM . Thank you for everything you’ve done for all us, Dr. Bates!

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Jose Figueroa, MD, MPH

@joefigs2

8 months

First @BrighamMedRes Management & Leadership Pathway (MLP) NYC Trip to learn from #BWH Alums about entrepreneurship, innovation, public health and policy! @bnrome @davechokshi @NYCHealthCMO @BrentonFargnoli @agnazem @vgargMD @JuliaJezmir Julian Harris, Tom X Lee + many others!

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Jose Figueroa, MD, MPH

@joefigs2

6 years

For hospitals, being under some form of P4P for over a decade did not help improve patient outcomes. Work with @IgnaBonfrer @ashishkjha in @bmj_latest

The BMJ

@bmj_latest

6 years

Study finds no evidence that US hospitals operating under pay for performance programs had better process scores or lower mortality than other hospitals

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Two new @JAMA_current studies out today evaluating #CMS Merit-Based Incentive Payment System ( #MIPS ), which pays or penalizes doctors on “quality.” Both find that docs associated w/ systems that treat fewer poor or complex people get more $$, raising concern for safety-net docs

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Are primary care physician networks in Medicare Advantage getting more narrow over time? Nope. In fact, they are getting broader. Our new @Health_Affairs work out today led by @YFeyman & @afrakt + @healthecon_dan

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Only 28% of Medicare patients who are “high-cost” (or top 10% most expensive) in a given year remain persistently HC over 3yrs. They are also more likely to be Black, Hispanic, disabled, and have ESRD. Our new @Health_Affairs work @ashishkjha @xz2315

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Jose Figueroa, MD, MPH

@joefigs2

4 months

Massive change coming for academics that use @CMSGov Medicare & Medicaid data… CMS is phasing out ability for researchers to own/work on physical Medicare & Medicaid data. Everyone must eventually migrate to Virtual Research Data Center (VRDC).

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Great to see this. Large hospital network in Toronto @UHN offering social services to vulnerable populations who need it most. cc @drandrewb Hope US health systems do some of this as well.

Toronto hospital network teams with 211 help line, social services group to help patients deal with...

People who end up at UHN’s emergency wards or assessment centre will get referrals on how to get employment insurance, tax deferrals and mental health supports.

www.thestar.com

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Jose Figueroa, MD, MPH

@joefigs2

3 years

How bad did the #COVID19 pandemic affect rates of uninsurance and disparities in access to care among low-income adults? And did Medicaid expansion help? We investigate in new @JAMAHealthForum work w/BenSommers @ArnoldEpstein @HarvardHPM @HarvardChanSPH

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Why are health care costs in the US so high? Check out the great @TEDMED talk by @IPapanicolas released today. @LSEHealthPolicy @LSEnews @lseideas @HarvardGH @HarvardChanSPH .

Why your healthcare costs so much

There are various opinions surrounding healthcare spending in the US. According to Health Economist Irene Papanicolas, the theories behind high spending - over-utilization, lack of social spending,...

www.tedmed.com

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Safety-net hospitals face ⬆️ burden of #SDOH among their patients In new @JAMAHealthForum study, we find some concerning results. SNHs are not doing more, and in some cases, much less to address social needs of their patients & communities

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Jose Figueroa, MD, MPH

@joefigs2

17 days

The incredible Dr. Joel Katz is officially moving on from @BrighamWomens hospital to @DanaFarber in a new role, bringing an end to a massive med-ed era at BWH… He is becoming the new VP of Education & inaugural Designated Institutional Official at #DFCI . Congrats, Joel!

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Jose Figueroa, MD, MPH

@joefigs2

3 months

Big news from @MassGenBrigham today Official announcement from CEO Anne Klibanski, MD: @BrighamWomens @MGHMedicine are joining all clinical departments and academic programs into one. Major step towards becoming officially 1 institution…

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Jose Figueroa, MD, MPH

@joefigs2

5 years

China recently spent more than $1.5 trillion to reform its health system. In our new @BMJ_Qual_Saf study w/ Jian Weiyan, Winnie Yip, @lwoskie , we ask: Has quality of care in a sample of large Chinese hospitals improved over time? Answer: Nope.

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Concern for #coronavirus in Boston. Per @HarvardChanSPH email, over 60 people en route to @BrighamWomens from a local hotel to be tested for virus.

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Jose Figueroa, MD, MPH

@joefigs2

8 months

Medicine residents in the @BrighamWomens “Management & Leadership Pathway” learning all about Medicare Advantage from BWH alum @brianwpowers ! For any medical student interested in health policy, management, delivery innovation, and entrepreneurship, consider @BrighamMedRes !

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Jose Figueroa, MD, MPH

@joefigs2

5 years

ACOs had no meaningful effect on overall end-of-life spending among cancer patients. Also, no difference related to ED visits, hospitalizations, ICU admits, or hospice services. Another great study by @mirandalammd @jzheng828 @ashishkjha in @JNCI_Now

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Jose Figueroa, MD, MPH

@joefigs2

5 years

A reboot of the 2003 Uve Reinhardt article: Why does the US spend so much on health care? It’s still the prices. Work in @Health_Affairs by Gerard Anderson, and Varduhi Petrosyan

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Jose Figueroa, MD, MPH

@joefigs2

5 months

Our @BrighamWomens residents in the “Management & Leadership Pathway”learning today from some of nation’s best academic cardiologists @SmithBIDMC @harvardmed on issues related to #CVD drugs, devices, costs, policy & equity @rwyeh @kardiologykazi @rkwadhera @AKrawisz cc @bnrome

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Top @Health_Affairs articles of 2018. Congrats to @LauraBurke20 @ashishkjha @afrakt @DhruvKhullar for making list! Their paper showed teaching hospitals better for all patients, including those of lower severity.

The Most-Read Health Affairs Articles of 2018 | Health Affairs Forefront

As 2018 comes to a close, we are sharing the most-read Health Affairs articles of 2018.

www.healthaffairs.org

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Trends in disposition and mortality after an ED visit—more patients going directly home, more obs, fewer inpt admits, and importantly, mortality for all patients improving. Great new @JAMAInternalMed study by @LauraBurke20 @ashishkjha and colleagues

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Jose Figueroa, MD, MPH

@joefigs2

3 years

Know anyone interested in health policy/health services research? We are hiring for a research assistant position @HarvardHPM @HarvardChanSPH Pre-grad/pre-meds welcome to apply! @Thomasctsai @ReneeNSalas_MD @LauraBurke20 @mirandalammd @afrakt

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Vulnerable patients (minorities and those living in poor areas) are more likely to be discharged from SNFs on benefit day 20, when most pts become responsible for copayment. New @JAMAInternalMed work by @ChatterjeePaula @rm_werner @PennLDI

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Jose Figueroa, MD, MPH

@joefigs2

5 years

In 2011, CMS changed the number of billable comorbidities from 9 to 24. How should researchers account for this change when analyzing Medicare data over time? Our new @JAMAInternalMed work led by @ytsugawa1 @IPapanicolas @ashishkjha

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Finally some good news for those of us practicing in the ED or inpatient setting at @BrighamWomens . As of today, we can now order COVID-19 tests for suspected patients. We can hopefully now begin to understand how widespread the problem is in our local community.

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Jose Figueroa, MD, MPH

@joefigs2

3 years

After 16 years of chair of medicine at @BrighamWomens , the incredible Dr. Joe Loscalzo is stepping down. Huge shoes to fill for his successor. @BrighamMedRes @BrighamResearch @Brigham_DI Probably needs to be said twice, huge shoes to fill for his successor!

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Jose Figueroa, MD, MPH

@joefigs2

2 months

Loss of #Medicaid coverage among dual-eligibles has long been a major concern — especially since loss is most often due to administrative hassles. In new @JAMANetworkOpen study, we find some important insights into Medicaid loss among #duals over time.

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Congratulations to @Jbetancourtpr @MGHMedicine on being named the new president of the @commonwealthfnd ! Incredibly inspired choice and first #Latino leader of this historical foundation. Best of luck on the next phase of your career, Joe! @MassGenBrigham @MassGeneralNews

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Congrats to all of the med students who matched into residency programs. And a special welcome to the med students who matched at @BrighamWomens for internal medicine, primary care, and prelim year! We are excited for all of you to join us soon! @BrighamChiefs @harvardmed

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Jose Figueroa, MD, MPH

@joefigs2

8 months

Huge congrats to @AdamLBeckman for being recognized as one of the 2023 @statnews Wunderkinds! While still very young in his career (I think currently rounding in @BrighamWomens CCU as intern), he’s already having amazing impact on US health policy!

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Jose Figueroa, MD, MPH

@joefigs2

1 year

New @AnnalsofIM shows substantial misclassification of hospital performance across Medicare value-based programs by omitting those in Medicare Advantage. Really fun working on this collaborative piece w/ @SmithBIDMC @AndrewOseran @rkwadhera @HarvardHPM @HarvardChanSPH

Rishi Wadhera, MD MPP

@rkwadhera

1 year

Hospital performance measures used in value-based programs are based on Medicare FFS, but don't include MA pts who make up ≈50% of Medicare Our @AnnalsofIM study finds that 1 in 4 "top" hospitals are reclassified to a lower group when Medicare Advantage pts are included

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Jose Figueroa, MD, MPH

@joefigs2

3 years

Exciting new @Health_Affairs fellowship opportunity for trainees, grad students, and junior faculty interested in #HealthEquity research! Benefits include 1:1 mentorship by prominent faculty and senior editorial staff URiMs encouraged to apply Details:

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Jose Figueroa, MD, MPH

@joefigs2

4 years

Are there significant differences in the quality of care received by patients hospitalized with heart failure and enrolled in Medicare Advantage vs FFS Medicare? Short answer: Nope Our new @JAMACardio work @kejoynt @rkwadhera @afrakt @DLBHATTMD @gcfmd

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Jose Figueroa, MD, MPH

@joefigs2

4 months

Veterans Homelessness Initiative led to *55.3% decrease* in homelessness among veterans (compared to 8.6% decrease in general population) over 13y Shows potential impact of health systems in addressing social determinants @ShereefElnahal @DeptVetAffairs

Changes in Homelessness After Start of the Ending Veteran Homelessness Initiative

This cohort study compares changes in homelessness among US veterans with those in the general population after implementation of the Veterans Health Administration’s Ending Veteran Homelessness...

jamanetwork.com

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Jose Figueroa, MD, MPH

@joefigs2

11 months

Conventional Medicare Advantage “D-SNP look-alike” plans are a major threat to #integrating care for dual-eligible Medicare/Medicaid patients. In new @Health_Affairs study, we find that they are *rapidly* growing… And it is really concerning… 🧵 1/5

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Jose Figueroa, MD, MPH

@joefigs2

4 years

How are 4 innovative primary care organizations protecting older, vulnerable adults during the COVID-19 pandemic? @iorahealth @OakStreetHealth @ChenMed @LandmarkHealth_ We discuss in new @nejmcatalyst led by Umar Ikram @sgallani @TFeeleyMD @HarvardHBS

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Jose Figueroa, MD, MPH

@joefigs2

5 years

Interesting @Health_Affairs study by @DWamble @robertwdubois et al: Argues that medical spending for 6 of top 7 conditions w/ greatest mortality/morbidity over 20y has been cost-effective.

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Jose Figueroa, MD, MPH

@joefigs2

6 years

Intro of Medicare’s hospital readmissions reduction program (HRRP) was associated with narrowing of disparities in readmissions between black and white patients. New work with @ashishkjha in @Health_Affairs

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Jose Figueroa, MD, MPH

@joefigs2

2 years

Medicare ACO performance during pandemic: ⬇️ Spending ⬇️ Utilization Result: $1.9billion in record profits for ACOs The bad? Quality of diabetes & BP control got worse New study led by star students @BYan415 @UCSF + M. Shashoua @HarvardHPM @PLOSONE

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Jose Figueroa, MD, MPH

@joefigs2

5 years

This is cool. New @JAMA_current platform called @JAMAHealthForum announced today that will be “devoted to publishing original research and commentary on health care policy, strategy, delivery, and economics throughout the world.” Will be led by @MelindaBBuntin @jzayanian .

JAMA

@JAMA_current

5 years

The JAMA Network is launching a new channel— @JAMAHealthForum —to highlight health policy content from across our 12 journals w interpretive commentary and analysis. Its new editors are @jzayanian of @UM_IHPI and @MelindaBBuntin of @VUHealthPol

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Jose Figueroa, MD, MPH

@joefigs2

6 years

Hospital participation in BPCI (bundled payments) was not associated with significant changes in Medicare payments, clinical complexity, length of stay, ED use, hospital readmission, or mortality. Great @NEJM paper by @kejoynt

0

17

29

Jose Figueroa, MD, MPH

@joefigs2

7 years

Congrats @ytsugawa1 @AnupamBJena @ashishkjha on the #3 @altmetric article of 2017 showing female docs have better outcomes than male docs. @JAMAInternalMed

1

18

28

Jose Figueroa, MD, MPH

@joefigs2

1 year

New study led by @brianwpowers evaluated impact of community vs person-level social risk adjustment on $$ for Medicare patients Results have important implications for @CMSGov social risk adjustment efforts for payments & health equity @JAMAHealthForum @kejoynt @WillShrank

2

6

26

Jose Figueroa, MD, MPH

@joefigs2

5 years

Hospital concentration associated with higher insurance premiums in the ACA marketplace. Great new work by @drandrewb @YFeyman @ashishkjha plus the late @uereinhardt

0

10

28

Jose Figueroa, MD, MPH

@joefigs2

4 years

How do we begin to address the critical supply shortages of ventilators and PPE in our fight against #COVID19 ? A multipronged approach highlighted in @NEJM today by @meganranney Valerie Griffeth & @ashishkjha . @HarvardHPM @HealthyBrown . @HarvardChanSPH

Critical Supply Shortages — The Need for Ventilators and Personal Protective Equipment during the...

U.S. hospitals are already reporting shortages of key equipment needed to care for critically ill patients with Covid-19, including ventilators and personal protective equipment for medical staff. ...

www.nejm.org

0

19

28

Jose Figueroa, MD, MPH

@joefigs2

6 years

Know any statistical programmers interested in health services research? Send them our way for opportunity to work with us on projects with @ashishkjha @afrakt @HarvardChanSPH @HarvardHPM

1

15

27

Jose Figueroa, MD, MPH

@joefigs2

5 years

New article by @afrakt in @nytimes summarizes the evidence behind Medicare’s value-based efforts. Overall, the results suggest little to no value gained across most programs.

2

13

26

Jose Figueroa, MD, MPH

@joefigs2

4 years

“Yet if anything unites Americans when it comes to health care, it’s that once they have it, they don’t want to let it go.” Superb @NEJM perspective by @LisaRosenbaum17 exploring why health care reform and conversations about “Medicare-for-all” are so hard

0

8

26

Jose Figueroa, MD, MPH

@joefigs2

4 years

Cardiologists are increasingly leaving smaller practices and joining larger practices over time. Recent health reform efforts (⬆️ regulation, ⬆️ value-based contracts, ⬆️ need for “quality” reporting) likely playing a role. Our new @JACCJournals work @kejoynt @mirandalammd

1

13

26

Jose Figueroa, MD, MPH

@joefigs2

4 years

Concerning news in Boston hospitals. Per @cbsboston , 19 reported #COVID19 cases among healthcare workers so far, 9 in @BrighamWomens and 10 in @TuftsMedicalCtr . Consequences of lack of widespread #testing in the community and now shortages of #PPE ...

1

18

26

Jose Figueroa, MD, MPH

@joefigs2

3 months

Especially excited to see @davidevelasqu on this list! Congrats, David! And welcome to the @BrighamMedRes family!

Jose Figueroa, MD, MPH

@joefigs2

3 months

It’s that great time of year when we find out about the next generation of MDs joining us at @BrighamWomens ! Welcome to the incredible new @BrighamMedRes Intern Class of 2024! Amazing to see that 21% from URIM backgrounds! @Brigham_DI

2

19

100

3

0

26

Jose Figueroa, MD, MPH

@joefigs2

5 years

New @bmj_latest study shows that post-discharge ED visits and observation stays are increasing more than the decline in readmissions for HRRP-targeted conditions. Great new work by @rkwadhera @kejoynt @kardiologykazi @rwyeh

1

12

25

Jose Figueroa, MD, MPH

@joefigs2

5 years

Though costs at teaching hospitals initially more expensive, total costs at 30d & 90d actually lower or same across many conditions. New @JAMANetworkOpen work by @LauraBurke20 @DhruvKhullar @afrakt @ashishkjha

1

7

24

Jose Figueroa, MD, MPH

@joefigs2

5 years

More women are publishing in top medical journals (as first and senior authors) over time though disparities still persist across most disciplines, especially as senior authors. @JAMAInternalMed

0

17

23

Jose Figueroa, MD, MPH

@joefigs2

4 years

Among patients with new breast, colon, and lung cancer, Medicaid expansion associated with increased insurance coverage and earlier-stage cancer diagnosis though no improvement of timely treatment. New @JAMANetworkOpen study led by Sam Takvorian @rm_werner

0

5

23

Jose Figueroa, MD, MPH

@joefigs2

6 years

ACOs not associated with reduced spending or utilization (including chemo/radiation) for cancer patients. Remains to be seen whether they ever will in long run. Our new @JCO_ASCO work led by @mirandalammd & @ashishkjha

1

10

24

Jose Figueroa, MD, MPH

@joefigs2

5 years

The readmission debate continues. New @Health_Affairs study suggests that the readmission rate decline is explained by the fact that hospitals are just admitting fewer people over time (and likely not due to specific readmit interventions). By @JMichaelMcW

3

7

24

Jose Figueroa, MD, MPH

@joefigs2

5 months

Inspiring meeting with @donberwick with our @BrighamMedRes residents! Shared insights on: 1. state of US healthcare system 2. greed and the financialization of healthcare 3. role of government in regulating healthcare 4. The “big myth” of a “free market” to fix healthcare

1

3

23

Jose Figueroa, MD, MPH

@joefigs2

5 years

Outpatient non-invasive cardiac testing is increasingly happening more in hospital-based practices over offices because Medicare pays more for them. New @JAMAInternalMed study by @Dr_BowTie65 et al

1

11

24

Jose Figueroa, MD, MPH

@joefigs2

5 years

Although efforts to improve care coordination/fragmentation are important, we argue that the US is unlikely to meaningfully tackle costs & waste unless we address high prices and administrative complexity. @ashishkjha @rkwadhera @JAMA_current @JAMACardio

2

12

23

Jose Figueroa, MD, MPH

@joefigs2

11 months

US policymakers are interested in expanding integrated coverage models for those dual-eligible for Medicare+Medicaid In new @JAMA_current viewpoint, @eric_t_roberts , K. Johnston, and I highlight several policy options that can help @HarvardHPM @PennLDI

Integrating Medicare and Medicaid Coverage for Dually Eligible Individuals

This Viewpoint highlights costly inefficiencies in delivery of care to patients who qualify to receive both Medicare and Medicaid and proposes more effective care models.

jamanetwork.com

2

7

23

Jose Figueroa, MD, MPH

@joefigs2

4 years

Some non-COVID news... @NIHCMfoundation released its finalists for the 2019 best health care research paper award. Congrats to all selected!

0

3

23

Jose Figueroa, MD, MPH

@joefigs2

6 years

Intro of non-medical “wrap-around” services (financial counseling, legal services, social work, etc) on top of primary care associated with less hospitalizations & ED visits in safety-net population. @Health_Affairs

2

9

22

Jose Figueroa, MD, MPH

@joefigs2

2 years

US hospital costs keep rising. Are #Hospitalists (docs who only work in inpatient setting) playing a potential role in this? Short answer: Yes. 3 key findings in our new @JAMAHealthForum study w/ Agustina Saenz @BrighamHMU + @ytsugawa1 @HarvardHPM

Trends in High-Severity Billing of Hospitalized Medicare Beneficiaries Treated by Hospitalists vs...

This cohort study characterizes differences in high-severity billing of hospital encounters for patients with Medicare treated by hospitalists vs nonhospitalists, and how these differences change...

jamanetwork.com

1

6

22

Jose Figueroa, MD, MPH

@joefigs2

6 years

Congrats to @IPapanicolas @lwoskie @ashishkjha for having one of the top @altmetric papers of 2018 ( #23 )! @JAMA_current paper comparing healthcare spending across high-income countries.

0

11

22

Jose Figueroa, MD, MPH

@joefigs2

1 year

New @commonwealthfnd study of insurance brokers adds insights into the rapid Medicare Advantage growth Findings: 1. Brokers paid more for enrolling people in MA 2. They sell more MA plans to poor 3. Most brokers prefer TM+medigap for themselves over MA…

The Challenges of Choosing Medicare Coverage: Views from Insurance Brokers and Agents

Brokers and agents in focus groups reported receiving higher commissions to enroll people in Medicare Advantage plans compared to Medigap supplemental plans.

www.commonwealthfund.org

2

8

22