Rishi Wadhera, MD MPP @rkwadhera Twitter profile | Pikagi

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Rishi Wadhera, MD MPP

@rkwadhera

4,952

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774

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Associate Professor @HarvardMed | Cardiologist @BIDMCHealth | Associate Director @SmithBIDMC | Healthcare Policy, Outcomes, & Equity Research

Boston, MA

https://t.co/rXXX7g2gRj

Joined May 2017

Don't wanna be here? Send us removal request.

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

Our new @JAMA_current study evaluates changes in the prevalence, treatment, & control of cardiovascular risk factors in #young #adults over the past decade, and reveals some concerning findings. (Thread) Simultaneously published with #ACC23 #WCC2023 :

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

*Preliminary* #COVID19 study in @JAMA_current - 5 critically ill pts. on mechanical ventilation - All treated w/ convalescent plasma w/ #SARSCoV2 antibody - In 4/5, SOFA score⬇, viral loads⬇, ARDS resolved - All 5 stabilized, 3 at home * Need an RCT

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

How has #NewZealand only had 12 deaths from #COVID19 , out of a population of 5 million? *Early, severe national lockdown *Early closure of borders *Widespread TESTING + contact tracing *AMAZING leadership; trust in government @UriLF @TheAtlantic

New Zealand’s Prime Minister May Be the Most Effective Leader on the Planet

Jacinda Ardern’s leadership style, focused on empathy, isn’t just resonating with her people; it’s putting the country on track for success against the coronavirus.

www.theatlantic.com

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

@jordonr This is positive news 🙏🏾 Sounds like his blood pressure & heart rate have stabilized. Intubation, sedation, and being placed on a ventilator are normal steps after a cardiac arrest Thank goodness they were able to perform #CPR right away. Next 24-48 hours will be critical

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

In other words: 5 very sick patients w/ #COVID19 whose breathing was being supported by a machine stabilized and/or improved after being given a treatment - antibodies to #COVID19 (which were obtained from the plasma of other patients who successfully recovered from #COVID19 )

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Collectively, more than 100 staff at ⁦⁦Brigham & Women’s, Mass General Hospital, & Boston Medical Center test positive for #COVID19

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Over 100 Employees at Boston-Area Hospitals Test Positive for Coronavirus

Two Boston hospitals each reported that more than 40 employees have tested sick for the new coronavirus Wednesday.

www.nbcboston.com

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

The quality measure complex has exploded over the past decade A new @JAMA_current study finds that Johns Hopkins spent >$5.6 million + 108,000 hours in a single year to report 162 measures The costs across all US health systems is likely *astronomical*

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Thinking of all the #interns & #residents who are working tirelessly in hospitals across the country They are on the front-lines of #COVID19 - working 80+ hrs/week - taking on so much responsibility and risk, so early in their careers They are HEROES. Every single one of them.

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

Congratulations to my absolutely brilliant and incredible fiancé @PrakritiGaba on matching at her #1 choice for Cardiology Fellowship: Brigham and Women’s Hospital!! 5 years of living apart comes to an end:) #nomorelongdistance #cardiologycouple @BrighamFellows @BrighamWomens

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@rkwadhera

Rishi Wadhera, MD MPP

7 months

Very excited about this! I've been incredibly fortunate to work with truly *exceptional* mentors, colleagues, collaborators, trainees, and students, who all made this possible. Thankful for my family and friends. "The Team, The Team, The Team"

@SmithBIDMC

BIDMC Smith Center

7 months

Congratulations to @rkwadhera on his promotion to Associate Professor of Medicine @harvardmed ! We are excited to see what this new chapter will bring.

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Rishi Wadhera, MD MPP

1 year

Deeply honored to receive this recognition from @harvardmed and incredibly fortunate to work with simply *spectacular* ⭐️ mentees Grateful for the outstanding culture of mentorship that @rwyeh has created @SmithBIDMC @BidmcCvi

@SmithBIDMC

BIDMC Smith Center

1 year

Congratulations to @rkwadhera on receiving the Harvard Medical School Young Mentor Award for excellence in mentoring! @Harvardmed @Bidmcvi @BIDMC_Medicine @BIDMChealth @HMS_DCIP

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

The #racial breakdown of #COVID19 deaths is VERY alarming Proportion of #COVID19 deaths in Black patients: *Chicago - 68% *Milwaukee - 81% *Michigan - 41% *Louisiana - 70% The "...racial pandemic within the viral pandemic"

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

In 2017, *$812 BILLION* spent on administration by health insurers and providers. That's 34% of US health expenditures!! US spending on administration (per capita) nearly 5-fold ↑ than in Canada ($2497 vs. $551) Interesting new study in @AnnalsofIM

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

An important new @JAMA_current study estimates the economic burden of health inequities for racial/ethnic minority populations to be $421-$451 billion, and for education-related inequities, nearly *$1 trillion*

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The Economic Burden of Racial, Ethnic, and Educational Health Inequities in the US

This study estimates the economic burden of health inequities for racial and ethnic minority populations.

jamanetwork.com

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Is there a #QualityMetric Industrial Complex in health care? Our @JAMA_current study finds that @CMSGov has >2,200 quality measures in its inventory: ≈800 are in use CMS has invested over **$1.3 BILLION** on measure development. (THREAD)

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

Our new @NEJM paper explores CMS's recent announcement that hospitals will be required to report #equity measures focused on health-related social needs, and how these data might be used by hospitals to advance health equity within their communities.

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Hospitals and Health Equity — Translating Measurement into Action | NEJM

Implementation of health-equity measures focused on health-related social needs by CMS is an important step, but additional efforts may be needed to reduce health disparities.

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

**New study in @JAMA_current ** We find that implementation of the Hospital Readmissions Reduction Program was associated with ⬆ 30-day post-discharge mortality among patients hospitalized w/ heart failure or pneumonia, but not AMI. @rwyeh @kejoynt

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Dying in a Leadership Vacuum - @NEJM Editors "When it comes to the... largest public health crisis of our time, our political leaders have demonstrated that they are dangerously incompetent. We should not enable the deaths of thousands more by allowing them to keep their jobs"

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@rkwadhera

Rishi Wadhera, MD MPP

6 months

We are delighted to have matched a truly *phenomenal* group to the BIDMC Cardiovascular Medicine Fellowship. @BIDMCVFellows @harvardmed So excited to welcome you to @BidmcCvi family!

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

"Furor erupts" as $30 billion in #Congressional aid is being given to #hospitals based on their prior Medicare billings, rather than by how hard they've been hit by #COVID19 Fantastic analysis and visual by @KHNews

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

This is why health insurance coverage should not be tied to your job. People should not be losing affordable access to healthcare during a pandemic.

@nytimes

The New York Times

4 years

Breaking News: About 5.4 million Americans lost health insurance in the pandemic, more than have ever lost coverage through job losses in a year, an analysis found

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

New @JAMA_current study describes 21 critically ill patients w/ #SARSCoV2 in Washington * Mean age 70 y.o. * 18 of 21 w/ comorbidities, commonly HF & CKD * 15 of 21 intubated->ARDS * 1/3 developed cardiomyopathy * 52% mortality; 38% remain critically ill

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@rkwadhera

Rishi Wadhera, MD MPP

3 years

Massachusetts #COVID19 sewage surveillance shows a recent ⬇️viral RNA levels in wastewater - we may be turning the corner.

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@rkwadhera

Rishi Wadhera, MD MPP

3 years

Policymakers have increased their focus on improving health equity. But are federal pay-4-performance (P4P) programs helping or hurting? In @JAMA_current , we examine how hospitals that care for a higher % of Black adults fare in these programs. (THREAD)

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Rishi Wadhera, MD MPP

4 years

An *incredible* & gut-wrenching piece in @NEJM The clinical, logistical, & ethical challenges faced by frontline doctors in #Italy #COVID19 "Uncertainty only heightened the agony of the impossible decisions doctors were facing" - By @LisaRosenbaum17

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Facing Covid-19 in Italy — Ethics, Logistics, and Therapeutics on the Epidemic’s Front Line | NEJM

Physicians in northern Italy have learned some painful lessons about rationing care during an epidemic. As health care systems work out ethical allocation principles, it seems clear that only with ...

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

*New in @JAMA_current * More than 7 million older adults are 'dually enrolled' in Medicare & Medicaid due to #poverty Given ↑ income inequality in the U.S., how has the health of this vulnerable population changed over time & have #disparities narrowed?

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@rkwadhera

Rishi Wadhera, MD MPP

3 years

The #COVID19 pandemic has been devastating, but clinicians have also worried about the indirect toll of the pandemic on patients Our new @SmithBIDMC study in @JACCJournals examines cardiovascular deaths during the early US pandemic (THREAD)

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@rkwadhera

Rishi Wadhera, MD MPP

2 years

A truly wonderful ceremony honoring @DrJoelKatz as the inaugural Fish Endowed Chair in Medical Education, after 21 incredible years of training generations @BrighamMedRes w/ deep compassion, selflessness, & humanity as Program Director @BrighamWomens

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@rkwadhera

Rishi Wadhera, MD MPP

7 months

Exceptionally proud of star mentee @AndrewOseran for receiving a near-perfect fundable score on his K23 grant application to the NIH/NHLBI There's a reason we call him "The Wizard" He'll soon be the first of the 3rd generation of @SmithBIDMC K awardees!

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@rkwadhera

Rishi Wadhera, MD MPP

5 months

Our @NEJM piece describes why the value-based movement is facing hard truths. Most @CMSGov models have ⬆️ (rather than ⬇️) spending by *billions* Will a new effort encouraging states to adopt global healthcare budgets be the answer? Led by @suhas_gondi

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Hospitals across the U.S. should adopt the smart model just implemented today @BrighamWomens @MGHMedicine ALL hospital #staff are required to wear #FACEMASKS at ALL TIMES & have health checks to ⬇ self-exposure & ⬇ asymptomatic transmission to others.

@Atul_Gawande

Atul Gawande

4 years

Today, my health system took a big step: Notified staff that they're adopting the model described here, with face masks at all times & a health check each shift for even mild ill symptoms. Effective Wednesday. Kudos to @PartnersNews @BrighamWomens @MassGeneralNews

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Incredibly proud of @PrakritiGaba for being named to @Forbes 30 under 30 in Healthcare! Prakriti is an deeply thoughtful clinician & prolific researcher, now a cardiology fellow @BrighamWomens @HarvardMed Disclosure: she is also my *much* better half

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

Wonderful @JAMA_current piece on what *really* makes a good doctor for patients and families. "We are haunted by the fact that outstanding physicians are hidden... by the meaningless morass of metrics paradoxically designed to identify value & quality"

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Measuring Quality: What Makes a Good Doctor?

In this narrative medicine essay, a hematologist/oncologist and a nurse practitioner couple tell of a terrifying change in the behavior of their intellectually challenged son and of the physician who...

jamanetwork.com

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

The Hospital Readmissions Reduction Program has been intensely debated since its enactment in 2010. In @NEJM , we propose changes to the HRRP to strengthen the program & mitigate concerns about unintended consequences. "The HRRP - Time for a Reboot"

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

Congratulations to @rwyeh on being appointed the Katz Silver Family Professorship of Outcomes Research at Harvard Medical School!! Bobby is a truly incredible and inspiring mentor, colleague, and friend. We are very lucky @SmithBIDMC @harvardmed

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Hospitals are imposing cutbacks on front-line doctors & nurses as they battle #COVID19 Are hospital administrators - who are not on the front-lines - taking similar cuts? Meanwhile, Congress just gave hospitals' $100 billion in funding...

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Cutbacks for some doctors and nurses as they battle on the front line - The Boston Globe

These financial cutbacks, coming in response to sudden shortfalls during the coronavirus outbreak, have triggered an outcry from doctors and nurses who are already working grueling shifts in demand...

www.bostonglobe.com

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@rkwadhera

Rishi Wadhera, MD MPP

3 years

New study out in @CircAHA . Cardiovascular deaths ⬆️ during the pandemic. But were some groups more affected than others? We find that Black, Hispanic & Asian populations experienced a MUCH larger ⬆️ in CV deaths than White adults (Thread...)

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Rishi Wadhera, MD MPP

2 months

Very appreciative of @AHAScience support of our research program focused on evaluating and informing state and national health policies to advance cardiovascular health! @SmithBIDMC

@SmithBIDMC

BIDMC Smith Center

2 months

Congratulations to @rkwadhera on receiving the American Heart Association Established Investigator Award! @AHAScience @American_Heart

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Rishi Wadhera, MD MPP

4 years

New @JAMA_current study on community prevalence of #COVID19 Among patients w/ *mild* flu-like symptoms at center in LA, 5% were #SARSCoV2 positive. Most were active in the community throughout illness. Important implications for mitigation efforts

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Rishi Wadhera, MD MPP

4 years

Only 65% of the 87,000 excess #deaths during the first few weeks of the pandemic in the US were attributable to #COVID19 >50% of excess deaths in #Texas & #California were due to other causes. More evidence of collateral damage in @JAMA_current

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@rkwadhera

Rishi Wadhera, MD MPP

2 years

If you think deeply about #quality in #healthcare - or work to improve quality for patients everyday - you must read this *brilliant* piece by @LisaRosenbaum17 "Reassessing Quality Assessment — The Flawed System for Fixing a Flawed System"

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@rkwadhera

Rishi Wadhera, MD MPP

6 years

In recent years, many policies that aimed to improve care have failed to do so, and some have had unintended consequences. In @nejm , we argue for an evidence-first approach to policy – rigorous evaluation prior to widespread implementation. @DLBHATTMD

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Toward Precision Policy — The Case of Cardiovascular Care | NEJM

Our experience with policies that offer incentives to physicians and hospitals to deliver higher-value care teaches us that before policies are implemented widely, rigorous studies should be conduc...

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@rkwadhera

Rishi Wadhera, MD MPP

3 years

The stories coming out of LA county are horrifying. Hospitals are completely full. Oxygen supplies are dwindling. Patients are being treated in gift shops. Ambulances being turned away. Hospitals preparing to ration care. And it's only going to get worse..

Los Angeles Hospitals Plan to Ration COVID-19 Care Amid Surge

Many hospitals are preparing for the possibility of rationing care in the coming weeks as the number of COVID-19 patients exceeds the number of ICU beds.

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

A breathtaking, beautiful, and personal piece in @NEJM . Heroism is all around us. "Once Upon a Time... the Hero Sheltered in Place" - By @LisaRosenbaum17

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Acute ST-Segment Elevation From an Ingested Battery "We believe that this report establishes that ingestion of a single AA battery can produce ECG changes that mimic acute myocardial infarction" @AnnalsofIM #cardiotwitter

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

New work in @JAMAInternalMed & presented at @AHAMeetings We find that individuals experiencing #homelessness are far less likely to receive procedural care for urgent cardiovascular conditions and have ↑ mortality rates than non-homeless adults.

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@rkwadhera

Rishi Wadhera, MD MPP

3 years

So a bunch of domestic terrorists in MAGA hats invaded the Capitol... and then got to go home? #whiteprivilege

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@rkwadhera

Rishi Wadhera, MD MPP

8 months

In @CircAHA , I discuss value-based payment reform in #cardiology What have learned over the past decade? Where do we go next? And imp. of recognizing that we may need to spend more - not less - to improve health in populations w/ social risk factors.

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@rkwadhera

Rishi Wadhera, MD MPP

2 years

1 in 4 Americans can't afford their prescription medications The Senate just passed a *historic* bill that will tackle this 'affordability crisis' by allowing Medicare to: ▪️Negotiate drug prices ▪️Limit ⬆️in drug prices ▪️Cap out-of-pocket drug spending at $2000/yr

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@rkwadhera

Rishi Wadhera, MD MPP

2 months

Our @JAMA_current study explores how a new health equity adjustment will impact hospital performance in Medicare's Value-Based Purchasing program Top-line: Safety-net hospitals will experience a net + ⬆️ of ≈$30 million in payment adjustments @SmithBIDMC

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

New study in @JAMACardio ! How do hospitals that receive awards from the @American_Heart & @ACCinTouch for high quality cardiovascular care perform under @CMSGov pay-for-performance programs, which also target CV conditions? The short answer? Not so well

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@rkwadhera

Rishi Wadhera, MD MPP

11 months

Check out @CircAHA #disparities issue published this week, featuring research on the effects of redlining, racial inequities in CV quality and outcomes, & the untold stories of Jackie Robinson! Delighted to serve as an editor w/ @kewatson @MCarnethon

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Rishi Wadhera, MD MPP

5 years

Spent the last two hours trying to compare how much hospitals in Massachusetts "charge" for two cardiac procedures - PCI and CABG - via publicly posted info mandated by @CMSGov . Still struggling... and I'm a cardiologist. Transparency for the sake of transparency.

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Rishi Wadhera, MD MPP

4 years

#WhiteCoatsForBlackLives outside ⁦ @BrighamWomens ⁩ ⁦ @harvardmed ⁩

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Rishi Wadhera, MD MPP

3 years

Important @Health_Affairs study shows that the Affordable Care Act significantly reduced income inequality in the US, and that the impact was larger in Medicaid expansion states. Inequality also declined within & between racial/ethnic subgroups.

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@rkwadhera

Rishi Wadhera, MD MPP

3 months

Lisa is one the most brilliant, thought-provoking, & incisive medical writers of our times. She's also a wonderful friend. I can't wait to witness her take @SmithBIDMC to new heights as she leads the Academy for Narrative & Critical Inquiry as our inaugural Writer-in-Residence!

@SmithBIDMC

BIDMC Smith Center

3 months

We are pleased to announce that @LisaRosenbaum17 will join @SmithBIDMC as the inaugural Writer-In-Residence, beginning July 2024. Please join us in welcoming Dr. Rosenbaum!

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

New work in @bmj_latest Under the HRRP, ↓ readmissions have been attributed to better transitional & post-d/c care. We find, however, that total 30-day hospital revisits (ER, Obs, inpatient) have been **increasing** since the program was implemented

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Amazing @NEJM piece about the "Untold Toll" of the pandemic on patients *without* #COVID19 "Perhaps the greatest challenge is an invisible one: How do we help people who are afraid to seek care to begin with." - @LisaRosenbaum17

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@rkwadhera

Rishi Wadhera, MD MPP

3 years

How many more social media platforms need to ban Trump for us to achieve herd immunity?

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

Happy Holidays from a white coat, a sweater vest, and our inimitable attending, @LisaRosenbaum17 ! @BrighamWomens #lifementor #festivus @mvaduganathan @BrighamFellows @bwhcvls @BWHResearch

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Rishi Wadhera, MD MPP

4 years

The Lost Month - How a Failure to Test Blinded the U.S. to #Covid_19 “You can’t stop it... if you can’t see it.”

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@rkwadhera

Rishi Wadhera, MD MPP

2 years

Value-based payment models rolled out over the past decade have failed to advance health equity and have often been regressive Our new @NEJM paper discusses how the ACO REACH Model hopes to change that by making equity a priority @SmithBIDMC 1/

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“REACHing” for Equity — Moving from Regressive toward Progressive Value-Based Payment | NEJM

Recent value-based payment models have often moved dollars away from patients and providers with fewer resources and toward those with more. A new model names promoting equity as a central goal.

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Congratulations to all the amazing residents across the country on the Fellowship Match!! And especially proud of my sister @pwad26 , who will be a #Cardiology Fellow at Boston University/Boston Medical Center next year!! @BUcards

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Rishi Wadhera, MD MPP

5 years

Really nice qualitative study in @JAMAInternalMed Imp. differences in how rapid response teams are implemented at top vs. non-top hospitals for cardiac arrest survival. Insights from front-line care teams critical to help drive improvements in quality.

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@rkwadhera

Rishi Wadhera, MD MPP

2 months

Among patients with acute myocardial infarction who underwent early angiography & had a preserved LVEF, long-term beta blocker treatment *did not* ⬇️ all-cause death or new MI. #ACC24 #Cardiotwitter

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@rkwadhera

Rishi Wadhera, MD MPP

2 years

Our new @JAMA_current study explores how #lipid concentrations changed in the US population from 2007-2018, and finds concerning disparities in lipid control by gender, race & ethnicity (THREAD) Led by @RahulAggarwalMD w/ @FaRodriguezMD @DLBHATTMD @rwyeh

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

🌟Applications Open🌟 The Zimetbaum Fellowship in Health Outcomes, Equity & Policy seeks med students/residents interested in #research training @SmithBIDMC . Candidates from URM backgrounds *highly* encouraged to apply! Details👇🏾 Apply here: RT & share!

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@rkwadhera

Rishi Wadhera, MD MPP

7 months

Simultaneous #AHA23 pub now out in @ESC_Journals Over past decade, alarming ⬆️ cardiovascular hospitalizations among younger adults 25-64 years in the US ⬆️ MI ⬆️ heart failure ⬆️ stroke Enormous disparities between low- & high-income communities /1

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

#ACC23 #WCC2023 Young Investigator Competition @AndrewOseran delivers an exceptional talk on how the inclusion of Medicare Advantage beneficiaries in national value-based programs changes assessments of hospital quality for HF and MI. @SmithBIDMC @joefigs2 @ACCinTouch

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@rkwadhera

Rishi Wadhera, MD MPP

2 years

@rwyeh @SmithBIDMC Mom: "Good news. But are you an interventional cardiologist yet?" 😂 #indianparenting

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@rkwadhera

Rishi Wadhera, MD MPP

7 months

#AHA23 is just around the corner. Proud of the phenomenal trainees in the Health Policy & Equity Section @SmithBIDMC for a fantastic showing: * 10 presentations * 2 Early Career Investigator Finalists * 4 simultaneous publications Please stop by and check out their research!

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Tour de force @JAMA_current review highlights *potential* #treatments for #COVID19 that require further study in clinical trials AND provides a summary of current clinical experience + treatment guidance.

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Rishi Wadhera, MD MPP

2 years

Our new @JAMAInternalMed finds *substantial* variation in payer-negotiated prices of common cardiovascular tests & procedures across highly-ranked US hospitals, as well as for identical services within the same hospital Led by @AndrewOseran @SmithBIDMC

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

More evidence that CMS value-based programs are regressive In 1st year of #MIPS , clinicians who served more low-income pts. performed worse in the program, as did clinicians *not* affiliated w/ health systems Impt. @JAMA_current studies by Johnson @kejoynt @DhruvKhullar et al.

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Rishi Wadhera, MD MPP

5 years

Now out in @JACCJournals We find that PCI public reporting programs result in substantial institutional cost & physician burden. But there is little evidence these programs improve quality or outcomes. Time to rethink our approach to public reporting?

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Rishi Wadhera, MD MPP

11 months

Congratulations to 3 fantastic mentees who are wrapping up dedicated year(s) of health policy research training @SmithBIDMC Chantal Henry - @MeharryMedical & soon-to-be ED resident @prihatha - cardiology fellowship @BIDMCVFellows ! @AndrewOseran - back to MGH for HF fellowship

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Rishi Wadhera, MD MPP

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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Rishi Wadhera, MD MPP

2 months

At @SmithBIDMC , we love to celebrate life wins Congratulations to inimitable @BidmcCvi cardiology fellow and ⭐️ T32 research mentee @lucas_marinacci on passing his driver's license test!

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

Proud of 3 phenomenal mentees who will be presenting their research this weekend at #ACC23 #WCCardio in New Orleans Check out their talks focused on health policy, cardiology, and equity w/ simultaneous pubs! @SmithBIDMC 👇🏾

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@rkwadhera

Rishi Wadhera, MD MPP

9 months

📢CALL FOR APPLICATIONS📢 The Zimetbaum Fellowship in Health Outcomes, Policy & Equity seeks med students/residents interested in a year of research training @SmithBIDMC @Harvard in Boston. Publish high-impact work. Stipend provided! Apply: Due: Oct 15th

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Rishi Wadhera, MD MPP

4 years

Very proud of @EmefahLoccoh for being nominated as a #Lipkin Finalist @SocietyGIM National Meeting!! Eméfah is a *star* 4th year med student & @SarnoffCardio Fellow, who has led important work w/ the @SmithBIDMC team that examines rural #disparities in care delivery and health.

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

Our new @JAMACardio study evaluates heart failure care quality at hospitals caring for high-proportions of Black adults vs other hospitals We find that these sites perform similarly on 11 of 14 measures, w/ no evidence of within-hospital disparities. /1

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Rishi Wadhera, MD MPP

3 months

Our new study in @AmJCardio finds marked differences in the burden of #cardiovascular risk factors and diseases among #Asian groups (Asian Indian, Filipino, Chinese), and explores how social determinants & lifestyle factors contribute to these inequities

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

@rohan_khera @NEJM @unmc @dallasnews @UTSWCardfellow @UTSWNews @jasonwasfy @boback @khurramn1 @ALewisMD Hospitals' masking policies should be erring on the side of caution, since our understanding of how COVID19 spreads is at best, evolving. Yet focus seems to be on conservation.... well that doesn't matter if all your HCW are getting sick and/or contributing to exponential spread

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Bobby is not only a phenomenal researcher, but also an *incredible* leader, mentor, and friend. We still haven't figured out how he does it all @SmithBIDMC

@SmithBIDMC

BIDMC Smith Center

4 years

Congratulations to @SmithBIDMC Director @rwyeh on receiving the @American_Heart Joseph A. Vita Award at #AHA2020 for his influential work in interventional cardiology, risk modeling and CV healthcare policy! @BIDMChealth

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Rishi Wadhera, MD MPP

5 years

NEW in @JAMAInternalMed . PCIs coded for unstable angina in the outpatient setting ⬆ from 2010 to 2014. This ⬆ was most dramatic in NY (14x). Have diagnostic/coding patterns changed in response to efforts to reduce inappropriate PCIs? @d_sukul @rwyeh

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

Our OpEd in the @nytimes places our @JAMA_current findings in the context of prior studies, and suggests a path forward for the Hospital Readmissions Reduction Program. @kejoynt @rwyeh @nytopinion

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Opinion | Did This Health Care Policy Do Harm? (Published 2018)

A well-intentioned program created by the Affordable Care Act may have led to patient deaths.

www.nytimes.com

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

Our new @JAMA_current editorial highlights the staggering economic burden of US health inequities described by LaViest et al. and discusses policy strategies to promote equitable access to economic opportunity, education, & health for all

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@rkwadhera

Rishi Wadhera, MD MPP

5 years

Interesting @JAMA_current piece on AMCs. "Academic medicine has contributed to the creation of a suboptimal health system...Many of today’s AMCs are similar to huge tankers loaded w/ health care services, and research & education are merely passengers."

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Rishi Wadhera, MD MPP

1 year

.. and raise concern about the untold financial & administrative burden imposed by the proliferation of quality measures, particularly given little evidence that the ⬆️ measures has meaningfully improved quality See @lisarose thoughtful piece in @NEJM /3

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Reassessing Quality Assessment — The Flawed System for Fixing a Flawed System | NEJM

Decades into the quality improvement movement in U.S. health care, the fix for the system has become a massive, cumbersome, time-consuming, demoralizing system in its own right — and we don’t even ...

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@rkwadhera

Rishi Wadhera, MD MPP

1 year

A tour de force @BidmcCvi Grand Rounds by @mvaduganathan on bridging discovery science and implementation science in heart failure.

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@rkwadhera

Rishi Wadhera, MD MPP

2 years

"A 57-year-old man with life-threatening heart disease has received a heart from a genetically modified pig - a groundbreaking procedure."

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In a First, Man Receives a Heart From a Genetically Altered Pig (Published 2022)

The breakthrough may lead one day to new supplies of animal organs for transplant into human patients.

www.nytimes.com

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

#BlackLivesMatter protest through the #SouthEnd of Boston Chanting #GeorgeFloyd

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@rkwadhera

Rishi Wadhera, MD MPP

7 months

#SELECT Trial presented at #AHA23 #LateBreaking Science Semaglutide ⬇ cardiovascular death in patients with cardiovascular disease and overweight/obesity (but without diabetes). Now out in @NEJM !

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

Phenomenal @BrighamWomens Grand Rounds talk by @rwyeh ! “Precision, Pragmatism, and Parachutes: Modernizing Empiricism in Cardiovascular Care” @SmithBIDMC @BidmcCvi @BrighamFellows @bwhcvls

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

New #COVID19 cases are surging in Arizona, Florida, South Carolina, Louisiana, Texas Contrast to #Massachusetts , where there have been fewer new cases in recent weeks. Tough to spot anyone on street who is *not* wearing a mask.

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@rkwadhera

Rishi Wadhera, MD MPP

4 years

New @Health_Affairs study w/ @joefigs2 & team In Massachusetts, we find that Black & Latino communities have been disproportionately affected by #COVID19 . But what factors are contributing to racial/ethnic disparities in case rates? (see👇🏾)

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@Health_Affairs

Health Affairs

@Health_Affairs

4 years

BREAKING: New study,"Community-Level Factors Associated With Racial And Ethnic Disparities In #COVID19 Rates In Massachusetts" is out now! Read @joefigs2 , Ben Sommers + Dennis Lee of @HarvardChanSPH and @rkwadhera + @rwyeh of @BIDMChealth 's study:

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Rishi Wadhera, MD MPP

7 months

Always fun to learn from my better half @PrakritiGaba on the podium… and off it too! #heartcouple @AHAScience #AHA23 @TIMIStudyGroup

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Rishi Wadhera, MD MPP

12 days

Our new @JAMAInternalMed study led by @_sukruth evaluates changes in the financial burden of health care among privately insured US families from 2007-2019 We find a worsening crisis of affordability among privately insured families with low incomes

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Rishi Wadhera, MD MPP

4 years

RECOVERY Trial now published in @NEJM Dexmethasone reduces death within 28 days in #COVID19 patients receiving oxygen or mechanical ventilation. No benefit in those not requiring respiratory support.

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