Michael McWilliams

@JMichaelMcW

Professor of Health Care Policy , Primary Care Physician

Harvard Medical School
Vrijeme pridruživanja: rujan 2016.

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  1. proslijedio/la je Tweet
    27. sij

    “Rather than double down on pay-for-performance, I think we are better off taking a step back and thinking more broadly about all the potential ways we can improve care delivery without relying so heavily on measures and payment incentives.” -

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  2. proslijedio/la je Tweet
    23. sij

    A study of ~250 hospitals acquired between 2009-2013 found no evidence that the ownership change improved their quality of care. Check out our Research Insights for highlights of the study by N. Beaulieu & colleagues :

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  3. proslijedio/la je Tweet

    ICYMI: Physician Organization and the Role of Workforce Turnover by of with , & published in Annals .

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  4. proslijedio/la je Tweet
    23. sij

    ., professor of health care policy and an internist at , discusses his research on the Hospital Readmissions Reduction Program and drawbacks of pay-for-performance programs.

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  5. proslijedio/la je Tweet
    21. sij

    Honored to receive Student Paper Award for my paper with on testing assumptions entitled “Nothing to see here?” 1/n

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  6. proslijedio/la je Tweet
    17. sij
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  7. proslijedio/la je Tweet
    13. sij

    “If you build it and make it the only option” you mean? Systematically increasing regulatory costs/burdens of navigating mcare payments, EHR, cutting reimbursement if you’re not associated with a hospital may do that..

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  8. 13. sij

    "If you build it..." Young docs favoring large hospital-owned organizations. Seems we are passed the tipping point in making independent practice less appealing/viable. New research led by

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  9. 9. sij

    Thoughtful thread from . Reminds me too of another layer of the prediction challenge. As we zero in on the highest risk the NNT may go up not down bc we find those for whom outcomes r least modifiable. When the horse has left the barn it takes more than a whistle & carrot

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  10. 8. sij

    It is really important that we identify patients with high care needs and meet them, but this is not the path to savings. Perhaps this study will help shift focus to cutting waste directly and shifting the distribution of spending rather than obsessing over the tail

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  11. 8. sij

    Important study by Amy Finkelstein et al on hot-spotting & readmissions: A myth that never had a sound conceptual basis (eg see w/ ) but rode mean reversion to the top. Nice take by :

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  12. proslijedio/la je Tweet
    6. sij

    New research out today (with et al.) in Health Affairs. Our study fills important gaps in knowledge of how access to insurance shapes low-income individuals’ physical and mental health trajectories.

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  13. proslijedio/la je Tweet
    6. sij

    🚨Since 2014, there's been 1 burning question: Does expansion of under the make people healthier? Well, now there's evidence to answer that question. NEW in from at ➡️

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  14. 6. sij

    Working with powerhouse duo of and on the analysis was crazy fun and rewarding (fin)

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  15. 6. sij

    For the methods-minded, we used randomization inference, adapted diff in diff to handle outcomes truncated by death & to unpack transitions in multi-state outcomes, & punched hard at our results, w/cameo by principal stratification. Only an extreme alt story could explain results

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  16. 6. sij

    This suggests the health of low-income adults w/ high health care needs has been harmed by state decisions not to accept federal funding for Medicaid expansion & adds to evidence of health benefits from Janet McCubbin Ben Sommers & others

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  17. 6. sij

    We find Medicaid expansions in the South associated with a slower rate of health declines, analogous to improving population health in worst (8th) ranked non-expansion southern state to 5th ranked, or from the 4th ranked to 1st

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  18. 6. sij

    2) the cohort is older and sicker than the general Medicaid-eligible pop (so may benefit more); and 3) the cohort lives in the South, where the bulk of the uninsured and non-expansion states are located

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  19. 6. sij

    The SCCS has been ongoing since 2001. We built on it by fielding post-ACA surveys 2015-17. Studying the SCCS was key in 3 respects: 1) the cohort was enrolled through CHCs, so this allows us to test the belief that insurance coverage offers no benefit beyond the safety net...

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  20. 6. sij

    New paper w/ et al on impact of Medicaid expansions in the South on health in the Southern Community Cohort Study (SCCS): See great thread from here: I'll also briefly summarize (1/7)

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