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ishaniganguli.bsky.social
@ishaniganguli.bsky.social
270 followers 160 following 53 posts
Health services researcher, primary care doctor, and writer | Associate Professor @HarvardMed @BrighamDGIM via @MassGeneral @BostonGlobe | Associate Editor @JAMAInternalMed
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Reposted
katemmorgan.bsky.social
📖 Our new study in @jamainternalmed.com examines the primary care workforce serving fee-for-service Medicare beneficiaries using a pragmatic, patient-centered measure: clinicians available for new patient visits per beneficiary.
👉Article: jamanetwork.com/journals/jam...
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Primary Care Clinicians Available for New Patient Visits
This cross-sectional study examines changes in the numbers of primary care physicians and primary care advanced practice practitioners available for new patient primary care visits.
jamanetwork.com
January 20, 2026 at 8:13 PM
Reposted
dusetzinas.bsky.social
How you spend your days matters. Knowing the time impact from the treatments pursued (or not) can help patients and their families to be prepared for making informed decisions about cancer care. What an honor to be part of this work.
December 9, 2025 at 11:38 PM
Reposted
mdaware.org
I didn’t really get how much “health care contact days” is a meaningful patient outcome until I got sick

thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com
December 9, 2025 at 10:14 PM
ishaniganguli.bsky.social
For older adults with metastatic cancer, each day spent on health care can take away from days that are often devastatingly limited. Our latest study led by Arjun Gupta and Shelley Jazowski with @dusetzinas.bsky.social and Avi Gupta is out now in @jamanetworkopen.com
jamanetwork.com/journals/jam...
Health Care Contact Days in Older Adults With Metastatic Cancer
This cohort study examines patterns and changes in health care contact days over time among traditional Medicare beneficiaries diagnosed with metastatic breast, colorectal, lung, and prostate cancers.
jamanetwork.com
December 9, 2025 at 10:10 PM
Reposted
aschwartz.bsky.social
🚨New Publication🚨 Risk-based provider payment is more common in Medicare Advantage than any other segment of US health care financing. What happens to broad categories of health care utilization, and low-value service use, when provider groups adopt these contracts? jamanetwork.com/journals/jam...
Health Care Utilization and Low-Value Service Use After Risk-Based Contract Adoption
This cohort study examined whether health care organizations’ transition to risk-based payment contracts in Medicare Advantage was associated with changes in health care utilization or use of low-valu...
jamanetwork.com
November 10, 2025 at 5:43 PM
Reposted
audreydzhang.bsky.social
🚨 New paper: As a PCP, I often hear from patients that managing their health care feels like a full-time job. To understand this better, we analyzed the first nationally-representative US survey of older adults’ self-reported treatment burden: agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
Treatment Burden Among Older Adults in the United States, 2022
Background Treatment burden refers to the patient-perceived effort of managing health and health care, which impacts quality of life and engagement in care. International studies of treatment burden...
agsjournals.onlinelibrary.wiley.com
June 27, 2025 at 10:09 PM
ishaniganguli.bsky.social
Women physicians face a persistent gender wage gap, which we've found is due in part to volume-based (FFS, or $/visit) payment models. In a new #JAMAHealthForum study, we find that under Medicare Advantage value-based payment (VBP), the gap reverses (!).
jamanetwork.com/journals/jam... @jama.com
Gender Differences in Physician Earnings and Outcomes Under Medicare Advantage Value-Based Payment
This cohort study assesses gender differences in reimbursed earnings and quality among primary care physicians participating in full risk-sharing arrangements with Medicare Advantage plans, which now ...
jamanetwork.com
May 27, 2025 at 11:11 PM
ishaniganguli.bsky.social
⭐️future-doc @nickdaley.bsky.social presenting our work on RTBT tools and telemedicine contributions to primary care access in Medicare. Posters 53-4, come on by #SGIM25
cc @jefflinder.bsky.social
May 16, 2025 at 10:16 PM
ishaniganguli.bsky.social
Inspiring plenary talk on tackling food insecurity by Seth Berkowitz at #SGIM25. I had the chance to chat with Seth about his study, listen here 👇🏽
May 16, 2025 at 4:17 PM
ishaniganguli.bsky.social
Dr. Stone has had incredible impact in her career. Proud to be one of many lucky enough to be mentored by her. #SGIM25
May 16, 2025 at 3:54 PM
ishaniganguli.bsky.social
On my way to #SGIM25 @societygim.bsky.social and excited to share my chat with @lisarotenstein.bsky.social @sethberkowitz.bsky.social and @lizdzeng.bsky.social about studies they're about to present #SGIM25. Check out the @jamainternalmed.com episode below.
May 14, 2025 at 10:39 PM
ishaniganguli.bsky.social
👇🏽New study led by @nickdaley.bsky.social finds that for most older adults, every extra day getting health care costs them an extra $49 out-of-pocket. And above certain thresholds, these extra days offer diminishing marginal returns on care satisfaction.
@jama.com
nickdaley.bsky.social Nick Daley @nickdaley.bsky.social · Mar 17
Health care contact days outside of the home, while often necessary, can place burdens on older adults and caregivers. In a new JAMA IM study, @ishaniganguli.bsky.social, John Orav, and I look at the relationship between contact days and other measures of patient experience. Key findings ⬇️
Contact Days, Care Experience, and Out-of-Pocket Spending
This cross-sectional study examines the level of satisfaction in care, ease of managing care, and out-of-pocket expenses among patients enrolled in traditional Medicare.
jamanetwork.com
March 17, 2025 at 11:19 PM
Reposted
nickdaley.bsky.social
Docs & patients know the pain of chasing borderline/incidental findings w/ a string of visits, tests and treatments. Yet after that initial test, these cascades can feel unavoidable. In a new @journalgim.bsky.social, @ishaniganguli.bsky.social and I explore reasons why & potential solutions:
Safe, Then Sorry? — The Psychological Biases that Drive Care Cascades - Journal of General Internal Medicine
Journal of General Internal Medicine -
link.springer.com
March 7, 2025 at 8:49 PM
Reposted
standupforscience.bsky.social
"In an unprecedented move, the US National Institutes of Health (NIH) has begun mass terminations of research grants that fund active scientific projects because they no longer meet 'agency priorities'"

www.nature.com/articles/d41...
Exclusive: NIH to terminate hundreds of active research grants
Studies that touch on LGBT+ health, gender identity and DEI in the biomedical workforce could be terminated, according to documents obtained by Nature.
www.nature.com
March 6, 2025 at 3:08 AM
Reposted
tradeoffs.org
Yesterday, President Trump addressed members of Congress in the joint session, but he had little to say about health care.

Here's what our team is reading to make sense of what's happening in health policy...
March 5, 2025 at 8:45 PM
ishaniganguli.bsky.social
Glad to share our new @health.nationalacademies.org report on Medicare primary care valuation.

We outline systemic challenges with the current approach that have cascading effects on the private sector and on patient outcomes, and we recommend a path forward.

bit.ly/4bozVUz
#primarycare
Improving Primary Care Valuation Processes to Inform the Physician Fee Schedule
Read online, download a free PDF, or order a copy in print.
bit.ly
February 28, 2025 at 7:52 PM
ishaniganguli.bsky.social
Congress must decide if it will extend Medicare telehealth coverage beyond March 2025.

Our new JAMA IM study shows how this may benefit Medicare patients + taxpayers.

TLDR: Telemedicine ⬇️ some low-value test use + spending (eg,onsite EKGs,blood tests) + ⬇️ total visit spending.
shorturl.at/w6l5l
Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries
This cohort study aims to quantify the association between telemedicine adoption and low-value testing among fee-for-service Medicare beneficiaries.
shorturl.at
February 24, 2025 at 9:48 PM
Reposted
anniewaldman.bsky.social
People who work or have worked at HHS, NIH, FDA, CMS, CDC, HRSA and other health agencies - we want to hear from you.

Researchers who rely on federal funding from any of these entities, we also want to hear from you.

Reach out to us: www.propublica.org/tips/

Or find me on Signal: 347-549-0332 🔎
February 24, 2025 at 4:43 PM
Reposted
gavinyamey.bsky.social
With RFK Jr saying he wants to stop NIH doing infectious disease research “for 8 years” and Trump now slashing the NIH and CDC workforce, what exactly is the plan for tackling the H5N1 bird flu outbreak?
February 14, 2025 at 5:58 PM
Reposted
boghuma.bsky.social
It's incredibly disheartening to hear about dedicated public health professionals getting mass-laid off from CDC. Including first year epidemic intelligence service officers. This program has been the backbone of outbreak investigations in US since 1951. Decimating this workforce makes us less safe.
February 14, 2025 at 6:49 PM
Reposted
sangerkatz.bsky.social
A new Trump formula for NIH grants could have very broad effects. We dug into the numbers to show what it means for every university and hospital. www.nytimes.com/interactive/... @aatishb.bsky.social @emmbadger.bsky.social @ethansinger.bsky.social @irineoc.bsky.social @fparis.bsky.social
How Trump’s Medical Research Cuts Would Hit Colleges and Hospitals in Every State
Changes to a key funding formula will reduce research grants at hospitals and universities by billions — and may discourage future research.
www.nytimes.com
February 14, 2025 at 6:45 PM
Reposted
carlbergstrom.com
1. Today the NIH director issued a new directive slashing overhead rates to 15%.

I want to provide some context on what that means and why it matters.

grants.nih.gov/grants/guide...
NOT-OD-25-068: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates
NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates NOT-OD-25-068. OD
grants.nih.gov
February 8, 2025 at 12:18 AM
ishaniganguli.bsky.social
A wonderful, thought-provoking piece by Paula Span @thenewyorktimes.bsky.social featuring our work.

Thank you for sharing @adambeckman.bsky.social!
November 25, 2024 at 3:24 PM
Reposted
dgorenstein.bsky.social
Hey #healthpolicy crew! Looking into RFK Jr.’s beliefs on chronic conditions.

Hoping to interview a few chronic condition experts on best evidence to treat cc.

All suggestions welcome.

RT’s (or what they’re called here appreciated)
November 14, 2024 at 10:27 PM