Adam Sacarny
@asacarny.bsky.social
Associate Professor @columbiahpm.bsky.social visiting this fall @beckerfriedman.bsky.social. Also @nber.org & @j-pal.bsky.social. Economics & health policy. #econsky #healthpolicy #medsky 📈🚞🐈🗽🏳️🌈
http://sacarny.com
Posts represent my views, not my employer's
http://sacarny.com
Posts represent my views, not my employer's
Reposted by Adam Sacarny
@allanmjoseph.bsky.social has been telling me there needs to be a "Dartmouth Atlas, but for pediatrics" for maybe a literal decade? And now there is!
(h/t to coauthor @johngraves.bsky.social)
(h/t to coauthor @johngraves.bsky.social)
Development of an Atlas for US Pediatric Acute Care
This cross-sectional study offers a national US atlas of pediatric acute care centers in the US.
jamanetwork.com
October 28, 2025 at 3:01 PM
@allanmjoseph.bsky.social has been telling me there needs to be a "Dartmouth Atlas, but for pediatrics" for maybe a literal decade? And now there is!
(h/t to coauthor @johngraves.bsky.social)
(h/t to coauthor @johngraves.bsky.social)
Fun fact: you can estimate a conditional logit by running a fixed effects Poisson. They yield the same estimates and standard errors - they maximize the same likelihood. Poisson regression forever!
October 15, 2025 at 6:27 PM
Fun fact: you can estimate a conditional logit by running a fixed effects Poisson. They yield the same estimates and standard errors - they maximize the same likelihood. Poisson regression forever!
Very excited this is coming out soon!
cc @ambarlaforgia.bsky.social
cc @ambarlaforgia.bsky.social
Forthcoming in AEJ: Applied Economics: "Turbocharging Profits? Contract Gaming and Revenue Allocation in Healthcare" by Atul Gupta, Ambar La Forgia, and Adam Sacarny. www.aeaweb.org/articles?id=...
Turbocharging Profits? Contract Gaming and Revenue Allocation in Healthcare
(Forthcoming Article) - Firms often exploit weaknesses in government contracts to boost revenues, yet little is
known about how they allocate these funds. We study how hospitals allocated $3 billion
o...
www.aeaweb.org
October 9, 2025 at 6:25 PM
Very excited this is coming out soon!
cc @ambarlaforgia.bsky.social
cc @ambarlaforgia.bsky.social
Reposted by Adam Sacarny
I thought I'd put the administration's proposed "compact" with universities in context, so I wrote the blog post below.
It's especially for journalists covering this story!
Many details about how the compact itself works and why the administration has retreated to this strategy.
It's especially for journalists covering this story!
Many details about how the compact itself works and why the administration has retreated to this strategy.
Balkinization: The Art of Replacing the Law with the Deal
A group blog on constitutional law, theory, and politics
balkin.blogspot.com
October 4, 2025 at 10:34 PM
I thought I'd put the administration's proposed "compact" with universities in context, so I wrote the blog post below.
It's especially for journalists covering this story!
Many details about how the compact itself works and why the administration has retreated to this strategy.
It's especially for journalists covering this story!
Many details about how the compact itself works and why the administration has retreated to this strategy.
Reposted by Adam Sacarny
The 2025 academic econ job market is trending better than the first COVID market year but worse than the rest of 2019-present
www.davidvandijcke.com/joe_tracker/
www.davidvandijcke.com/joe_tracker/
September 20, 2025 at 10:20 PM
The 2025 academic econ job market is trending better than the first COVID market year but worse than the rest of 2019-present
www.davidvandijcke.com/joe_tracker/
www.davidvandijcke.com/joe_tracker/
The bus I've been taking this week makes local stops then runs on the highway. Like the bus in the movie Speed. It's all I can think about on my way in.
September 11, 2025 at 3:22 PM
The bus I've been taking this week makes local stops then runs on the highway. Like the bus in the movie Speed. It's all I can think about on my way in.
Out today in @jamapsychiatry.com: we find that inpatient psychiatric bed supply increasingly comes from freestanding psychiatric hospitals in large for-profit chains.
Authors: Karen Shen @johnshopkinssph.bsky.social Mark Olfson @columbiapsych.bsky.social + me
jamanetwork.com/journals/jam...
Authors: Karen Shen @johnshopkinssph.bsky.social Mark Olfson @columbiapsych.bsky.social + me
jamanetwork.com/journals/jam...
National Trends in Inpatient Psychiatric Bed Supply, 2011 to 2023
This cross-sectional study discusses trends in inpatient psychiatric bed supplies.
jamanetwork.com
September 10, 2025 at 5:16 PM
Out today in @jamapsychiatry.com: we find that inpatient psychiatric bed supply increasingly comes from freestanding psychiatric hospitals in large for-profit chains.
Authors: Karen Shen @johnshopkinssph.bsky.social Mark Olfson @columbiapsych.bsky.social + me
jamanetwork.com/journals/jam...
Authors: Karen Shen @johnshopkinssph.bsky.social Mark Olfson @columbiapsych.bsky.social + me
jamanetwork.com/journals/jam...
Yesterday I had the privilege of visiting the Broad Street pump! Sadly, I saw that the pump handle had been removed. I worked to reinstall the pump handle so local residents would not be deprived of this vital resource. So glad to bring some of the latest American public health ingenuity to London!
September 5, 2025 at 12:38 PM
Yesterday I had the privilege of visiting the Broad Street pump! Sadly, I saw that the pump handle had been removed. I worked to reinstall the pump handle so local residents would not be deprived of this vital resource. So glad to bring some of the latest American public health ingenuity to London!
Reposted by Adam Sacarny
Statement from the largest economics association about the BLS firing
As context: AEA approximately never makes such public statements
This is a big deal
As context: AEA approximately never makes such public statements
This is a big deal
August 2, 2025 at 8:13 PM
Statement from the largest economics association about the BLS firing
As context: AEA approximately never makes such public statements
This is a big deal
As context: AEA approximately never makes such public statements
This is a big deal
Reposted by Adam Sacarny
News reports say Columbia paid a "fine" of $200 million, which is grossly excessive, given the lack of any government authority to impose such a fine. On the blog, I parse the agreement and the stakes to explain what the dollar figure really reflects and its ominous implications. 👇
How Bad is the Columbia Settlement Agreement?
Reporting (e.g., in the NY Times ) on the settlement agreement between Columbia University and the United States government describes the $...
www.dorfonlaw.org
July 24, 2025 at 1:33 PM
News reports say Columbia paid a "fine" of $200 million, which is grossly excessive, given the lack of any government authority to impose such a fine. On the blog, I parse the agreement and the stakes to explain what the dollar figure really reflects and its ominous implications. 👇
Reposted by Adam Sacarny
Characteristically clear-eyed thinking on the dangers of "regulation by deal" from my colleague David Pozen. balkin.blogspot.com/2025/07/regu...
Balkinization: Regulation by Deal Comes to Higher Ed
A group blog on constitutional law, theory, and politics
balkin.blogspot.com
July 24, 2025 at 1:49 AM
Characteristically clear-eyed thinking on the dangers of "regulation by deal" from my colleague David Pozen. balkin.blogspot.com/2025/07/regu...
Great rejoinder to a WSJ letter that (IMO quite incorrectly) interpreted the Oregon Health Insurance Experiment as showing that Medicaid doesn't improve health.
www.statnews.com/2025/07/03/o...
www.statnews.com/2025/07/03/o...
Defenders of Medicaid cuts are misunderstanding a study I worked on
Defenders of Medicaid cuts point to the Oregon Health Insurance Experiment to argue that the cuts won’t harm people’s health. But they misunderstand the results, writes one of the study’s authors.
www.statnews.com
July 7, 2025 at 4:14 PM
Great rejoinder to a WSJ letter that (IMO quite incorrectly) interpreted the Oregon Health Insurance Experiment as showing that Medicaid doesn't improve health.
www.statnews.com/2025/07/03/o...
www.statnews.com/2025/07/03/o...
Trying to identify opioids and other drugs in pharmacy data (claims, PDMP, etc.)? Use my code to quickly build a list of national drug codes (NDCs) using the free public database RxNorm.
I wrote this code to replace the CDC's now-discontinued opioid NDC dataset.
github.com/asacarny/dru...
I wrote this code to replace the CDC's now-discontinued opioid NDC dataset.
github.com/asacarny/dru...
GitHub - asacarny/drug-ndc-rxnorm: Code to create a list of NDCs (National Drug Codes) for opioids, benzodiazepines, and other related drugs using RxNorm
Code to create a list of NDCs (National Drug Codes) for opioids, benzodiazepines, and other related drugs using RxNorm - asacarny/drug-ndc-rxnorm
github.com
June 30, 2025 at 1:17 PM
Trying to identify opioids and other drugs in pharmacy data (claims, PDMP, etc.)? Use my code to quickly build a list of national drug codes (NDCs) using the free public database RxNorm.
I wrote this code to replace the CDC's now-discontinued opioid NDC dataset.
github.com/asacarny/dru...
I wrote this code to replace the CDC's now-discontinued opioid NDC dataset.
github.com/asacarny/dru...
My HCRIS hospital cost report code + data is updated through 2024! I threw the switch and moved everything to R. The new code lets you pull variables from the alphanumeric file, like hospital names and IDs.
NB: I'm using this data now but pls think of it like beta testing.
github.com/asacarny/hos...
NB: I'm using this data now but pls think of it like beta testing.
github.com/asacarny/hos...
GitHub - asacarny/hospital-cost-reports: Code to process the CMS hospital cost reports (HCRIS)
Code to process the CMS hospital cost reports (HCRIS) - asacarny/hospital-cost-reports
github.com
June 27, 2025 at 5:28 PM
My HCRIS hospital cost report code + data is updated through 2024! I threw the switch and moved everything to R. The new code lets you pull variables from the alphanumeric file, like hospital names and IDs.
NB: I'm using this data now but pls think of it like beta testing.
github.com/asacarny/hos...
NB: I'm using this data now but pls think of it like beta testing.
github.com/asacarny/hos...
A lot of you have been asking how my 10 million beneficial nematodes are doing. Well the answer is that me and my 10 million microscopic sons are doing great! Thanks so much
I know a lot is happening right now, so I want to pass along some happier news: I just purchased 10 million beneficial nematodes.
June 26, 2025 at 9:17 PM
A lot of you have been asking how my 10 million beneficial nematodes are doing. Well the answer is that me and my 10 million microscopic sons are doing great! Thanks so much
Currently in an ASHEcon session where my collaborator will be presenting our paper so I’m covering my name tag and whispering to people in the audience that I heard the last paper is really good with a very solid identification strategy
June 23, 2025 at 9:07 PM
Currently in an ASHEcon session where my collaborator will be presenting our paper so I’m covering my name tag and whispering to people in the audience that I heard the last paper is really good with a very solid identification strategy
I know a lot is happening right now, so I want to pass along some happier news: I just purchased 10 million beneficial nematodes.
June 16, 2025 at 7:28 PM
I know a lot is happening right now, so I want to pass along some happier news: I just purchased 10 million beneficial nematodes.
Extremely bad news is right. And I worry the same forces are coming for federal health care data.
EXTREMELY BAD NEWS for economic research, per former BLS Commissioner @ericagroshen.bsky.social on LinkedIn.
BLS is suspending access to its restricted data "for the forseeable future." Applies to projects through the Federal Statistical Research Data Centers & onsite projects with BLS.
#EconSky
BLS is suspending access to its restricted data "for the forseeable future." Applies to projects through the Federal Statistical Research Data Centers & onsite projects with BLS.
#EconSky
June 6, 2025 at 8:07 PM
Extremely bad news is right. And I worry the same forces are coming for federal health care data.
This is TOMORROW!
NYC Health Econ Day is coming May 9 @ NYU Wagner! We'll have 6 great papers + lots of time to chat. Folks in the greater NYC area are invited!
RSVP: docs.google.com/forms/d/e/1F...
More info: www.stern.nyu.edu/experience-s...
Organizers: @ambond.bsky.social, Mike Dickstein, Jessica Van Parys + me
RSVP: docs.google.com/forms/d/e/1F...
More info: www.stern.nyu.edu/experience-s...
Organizers: @ambond.bsky.social, Mike Dickstein, Jessica Van Parys + me
May 8, 2025 at 2:22 PM
This is TOMORROW!
Arguing with the IRB about publishing research out of quality improvement work
April 28, 2025 at 6:08 PM
Arguing with the IRB about publishing research out of quality improvement work
Reposted by Adam Sacarny
We published our 6 calls to action for the CU board of trustees today: www.columbiaspectator.com/opinion/2025...
“We are at a crossroads in history where we can either succumb to authoritarianism or stand up against it.”
“We are at a crossroads in history where we can either succumb to authoritarianism or stand up against it.”
To Columbia’s trustees: Protect the future of higher education
Even before coming to power this year, President Donald Trump’s administration made its plans for targeting American higher education abundantly clear. <a href="https://www.youtube.com/watch?v=0FR65Ci...
www.columbiaspectator.com
April 24, 2025 at 8:12 PM
We published our 6 calls to action for the CU board of trustees today: www.columbiaspectator.com/opinion/2025...
“We are at a crossroads in history where we can either succumb to authoritarianism or stand up against it.”
“We are at a crossroads in history where we can either succumb to authoritarianism or stand up against it.”
Come work with Kosali Simon & me @nber.org! We're hiring a Research Scientist to support exciting new work on Alzheimer's disease and dementia in Medicare. If you have a quant PhD, experience with claims data, and knowledge of R, it could be a great match!
More info: www.aeaweb.org/joe/listing....
More info: www.aeaweb.org/joe/listing....
American Economic Association: JOE Listings - February 1, 2025 - July 31, 2025
www.aeaweb.org
April 17, 2025 at 1:57 PM
Come work with Kosali Simon & me @nber.org! We're hiring a Research Scientist to support exciting new work on Alzheimer's disease and dementia in Medicare. If you have a quant PhD, experience with claims data, and knowledge of R, it could be a great match!
More info: www.aeaweb.org/joe/listing....
More info: www.aeaweb.org/joe/listing....
CMS asked the public for advice on how to move Medicare/Medicaid data users to their VRDC enclave, ending on-site physical access to this data. In my reply attached here, I say the best way to promote high-quality care and protect the trust fund is to maintain and *improve* on-site data access.
April 15, 2025 at 8:53 PM
CMS asked the public for advice on how to move Medicare/Medicaid data users to their VRDC enclave, ending on-site physical access to this data. In my reply attached here, I say the best way to promote high-quality care and protect the trust fund is to maintain and *improve* on-site data access.
Proud to participate in this today
Scenes from our demonstration today urging the Columbia Board of Trustees to protect our patients, students, research and teaching.
April 14, 2025 at 10:53 PM
Proud to participate in this today
Reposted by Adam Sacarny
Columbia community!
Join us tomorrow to stand with our colleagues in defense of of our students, patients, research, science, and teaching.
Press conference immediately after at 1:15PM outside the Columbia gates on Amsterdam.
✊✊🏽✊🏾✊🏿
Follow: @cuimcstandsup.bsky.social
@aaup.bsky.social
Join us tomorrow to stand with our colleagues in defense of of our students, patients, research, science, and teaching.
Press conference immediately after at 1:15PM outside the Columbia gates on Amsterdam.
✊✊🏽✊🏾✊🏿
Follow: @cuimcstandsup.bsky.social
@aaup.bsky.social
Join us on Monday as we call on Columbia and the Board of Trustees to resist the Trump administration's assault on our students, research, teaching and patients!
📍Low Library Steps
⏰ 12:30pm Monday April 14
📍Low Library Steps
⏰ 12:30pm Monday April 14
April 13, 2025 at 5:03 PM
Columbia community!
Join us tomorrow to stand with our colleagues in defense of of our students, patients, research, science, and teaching.
Press conference immediately after at 1:15PM outside the Columbia gates on Amsterdam.
✊✊🏽✊🏾✊🏿
Follow: @cuimcstandsup.bsky.social
@aaup.bsky.social
Join us tomorrow to stand with our colleagues in defense of of our students, patients, research, science, and teaching.
Press conference immediately after at 1:15PM outside the Columbia gates on Amsterdam.
✊✊🏽✊🏾✊🏿
Follow: @cuimcstandsup.bsky.social
@aaup.bsky.social