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#Prediabetes “is turning legions of healthy people like me into patients by conflating risk with disease, lowering thresholds, and developing new “borderline” or “pre-disease” categories that target an unaffected population.” annfammed.org/content/22/3/2…

New in HSR: "Requiem for Odds Ratios" with Bryan Dowd, Melissa Garrido, and Matt Maciejewski. onlinelibrary.wiley.com/toc/14756773/0… We commend HSR for discouraging the reporting of odds ratios in most studies. We agree wholeheartedly with this decision, which keeps HSR at the forefront.

“It is time to look at the evidence, not the textbook, and regulate prices in health care markets where competition cannot do the job.” See: Hospitals, in almost all markets. jamanetwork.com/journals/jama-…

⁦Adam Cifu⁩ kindly published my comment to the new but opposing recommendations on breast screening of women in their 40’s from ⁦USPSTF⁩ and ⁦CTFPHC | GECSSP⁩. Progress in treatment deserve more praise for lower bc mortality in this group. sensible-med.com/p/should-women…

UnitedHealth members are 15x more likely to be diagnosed with diabetic cataracts than patients in traditional Medicare. Why? Medicare pays insurers up to $2700 more annually per diagnosed patient. So much of the healthcare business is just optimizing the billing system. via @wsj

acpjournals.org/doi/10.7326/M2…. $44 Billion last year to screen for 5 cancers. You'd think the evidence of benefit would be substantial. It's not. Worse, "roughly half of...women have at least 1 false alarm in a 10-year course of screening mammography, and about 10% undergo biopsy".

Explore the new Health Policy Commission DataPoints: Blockbuster GLP-1 Weight-Loss Drugs in Massachusetts. masshpc.gov/publications/d… 🧵

nytimes.com/2024/09/10/hea… "The additional operations on Black patients were more likely to happen when hospitals had no scheduled C-sections, meaning their operating rooms were sitting empty."

The number of residents with employer-based insurance who reported they did not get needed health care due to cost increased by 50% (from 600,000 to 900,000) from 2021 to 2023. (1/3)

Massachusetts admitted a higher percentage of ED patients for a full hospital stay than all other states analyzed. Massachusetts' rate of ED admission increased to 19.7% in 2020 from 17.0% in 2019, when it also had the highest rate.

‘Unlimited dollars’: how an Indiana hospital chain took over a region and jacked up prices | US news | The Guardian. theguardian.com/us-news/2024/o…

Setting health care prices based on costs (CMS) mostly makes sense but what abt high cost treatments that add little value? These persist b/c pts don't pay full cost and can't judge value . Why pay more than lower-cost, higher value? Maybe price should be min(cost, value).

If you see an observational study where the drug works immediately for a disease that takes years to develop, throw the study out. Like this study claiming Ozempic reduces risks of Alzheimer’s in diabetics within 30 days of initiation. Junk science alz-journals.onlinelibrary.wiley.com/doi/10.1002/al…

The Census Bureau projects that the US population will peak at 369m in 2080 (we are at 337m today) and then start declining thereafter.

The Trump admin appears poised to double down on one of Washington’s most entrenched orthodoxies: value-based payment (VBP) and its ideology of managed care. Andrew Ryan and I argue this is a mistake. It’s time for a new agenda in Medicare. 1/x

Two-part article in Health Affairs Forefront with my thoughts on improving risk adjustment Actually more of a synthesis of great work and insights from the field and a set of recommendations that follows from considering it all together. This is an area where academia/health

This is gross. nytimes.com/2025/04/10/hea…

newyorker.com/magazine/2025/… The Problem With Early Cancer Detection | The New Yorker. “On average, a year’s worth of screenings yields nine million positive results—of which 8.8 million are false.” I’d like to see the data behind this statement but this surprised even me.