CBO is out with its final cost estimate of the tax-and-spending bill passed by the House. - Revenue ⬇️ by $3.7 trillion over 10 years - Spending ⬇️ by $1.3 trillion - Debt ⬆️ by $2.4 trillion over 10 years - Uninsured pop. ⬆️ by 10.9 million in 2034 Full analysis:

Updated: Everything in the GOP megabill, with estimates of what it costs or saves, thanks to Alicia Parlapiano

• 11.8 million lose coverage due to One Big Beautiful Bill provisions • 16M fewer w/ coverage in 2034 when incorporating the 4.2M expected coverage loss from expiration of enhanced ACA subsidies That's a 57% ↑ in # of uninsured compared to June 2024 current policy projection

CBO estimates that the House-passed reconciliation bill would cut Medicaid by $793 billion over a decade. Here's what that would mean state by state.

🧵Should every patient get a beta blocker after a heart attack? That’s what the REDUCE-AMI trial set out to answer. Here's a further look inside our CORE IM collaboration with NEJM The results challenge 40+ years of cardiology dogma. Here’s why it matters 👇 1/ For

Very sad news - state inflicted harm. Thinking of my friends and colleagues!

AHRQ is the Agency for Healthcare Research and Quality. Its entire grants program has effectively just been shut down. These grants cost only $224M/year and pay for themselves many times over by improvements in safety, quality and cost of health care. See thread for some examples

States Pursuing Medicaid Work Requirement Waivers Must Make Changes: How the OBB Changed the Landscape for Medicaid Work Requirements ccf.georgetown.edu/2025/07/23/sta… via Georgetown Center for Children and Families

New NEJM Catalyst: Physician incentives + coaching + feedback ⏫referrals to some lower-cost services (e.g. imaging) by 19%, associated w/ large savings (~19% radiology, 23% #ortho). "Kitchen-sink" but simple nudges can 🔽costs, maintain quality catalyst.nejm.org/doi/full/10.10…

Attention - new opportunity to obtain funding for ancillary studies for #RECOVER #LongCOVID cohorts recovercovid.org/funding/roa-ot…

We made some updates to Claude’s system prompt in claude.ai recently (developed in collaboration with Claude, of course). They aren’t set in stone and may be updated, but I’ll go through the current version of each and the reason behind it in this thread 🧵