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Congrats to all medical students who matched today! Especially excited to welcome the incredible new incoming Brigham and Women's Medicine Residents intern class! Brigham and Women's Hospital 27% are from URM backgrounds! Brigham and Women’s D & I

TLDR: I wrote a paper with Karen Joynt Maddox Jason D Buxbaum Sukruth Shashikumar zoey chopra We found that BPCI-A, CMS’ bundled payment program, appeared to lose money: bit.ly/3zO6EAH Then Zhenke Wu (吴振科), Qiyuan Shi, and I created a tool to redesign BPCI-A: bit.ly/3ZV2qSy 1/6

New in JAMA: We find that CMS's premier bundled payment program has paid-out $1.15B in net bonuses. Reductions in clinical spending have been an order of magnitude less. Maybe it's (past?) time to question the viability of voluntary payment reform.

1/ Our NEW Circulation study, simultaneously published with #ESCCongress 🚨 We develop and validate the NEW #DOAC Score ➡️ A bleeding risk score for patients with #afib on DOACs ✅ We find our DOAC Score outperforms prior risk scores, including the HAS-BLED tinyurl.com/3fzr65jy

In their new Forefront article, Andrew Ryan, Jason D Buxbaum, Sukruth Shashikumar, + zoey chopra from Brown University, Harvard Medical School, Brigham and Women's Hospital, + University of Michigan discuss how CMSGov signaled an interest in reforming episode-based payment in traditional Medicare. bit.ly/45FKq23

In a new paper in Health Affairs, we found that favorable selection in Medicare Advantage inflated benchmarks and resulted in billions in excess payments to Medicare Advantage plans. healthaffairs.org/doi/full/10.13… Here’s the deal 1/8

#Medicare #bundledpayments aiming to promote more efficient care, did not incentivize lower spending or higher quality for cardiovascular events or procedures highlighting need for other approaches Sukruth Shashikumar Karen Joynt Maddox Brigham and Women’s Research CAHSPER, Washington University in St.Louis ahajournals.org/doi/10.1161/CI…

In Circulation, I discuss value-based payment reform in #cardiology What have learned over the past decade? Where do we go next? And imp. of recognizing that we may need to spend more - not less - to improve health in populations w/ social risk factors. bit.ly/46vr2F4

This is an editorial to a fantastic study by Sukruth Shashikumar Karen Joynt Maddox and colleagues evaluating whether bundled payments have impacted spending, quality, and outcomes for cardiovascular conditions and procedures. ahajournals.org/doi/10.1161/CI…

New website just dropped: cahpr.sph.brown.edu These drawings are the best part IMO. Erin Fuse Brown Cyrus Kosar Christopher Whaley @ysingh_hopkins Alyssa Bilinski Peter Hull David Meyers

It’s that great time of year when we find out about the next generation of MDs joining us at Brigham and Women's Hospital! Welcome to the incredible new Brigham and Women's Medicine Residents Intern Class of 2024! Amazing to see that 21% from URIM backgrounds! Brigham and Women’s D & I

Physician group practices accrued large bonuses under Medicare’s bundled payment model. Sukruth Shashikumar of Brigham and Women's Medicine Residents, Andrew Ryan of Brown University School of Public Health + coauthors find BPCI-A participants accrued $421 million in incentives, 2018-20. Read the full article: bit.ly/3yl2qTV

Our new JAMA Internal Medicine study led by Sukruth Shashikumar evaluates changes in the financial burden of health care among privately insured US families from 2007-2019 We find a worsening crisis of affordability among privately insured families with low incomes jamanetwork.com/journals/jamai…

There is a lot of chatter about OOP spending as a financial burden for lower income individuals (it is), but there isnt enough chatter about the burden of rising premiums. This great study by Sukruth Shashikumar Karen Joynt Maddox and Rishi Wadhera, MD MPP puts a spotlight on this issue. 👏👏

Gosh. Look not at the absolute but relative medical costs in low vs high income families. Our wealth transfer healthcare system is especially bad b/c it most harms those who make less. Important data 👇🏻👇🏻

In this national cross-sectional study of privately insured US families, inflation-adjusted health care spending increased from 2007 to 2019, largely owing to increasing contributions to premiums. Sukruth Shashikumar Karen Joynt Maddox Rishi Wadhera, MD MPP ja.ma/4bUVj2X

Somehow a year flew by and I finished intern year! I feel like I’ve learned so much yet know absolutely nothing. Anxious (but also excited!) to be a PGY-2, looking forward to working with the new interns soon, and so glad to have my co-interns by my side 💙

Very proud of our health policy research team who will be presenting impactful work at the Academy Health Annual Meeting in Baltimore this weekend, including 5 simultaneous publications! Please swing by and check out this fantastic group of trainees' research👇 #ARM2024