After the Inflation Reduction Act's 2024 provisions took effect, cost-related medication non-adherence fell among Medicare beneficiaries newly eligible for low-income subsidies at elevated CV risk. https://bit.ly/4bwJmDj #ACC26 #JACC #CardioSky @rkwadhera.bsky.social

Millions of Americans skip medications because they can't afford them. Did the Inflation Reduction Act help? Our new @jamainternalmed.com study finds the IRA's 2024 drug provisions ⬇️⬇️ cost-related medication nonadherence—especially among those w/ multiple conditions jamanetwork.com/journals/jam...

Cost-Related Medication Nonadherence After the Inflation Reduction Act

This difference-in-differences analysis evaluates the association of the Inflation Reduction Act’s 2024 prescription drug provisions with cost-related medication nonadherence as well as health care–re...

jamanetwork.com

Rural areas already facing persistent health care workforce shortages may be “disproportionately impacted by even modest disruptions in international recruitment,” says @rkwadhera.bsky.social. More on how immigration policy shapes the health care workforce.

Hospitals and health systems depend on H-1B visa-sponsored physicians. So, what happens now?

When President Trump announced a $100,000 fee for all new H-1B visa applications, it sent shock waves through the health care system. Here’s the latest.

aamc.org

📢 Inaugural #JACCStats Report Reveals State of US CV Health From rising obesity & diabetes rates to stalled hypertension control & widening disparities, the 📊 tell a powerful story. Explore the full report & join #JACC in turning insights into impact. https://bit.ly/4btuPZa #CardioSky #MedSky

Proud to share the inaugural JACC Cardiovascular Statistics annual report, offering a clear-eyed understanding of cardiovascular health in the United States. Where we stand. Where we've made gains. And where we're falling behind. #JACCStats #medsky #cardiosky www.jacc.org/doi/10.1016/...

Cardiovascular Statistics in the United States, 2026: JACC Stats

jacc.org

🆕 #JACC CV statistics report highlights progress, ongoing challenges, & opportunities to improve CV health in the US. From rising obesity & diabetes to stalled BP control & widening disparities, the data offer a roadmap for action. Read the full report: https://bit.ly/3N8HCX9 #JACCStats #CardioSky

Here's a cardiologist's nuanced look at why we're (still) not doing better in the U.S. on cardiovascular disease. Q&A with @rkwadhera.bsky.social at @statnews.com www.statnews.com/2026/01/12/a...

State of the union’s cardiovascular health: Gains, but not for everyone

The American College of Cardiology found uneven gains and sobering declines in heart health. "You can't treat your way out of a prevention problem," an author said.

statnews.com

💬 Viewpoint: The CMS Ambulatory Specialty Model mandates value-based payment for specialists treating costly chronic conditions. However, issues such as risk adjustment limitations, administrative burdens, and potential inequities remain. ja.ma/3YN8NZO

Our new study in The Lancet leverages a natural experiment to evaluate how state-level anti-immigration measures impact physical and mental health. @thelancet.com #medsky #cardiosky www.thelancet.com/journals/lan...

Impact of anti-immigration measures on health

Florida's Senate Bill 1718 went into effect on July 1, 2023, and introduced a sweeping set of anti-immigration measures (appendix p 1). Among them is a requirement that hospitals collect information a...

thelancet.com

H-1B visa–sponsored physicians are twice as prevalent in rural counties and nearly 4 times as common in high-poverty areas, highlighting the potential harm of rising visa costs to health care access. ja.ma/4hIxv6E

A recent policy change dramatically ⬆️ H-1B visa fees to $100,000 Our new @jama.com study finds that rural and high-poverty U.S. counties are especially reliant on H-1B doctors & health care workers jamanetwork.com/journals/jam...

Health Care Professionals Sponsored for H-1B Visas in the US

This national study evaluates the percentage of US health care professionals sponsored for H-1B visas in fiscal year 2024 across occupation groups and county characteristics.

jamanetwork.com

H-1B visa–sponsored physicians are twice as prevalent in rural counties and nearly 4 times as common in high-poverty areas, highlighting the potential harm of rising visa costs to health care access. ja.ma/47Iw84h

Work requirements enacted as part of a Medicaid expansion program in Georgia did not increase insurance coverage or employment relative to neighboring states that did not expand Medicaid, a study suggested. https://www.medpagetoday.com/publichealthpolicy/medicaid/117748?trw=no

Study on Medicaid Work Requirements Finds No Gains in Insurance, Employment

State-level findings from Georgia may predict nationwide rollout

medpagetoday.com

New BMJ Research finds the implementation of work requirements with Medicaid expansion in Georgia did not increase health insurance coverage or employment. These findings have important implications after recently enacted legislation www.bmj.com/content/390/...

1/8 Evidence keeps piling up: Medicaid work requirements do not increase employment. They just make it harder for people to get health insurance. Latest evidence comes from a BMJ study on Georgia. 🧵

Insurance coverage and employment after Medicaid expansion with work requirements: quasi-experimental difference-in-differences study

Objective To understand how health insurance coverage and employment changed among working age adults with low incomes in Georgia, the first state to implement Medicaid expansion with work requirement...

bmj.com

Medicaid work requirements will soon be mandatory nationwide Our new @bmj.com study shows that in Georgia - the only state to expand Medicaid with work requirements - work requirements impeded gains in Medicaid coverage without increasing employment www.bmj.com/content/390/...

Medicaid work requirements will soon be implemented nationwide Our new @bmj.com study shows what happened to insurance coverage and jobs when Georgia rolled them out in 2023. bit.ly/3VE1QsK Featured in @nytimes.com #medsky www.nytimes.com/2025/09/30/w...

Medicaid Work Requirements Don’t Boost Employment, Study Shows

nytimes.com

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com! Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on?? jamanetwork.com/journals/jam...

Surprise medical bills can be financially devastating Our new @bmj.com study finds that the No Surprises Act - a recent law banning surprise medical bills - significantly ⬇️ out-of-pocket costs for patients without raising premiums. Study link: t.co/hZTOVoNSy5 #medsky #cardiosky

Our @jama.com study leveraged a natural experiment to show that cutting SNAP benefits leads to ⬆️ food insecurity AND worse physical health. The One Big Beautiful Bill’s deep cuts to SNAP are especially alarming. Thanks for sharing @robcaliff.bsky.social! jamanetwork.com/journals/jam...

Robert Califf @robcaliff.bsky.social · last yr.

Seems like a bad idea to cause more food insecurity and physical disability. jamanetwork.com/journals/jam...

Sure seems time to examine the purpose of health insurance if this is correct: "Both Humana and CVS’ Aetna, for example, made changes last year designed to drive away 10% of their least profitable Medicare Advantage members." www.statnews.com/2025/08/01/h...

In health insurers’ race to offload unprofitable members, winners begin to emerge

If you’ve followed health insurance earnings lately, you might be experiencing some whiplash. But some lessons about the industry have also emerged.

statnews.com

Rishi Wadhera of @harvardmed.bsky.social speaks with JAMA Associate Editor Karen Joynt Maddox about how measures of patient care experience changed after private equity acquisition of US hospitals. ja.ma/4hao2DC

"When private equity takes over a hospital, things generally get worse for patients." -- Rishi Wadhera, MD, MPP, MPhil, of @harvardmed.bsky.social, discussing research on private equity's impact on hospitals. www.medpagetoday.com/hospitalbase...

Patient Care Deteriorates After Private Equity Acquisition of Hospitals

Study supports other research showing worse outcomes after private equity acquisition

medpagetoday.com

Our @jama.com study leveraged a natural experiment to show that cutting SNAP benefits leads to ⬆️ food insecurity AND worse physical health. The One Big Beautiful Bill’s deep cuts to SNAP are especially alarming. Thanks for sharing @robcaliff.bsky.social! jamanetwork.com/journals/jam...

Robert Califf @robcaliff.bsky.social · last yr.

Seems like a bad idea to cause more food insecurity and physical disability. jamanetwork.com/journals/jam...

Private equity-acquired hospitals may be cherry picking low-risk HF patients and performing more profitable cardiac catheterizations. “There’s been growing concern that…they may select for certain types of patients to maximize reimbursement," said @rkwadhera.bsky.social www.tctmd.com/news/private...

Private Equity-Backed Hospitals Appear to 'Cherry-Pick' HF Patients

Acquired hospitals may be inappropriately selecting patients and doing more profitable cardiac caths.

tctmd.com

In @jaccjournals.bsky.social, we find that after private equity firms acquired hospitals, clinical risk ⬇️ & catheterizations ⬆️ among patients w/ heart failure, but outcomes didn't improve Big thanks to @rkwadhera.bsky.social, Michael, Andrew, and Vicky! jacc.org/doi/full/10.1016/j.jacc.2025.05.037

In this national study, #heartfailure outcomes didn’t improve after private equity hospital acquisitions, despite a 📉 in the clinical risk of patients. Transfer-outs nearly doubled for Black adults with HF. www.jacc.org/doi/10.1016/... #ARM25 #JACC @danielyjohnson.bsky.social @rkwadhera.bsky.social

Heart Failure Care and Outcomes After Private Equity Acquisition of U.S. Hospitals:

jacc.org

Our new JAMA Cardiology study finds that many US adults don't know that they have hypertension, diabetes, or high cholesterol Nearly 1 in 3 young adults w/ hypertension, 2 in 5 with diabetes, and 1 in 4 with high cholesterol are unaware of their condition. bit.ly/45an6MC #medsky #cardiosky

Hypertension, Diabetes, and High Cholesterol Awareness Among US Adults

This cross-sectional study evaluated the changes in the proportion of US adults who were unaware they had hypertension, diabetes, or a high cholesterol level using 2013 to 2023 data from the National ...

jamanetwork.com

Our new study in JAMA Cardiology finds that from 2013-2023, an increasing proportion of US adults were unaware that they had hypertension, especially young adults and women Huge thanks to 🌟 mentors @rkwadhera.bsky.social and Lucas Marinacci jamanetwork.com/journals/jam...

In a Cardio Business interview, Smith Ctr. for Outcomes Research Assoc. Director @rkwadhera.bsky.social discusses the rapid growth of private equity in cardiology, & the implications for quality & patient outcomes. cardiovascularbusiness.com/video/2025-0...