David Grabowski @DavidCGrabowski
Professor, Health Care Policy, Harvard Medical School -- health economics, aging, long-term care, post-acute care hcp.hms.harvard.edu/people/david-c… Boston, MA Joined January 2017-
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NEW @JAMAHealthForum paper led by @FangliGeng. In a discrete choice experiment, we found patients were willing to pay an additional $58.08 per day for home health care compared with a shared skilled nursing facility room, while caregivers would pay $45.54 per day
NEW @JAMAHealthForum paper led by @FangliGeng. In a discrete choice experiment, we found patients were willing to pay an additional $58.08 per day for home health care compared with a shared skilled nursing facility room, while caregivers would pay $45.54 per day
I spoke to @sam__fields @NPR @Marketplace about the new federal rule mandating staff levels in nursing homes. Although the rule is far from perfect, "This is the biggest reform in nursing home policy in decades.” marketplace.org/2024/04/24/new…
Minimum nursing home staffing rule will soak up lots of attention today but this new Medicaid rule "requiring providers to allocate at least 80% of home- and community-based payments to direct care worker pay" is HUGE too.
Minimum nursing home staffing rule will soak up lots of attention today but this new Medicaid rule "requiring providers to allocate at least 80% of home- and community-based payments to direct care worker pay" is HUGE too.
Final rule is out! whitehouse.gov/briefing-room/…
Are Home Health Agency Star Ratings Accurate? New study in @JAMANetworkOpen by HCP's @amanda_c_chen and @DavidCGrabowski finds discrepancies between reported and objective measures of care quality. 🏥📊 jamanetwork.com/journals/jaman…
Are Home Health Agency Star Ratings Accurate? New study in @JAMANetworkOpen by HCP's @amanda_c_chen and @DavidCGrabowski finds discrepancies between reported and objective measures of care quality. 🏥📊 jamanetwork.com/journals/jaman…
Fantastic study by @DavidCGrabowski & @amanda_c_chen questioning home health agencies self-reported care improvements and raising disturbing Qs about star ratings. jamanetwork.com/journals/jaman…
Excellent contribution on star rating for home health
Excellent contribution on star rating for home health
The introduction of home health agency (HHA) star ratings was associated with large improvement in HHA-reported measures but worse claims-based outcomes, including hospitalizations and timely initiation of care. ja.ma/3W0gNGG @DavidCGrabowski @amanda_c_chen
NEW @JAMANetworkOpen paper led by @amanda_c_chen What happened when star ratings were introduced for home health agencies? HHA-reported measures showed improvement but more objective measures did not, raising concern about use of HHA-reported measures jamanetwork.com/journals/jaman…
What has Covid-19 taught us about care home standards and regulatory approaches? 🧑⚕️ Find out in this GOLTC webinar recording featuring a presentation from professor of health care policy at @harvardmed, David Grabowski. Watch here 👉 goltc.org/goltc-webinar-… #Covid19 #CareHomes
Immigration to address the caregiving shortfall brookings.edu/articles/immig… Thanks to @econ_harris & Liam Marshall Thoughts @judith_graham @DavidCGrabowski ??
Today at 10 AM! @harvardmed's Zirui Song to testify before the @MassGov Joint Committee on Healthcare Financing on private equity's impact on health care. The hearing will discuss policy for safe, affordable & accessible health care. Watch live: malegislature.gov/Events/Hearing………
Join us at @harvardmed HCP this Wednesday, March 20th, for the Harvard-MIT-BU Seminar Series with guest Andrew Olenski (Lehigh), "Reallocation and the (In)efficiency of Exit in the U.S. Nursing Home Industry" hks.harvard.edu/centers/mrcbg/… @andrewolenski @bu_economics @MITEcon
Private equity & real estate investment trusts increasingly invest in nursing homes. Is ownership transparency improving? @amanda_c_chen and @DavidCGrabowski of @Harvard+ coauthors find gaps in CMS ownership data and make recommendations. Read the study: bit.ly/3TmYyZd
🚨New @nberpubs with @andrewolenski on major hidden profits in the healthcare sector! Bear with me as I explain how nursing homes are able to hide almost 2/3 of their profits from regulators and the public! I promise it's worth it! 🧵1/17 Paper: nber.org/papers/w32258
Wow. This tunneling results in massive hidden profits — on the order of $81k to 415k per nursing home (IQR). Given the marked consolidation in healthcare markets, this topic deserves widespread attention. nber.org/papers/w32258?…
Michael L. Barnett @ml_barnett
17K Followers 3K Following Associate professor of health policy at @HarvardChanSPH @HarvardHPM @harvardmed studying health care delivery. Primary care physician @BrighamWomens.
Stacie Dusetzina @DusetzinaS
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Mike Wasserman @wassdoc
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Yevgeniy Feyman 🟣 @YFeyman
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Michael McWilliams @JMichaelMcW
6K Followers 404 Following Professor of Health Care Policy & Medicine @harvardmed | Physician @BrighamWomens | Senior Advisor @CMSinnovates | tweets my own, RT/like ≠ endorse
Adrianna McIntyre (@a.. @onceuponA
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Harold Pollack @haroldpollack
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Eric Widera, MD @EWidera
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Health Affairs @Health_Affairs
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Mariah Robertson MD M.. @MLRobertsonMD
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Tammie Smith @SmithTammie
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Philip A. Lederer MD @philiplederer
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Aurora @Yuchichuan123
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Stacie Dusetzina @DusetzinaS
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Mike Wasserman @wassdoc
4K Followers 33 Following Grampa, husband, dad, ironman, geriatrician. "Focus on solutions, not blame; Channel understanding, not anger."
Yevgeniy Feyman 🟣 @YFeyman
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Michael McWilliams @JMichaelMcW
6K Followers 404 Following Professor of Health Care Policy & Medicine @harvardmed | Physician @BrighamWomens | Senior Advisor @CMSinnovates | tweets my own, RT/like ≠ endorse
Adrianna McIntyre (@a.. @onceuponA
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Harold Pollack @haroldpollack
29K Followers 3K Following University of Chicago professor, RTs not equal endorsement. Index card book at: https://t.co/mK4r6C7UwR https://t.co/EF8lQfRDfZ
Joanne Spetz @JoanneSpetz
3K Followers 2K Following Health economist, institute director, teacher, cat lover, mother, knitter, hiker, skier. Not using this platform as much - find me on LinkedIn and BlueSky.
Eric Widera, MD @EWidera
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Health Affairs @Health_Affairs
166K Followers 4K Following At the intersection of health, health care, and policy. Follows/Tweets/RTs ≠ endorsements.
Mariah Robertson MD M.. @MLRobertsonMD
6K Followers 5K Following she/her | Asst Prof & APD @JHGeriatrics | #homecaremedicine | #ThisisGeriatrics | mama & wife | Baltimore, hon | @mymorningjacket superfan | Views are mine.
Adam Sacarny @asacarny
5K Followers 790 Following Assistant Professor @ColumbiaHPM @ColumbiaMSPH. Also @NBERpubs & @JPAL_NA. Economics, healthcare, bikes, trains, and cats.
A Jay Holmgren @AJHolmgren
2K Followers 1K Following Assistant Professor @UCSF. Digital health, economics, informatics. PhD @Harvard, 2x @UMich alum.
David Bradford @bradfowd1
3K Followers 598 Following Health economist. Also, my employer has asked that I clarify these are my opinions and not those of UGA - which ought to be pretty clear from the jump.
Anand S. Iyer, MD, MS.. @anandiyermd
7K Followers 6K Following Associate CMO @uabmedicine | Pulmonologist | Beeson Scholar | Creator: @pallipulm & @geripulm | Go Blazers | Views = mine
Aaron Schwartz @A_Schwa
5K Followers 1K Following MD-PhD professing @PennMEHP, @PennDGIMProud. West Philly VA PCP. Tweeting on health, economics, and health economics.
David Anderson @bjdickmayhew
5K Followers 1K Following ABD @Duke_PopHealth @DukeMargolis Individual Choice Health Insurance My opinions are mine https://t.co/qF0rgkmKhD
julie rovner @jrovner
36K Followers 3K Following Chief Washington Correspondent KFF Health News/horse person/corgi mom X 2. Host, KFF Health News's "What the Health?" podcast. #GoBlue!
Lee Lindquist @LeeLindquistMD
7K Followers 5K Following Geriatrician, Chief of Geriatrics at Northwestern University, MBA Kellogg grad, Research focusing on helping seniors successfully age-in-place. Go Cubs!
Samantha Fields @sam__fields
3K Followers 4K Following senior reporter @marketplace. @mplaceunion. she/her. 🏳️🌈
Jennifer Jacobs @JenniferJJacobs
359K Followers 52K Following Sr. White House reporter for Bloomberg News. Reporting what I know, not what I think. Email me: [email protected] 💕Iowa
Carly Stern @sterncarly96
863 Followers 2K Following Independent journo covering caregiving, housing, disability & economic inequality. Words @nytimes, @washingtonpost, @guardianUS, @sfchronicle et al. She/her.
NIC @Natl_Inv_Ctr
3K Followers 918 Following NIC provides data and analytics for investors and operators to make informed decisions, and facilitates connections between these groups to benefit seniors.
Felippe Marcondes, MD.. @FelippeMarcon
184 Followers 525 Following Primary care physician and physician-scientist studying racial/ethnic health disparities and digital health equity | faculty at Mass Gen Hospital/@harvardmed
Ravi B. Parikh @ravi_b_parikh
2K Followers 1K Following Oncologist @PennMedicine and @DeptVetAffairs; Director @HACLab_UPenn @Penn; Columnist @Medscape; Board @CTACorg;
Estera Wieczorek @WieczorekEstera
142 Followers 173 Following Assistant Professor | PhD from Maastricht University 🇳🇱 & Jagiellonian University 🇵🇱 | MSCA Alumni
Quan Le 🗞️ @qlquanle
3K Followers 3K Following incoming @HarvardHBS economist, studying old news and new news// Việt Nam, Toronto, Stanford, @PrincetonEcon, @SpursOfficial// https://t.co/5y9ZqsD5IG
Elizabeth Bradley @ehbvassar
6K Followers 1K Following President of Vassar College, Co-author of The American Health Care Paradox and contributor to Rethinking American Grand Strategy. Global health scholar.
Amy WitkoskiStimpfel,.. @AmyWStimpfel
613 Followers 412 Following Assistant prof @ NYU Meyers | Program Director T-42 Doctoral Training Program in Occupational & Environmental Health Nursing | Tweets my own
Sam Burn @Samantha_Burn
689 Followers 2K Following Postdoc @Harvard || Incoming Assistant Prof @ImperialBiz || NICU parent x 2 || she/her
Lianlian Lei @LianlianLei
136 Followers 346 Following Assistant Professor of Psychiatry @umichmedicine and @UM_IHPI Health Services Researcher, Health Economist -- #Dementia #Aging #Caregivers
_ josie dixon @josieedixon
1K Followers 854 Following research into ageing and care (end of life, dementia, social care), LSE. also https://t.co/LAUM6Kk84T and https://t.co/GReD5wbf6c
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180 Followers 358 Following Hoosier turned Washingtonian. Health policy nerd @ Arnold Ventures. New fav title: Mom. Views are my own.
Emily Hamann @sacbizemily
457 Followers 1K Following Reporter. Covering health care, policy and agriculture for @SacBiz | @USCAnnenberg 2022 Health Data Fellow | Fan of dogs, coffee and em dashes.
Simon Bottery @blimeysimon
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Gaby Aboulafia @gabyaboulafia
478 Followers 669 Following PhD student studying health policy + politics @Harvard. previously @commonwealthfnd, @UNCpublichealth
Roslyn C Murray @RozMurray3
324 Followers 654 Following PhD Candidate @UMich | MPP @McCourtSchool | Interest in commercial prices/private health insurance markets | @warriors fan | she/her/hers
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20K Followers 3K Following Our vision is a nation where the best health and health care are equally accessible and affordable to all.
Matthew Rae @matthew_t_rae
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Carl Elliott @FearLoathingBTX
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132 Followers 215 Following Psicogerontologa. Profesora Universitaria en la USAL
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17K Followers 2K Following The official Twitter feed of the @UChicago Harris School of Public Policy. For the latest in evidence-based research and news, visit https://t.co/ovOGQIC8jk.
Frederick Isasi @FrederickIsasi
5K Followers 588 Following Former Executive Director @FamiliesUSA. Former @NatlGovsAssoc. For the trillions of dollars we spend on health care, our nation deserves better health!
Deborah Buchanan @ApronsUnite
1K Followers 5K Following Advocate for Systemic Reform in our Long Term Care Facilities, Alternative Health Care, Regulatory System, and the Power of ONE. You MAKE a difference.
Scott Isaacs @scottisaacsmd
13K Followers 2K Following President-Elect @theaace, endocrinologist, obesity medicine, #MASLD, Emory Med School adjunct faculty. Posts are my own.
Dr Deborah Morgan @lonelyDeborah
2K Followers 3K Following Researcher @ CIA Swansea. TedX Swansea speaker. Expertise in Loneliness,& Social Isolation. Research interests social Networks,Chronic illness & disability
Jakub Hlávka @JakubHlavka
2K Followers 5K Following Director of Health Economics, Policy and Innovation Institute @muni_cz | Public Health Adj. Professor @KECKSchool_USC | 📨 @IniciativaProEZ | 🎻🏊♂️🚴♂️🏃
Christina Andrews @c_m_andrews
1K Followers 803 Following Associate Professor of Health Policy @USCArnoldSchool of Public Health; Medicaid, addiction, and financial barriers to treatment. Opinions are my own.@DavidCGrabowski @JAMAHealthForum @FangliGeng This is very important research, esp. at the health system where I work & lead. Exploring right now & would love your insight. From my explor. of local data, HH use 📈, as expected, but also is an independ. predictor of hospital readmit. So HH needs more resources/coordination?
Screening is a cost-effective strategy to reduce nursing home COVID-19 mortality in absence of other interventions - particularly where SARS-CoV-2 spread is high & vaccine uptake, antiviral use & masking adherence are low in this decision analytical mode. ja.ma/4b3ubhM
Patients and caregivers strongly prefer high-quality, home-based post-acute care vs facility-based care. Targeted support for disadvantaged groups facing constraints is essential to ensure equitable access. ja.ma/4bcyo2J @DavidCGrabowski
❗️New paper alert! So happy that this paper with @Cutler_econ, @JacobBor, and Ed Glaeser is my first @nberpubs working paper! Paper thread summary to follow, but if you have time on your hands in the meantime, check out the full working paper here: nber.org/papers/w32346
Equally educated people are healthier if they live in more educated areas; but not due to sorting, health-related amenities, or pollution but largely to differences in attitudes towards smoking, from @Jacob Bor, @Cutler_econ, Glaeser, and @lj_ristovska nber.org/papers/w32346
In our cross-sectional analysis of 10,966 nursing homes, we found those that fell below critical staffing levels (ie <3 hrs per resident-day 😳), were associated with higher inappropriate antipsychotic medication use. @JRayFalvey @CMSGov @nyumeyers @AARPpolicy @JAMANetworkOpen
The associations between neighborhood-level socioeconomic deprivation and facility-level inappropriate antipsychotic medication use in nursing homes were strongest in nursing homes with the lowest staffing levels. ja.ma/3JxJEe9
Excited about this new paper that shows benefits to the elderly with warning letters to doctors.
Our new study in @JAMANetworkOpen finds that randomized overprescribing warning letters safely reduced antipsychotic prescribing to patients with dementia. The paper: jamanetwork.com/journals/jaman… Authors: @miharnisch @ml_barnett @stephencoussens @Kalit23 Olfson @kiros_berhane + me
Very cool — our paper made it into the recently finalized CMS minimum staffing rule!
One month later, and we made it into the text of the new minimum staffing rule!
Some news. Professional: I'm headed back to where it all started - returning to DC after a quarter century away. I wonder if it's changed. Still Bloomberg; still health. Personal: This one is solo. Henry passed away in January. LAD MI. Brutal. He was 56. I am still wrecked
Happy to report that I’ve been promoted to an Assistant Professor of Medicine at @harvardmed! Grateful to all my mentors and colleagues at @PORTAL_Research, particularly @akesselheim, Jerry Avorn, and my Division chief Seb Schneeweiss. 🙏🏻
One month later, and we made it into the text of the new minimum staffing rule!
🚨New @nberpubs with @andrewolenski on major hidden profits in the healthcare sector! Bear with me as I explain how nursing homes are able to hide almost 2/3 of their profits from regulators and the public! I promise it's worth it! 🧵1/17 Paper: nber.org/papers/w32258
Interested to see how this impacts the training environment for direct care workers.
Minimum nursing home staffing rule will soak up lots of attention today but this new Medicaid rule "requiring providers to allocate at least 80% of home- and community-based payments to direct care worker pay" is HUGE too.
@DavidCGrabowski "Direct care worker pay" applies only to in-home care workers, correct? Staffing rule applies to Nursing Home care. Two different ways of creaming public money off the top and paying workers less or understaffing nursing homes.
@DavidCGrabowski @jrovner Will you or someone else write an article on how this will affect residents' care pluses and minus? Presumably, as profit margins fall, different types of investors will come in? More church affiliated organizations and fewer Wall St. banks?
I really did not need two paper rejections today. It is a Monday at the end of the semester. If anyone else wants to reject anything from me can you wait a few days?
@Karen17997643 @DavidCGrabowski Plus it will result in the need for fiscal transparency to verify that they are paying 80% to staff from Medicaid funding.
#Cuidados ☀️🇺🇸Biden @POTUS impone un mínimo de ratio de personal de atención directa en las #residencias para mejorar su calidad asistencial👇👇
🚨Final nursing home minimum staffing rule will be released later today! Preview: "...mandate requires that all nursing homes...provide a total of at least 3.48 hours of nursing care per resident per day, including defined periods from RNs and from NAs." cnn.com/2024/04/22/pol…
@DavidCGrabowski x.com/bostonglobe/st…
Nursing home residents should find it dramatically easier to return to their communities after Mass. committed to spending $1 billion over the next eight years for new housing and community support for people seeking to leave long-term care facilities. trib.al/TbgzIAL
The official letter finally arrived! Thank you for all of your congratulations (esp @ProfALucas)! And thank you to all of my mentors, coauthors, colleagues, external letter writers, referees, friends, and random fun people at conferences!
Congratulations to newly promoted FULL Professor of Economics at @UConn Professor Delia Furtado (@FurtadoDelia)! More details on the research of this great labor/immigration economist and person: econ.uconn.edu/person/delia-f…
Always great to be back in DC for @CornellinWashDC !
ASHEcon, HERO, and iHEA are collectively soliciting papers for a block of sessions at the 2025 Allied Social Science Association annual meeting from January 3–5, 2025 in San Francisco, California. Come be part of this mini-conference. Submit here: ashecon.us16.list-manage.com/track/click?u=…
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