Steven Spivack, PhD

@Andy_Ryan_dydx Totally agree with you, and something we predicted would happen a while back when SGR was repealed. read.dukeupress.edu/jhppl/article-…

Nice piece. I think that the SGR and the annual "doc fix" drama created lots of angst for docs. So they went along with MACRA / MIPS even though it seemed pretty bad from the start.

What are the lessons of Medicare's decade+ experience w/ ACOs? New in @jhppl advanced pubs, @valeriealewis @StevenSpivack & Genevra Murray explore whether ACOs have met their promise (ungated) bit.ly/ACOs-in-Medica… CC @DukePress @haroldpollack @unchpm @UNCpublichealth

I lived in CT when Newtown happened. It still haunts me today. And we learned nothing. My heart breaks for the families who lost a child today. My sadness is only eclipsed by my anger that nothing will change and all we will hear are empty platitudes.

@Andy_Ryan_dydx @Health_Affairs Great paper and something I have been thinking about a lot. One question? Have you also looked at within variation on Medicare vs. Commercial VBP programs. Are hospitals performing well in one also performing well in the other?

Alright, so you may have heard about this thing called “value-based payment” (aka alternative payment). You may also know that CMS has implemented numerous such models in rapid succession. But what about value-based payment among commercial insurers? I’m glad you asked! 1/7

Program design is vital. Stricter BPCI-A requirements associated with 1 out of 3 dropping out. As CMS moves towards mandatory programs they need to design programs that work for providers and patients. link.springer.com/article/10.100…

How do I get these fake journals to stop spamming my inbox to submit an article. I get at least 5-7 a day. Most go to my spam folder but some make my inbox. It feels like the academic version of the extended car warranty phone calls.

@leorahorwitzmd @valeriealewis @ehbvassar @lesliecyale @hmkyale Your paper was the inspiration for this piece. Thank you for paving the way.

@valeriealewis @StevenSpivack Great paper! Reminds me of earlier work with @ehbvassar @lesliecyale @hmkyale in which we found the same for hospital-based practices: no particular silver bullet but the more you do, the better the outcomes. pubmed.ncbi.nlm.nih.gov/23861483/

Primary care practices engaged in more activities to reduce hospital readmissions have lower readmission rates. No one activity is particular effective: the collection of activities is what matters. Thread with more details on our new paper! link.springer.com/article/10.100…

Which primary care practices take Medicaid? We know surprisingly little! New work shows practices with no Medicaid are more often small, independent, in non-expansion states, urban. Also, fewer population health capabilities. Led by @stevenspivack! 1/6 healthaffairs.org/doi/full/10.13…

I can’t think of a more striking example of white supremacy than the juxtaposition of this display of sedition and anarchy and the Black Lives Matters demonstrations. How can you witness this and believe white privilege isn’t real? Will @TomCottonAR call for the military now?

Black ppl watching white people wilding in front of the Capitol with no tear gas, no physical restraint, no rubber bullets, no...

Excited to share our paper (@valeriealewis @HectorR48771734 Genevra Murray) on characteristics of primary care practices without Medicaid revenue. Far too many Medicaid enrollees are still facing challenges with practices not accepting Medicaid. doi.org/10.1377/hlthaf…

@NHLTVSupport Mac with Yosemite and Chrome. Using wifi.

@NHLTVSupport Connection is super choppy, freezes every 5 sec and jumps forward 30 sec. 55mpbs download speed. Why so choppy?

@NHLTVSupport Why am I paying for a service that does not work??

@NHLTVSupport Almost two weeks and the service is still terrible. Every game has been terrible/laggy quality. This is inexcusable.

Great piece by @Bob_Wachter we need a more intelligent measurement system in healthcare not simply more measurement nyti.ms/1RsKhGe

Airbus wants to patent the most uncomfortable plane seats ever wapo.st/1maudnu via @washingtonpost

Politico has morphed into the TMZ of political news.

One more thing France does better than the US. We should be doing a lot more for our mothers who sacrifice so much, vox.com/2014/5/12/5708…

@peterbachmd One of the most powerful articles I have ever read. I am so sorry for your loss.