Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Farzad Mostashari Profile picture
@Farzad_MD
Oct 20, 2021 • 6 tweets • 3 min read • Read on X
Scrolly
The @AledadeACO annual awards!

1) Service.

Team Award: The Pharmacy Team!!
2) Accountability.

Individual Award:
Stephanie Sydorko (Tech Lead, Engineering)

Team Award:
CA-ledade (which has rapidly become our largest MSSP market)
3) Inclusion

Individual Award
Supreme Ally Commander
Michael Jones

Team Award
Health Equity Team (led by @kishadavismd)
4) Evidence

Individual Award
Carrie Pettler (NC Network Engagement Manager)

Team Award
Business Intelligence team (led by @NickBartz)
5/ Curiosity

Individual Award
Kristen Chatburn (Recruiter!)

Team Award
Policy Team (led by @Travis_Broome)
...and the individual service award went to Lee Gannaway (Outreach specialist on the Growth team)

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Farzad Mostashari

Farzad Mostashari Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @Farzad_MD

Farzad Mostashari Profile picture
Feb 15
1/ After residency at Mass General Hospital, I reported to Atlanta to meet my fellow CDC Epidemic Intelligence Service Officers.

I have never felt so intimidated by my peers

The best and the brightest, they were star clinicians, had served in disaster zones; MD/PhDs and MSF.
2/ We were placed at various centers throughout CDC, learning from the world's experts- in tuberculosis, mosquito-borne diseases, food-borne diseases, ...

and some of us were placed with state & local Health departments to be on the front lines of outbreak response
3/ In my first day on the job, I got into a city sanitation car to investigate an outbreak of bloody diarrhea at a state psychiatric facility.

My boss has served in the EIS. Her boss, the legendary head of the NYC Bureau of Communicable Disease had also.

Our commissioner too.
Read 16 tweets
Farzad Mostashari Profile picture
Apr 30, 2024
1/ When Walmart enters any business you can expect that they will leverage their massive scale to get better economics, create value for customers- and drive out local mom and pop competitors

Thats what many assumed would happen w primary care clinics

but it didn't

why not?
2/ The first thing I have to acknowledge is to rule out "execution"

They aren't perfect (their Athena and Epic EMR travails show that) but Walmart knows how to execute, and they won't scale something until they've figured out how to make it profitable.

They couldn't
3/ To their credit, they tried a lot of permutations over the past 10 years, and strictly as an operator, you have to give them respect that they could be a force

- Third party vendor
- Walmart Health clinics
-Oak St Health
- Own clinics + telehealth

Read 16 tweets
Farzad Mostashari Profile picture
Nov 2, 2023
1/ Final rule for Physician Fee Schedule is out.

let's see how the Medicare Shared Savings Program provisions played out compared to the proposed rule.

(tl;dr mostly as proposed- incremental improvements to the nation's most mature, and most successful value based program)
2/ risk adjustment should be updated to the new "v28" approach for performance and benchmark years.

✅

my only complaint is that it's only applied moving forward- if it's good policy why not allow existing contracts to update?

3/ Fixing the glitch where ACO risk scores and regional risk scores weren't treated equally (ACO gets a cap, now region does too)

✅

(again, why not have a simple single approach for all contracts instead of only applying it moving forward?)

Read 12 tweets
Farzad Mostashari Profile picture
Sep 11, 2023
1/ What are the factors driving the mysterious slowdown in Medicare cost growth?

It's been a longstanding dinner conversation among health policy folks, and I have one idea to add to the mix that I haven't seen discussed yet.. Image
2/ There were lots of theories batted around in the article and the followup from @sangerkatz

My fav: "Talk Therapy Actually Works" (@ZekeEmanuel)

Policymakers setting expectations of cost control inhibit investments and behaviors that drive cost growth
nytimes.com/2023/09/09/ups…
We saw similar unexplained slowdown in healthcare costs during the *ultimately unsuccessful* Clinton health reform efforts.

The slowdown happened almost immediately in 1992, even though nothing had happened yet, other than campaign talk

(@jrovner can prob give history on that) Image
Read 8 tweets
Farzad Mostashari Profile picture
Dec 24, 2022
1/ Warning!

nerdy Medicare payment deep dive

OMNIBUS EDITION

You've read the headlines ("Medicare pay cuts partially averted") but to understand what led us here--and what's to come-- we need to go deeper

Also, some cool tangents on effective/ineffective financial incentives
2/ let's walk through the weeds of

"a temporary patch on an expiring pandemic patch for the unintended consequences of a good-will effort to fix pay imbalance between primary care & specialists, made worse by a failure to predict future inflation, w a sop to value-based pay"
3/ The "failure to predict medical inflation"

remember the annual "doc fix" scramble? it was because the "sustainable growth rate" was indexed to inflation, which was near zero for years. So Congress had to constantly step in to reverse its own past efforts to control costs. 😧
Read 27 tweets
Farzad Mostashari Profile picture
Dec 22, 2022
1/ Medical Debt- a holiday story

A few years ago, I found myself poring over a printout of ED frequent fliers with a PCP in Mississippi.

The office manager knew why they were going to the ED.

“They’re not going to show their faces here. They all owe us money.”
2/ Because of the Emergency Medical Treatment & Labor Act, the ED would see them even if they owed money

But thousands more dollars would have been added on top of the prior debts

His bills will climb. His credit score will drop. Collection agencies will start hounding him
3/ When I was in college I got dehydrated at a crew meet and an ambulance took me to the ER. A couple of liters of fluid later I was fine

But I couldn't figure out what to do when the bills started coming

For years I carried the stress and shame of being sent to debt collection
Read 17 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

Send Email!

:(