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Farzad Mostashari Profile picture
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20 Oct, 6 tweets, 3 min read
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)

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More from @Farzad_MD

Farzad Mostashari Profile picture
6 Oct
1/ Private Equity Investment As A Divining Rod For Market Failure: Policy Responses To Harmful Physician Practice Acquisitions

This is an important, thoughtful piece.

HT @LorenAdler
2/ As the title implies, the best way to think about the problem is that Private Equity points the way towards every opportunity for outsized financial gains, especially where there is arbitrage, or market failures.

PE investors use the word "rents" in a positive way
3/ As @brianwpowers @WillShrank have pointed out, if you create outsized opportunities in new payment models, private capital can accelerated that too

Though IMO they undersell the degree to which PE-backed groups in MA tend to focus on...risk adjustment

Read 7 tweets
Farzad Mostashari Profile picture
26 Sep
This is actually an answerable question.

Does case severity drop during times when there are lots of open hospital beds?

Seems like a good episode of @DrBapuPod @AnupamBJena
Can we measure "likely unnecessary admissions" somehow?
...and to be clear, I am not sympathetic to the idea that we should somehow minimize the terrible negative impact of covid on hospitals and ICUs being full
Read 4 tweets
Farzad Mostashari Profile picture
15 Aug
1) Private Equity and Health Care Delivery by @brianwpowers @WillShrank @AmolNavathe

💯 Agree private equity isn't inherently good or bad "acts to amplify the response to extant financial incentives"

A couple of further points though....

ja.ma/3m6K6FU @JAMA_current
2) it's true that good policy can align private profit with public good, but if we are going to rely on that, need tight surveillance and fast response from regulators to close arbitrage opportunities where short-term profit maximizers will gather. c/f surprise billing
3/ if you wait too long, then entrenched profits become normalized, powerful incumbents are formed, and they can, and will, exert political influence to keep the "status quo" in place.

Many health policy examples (facility fees, drug pricing). But also...Medicare Advantage 👀
Read 12 tweets
Farzad Mostashari Profile picture
31 Jul
1/ Here's another quiz for budding epidemiologists

The Guandong Delta outbreak was meticulously investigated. Initial report of 1000x viral load came from there

A finding that hasn't been discussed much is the seeming shorter incubation period (panel b)

virological.org/t/viral-infect…
2/ In 2021 delta it was only 3.7 days (vs 5.6 days for 2020 outbreak).

This would have an impact on a key transmission dynamic factor we often look for: "serial interval periods" (time between symptom onset for index case vs subsequent case in a contact tracing investigation)
3/ What you are trying to estimate from observable symptom intervals is underlying mean generation time.

tangent: If you find negative serial intervals as in COVID, it's a sign of asymptomatic and presymptomatic spread.
Read 6 tweets
Farzad Mostashari Profile picture
31 Jul
Without looking it up,

What is Rt in Arkansas right now?
Rt is actually 1.2 (0.98-1.5). It is taking 12 days (4 generations) to double

here's some math

If Rt (aka Reff) was 5, it would mean that it would go up 5*5*5*5 = 625 TIMES in 12 days, not 2x

epiforecasts.io/covid/posts/su…
3/ Now, we aren't living in an R0 world. Even though it may feel like it sometimes

People are vaccinated (despite breakthrough infections)
People are infected (despite reinfection risk)
People have changed behaviors

But "Delta variant is as transmissible as Chicken Pox"(R0~9)??
Read 8 tweets
Farzad Mostashari Profile picture
30 Jul
1/ Like many others, I've been frustrated that we haven't seen the data behind the CDC's new recommendations. Parsing exact wording in transcripts is🤦

We're told there will be a release tomorrow but thanks to the @washingtonpost there's an internal CDC document to parse tonight
2/ The article by @yabutaleb7 @carolynyjohnson @JoelAchenbach is here:
washingtonpost.com/health/2021/07…

TY @bijans for spotting the "full pdf" download button.
3/ what do we learn?

The mysterious "other data" for high viral load in breakthrough cases came from a 4th of July outbreak in Provincetown (Barnstable, Mass) where the “vast majority” of the new cases were among fully vaccinated individuals

cc @zeynep
thehill.com/homenews/state…
Read 16 tweets

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