Primary care doctor and asst Prof at @Umich. I study health policy and payment reform. Former @yale @UMichMedSchool @MichiganHMP @UMichIMRes
Michigan, USA
Joined July 2012
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I'm hiring a statistical analyst. Position shared with @Andy_Ryan_dydx at Brown, based at the University of Michigan. We study how payment and delivery reforms in Medicare are reshaping primary care. Co-authorship and mentorship built in. Please share.
careers.umich.edu/job_detail…
Adam Markovitz, MD, PhD retweeted
In their new Forefront article, James Lee, @Cody_Mullens, @AdamMarkovitz, and Janice Probst from @UMich discuss how the expansion of Medicare Advantage (MA) in rural areas highlights a policy paradox: Despite long-standing efforts by the federal government to protect rural hospitals, its actions to expand MA may threaten these very institutions and the vulnerable populations whom they serve. healthaffairs.org/do/10.1377…
Adam Markovitz, MD, PhD retweeted
My interpretation of this evidence is different.
IMO, the authors present compelling evidence that ACOs selected healthier benes and coded them to look sicker.
Unfortunately the analysis does not account for selection bias and upcoding.
It’s unlikely that ACOs saved money
Adam Markovitz, MD, PhD retweeted
In Health Affairs, we counter the govt’s claim that its flagship value-based payment model, the ACO program, is reducing costs.
Rather, purported savings reflect benchmarking flaws & industry gaming—the same factors inflating costs in ACO sister model, Medicare Advantage. 1/x
Adam Markovitz, MD, PhD retweeted
🚨I've posted BRFSS data in SAS, R, and Stata formats for 1987-2023 here on this Mendeley Data Repository
Free to use without restriction!
data.mendeley.com/datasets/s…
And even if we assume the MSSP lowered medical spend by ~2% in Traditional Medicare, the MSSP lost CMS $ bc ACO bonus payments raise total FFS spending, which drives up MA benchmarks and thus MA plan payments, raising net CMS spend across the two programs
jamanetwork.com/journals/jam…
Adam Markovitz, MD, PhD retweeted
Physician payment reform is in the air.
So I wanted to share our paper about the Medicare Shared Savings Program.
We find that the MSSP has had virtually no budget impact for CMS.
ACOs are not the answer to cost containment in Traditional Medicare.
tinyurl.com/32emjerw
Adam Markovitz, MD, PhD retweeted
TLDR:
I wrote a paper with
@kejoynt
@jbuxbaum86
@_sukruth
@economicsRx
We found that BPCI-A, CMS’ bundled payment program, appeared to lose money: bit.ly/3zO6EAH
Then @ZhenkeWu, @qsh_shi, and I created a tool to redesign BPCI-A: bit.ly/3ZV2qSy
1/6
Adam Markovitz, MD, PhD retweeted
Congratulations to all the incoming @umichmedicine residents who just found out their destination as part of #Match2023!
(Including @UMichMedSchool students matching here!)
If you're interested in #HealthServicesResearch, you are coming to the right place! #GoBlueMatch
Adam Markovitz, MD, PhD retweeted
We are recruiting MD & PhD research faculty at all levels!! Please check out our job posting & DM me if you would like to hear about the great people & resources like @UM_IHPI, @VA_CCMR, & more that make the @UMIntMed Division of General Medicine such a special place to work!
ATTN: Board-certified/board-eligible internists & social scientists looking to develop & conduct independently funded research focused on #HealthServices & #HealthPolicy. Check out this opportunity & add'l open positions in the General Medicine Division.
medicine.umich.edu/dept/intm…
Adam Markovitz, MD, PhD retweeted
Does CPC+ improve spending & quality in the private sector? In @Health_Affairs, @AdamMarkovitz, @Andy_Ryan_dydx, and I evaluate the effect of CPC+ implemented by private payers in Michigan. We find it did not reduce spending or improve quality outcomes healthaffairs.org/doi/epdf/1…
Adam Markovitz, MD, PhD retweeted
He is the best of humans…and also the best of health policy scientists…@Andy_Ryan_dydx will be missed @UM_IHPI. @ashishkjha is getting a great one at @Brown_SPH!
Adam Markovitz, MD, PhD retweeted
At the #ASHEcon2022 “Evaluation of Payment Reform Programs” session, I’m presenting my research with @Andy_Ryan_dydx & @AdamMarkovitz evaluating the Comprehensive Primary Care Plus demonstration for private payers in Michigan. Please come by Tues @ 1:45 ashecon.confex.com/ashecon/2…
Adam Markovitz, MD, PhD retweeted
What a gratifying and humbling experience to work with this amazing team for the last 2 weeks 🙏🌟
#IMProud @AdamMarkovitz @Grecia__Q @UMichIMRes @UMichMedPeds @UMIntMed
Adam Markovitz, MD, PhD retweeted
Absolutely stoked to summarize a paper out in the new issue of @Health_Affairs led by @AdamMarkovitz with @jzayanian and @d_sukul
healthaffairs.org/doi/full/1…
Don’t let the title fool you… just kidding, the title pretty much covers it. Here’s a thread anyway.
1/7
Adam Markovitz, MD, PhD retweeted
We have a paper out in the new issue of @Health_Affairs about financial incentives for quality in Medicare Advantage led by @AdamMarkovitz with @jzayanian and @awarrier1221
healthaffairs.org/doi/10.137…
Title kind of says it all, but here’s a thread anyway
1/6
Adam Markovitz, MD, PhD retweeted
Medicare Advantage plans receive $11.6 billion in quality bonus payments annually
@Andy_Ryan_dydx & @AdamMarkovitz share research on what we've 'bought' with these bonuses
Unfortunately, the answer appears to be not much...
#ASHEcon2021
Adam Markovitz, MD, PhD retweeted
You'll also hear from some great panelists
--@AdamMarkovitz on Medicare Advantage,
--@AmolNavathe on Joint Replacement Bundled Payments,
-- Caroline Thirukumaran on the Comprehensive Care for Joint Replacement Model #ARM21
OR
(2/3)
Thank you to @SocietyGIM and to co-authors @Andy_Ryan_dydx @jzayanian and @awarrier1221 for the terrific collaboration!
Congratulations to @AdamMarkovitz, who recently won his THIRD Lipkin award from @SocietyGIM for work on #Medicare Advantage: sgim.org/career-center/award…