Physician and health economist. Assistant prof at @VA_CSHIIP and @UCLA_GIMHSR. Working to understand doc behavior and health care disparities.
Los Angeles, CA
Joined May 2009
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🚨New paper!🚨Who orders more testing: male physicians or female physicians? And what are the implications on patient outcomes? We examine these questions in the emergency department (ED) in @JAMAInternalMed.🧵1/
Star Trek: TNG was a formative part of my childhood. Thanks for the memories, Patrick Stewart. Rest in peace.
Patrick Stewart was once filmed dancing and singing on the bridge of the USS Enterprise-D in 1991 as a birthday surprise for Star Trek creator Gene Roddenberry. Though never intended for public release, a copy of the clip eventually surfaced as a bonus feature on a DVD.
Rest in peace 🙏
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Seems like JAMA is okay with use of AI for searches that are integral to a manuscript's research process (not just literature searches). Interesting!
jamanetwork.com/journals/jam…
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Interesting paper by @claireeboone in @JAMAInternalMed. When faced with incentive to "control" hypertension, docs more likely to recheck BP, choose the lower reading, document BP as controlled, and less likely to intensify BP meds. This results in⬆️hospitalizations for CV events!
New diff-in-diff paper in @JAMAInternalMed: we document some unintended consequences of a hypertension control quality metric and financial incentive -- one that's widely used in US healthcare. In the overall population there were almost no impacts, but..
Thank you @NIHCMfoundation for your support!
Read @meddly's work on the racial and ethnic disparities that exist in receiving diabetes care: bit.ly/44nO0Pu
#chronicdiseaseday #diabetescare
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At age 38, Lionel Messi can still qualify for the top 40 soccer players under 40. Hope he makes it.
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Reminder, if you’re going to @ashecon 2026, come to our Wednesday session of creative uses of recession discontinuity with some of the best in the business, including Aaron Schwartz, Vini Singh, @danzeltzer, and @ml_barnett!
If you're buying plane tickets to ASHEcon 2026, make sure you stay for our session (last of the conference) of 3 RDs studying heuristics, stigma, and guideline thresholds. With Aaron Schwartz, Vini Singh, @danzeltzer, and @ml_barnett! ashecon.confex.com/ashecon/2…
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Another clinically-oriented research letter from one of my grants, published in @JournalGIM! In it, we find that low usage of diabetes preventive therapies (meds and weight management programs) among Vets with evidence of prediabetes. And 1/4 of our cohort develop diabetes! 1/2
The small diffs by race and ethnicity are swamped by the overall low rates of use of these therapies and high rates of diabetes development. Thank you to @vahsrd and @NIHCMfoundation for funding this work! @LosAngelesVA @UCLA_GIMHSR @VA_CSHIIP @DOM_UCLA link.springer.com/article/10…
New letter in @JAMANetworkOpen! A clinically-oriented one examining the setting where meds affecting cognition (e.g., antipsychotics) are prescribed from. We find they are disproportionately prescribed from acute or post-acute settings (i.e., emergency room, hospital, SNF). 1/3
An important paper showing that, for Veterans visiting an ED with a mental health condition, having delayed follow up causes decreased engagement with mental health care and increases mortality.
Forthcoming in the AER: "How Do Mental Health Treatment Delays Impact Long Term Mortality?" by Sydney Costantini. aeaweb.org/articles?id=10.12…
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Catching up on reading. Important RCT showing that a subsidy for produce did not improve outcomes such as HbA1c or ED visits (or BP or BMI). There may be other benefits, but if trying to improve these outcomes, providing such a subsidy isn't where you want to put your money in.
A produce prescription subsidy providing $80 per month did not improve glycemic control, blood pressure, body mass index, or health care use for patients with #Diabetes at risk for food insecurity.
ja.ma/48GGzoW
ALT JAMA Internal Medicine: RCT: Produce Prescription Subsidy for Patients With Diabetes. Population: 631 men, 1524 women, adults with diabetes, mean age 56. Intervention: 2177 participants randomized. Findings: No significant differences.
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If you're buying plane tickets to ASHEcon 2026, make sure you stay for our session (last of the conference) of 3 RDs studying heuristics, stigma, and guideline thresholds. With Aaron Schwartz, Vini Singh, @danzeltzer, and @ml_barnett! ashecon.confex.com/ashecon/2…
Insightful qualitative study on barriers to participating in Medicaid among dentists. Low reimbursement, not covering needed procedures (like procedure b/t root canal and crown), etc. Barriers seem similar to known barriers for participation among docs. jamanetwork.com/journals/jam…
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I'm looking to hire a full-time programmer/data analyst with SQL experience to work with EHR data! Details here: uclahealth.avature.net/caree…
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As someone using this design in several papers and grants, looking forward to reading this!
Paul G-P (@paulgp), Michal Kolesár, and I have a new guide to leniency designs (aka judge/examiner IVs), prepared for the JEP
The bottom line? Keep calm and UJIVE on!
