Payments to Physician Practices and Incentives to Serve Different Racial and Ethnic Groups This study measures disparities across patient racial and ethnic groups in per-visit payment to physician practices from health insurers and other sources, adjusted for visit content, geographic marke...

The project reflects years of teamwork with @rachelwerner.bsky.social, David Asch, and an anonymous federal researcher.

I'm very proud to share this work. Watch this space for more posts about our findings, our methods, and how this project came to be. (7/7) jamanetwork.com/journals/jam...

Long-term care in the U.S. faces two existential threats: an immigration crackdown and Medicaid cuts The combined impacts of an immigration crackdown and slashing Medicaid budgets could create an exodus of long-term care workers.

How do you devastate an already-fragile system? Target its workers AND its funding.

In our @statnews.com op-ed, @rachelwerner.bsky.social and I explore how immigration enforcement & Medicaid cuts will impact millions who depend on long-term care—and what we can do.

www.statnews.com/2025/05/30/l...

Opinion | Nursing Homes Owe More to Their Residents New rules requiring increased staffing and care are under attack.

@rachelwerner.bsky.social and Norma Coe laying out the evidence. "...we know how crucial nursing home staff members are—and why efforts to roll back the new minimum staffing rules pose such a threat to the residents and their families who rely on these staffers."
www.nytimes.com/2025/02/07/o...

Read more about our estimates of lives that will be lost here:

www.warren.senate.gov/imo/media/do...

And thank you to @warren.senate.gov and her office for her tireless work on this important issue.

Thank you to @nytopinion.nytimes.com for elevating this issue.

@pennldi.bsky.social
@warren.senate.gov

Opinion | Nursing Homes Owe More to Their Residents New rules requiring increased staffing and care are under attack.

Last year CMS increased nursing home staffing minimums in nursing homes, a major step toward protecting nursing home residents. Norma Coe and I estimate this will save 13,000 lives every year. This regulation is now under threat of repeal.

www.nytimes.com/2025/02/07/o...

NEWS: Penn LDI and Wharton are thrilled to announce a historic $3.5 million gift from the Leonard & Sophie Davis Fund to support the Summer Undergraduate Mentored Research Program and LDI programs focused on expanding insurance and health care access.
ldi.upenn.edu/our-work/res...

Integrating Care for Dually Eligible Beneficiaries A panel of experts reviews policy options for meaningful change toward care that truly focuses on the needs of people with both Medicare and Medicaid.

⬆️Join us on Friday, 12/6 for a virtual seminar where we'll discuss recommendations in the Policy Brief. Register: ldi.upenn.edu/events/integ...
#Medsky

#DuallyEligible
CC:
@aishaadkins.bsky.social @matthewbehrens.bsky.social @rachelwerner.bsky.social

Immigration, The Long-Term Care Workforce, and Elder Outcomes in the U.S. Founded in 1920, the NBER is a private, non-profit, non-partisan organization dedicated to conducting economic research and to disseminating research findings among academics, public policy makers, an...

Two critically important research articles related to this.

One third (!!!!) of the home health and personal care aide workforce is foreign-born.

amandakreider.github.io/in-progress/... (from @amandakreider.bsky.social)

www.nber.org/papers/w30960

As the baby boom generation enters its prime years for long-term care needs, its difficult to come up with a more challenging backdrop than an immigration system about to be cut off at its knees (think: nursing home aides) and states having to fill in funding gaps from Medicaid spending shortfalls.

Over a year ago, the prescient @dusetzinas.bsky.social sent me an invite code to join her here. I signed up but never logged in. Now, finally, I’m here! And @pennldi.bsky.social came along!