Joshua Budhu

DR. SHOSHANA UNGERLEIDER BEFORE WE GO 8H AGO - S2, E6 - 40 MIN - E Mark Cuban and Dr. Fumiko Chino Try to F-Up Healthcare Before We Go A PODCAST NYTION ORIGINAL • Play Today's episode features two people who are shaking up the U.S. Mark Cuban, best known as one of the "sharks" on Shark Tank, is healthcare system in very different but deeply humane ways. Dr. tackling the same problem from another angle. Through his Cost Plus Fumiko Chino knows firsthand how devastating medical debt can be. Drug Company, he's disrupting the industry with a transparent, After losing her husband to cancer and being left with overwhelming direct-to-consumer model that's already changing - and saving - bills, she went to medical school to become a radiation oncologist lives. and made it her mission to make care more affordable.

🎙️Before We Go @podcastnation.bsky.social
Mark Cuban and Dr. Fumiko Chino Try to F-Up Healthcare
 
Dr Shoshana hosts an incredible convo w @mcuban.bsky.social
("He had a good life & he f-up’d healthcare") & myself about how to fix our broken system from w/in or burn it down from the outside. 🔥

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

ICYMI - Our @NEJM Perspective argues that federal restrictions on Emergency Medicaid could restrict care for immigrants and strain safety-net hospitals.
Preserving state flexibility is both fiscally smart and morally necessary

www.nejm.org/doi/full/10....

Financial toxicity screening helps identify patients in need—but most still struggle to get help.

In our new study, 81% of patients screening positive didn’t receive an intervention, underscoring the need for stronger infrastructure & policy reform.

ascopubs.org/doi/full/10....

Financial toxicity screening helps identify patients in need—but most still struggle to get help.

In our new study, 81% of patients screening positive didn’t receive an intervention, underscoring the need for stronger infrastructure & policy reform.

ascopubs.org/doi/full/10....

Fumiko Ladd Chino: Challenges in Delivering Financial Assistance After Positive Financial Toxicity Screens - OncoDaily Fumiko Ladd Chino: Challenges in Delivering Financial Assistance After Positive Financial Toxicity Screens / Amy Caramore, Amy L. Tin, Andrew J. Vickers,

Challenges in Delivering Financial Assistance After Positive Financial Toxicity Screens - Fumiko Ladd Chino

@fumikochino.bsky.social @chaewonhwangmd.bsky.social @jbudhu.bsky.social @bthomphd.bsky.social

oncodaily.com/voices/fumik...

#OncoDaily #Oncology #Cancer #Health #Medicine #MedOnc #MedNews

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

Our @nejm.org perspective is now available - in it, we argue for the need for state flexibility in Emergency Medicaid. It's only a tiny percentage of overall Medicaid spending, is cost-effective, and helps sustain our safety net hospitals.

www.nejm.org/doi/full/10....

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

Emergency Medicaid accounts for <1% of Medicaid spending — yet saves lives & money.
Restricting it ignores evidence, burdens states, and harms communities.

Our latest via @nejm.org
Emergency Medicaid at Risk - Preserving State Authority and Access to Care

www.nejm.org/doi/full/10....

🧵1/6

@commonwealthfund.org @nejm.org @wschpero.bsky.social @larryau.bsky.social @mskcancercenter.bsky.social

6/6 🧵 We argue that states should have the flexibility to determine what works best for their populations.
A one-size-fits-all federal approach undermines effective, evidence-based care for immigrant communities — and burdens the hospitals that care for them.

5/6🧵Unauthorized immigrants contribute billions to the U.S. health system — more than they receive in care.
In 2017 alone, net contributions totaled:
$20.8B to Medicare

$21.3B to Medicaid

$14.7B to private insurance

They are net funders, not burdens.

4/6 🧵
Emergency Medicaid spending is tiny:
💰 FY2023 = $3.8B, just 0.44% of total Medicaid ($860B). Even at its pandemic peak, it stayed below 1%. Yet it supports hospitals serving millions with no other coverage options.

3/6 🧵
Emergency Medicaid was designed to reimburse hospitals for federally required emergency care — but some states have expanded coverage to include essential services like dialysis. This flexibility That flexibility has saved lives and reduced costs

2/6 🧵
In May 2025, CMS issued new guidance warning states that use federal dollars for care to unauthorized immigrants beyond emergencies could face audits and fund recoupment.

This marks a major shift from decades of state flexibility under Emergency Medicaid.

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

Emergency Medicaid accounts for <1% of Medicaid spending — yet saves lives & money.
Restricting it ignores evidence, burdens states, and harms communities.

Our latest via @nejm.org
Emergency Medicaid at Risk - Preserving State Authority and Access to Care

www.nejm.org/doi/full/10....

🧵1/6

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

For decades, the narrowly defined Emergency Medicaid (EM) program has reimbursed hospitals for emergency care provided to uninsured, low-income immigrants.

In @nejm.org, we write in defense of state flexibilities in EM, which seem at risk: www.nejm.org/doi/full/10....

cc @chpc-cornell.bsky.social

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

Our new NEJM commentary argues on the need to preserve state autonomy for Emergency Medicaid, and the critical role EM plays in supporting undocumented immigrants and safety net hospitals

www.nejm.org/doi/full/10....

Announcement of the 2025 AMWA Inspire Awardees with photos of each recipient. One of the awardees, Diana Cejas, MD, MPH, wears a bright yellow dress and white floral earrings in her photo.

Honored to share that I am a American Medical Women’s Association (AMWA) Inspire Award Recipient!

Congratulations to this incredible group of physicians!

www.amwa-doc.org/news/announc...

Health disparities in neurology Nature Reviews Neurology - This Review considers the aetiology of health disparities in neurology at an individual, interpersonal, community and societal level, and suggests practical interventions...

Disparities in neurology are not random. They stem from upstream determinants (classism, poverty, environment) & downstream barriers (access, treatment gaps).

Our @natrevneurol.nature.com review maps these drivers & highlights interventions to advance equity.

rdcu.be/eFqGX

Health disparities in neurology Nature Reviews Neurology - This Review considers the aetiology of health disparities in neurology at an individual, interpersonal, community and societal level, and suggests practical interventions...

Disparities in neurology are not random. They stem from upstream determinants (classism, poverty, environment) & downstream barriers (access, treatment gaps).

Our @natrevneurol.nature.com review maps these drivers & highlights interventions to advance equity.

rdcu.be/eFqGX

From Many Nations, One Mission—The Importance of Immigrant Neurologists in US Health Care | Neurology

Nearly 1 in 3 neurologists in the US trained abroad. Immigrant neurologists fill critical gaps in underserved communities but face visa barriers & uncertainty. Supporting them is essential for equitable neurologic care. My latest in @greenjournal.bsky.social

www.neurology.org/doi/10.1212/...

From Many Nations, One Mission—The Importance of Immigrant Neurologists in US Health Care | Neurology

Immigrant neurologists face uncertainty about visas, careers, and families. They care for some of our most vulnerable patients. Supporting them is both a moral obligation and essential to the future of our field. My viewpoint in @greenjournal.bsky.social

www.neurology.org/doi/10.1212/...

From Many Nations, One Mission—The Importance of Immigrant Neurologists in US Health Care | Neurology

Immigrant neurologists face uncertainty about visas, careers, and families. They care for some of our most vulnerable patients. Supporting them is both a moral obligation and essential to the future of our field. My viewpoint in @greenjournal.bsky.social

www.neurology.org/doi/10.1212/...

My Brother’s Keeper | NEJM Intubated, chemically sedated, and immobilized, Ravi developed a massive pulmonary embolism and died handcuffed to a hospital bed. He’d been caught in a system that worked against him at every turn.

Father’s Day marked 17 years since my brother died—sedated, shackled, and alone in a hospital bed.
His death wasn’t inevitable. It was systemic.
I share his story, and what it taught me about health, justice, and memory.
Thank you @nejm.org
www.nejm.org/doi/full/10....

My Brother’s Keeper | NEJM Intubated, chemically sedated, and immobilized, Ravi developed a massive pulmonary embolism and died handcuffed to a hospital bed. He’d been caught in a system that worked against him at every turn.

Father’s Day marked 17 years since my brother died—sedated, shackled, and alone in a hospital bed.
His death wasn’t inevitable. It was systemic.
I share his story, and what it taught me about health, justice, and memory.
Thank you @nejm.org
www.nejm.org/doi/full/10....

A bit late in sharing, but proud of this piece published in
@pedneurojournal.bsky.social. As DEI efforts face backlash, we argue why neurologists must stay committed to equity for the health of our profession and our patients.

www.pedneur.com/article/S088...

@dianacejasmd.bsky.social

Response Assessment in Neuro-Oncology (RANO) 2009-2025: Broad Scope and Implementation - A Progress Report Abstract. Since its first activities in 2008 and 2009, the Response Assessment in NeuroOncology (RANO) group has given guidance on response assessment, tri

Response Assessment in Neuro-Oncology (RANO) 2009-2025: Broad Scope and Implementation - A Progress Report.
academic.oup.com/neuro-oncolo...

So excited for #AANAM 2025! Join us for a session on Neurologic Consultations in Cancer Patients on Sunday, 4/6/25 at 3:30pm!

Financial challenges of being on long-term, high-cost medications Abstract. The isocitrate dehydrogenase (IDH) inhibitor, vorasidenib, may offer a promising new treatment option for patients with IDH-mutant gliomas. Howev

So excited to see this come out! In this article, we go over how drugs are approved, financial toxicity and the impact on our patients, and the financial implications of vorasidenib

Financial challenges of being on long-term, high-cost medications

academic.oup.com/nop/advance-...

Had such an amazing time at #SNO2024 @neuroonc.bsky.social
Wonderful to see updates in CNS tumor treatment, quality of life interventions, and colleagues from around the world!

Final sessions at #SNO2024! 🌟 to dive into neuro-oncology’s latest breakthroughs and future directions.
🗓️ Sunday, Nov 24
⏰ 10:15 AM - 11:30 AM

🧠 Emerging therapies in glioblastoma
🔬 Advances in immuno-oncology
💡 Collaborative approaches

Let’s finish strong and inspire the future of neuro-oncology!