Aaron Mitchell

Aaron Mitchell

@thewonkologist.bsky.social

Medical oncologist and health services researcher. Focusing on health care costs, physician-industry COI, and oncology reimbursement reform. Opinions mine.

1.1K followers365 following358 posts

Just finished presenting these new findings at #ASCOQLTY26 Industry payments to oncologists are associated with aggressive end-of-life care for patients with cancer.

Hannah R. Abrams@hannahrabrams.bsky.social

Physician payments & end-of-life tx: -Slight ⬆️ aggressive EOL care among those who received payments -However, is this a function of 3' centers seeing more patients at later lines of tx? -Need to clarify research support vs personal $ #ASCOQLTY26 @thewonkologist.bsky.social @dusetzinas.bsky.social

“The contrast with financial toxicity is instructive. Financial toxicity, a term coined more than a decade earlier and serving as the explicit template for time toxicity, has never, to our knowledge, been used by a drug company to advertise a LOWER list price for a new drug.” 💯💯💯

Aaron Mitchell@thewonkologist.bsky.social

Must-read perspective in Journal of Clinical Oncology @ascocancer.bsky.social on how the concept of “time toxicity” is being appropriated for industry aims (profits). I was not aware of this! Eye opening. ascopubs.org/doi/10.1200/...

“Patients come to oncology with fear and uncertainty. They are asking for judgment they can trust. That judgment should not be shaped by a meal, an honorarium, or a branded invitation.” Amazing editorial on our study from @sarojniraula.bsky.social ascopubs.org/doi/10.1200/...

ascopubs.orgWhen Industry Payments to Oncologists Influence Cancer Care

Aaron Mitchell reposted

NEW: Draft white paper up on SSRN - "Reimagining FDA’s Corporate Funding: Pathways to Reform or Abolition of User Fees" FDA's corporate funding, aka "user fees," are not ancillary -- they have big implications for FDA policy & integrity. (1/x) papers.ssrn.com/sol3/papers....

papers.ssrn.comReimagining FDA's Corporate Funding: Pathways to Reform or Abolition of User FeesThe U.S. Food and Drug Administration derives most of its drug regulatory budget from "user fees" paid by pharmaceutical companies. This White Paper l

Aaron Mitchell reposted

Replying to @michaelhobbes.bsky.social

The actual harsh truth about MAHA is that it is an anti-vaxx, anti-science, pro-diarrhea conspiracy movement. It cloaks its arguments in abstractions about "big pharma" and "free speech" to generate *the exact op-ed The Atlantic keeps publishing*. Movements like this need to be fought, not placated.

Aaron Mitchell reposted

"This study provides among the most rigorous evidence to date on receipt of optimal initial therapy [for cancer]...in a nationally representative sample of beneficiaries in MA vs traditional Medicare." Thank-you to our commentators for this kind review! jamanetwork.com/journals/jam...

jamanetwork.comMedicare Advantage and Cancer CareMedicare-eligible beneficiaries have the option of receiving their benefits through traditional Medicare administered by the federal government or through private Medicare Advantage (MA) plans that re...
Aaron Mitchell@thewonkologist.bsky.social

Our new study on cancer care for #MedicareAdvantage beneficiaries is out today in @jamainternalmed.com! We find similar treatment timeliness and quality, but use of cheaper treatments in MA vs. traditional Medicare jamanetwork.com/journals/jam...

1st firsthand experience with NHS today: 1) spent an entire day navigating a bureaucratic maze of separate labs, clinics, cash-pay-only pharmacies, and land-line-only phone consults 2) entire bill for same-day consult and Rx, without insurance = $20 Sounds about right

Aaron Mitchell reposted

ADA leaders were forcibly removed from their own meeting for sharing copies of an ADA OpEd critical of Jay Bhattacharya. Thanks to you it's now got >125,000 views. As CDC interim director, Jay also blocked publication of this paper because it showed that COVID vaccines work. You know what to do.

jamanetwork.comInterim Estimated Effectiveness of 2025-2026 COVID-19 Vaccines in AdultsThis case-control study estimates vaccine effectiveness of 2025-2026 COVID-19 vaccines among adults with COVID-19–associated emergency department or urgent care encounters and COVID-19–associated hosp...

Timely, this recent piece in JCO Oncology Practice @ascocancer.bsky.social seems aimed towards helping private practice oncologists understand the implications of selling to their practice to PE firms: ascopubs.org/doi/10.1200/...

ascopubs.orgFrom Burnout to Buyout: Private Equity's Growing Appeal in Oncology | JCO Oncology Practice
Aaron Mitchell@thewonkologist.bsky.social

I appreciated this thoughtful commentary on our recent (surprisingly "negative") study of private equity's effect on cancer care. I would summarize as: we looked only at one form of harm, and other potential harms have not been excluded. academic.oup.com/jnci/advance...

I think the piece is perhaps overly favorable. "From a global health care perspective, PE-affiliated private practices show lower Medicare expenditures compared with corporate or hospital-based entities with fewer associated inpatient care days and emergency room visits."

I appreciated this thoughtful commentary on our recent (surprisingly "negative") study of private equity's effect on cancer care. I would summarize as: we looked only at one form of harm, and other potential harms have not been excluded. academic.oup.com/jnci/advance...

academic.oup.comPrivate equity acquisitions and cancer care: nothing to see here? Not so fast.Private equity (PE) involvement in the acquisition of health-care practices is rapidly expanding, with more than $750 billion invested over the past decade

Aaron Mitchell reposted

Excited to present preliminary results from a project that has been ongoing ~since I was a PhD student~ at today's late-breaking #ARM26 session — join us at 4p PT in rooms 613-614.

The webinar recording is now available, below. I'm also looking forward to presenting these findings on Medicare Advantage and cancer care at @academyhealth.bsky.social #ARM26, this weekend! cbiit.webex.com/recordingser...

cbiit.webex.comMeet virtually with Cisco Webex. Anytime, anywhere, on any device.Webex by Cisco is an AI-powered secure enterprise collaboration platform.
Aaron Mitchell@thewonkologist.bsky.social

I'll be presenting some of our recent work on Medicare Advantage and its impacts on cancer care cost and quality, 3pm EST TODAY! Part of ongoing NCI seminar series. Webinar registration at the link below: healthcaredelivery.cancer.gov/media/medica...

Aaron Mitchell reposted

Here’s how he blew off 19 kids killed by Covid in 1 month.

Elizabeth Jacobs, PhD@elizabethjacobs.bsky.social

In normal times, the fact that government officials at HHS blatantly lied to the public and got caught would be a scandal of unusual size. Everyone involved in this disinformation scheme against the people of the United States should be held accountable.