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Kevin Grumbach

@kgrumbach

Family doctor, policy-engaged researcher, committed to primary care revitalization and a just health system

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26.11.2024
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Latest posts by Kevin Grumbach @kgrumbach

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Primary Care Investment Guide - PCC Want more insights about the Primary Care Investment Guide? Tune into PCC’s release webinar featuring researchers from Harvard Medical School and a reactor panel featuring leaders at the federal, stat...

Investing in primary care is investing in the future of America’s health.

@harvardmed.bsky.social’s Primary Care Investment Guide shows how advanced primary care supports whole-person care. ⬇️
thepcc.pub/investmentgu...

05.03.2026 15:12 👍 0 🔁 1 💬 0 📌 0
RFK Jr. May Eliminate the USPSTF, Original Task Force Members Warn

RFK Jr. May Eliminate the USPSTF, Original Task Force Members Warn

Every single step that the anti-science, anti-vaccine conspiracy theorist RFK Jr takes to dismantle the US medical, public health, & health research systems is incredibly painful & distressing

This one would hit so hard

Without the USPSTF, evidence-based screening & prevention would crumble 😢

23.02.2026 22:30 👍 90 🔁 49 💬 7 📌 1

Only in the US would an impasse over health insurance benefits drive teachers to strike. Health care is a universal public benefit in all high income nations and we are long overdue in US for Medicare for All. As a longtime San Franciscan, breaks my heart for our teachers and kids alike.

09.02.2026 17:35 👍 4 🔁 0 💬 1 📌 0
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MAGA: “But I don’t understand Spanish.”
China: pronounces every lyric perfectly 😭

Bad Bunny dropped an album in January2025 and now the world is learning Spanish for fun.
Culture travels faster than complaints. 💃🌍
#BadBunnyBowl

07.02.2026 19:25 👍 261 🔁 89 💬 7 📌 3

Horrifying apologists

04.02.2026 20:14 👍 1 🔁 0 💬 0 📌 0

“…Most white people in this country are like most people who eat meat in this country: they want to enjoy a good steak, but they don’t want to go to a slaughterhouse and put a bolt gun in a cow. White people enjoy their privilege, but they don’t exactly want to see how their privilege gets made.”

30.01.2026 21:09 👍 414 🔁 117 💬 6 📌 2

Congratulations

29.01.2026 16:03 👍 1 🔁 0 💬 0 📌 0

😂

28.01.2026 20:01 👍 0 🔁 0 💬 0 📌 0
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Extreme Wealth Inequality Destroys Constitutions A broad range of views on democracy to help break the stalemate caused by partisan conflict.

Next up in our "100 ideas" series — New by @jakemgrumbach.bsky.social — "Extreme Wealth Inequality Destroys Constitutions"

Part of @nyulaw.bsky.social Democracy Project's "100 Ideas in 100 Days"

Read the full piece here: democracyproject.org/posts/extrem...

22.01.2026 13:39 👍 19 🔁 10 💬 1 📌 3
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Strategies to Improve Health by Bolstering Primary Care - PCC On December 18, the Primary Care Collaborative (PCC) and Harvard Medical School (HMS) hosted a webinar for the release of the Primary Care Investment Guide. The guide breaks down how advanced primary ...

On December 18, the PCC and @harvardmed.bsky.social hosted a webinar for the release of their Primary Care Investment Guide.

Check out a short summary of the webinar and its full recording below. ⬇️
thepcc.pub/bolsteringpr...

22.12.2025 15:21 👍 0 🔁 1 💬 0 📌 0
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Child behavioral health improved with expanded Child Tax Credit | Harvard T.H. Chan School of Public Health Pandemic-era expansions to the Child Tax Credit—one of the largest income transfer programs in the U.S.—was associated with improved child behavioral health, according to a new Harvard Chan School stu...

Study by faculty affiliate @ritahamad.bsky.social & colleagues finds an association between the expanded child tax credit, temporarily distributed monthly during the pandemic, and a reduction in child behavioral problems...
hsph.harvard.edu/news/child-b...

18.12.2025 15:24 👍 4 🔁 2 💬 0 📌 0

Terrific enlightening post for clinicians prescribing IV antibiotics. Appreciate our Pharm D colleagues.

10.12.2025 07:20 👍 2 🔁 0 💬 0 📌 0

Got my attention with this. Will definitely influence my hospital practice when patients need attention for fluid overload.

10.12.2025 07:01 👍 1 🔁 0 💬 0 📌 0
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Flash Survey Series 6 Hey Primary Care Clinicians: a few minutes of your time could change policy

A new Larry Green Center survey is now open through end of Dec 11. Amplify your voice and help inform policy reform on AI, prevention, scope of work, and billing codes.

Takes less than 5 minutes of your time, click the link below take the survey.
www.surveymonkey.com/r/FlashSurvey6

08.12.2025 22:04 👍 2 🔁 2 💬 0 📌 1
Two images side by side: a modern group gathered around a restaurant table in lively conversation, and Renoir’s painting Luncheon of the Boating Party, showing people socializing around an outdoor table

Two images side by side: a modern group gathered around a restaurant table in lively conversation, and Renoir’s painting Luncheon of the Boating Party, showing people socializing around an outdoor table

When life imitates art. Our faculty, National Clinical Scholars Program (NCSP) fellows & colleagues presented their latest research at the NAPCRG Annual Meeting last month. Their work advances understanding of the economics of doubling PC spend & the impact of adding pharmacy techs to PC teams.

02.12.2025 22:14 👍 4 🔁 1 💬 1 📌 0
AHRQ’s Investments in Primary Care Research for 2023 and 2024 This National Center for Excellence in Primary Care Research (NCEPCR) report (PDF, 3.9 MB) is the second comprehensive review of AHRQ’s recent investments in primary care research – covering federal f...

Have you gotten the chance to look at the National Center for Excellence in Primary Care Research (NCEPCR)'s latest report?

This research explores AHRQ’s investments in primary care and gives useful info for #PrimaryCare researchers and clinicians. ⬇️
www.ahrq.gov/ncepcr/repor...

21.11.2025 20:30 👍 1 🔁 2 💬 0 📌 0
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AAFP awards Learn more about enhancing your family medicine career with AAFP award opportunities.

Applications are now open for the AAFP's member awards! Nominate your peers or apply today for awards in these five categories: https://bit.ly/48tvdEf
🔹Leadership
🔹Mentorship & Teaching
🔹Service & Community Engagement
🔹Career Longevity & Special Accomplishment
🔹Innovation (coming soon!)

21.11.2025 16:11 👍 4 🔁 1 💬 0 📌 0

Family leaking inside info 😂

25.10.2025 23:30 👍 0 🔁 0 💬 0 📌 0

Dr. Lawrence was a giant in her field. If obit was for a man, would the lede have included “A stylish dresser who always took the stairs, even in heels”? You need to do better @nytimes.com

25.10.2025 18:01 👍 10 🔁 4 💬 2 📌 0

We couldn't be more proud to see our Vice Chair for Research, Christine Dehlendorf, recognized for her incredible leadership in creating the first national measures to ensure that respect, trust, and choice are counted as essential parts of quality in reproductive health. #fmrevolution 🙌👏🔥

23.10.2025 20:44 👍 1 🔁 2 💬 0 📌 0
AHRQ’s Investments in Primary Care Research for 2023 and 2024 This National Center for Excellence in Primary Care Research (NCEPCR) report (PDF, 3.9 MB) is the second comprehensive review of AHRQ’s recent investments in primary care research – covering federal f...

Explore the latest report from the Agency for Healthcare Research and Quality on how federal investments are strengthening #PrimaryCare across the country.

A must-read for policymakers, researchers and clinicians alike ⤵️
www.ahrq.gov/ncepcr/repor...

23.10.2025 21:18 👍 0 🔁 1 💬 0 📌 0
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a man is sitting at a table with a sign that says `` change my mind '' on it . ALT: a man is sitting at a table with a sign that says `` change my mind '' on it .

if a patient with opioid use disorder is admitted to ICU (eg for pneumonia) & they clearly tell you their dose of buprenorphine or methadone, we should just believe them and give it to them

in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery

25.09.2025 15:05 👍 58 🔁 9 💬 7 📌 1

Are you a PCP pulling your hair out trying to maneuver through maddening insurance and pharma barriers to getting your patients the medications they need? A 2 word solution: pharmacy technicians. Check out our study @annalsofem.bsky.social on the benefit of adding pharm techs to primary care teams👇

23.09.2025 15:35 👍 8 🔁 3 💬 1 📌 0
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Why a Hybrid Payment Model Offers Hope for Primary Care as Medicare Turns 60 - PCC Sixty years ago, we relied on typewriters, rotary phones and slide rules to get work done. As we have replaced these tools with better, more advanced technology, our work environment has changed…

Since its inception, traditional Medicare has been tied to a fee-for-service model.

As we mark its 60th birthday, Congress must devote political willpower to change this outdated model and reverse the erosion of America's health.

From PCC's Ann Greiner:

13.09.2025 14:57 👍 1 🔁 1 💬 0 📌 0

-CMS must use more objective, valid data sources for valuating services than currently provided by the RUC
-Add on APCM Beh Health Integration codes are a good step to support beh health integration but need continuing refinement 2/2

12.09.2025 21:16 👍 2 🔁 0 💬 1 📌 0

Top line recs from @health.nationalacademies.org responding to 2026 CMS fee rules:
-AdvPrimCareMng(APCM) services are largely preventive and should be exempt from cost-sharing
-efficiency adjustments are justified for procedural and diagnostic services 1/2
www.nationalacademies.org/our-work/res...

12.09.2025 21:15 👍 0 🔁 0 💬 1 📌 0
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Today’s ACS data show health coverage inequities increased in 2024 for Black & Latino ppl, and ppl with low and moderate incomes. These trends were likely driven by the drop in Medicaid enrollment. tinyurl.com/yttxmmp5

11.09.2025 17:04 👍 7 🔁 4 💬 0 📌 0

In a comment letter to the Centers for Medicare and Medicaid Services, the Primary Care Collaborative and its Better Health — NOW campaign expressed appreciation for several MPFS modernization proposals that strengthen whole-person #PrimaryCare.

thepcc.pub/2026MPFSLETT...

12.09.2025 14:09 👍 0 🔁 1 💬 0 📌 0

Bravo to the authors and journal @annfammed.bsky.social Wonderful to see the broad interest in the important findings

05.09.2025 19:07 👍 4 🔁 0 💬 0 📌 0