@StephenMein

Pulmonary/CC MD @MGH_PCCM/@PCCSM_BIDMC | Research Fellow @SmithBIDMC | Healthcare Policy, Outcomes, & Equity Research

Joined November 2022
  • Tweets22
  • Following49
  • Followers39
Very proud of Stephen Mein on being awarded an NHLBI K23 grant Inhalers are a case study in how US drug pricing and coverage fail patients with chronic disease — and he's building the evidence on what actually fixes it Watch out for his work! @SmithBIDMC @PCCSM_BIDMC
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Manufacturer inhaler price caps offered hope of improved inhaler affordability in the US, but several loopholes mean costs will not change for many patients. @rkwadhera⁩ & I discuss these limitations and next steps to address high inhaler costs. jamanetwork.com/journals/jam…

Inhaler Price Caps

This Viewpoint describes the public health implications of high inhaler costs for patients with asthma and chronic obstructive pulmonary disease.

jamanetwork.com
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Manufacturers rolled out price caps on inhalers this past year but loopholes & barriers to access the low prices mean many still pay high costs @StephenMein & @RKWadhera argue legislation is needed to improve inhaler affordability New in @JAMAInternalMed jamanetwork.com/journals/jam…

Inhaler Price Caps

This Viewpoint describes the public health implications of high inhaler costs for patients with asthma and chronic obstructive pulmonary disease.

jamanetwork.com
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We're thrilled to launch a new postdoctoral research fellowship in oncology & health policy, jointly mentored by experts @DanaFarber & @SmithBIDMC An incredible opportunity for scholars aiming to shape the future of cancer care and policy Application➡️bit.ly/482xIgw
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LATE Lunch Bites @SmithBIDMC Where our postdoctoral fellows & medical trainees get a front-row seat to wisdom from Nobel laureate @metrics52 Econometrics + science + life lessons = the best lunch in town
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Stephen Mein retweeted
The BMJ
@bmj_latest30 Sep 2025
New BMJ Research finds the implementation of work requirements with Medicaid expansion in Georgia did not increase health insurance coverage or employment. These findings have important implications after recently enacted legislation bmj.com/content/390/bmj-2025…
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Medicaid work requirements will soon be rolled out nationwide under One Big Beautiful Bill Our @bmj_latest study shows what happened to insurance coverage & jobs when Georgia rolled them out in 2023. Featured in @nytimes nytimes.com/2025/09/30/well/… Read the study: bmj.com/content/390/bmj-2025…

Medicaid Work Requirements Don’t Boost Employment, Study Shows (Published 2025)

A state-level preview of the Big Beautiful Bill’s Medicaid reforms didn’t improve employment or result in gains in insurance coverage.

nytimes.com
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Medicaid work requirements will soon be mandatory nationwide Our new @bmj_latest study shows that in Georgia - the only state to expand Medicaid with work requirements - work requirements impeded gains in Medicaid coverage without increasing employment bmj.com/content/390/bmj-2025…
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We are pleased to announce that Nobel Laureate Professor Josh Angrist will spend a sabbatical year at @SmithBIDMC. Please join us in welcoming Professor Angrist!
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Are you a US med student or resident interested in health policy, outcomes, epi/biostats, care delivery, device evaluation, or socioeconomic health factors? The Zimetbaum Fellowship may be for you! Learn more: bit.ly/4m3qYnY Questions? DM fellowship director @rkwadhera
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We're thrilled to announce that applications are open for the 2026-27 Zimetbaum Fellowship! Open to med students & residents interested in building a foundation in outcomes & policy research. Apply by Oct 1: bit.ly/4m3qYnY Questions? DM fellowship director @rkwadhera
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Such a wonderful year with exceptional @SarnoffCardio mentee @danielyjohnson Daniel published a series of studies focused on health policy & cardiology while also teaching us everything we needed to know about Minnesota culture and fairs:) @kewatson @SmithBIDMC
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Fellow Spotlight: Daniel (@danielyjohnson) is an MS4 at UChicago and is wrapping up his time as a @SarnoffCardio Research Fellow in the Health Care Policy Research Section, conducting research with @rkwadhera Learn more about Daniel and his work: research.bidmc.org/rishi-wad…
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A brilliant @AcademyHealth #ARM25 late-breaking presentation by @StephenMein on how coverage and employment changed after Georgia paired work requirements with efforts to expand Medicaid.
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Wonderful @SmithBIDMC dinner with ⭐️ health policy team after a jam packed day of research talks at @AcademyHealth #ARM25
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The high cost of inhalers has drawn scrutiny from patients & policymakers Our new @JAMAInternalMed study evaluates the implications of 3 of the largest manufacturers recently capping out-of-pocket costs for many brand-name inhalers at $35/month. bit.ly/4iXwtUl
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Replying to @AHAScience
@AHAScience #AHA24 is just around the corner! Our research team will be presenting impactful and timely work focused on the intersection of health care policy, access & quality, and cardiovascular health. Swing by and check out this incredible group of mentees work! @SmithBIDMC
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Our new study found concerning differences in the prevalence of asthma and COPD in socially/environmentally disadvantaged neighborhoods. Check out this article for more info. ⁦@rkwadhera⁩ ⁦@MaryRice_LungDr⁩ ⁦@LiuMichaelON⁩ ⁦ medscape.com/viewarticle/dis…
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Check out our paper projecting out-of-pocket drug savings for Medicare beneficiaries with asthma and COPD under the Inflation Reduction Act. This policy has the potential to significantly reduce medication spending for our patients. ⁦@rkwadhera⁩ link.springer.com/article/10…

Out-of-Pocket Prescription Drug Savings for Medicare Beneficiaries with Asthma and COPD Under the...

Journal of General Internal Medicine - High and rising prescription drug costs for asthma and chronic obstructive pulmonary disease (COPD) contribute to medication nonadherence and poor clinical...

link.springer.com
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Interesting new study looking at high vs low NIV settings in COPD exacerbations. jamanetwork.com/journals/jam…

Effect of Noninvasive Positive Pressure Ventilation on the Need for Endotracheal Intubation in COPD

This randomized clinical trial compares the effect of high-intensity noninvasive positive pressure ventilation (NPPV) vs low-intensity NPPV on the need for endotracheal intubation in patients with an...

jamanetwork.com
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