Kevin Grumbach
@kgrumbach.bsky.social
Family doctor, policy-engaged researcher, committed to primary care revitalization and a just health system
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
As a pediatrician, she helped elevate breastfeeding from a medical afterthought to a specialty of its own. As a mother of nine, she practiced what she preached www.nytimes.com/2025/10/23/h...
Ruth A. Lawrence, Doctor Who Championed Breastfeeding, Is Dead at 101
www.nytimes.com
October 25, 2025 at 6:01 PM
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
Reposted by Kevin Grumbach
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 🙌👏🔥
Congrats to UCSF’s Christine Dehlendorf, MD, and Tracey Woodruff, PhD, MPH, on their election to the National Academy of Medicine — one of the highest honors in health and medicine, for advancing reproductive and environmental health. tiny.ucsf.edu/nq7DpT @ucsffamilymed.bsky.social
Two UCSF Faculty Elected to National Academy of Medicine in 2025
Christine E. Dehlendorf, MD, and Tracey Woodruff, PhD, MPH, have been elected to the National Academy of Medicine (NAM) this year, one of the highest honors in the field of health and medicine.
tiny.ucsf.edu
October 23, 2025 at 8:44 PM
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 🙌👏🔥
Reposted by Kevin Grumbach
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...
A must-read for policymakers, researchers and clinicians alike ⤵️
www.ahrq.gov/ncepcr/repor...
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...
www.ahrq.gov
October 23, 2025 at 9:18 PM
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...
A must-read for policymakers, researchers and clinicians alike ⤵️
www.ahrq.gov/ncepcr/repor...
Reposted by Kevin Grumbach
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
in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
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 .
media.tenor.com
September 25, 2025 at 3:05 PM
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
in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
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👇
A new study just published in the @annalsofem.bsky.social (Sept/Oct 2025) shows that integrating pharmacy technicians in team-based primary care:
- Reduces clinician and nurse admin burden
- Improves efficiency & care
- Expands patient medication access
👉https://www.annfammed.org/content/23/5/412
- Reduces clinician and nurse admin burden
- Improves efficiency & care
- Expands patient medication access
👉https://www.annfammed.org/content/23/5/412
September 23, 2025 at 3:35 PM
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👇
Reposted by Kevin Grumbach
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:
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:
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…
thepcc.pub
September 13, 2025 at 2:57 PM
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:
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:
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...
-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...
September 12, 2025 at 9:15 PM
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...
-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...
Reposted by Kevin Grumbach
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
September 11, 2025 at 5:04 PM
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
Reposted by Kevin Grumbach
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...
thepcc.pub/2026MPFSLETT...
thepcc.pub
September 12, 2025 at 2:09 PM
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...
thepcc.pub/2026MPFSLETT...
Bravo to the authors and journal @annfammed.bsky.social Wonderful to see the broad interest in the important findings
Published in our latest issue, the study entitled "𝘽𝙤𝙙𝙮 𝙈𝙖𝙨𝙨 𝙄𝙣𝙙𝙚𝙭 𝙫𝙨 𝘽𝙤𝙙𝙮 𝙁𝙖𝙩 𝙋𝙚𝙧𝙘𝙚𝙣𝙩𝙖𝙜𝙚 𝙖𝙨 𝙖 𝙋𝙧𝙚𝙙𝙞𝙘𝙩𝙤𝙧 𝙤𝙛 𝙈𝙤𝙧𝙩𝙖𝙡𝙞𝙩𝙮 𝙞𝙣 𝘼𝙙𝙪𝙡𝙩𝙨 𝘼𝙜𝙚𝙙 20-49 𝙔𝙚𝙖𝙧𝙨." has been mentioned by 169 news outlets, the most ever for one article at Annals @altmetric.com #FMsky #Medsky
www.annfammed.org/content/23/4...
www.annfammed.org/content/23/4...
September 5, 2025 at 7:08 PM
Bravo to the authors and journal @annfammed.bsky.social Wonderful to see the broad interest in the important findings
Reposted by Kevin Grumbach
Reposted by Kevin Grumbach
According to CMS, primary care centric ACOs once again outperformed their peers participating in MSSP in 2024. It's yet another piece of evidence that when primary care leads, savings and better outcomes follow.
Our statement: thepcc.org/news/stateme...
Our statement: thepcc.org/news/stateme...
Statement: Primary Care Centric ACOs Continue to Lead the Pack - PCC
Primary care led ACOs in MSSP generated nearly double the savings as compared to other ACOs and had excellent performance on quality.
thepcc.org
August 29, 2025 at 1:51 AM
According to CMS, primary care centric ACOs once again outperformed their peers participating in MSSP in 2024. It's yet another piece of evidence that when primary care leads, savings and better outcomes follow.
Our statement: thepcc.org/news/stateme...
Our statement: thepcc.org/news/stateme...
Ditto
It's depressing that groups like @NAPCRG are having to do this, but given the attacks on primary care research, I'm proud that an organization I've been a part of for a long time is taking a stand www.citizen.org/news/health-...
Health Research Groups Sue HHS For Halting Grantmaking at Agency for Healthcare Research and Quality - Public Citizen
WASHINGTON, D.C. — Today, nonprofit organizations Society of General Internal Medicine (SGIM) and North American Primary Care Research Group (NAPCRG) sued Robert…
www.citizen.org
August 22, 2025 at 8:59 PM
Ditto
Reposted by Kevin Grumbach
The Guardian is covering the rise of @defendpublichealth.bsky.social.
#IHAT is evidence-based policy making and grassroots people powered movement building for justice and rights.
MAHA is policy-based evidence making rooted in fascist politics and capital-serving eugenic ideas. #IHATnotMAHA
#IHAT is evidence-based policy making and grassroots people powered movement building for justice and rights.
MAHA is policy-based evidence making rooted in fascist politics and capital-serving eugenic ideas. #IHATnotMAHA
August 13, 2025 at 1:05 PM
The Guardian is covering the rise of @defendpublichealth.bsky.social.
#IHAT is evidence-based policy making and grassroots people powered movement building for justice and rights.
MAHA is policy-based evidence making rooted in fascist politics and capital-serving eugenic ideas. #IHATnotMAHA
#IHAT is evidence-based policy making and grassroots people powered movement building for justice and rights.
MAHA is policy-based evidence making rooted in fascist politics and capital-serving eugenic ideas. #IHATnotMAHA
Amen to that
You know what would have been justified? Deploying the National Guard to protect our essential public health workers at CDC from violent attackers fed vaccine misinformation by their HHS Secretary.
August 13, 2025 at 3:38 AM
Amen to that
On 60th anniversary of Medicare+Medicaid, @aijenpoo.bsky.social explains double whammy of Medicaid cuts + immigration policies. Immigrants crucial to home care workforce. Loss of TPS will decimate this workforce. Ominous for elderly & people with disabilities. www.democracynow.org/2025/7/30/me...
60 Years After LBJ Signed Medicaid & Medicare, GOP Cuts Threaten Lifeline for Millions
Today marks the 60th anniversary of the creation of Medicare and Medicaid — and nearly one month since President Trump’s federal budget slashed nearly $1 trillion from Medicaid to extend tax cuts for ...
www.democracynow.org
July 30, 2025 at 4:47 PM
On 60th anniversary of Medicare+Medicaid, @aijenpoo.bsky.social explains double whammy of Medicaid cuts + immigration policies. Immigrants crucial to home care workforce. Loss of TPS will decimate this workforce. Ominous for elderly & people with disabilities. www.democracynow.org/2025/7/30/me...
Reposted by Kevin Grumbach
I hate that anti-abortionists have stolen the term "pro-life". Screw that, I'M pro-life! I'm pro affordable healthcare, medical research and vaccines. I'm pro food stamps, school lunches, and child tax credits. I'm pro foreign aid so millions of children don't die of malaria and TB. That's pro-life!
July 27, 2025 at 6:10 PM
I hate that anti-abortionists have stolen the term "pro-life". Screw that, I'M pro-life! I'm pro affordable healthcare, medical research and vaccines. I'm pro food stamps, school lunches, and child tax credits. I'm pro foreign aid so millions of children don't die of malaria and TB. That's pro-life!
Reposted by Kevin Grumbach
Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy
July 23, 2025 at 10:59 PM
Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy
Reposted by Kevin Grumbach
📢 UCSF Family & Community Medicine is hiring an Administrative Director!
Lead a nationally recognized team advancing health equity, research, and clinical excellence at Zuckerberg SF General @zsfgcare.bsky.social.
💼 $143K–$215K | Full-time | Flex schedule
📍 San Francisco
🔗 Apply: bit.ly/46Vh1V8
Lead a nationally recognized team advancing health equity, research, and clinical excellence at Zuckerberg SF General @zsfgcare.bsky.social.
💼 $143K–$215K | Full-time | Flex schedule
📍 San Francisco
🔗 Apply: bit.ly/46Vh1V8
July 21, 2025 at 10:36 PM
📢 UCSF Family & Community Medicine is hiring an Administrative Director!
Lead a nationally recognized team advancing health equity, research, and clinical excellence at Zuckerberg SF General @zsfgcare.bsky.social.
💼 $143K–$215K | Full-time | Flex schedule
📍 San Francisco
🔗 Apply: bit.ly/46Vh1V8
Lead a nationally recognized team advancing health equity, research, and clinical excellence at Zuckerberg SF General @zsfgcare.bsky.social.
💼 $143K–$215K | Full-time | Flex schedule
📍 San Francisco
🔗 Apply: bit.ly/46Vh1V8
CBOs proved themselves to be essential for the COVID pandemic response. They are threatened with big loss of funding just when we need them as critical partners to respond to the intensifying pandemic of social and health injustice. Highly recommend this upcoming webinar. shorturl.at/QKiR0
July 21, 2025 at 9:03 PM
CBOs proved themselves to be essential for the COVID pandemic response. They are threatened with big loss of funding just when we need them as critical partners to respond to the intensifying pandemic of social and health injustice. Highly recommend this upcoming webinar. shorturl.at/QKiR0
Reposted by Kevin Grumbach
Utah is facing a primary care shortage.
"The state is 49th in the U.S. in primary care doctors per capita, only 96 per every 100,000 people."
This is causing problems for patients in the Beehive State. Read more from @getgephardt.bsky.social in @ksl.com:
"The state is 49th in the U.S. in primary care doctors per capita, only 96 per every 100,000 people."
This is causing problems for patients in the Beehive State. Read more from @getgephardt.bsky.social in @ksl.com:
Utah needs primary care doctors. Can the Utah doctor shortage be fixed?
If you've waited weeks even months to see a doctor, you're not alone. Experts warn of a 'critical' shortage of primary care doctors in Utah.
ksltv.com
July 19, 2025 at 3:20 PM
Utah is facing a primary care shortage.
"The state is 49th in the U.S. in primary care doctors per capita, only 96 per every 100,000 people."
This is causing problems for patients in the Beehive State. Read more from @getgephardt.bsky.social in @ksl.com:
"The state is 49th in the U.S. in primary care doctors per capita, only 96 per every 100,000 people."
This is causing problems for patients in the Beehive State. Read more from @getgephardt.bsky.social in @ksl.com:
Applaud this effort by these organizations. @aafp.org where are you?
www.idse.net/Policy-Publi... America's doctors are attempting to save America's children from Donald Trump's choice for human health and services secretary Robert F Kennedy !
RFK Jr Vaccine Lawsuit IDSA
IDSA, APHA, AAP, ACP, MPHA and SMFM join lawsuit against RFK Jr. alleging unilateral changes to vaccine policy unlawful.
www.idse.net
July 18, 2025 at 1:28 AM
Applaud this effort by these organizations. @aafp.org where are you?
Reposted by Kevin Grumbach
CA leaders stand up for immigrant communities in many ways, but are also scheduled to Medi-Cal services for immigrants starting in January. This will have big negative effects on community health.
📢 “Our communities have a message: You can’t say you value immigrants while stripping them of their basic right to live a healthy life.”
California demands its leaders fight for and protect #Health4All. 🏥🩺
Read the full op-ed from CPEHN partner Genevieve Haro from MICOP here ⬇️
California demands its leaders fight for and protect #Health4All. 🏥🩺
Read the full op-ed from CPEHN partner Genevieve Haro from MICOP here ⬇️
California leaders claim to value immigrants while rolling back Medi-Cal coverage | Opinion
“California leaders’ budget decision echoes the same anti-immigrant policies we’ve been fighting against at the federal level.”
www.sacbee.com
July 17, 2025 at 7:59 PM
CA leaders stand up for immigrant communities in many ways, but are also scheduled to Medi-Cal services for immigrants starting in January. This will have big negative effects on community health.