Sarah Kliff ✓

@sarahkliff · Washington, DC · joined 29 Jan 2009

Investigations and health policy for the @nytimes. I like reading your medical bills.

123 880Followers

1 130Following

15 505Posts total

196.7KViews on collected posts

Against accounts of the same size

12 posts from the last 90 days, next to the 100K–1M follower range. shown widely, but few of those viewers react.

Median views4 191this account5 674median for 100K–1M

Reach, %3.38%this account2.38%median for 100K–1M

Engagement, %0.24%this account1.44%median for 100K–1M

Metric	This account	Median for 100K–1M	Ratio
Median views per post	4 191	5 674	0.74×
Reach (views ÷ followers)	3.38%	2.38%	1.42×
Engagement rate	0.24%	1.44%	0.16×

Others in this range → Compare with another account → How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

95.4K29 Jun

47K

863

4.3K

27.4K

3.1K

708

531

1K30 Jun

6K28 Jul

4.1K4 Aug

6.4K5 Aug

Last 12 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.11%29 Jun

0.22%

0.70%

0.14%

0.11%

0.06%

0.28%

0.38%

0.20%30 Jun

0.25%28 Jul

0.69%4 Aug

1.09%5 Aug

Reactions — likes, reposts, replies and quotes — divided by views. Median for 100K–1M accounts is 1.44%.

What the audience does

Likes57.3%251 in total

Reposts16.7%73 in total

Replies6.4%28 in total

Quotes3.9%17 in total

Bookmarks15.8%69 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.

Latest posts

Earlier this year, @sangerkatz and I wrote about a chain of autism clinics that were limiting preschoolers' naps to 7 minutes so they could bill more to Medicaid. Yesterday, Medicaid rolled out new guidance to states that would address this type of billing behavior. https://t.co 6.4K views · 42 likes · 26 reposts · 1 replies 05 Aug 2026 When Congress passed the No Surprises Act, legislators constantly described the new system as "baseball-style arbitration." Turns out, they might have missed some key features Major League Baseball's system - and that might explain the outcomes we're seeing today. https://t.co/C 4.1K views · 20 likes · 6 reposts · 1 replies 04 Aug 2026 NSA expert folks fact-check me here, but wouldn't the No Surprises Act prevent a surprise bill for air ambulance transit in a case like this?? https://t.co/OUnR7XHAUi 6K views · 9 likes · 1 reposts · 5 replies 28 Jul 2026 @sarahkliff @msk Sarah- we know this is egregious . But is this really the main issue in why health care is so expensive? Do you guys maybe think the vast majority of the blame can be placed on insurance companies. The NYT loves going after doctors - I don’t hear too much about i 1K views · 1 likes · 0 reposts · 1 replies 30 Jun 2026 @sarahkliff Bummer, the payers shouldn’t have been so greedy and tried to stiff them. Maybe they’ll learn for next time 531 views · 2 likes · 0 reposts · 0 replies 29 Jun 2026 @sarahkliff Did you actually talk to any docs that get stiffed by insurance companies on the daily? 708 views · 1 likes · 0 reposts · 1 replies 29 Jun 2026 @sarahkliff @msk This is wild! 3.1K views · 1 likes · 0 reposts · 1 replies 29 Jun 2026 @sarahkliff In our reporting, we found numerous examples where surgical assistants out-earned surgeons by using the NSA's arbitration system. For this scoliosis surgery, the assistant won 24x the main surgeon's fee. https://t.co/UVNILE5p2R 27.4K views · 17 likes · 6 reposts · 3 replies 29 Jun 2026 @sarahkliff @msk Strange to write an article like this and not mention the incredibly low amounts that insurers pay medical professionals and how, in a pick one proposal or the other arbitration, arbitrators are left to pick the more reasonable of two preposterous proposals. 4.3K views · 5 likes · 0 reposts · 1 replies 29 Jun 2026 @sarahkliff Parenthetical to your main point, but important: "Surgical assistant" is a vague label. There are PA's, NP's, RN's, and CST surg techs - all of whom function as "surgical assistants" yet earn widely varying incomes. 863 views · 5 likes · 0 reposts · 1 replies 29 Jun 2026 For context, surgical assistants typically earn $70,000 to $100,000 per year. We found that some have used No Surprises Act arbitration to earn $22,000 per hour. 47K views · 89 likes · 9 reposts · 6 replies 29 Jun 2026 .@msk & I dug into what surgical assistants are earning in No Surprises Act arbitration. We found surgical assistants' earning: —$50,000 for a prostate surgery —$100,000 for a breast reconstruction (just right breast, not left) —$210,000 for a facial feminization procedure 95.4K views · 59 likes · 25 reposts · 7 replies 29 Jun 2026