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September 2024 - January 2020

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December 2023, Vol 4, No. 12

JAMA Forum

Balancing Investments in Health Care and Social Determinants鈥擳he Need for Benefit-Cost Analysis

Sherry Glied, PhD; Lisa A. Robinson, MPP
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e235055. doi:10.1001/jamahealthforum.2023.5055

This JAMA Forum discusses how to balance investments in health care and social determinants of health, using benefit-cost analysis and other methods to rationally balance investments across sectors.

Burned Out on Burnout鈥�The Urgency of Equity-Minded Structural Approaches to Support Nurses

Tim Cunningham, DrPH, RN; Rosa M. Gonzalez-Guarda, PhD, MPH, RN
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e235249. doi:10.1001/jamahealthforum.2023.5249

This JAMA Forum discusses a health equity framework to address burnout and professional fulfillment among nurses.

Strategies for Regulating Disruptive Medical Technologies

Scott Gottlieb, MD
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e235460. doi:10.1001/jamahealthforum.2023.5460

This JAMA Forum discusses 3 regulatory lessons from the US Food and Drug Administration that could be used for regulating new medical devices and technologies, such as those that include artificial intelligence.

Viewpoint

Transgender Youths and Sanctuaries for Gender-Affirming Care

Harry Barbee, PhD; Tara McKay, PhD
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234244. doi:10.1001/jamahealthforum.2023.4244

This Viewpoint suggests ways state and local governments can support transgender youths seeking gender-affirming care amid continued passage of antitransgender legislation.

A Public Health Approach to New York City鈥檚 Mental Health Crisis

Ashwin Vasan, MD, PhD; Michael T. McRae, PhD; Nathaniel Z. Counts, JD
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234460. doi:10.1001/jamahealthforum.2023.4460

This Viewpoint shares New York City鈥檚 rationale, process, and challenges in addressing mental health, focusing on 1 of 3 pillars of the plan鈥攐verdose鈥攁s a case study to inform the work of other governments across the nation.

The Pillars of Health Disparities Science鈥擱ace, Ethnicity, and Socioeconomic Status

Eliseo J. Pérez-Stable, MD; Monica Webb Hooper, PhD
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234463. doi:10.1001/jamahealthforum.2023.4463

This Viewpoint examines the importance of race and ethnicity and socioeconomic status as the pillars of health disparities science.

Original Investigation

COVID-19 Admission Rates and Changes in US Hospital Inpatient and Intensive Care Unit Occupancy

Giacomo Meille, PhD; Sandra L. Decker, PhD; Pamela L. Owens, PhD; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234206. doi:10.1001/jamahealthforum.2023.4206

This cross-sectional study examines COVID-19 hospital admissions and changes in inpatient and intensive care unit (ICU) occupancy for different US states and time periods during 2020.

Racial and Ethnic Differences in Hospice Use Among Medicaid-Only and Dual-Eligible Decedents

Julie Robison, PhD; Noreen Shugrue, JD, MBA, MA; Ellis Dillon, PhD; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234240. doi:10.1001/jamahealthforum.2023.4240

This cohort study compares hospice use and length of stay by race and ethnicity among Medicaid-only and dual-eligible individuals in Connecticut鈥檚 Medicaid program who died between 2017 to 2020 with 1 of the 5 most common diagnoses for hospice decedents.

Changes in Care Associated With Integrating Medicare and Medicaid for Dual-Eligible Individuals

Eric T. Roberts, PhD; Lingshu Xue, PhD; John Lovelace, MS, MSIS; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234583. doi:10.1001/jamahealthforum.2023.4583

This cohort study evaluates changes in care associated with integrating Medicare and Medicaid coverage in a fully integrated dual-eligible special needs plan in Pennsylvania.

Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care

K. John McConnell, PhD; Sara Edelstein, MPP; Jennifer Hall, MPH; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234593. doi:10.1001/jamahealthforum.2023.4593

This cohort study examines the association of the transition to integrated managed care in Washington State Medicaid with health services use, quality, health-related outcomes, and measures associated with social determinants of health.

Financial Outcomes of Managed Entry Agreements for Pharmaceuticals in Italy

Francesco Trotta, PhD; Maria Alessandra Guerrizio, PhD; Aurora Di Filippo, Dott; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234611. doi:10.1001/jamahealthforum.2023.4611

This observational study analyzes whether managed entry agreements lower pharmaceutical expenditures using individually collected data from 2019 to 2021 in Italy.

Research Letter

Earnings of US Physicians With and Without Disabilities

Mihir Kakara, MBBS; Atheendar S. Venkataramani, MD, PhD
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e233954. doi:10.1001/jamahealthforum.2023.3954

This cross-sectional study uses American Community Survey data to assess disability earnings gaps for physicians between 2005 and 2019.

Industry Payments for Vibegron and Prescribing Patterns Among Urologic Clinicians

Kayla Polcari, MD, MPH; Max J. Hyman, BA; Ted A. Skolarus, MD, MPH; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234020. doi:10.1001/jamahealthforum.2023.4020

This cross-sectional study compares the prescribing practices among urologists and advanced practice clinicians who received vs did not receive payment from drug manufacturers.

Facility Fees for Colonoscopy Procedures at Hospitals and Ambulatory Surgery Centers

Yang Wang, PhD; Yuchen Wang, BS; Elizabeth Plummer, PhD; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234025. doi:10.1001/jamahealthforum.2023.4025

This cross-sectional study investigates commercial facility fee differences for colonoscopy procedures between US hospitals and ambulatory surgery centers located within the same county and contracting with the same insurers.

Estimated Fiscal Effects of Medicare Advantage鈥檚 Quartile Payment System

Roslyn C. Murray, MPP; David J. Meyers, PhD; Erin C. Fuse Brown, JD, MPH; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234030. doi:10.1001/jamahealthforum.2023.4030

This economic analysis estimates fiscal effects of the quartile adjustments made to Medicare Advantage payments as part of the Patient Protection and Affordable Care Act.

Biosimilar Uptake in Medicare Advantage vs Traditional Medicare

Steven Kozlowski, MD; Andrew Kwist, MPH; Rowan McEvoy, BS; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234335. doi:10.1001/jamahealthforum.2023.4335

This cross-sectional study uses Traditional Medicare and Medicare Advantage claims data to evaluate uptake of biosimilars relative to their reference products.

Rates of Opioid Overdose Among Racial and Ethnic Minority Individuals Released From Prison

Benjamin A. Barsky, JD, MBE; Devon Dunn, MPH; Elizabeth A. Erdman, MS; et al.
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234455. doi:10.1001/jamahealthforum.2023.4455

This cross-sectional study examines opioid overdose patterns by race and ethnicity among individuals released from prison in Massachusetts.

Brief Report

Trends in US Adult Smoking Prevalence, 2011 to 2022

Rafael Meza, PhD; Pianpian Cao, PhD, MPH; Jihyoun Jeon, PhD, MS; et al.
Abstract Full Text
open access has audio
JAMA Health Forum. 2023;4(12):e234213. doi:10.1001/jamahealthforum.2023.4213

This cross-sectional study assesses trends from 2011 to 2022 in US adult smoking prevalence by age.

  • Audio: Trends in Smoking Among US Adults From 2011 to 2022

Estimated Savings From the Medicare Shared Savings Program

Andrew M. Ryan, PhD; Adam A. Markovitz, MD, PhD
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234449. doi:10.1001/jamahealthforum.2023.4449

This economic evaluation examines whether implementation of the Medicare Shared Savings Program was associated with net savings to the Centers for Medicare & Medicaid Services during performance years 2013 to 2021.

Invited Commentary

Do Managed Entry Agreements Contribute to Lower Pharmaceutical Spending?

Kerstin N. Vokinger, MD, JD, PhD
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234610. doi:10.1001/jamahealthforum.2023.4610
Editorial

Transforming Primary Care Through Innovations in Medicare

John Z. Ayanian, MD, MPP
Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e235071. doi:10.1001/jamahealthforum.2023.5071
Correction

Error in Additional Contributions

Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e234488. doi:10.1001/jamahealthforum.2023.4488
JAMA Health Forum Masthead

JAMA Health Forum

Abstract Full Text
open access
JAMA Health Forum. 2023;4(12):e232458. doi:10.1001/jamahealthforum.2023.2458
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