JAMA Health Forum is a peer-reviewed, open-access JAMA Network journal focused on health policy. The journal publishes original research, evidence-based reports, and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity, and reform. The podcast highlights new articles and their authors as well as the latest news in health policy for a broad audience interested in improving health and health care in the United States and globally.
Best Practice in Adjusting For Social Risk
11:57Adjusting quality measurements and payments for health care services to reflect the social as well as clinical risk factors of patients is controversial. JAMA Health Forum Editor John Z. Ayanian, MD, MPP, and Deputy Editor Melinda B. Buntin, PhD, discuss a structured approach that can be used to make decisions about social risk factor adjustment in Medicare with Yale’s Kasia J. Lipska, MD. Related Content: Adjustment for Social Risk Factors in a Measure of Clinician Quality Assessing Acute Admissions for Patients With Multiple Chronic Conditions
Predicting Future Malpractice Claims
15:12In this interview, JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with David A. Hyman, JD, MD, about the role of paid malpractice claims in the past as a predictor of future paid malpractice claims, including how this link applies to lower-risk and higher-risk medical specialties. Related Content: Association of Past and Future Paid Medical Malpractice Claims
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Use of Mental Health Services During the COVID-19 Pandemic
15:16The COVID-19 pandemic has disrupted health care in many domains, including mental health services. JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, discuss with Ryan K. McBain, PhD, MPH, of RAND Corporation how the use of mental health care—both in-person and telehealth visits—changed for commercially insured adults during the first year of the COVID-19 pandemic in 2020. Related Content: Mental Health Service Utilization Rates Among Commercially Insured Adults in the US During the First Year of the COVID-19 Pandemic
Factors Contributing to the Slowdown in Medicare Spending Growth
15:33Medicare spending growth per beneficiary has been historically low since the passage of the Affordable Care Act in 2010. JAMA Health Forum Deputy Editor Melinda B. Buntin, PhD, of Vanderbilt University, speaks with JAMA Health Forum Editor John Ayanian, MD, MPP, and Associate Editor Zirui Song, MD, PhD, about the factors that explain this slowdown in Medicare spending and the implications for policy makers, physicians, and Medicare beneficiaries. Related Content: Trends in and Factors Contributing to the Slowdown in Medicare Spending Growth, 2007-2018
Increased Food Insufficiency in Households With Children
16:40In this conversation with Zoe Bouchelle, MD, of the University of Pennsylvania, JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, discuss the magnitude of the increase in food insufficiency among US households following the discontinuation of the COVID-19 pandemic–related monthly child tax credit payments. Related Content: Food Insufficiency Following Discontinuation of Monthly Child Tax Credit Payments Among Lower-Income US Households
Helping People Enroll in Marketplace Plans
16:39Authors Andrew Feher, PhD, of Covered California, and Adrianna McIntyre, PhD, MPP, MPH, of Harvard T.H. Chan School of Public Health, speak with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, about research on the best ways to help people losing Medicaid coverage to enroll in health insurance Marketplace plans so they do not become uninsured. Related Content: Effect of Personalized Outreach on Medicaid to Marketplace Coverage Transitions Evidence-Based Outreach Strategies for Minimizing Coverage Loss During Unwinding
Receipt of Out-of-State Telemedicine Visits Among Medicare Beneficiaries During the COVID-19 Pandemic
14:28Early in the COVID-19 pandemic, most states approved temporary regulatory changes so out-of-state physicians could provide telemedicine services to residents. Ateev Mehrotra, MD, of Harvard Medical School, and Chad Ellimoottil, MD, MS, of the University of Michigan, speak with JAMA Health Forum Editor John Ayanian, MD, and Deputy Editor Melinda Buntin, PhD, about the features of telemedicine visits provided for Medicare beneficiaries across state borders during the first year of the pandemic and potential policy changes that would enable such visits to continue. Related Content: Receipt of Out-of-State Telemedicine Visits Among Medicare Beneficiaries During the COVID-19 Pandemic Takeaways From 2 Key Studies on Interstate Telehealth Use Among Medicare Fee-for-Service Beneficiaries
Prescription Drug Cost Provisions of the Inflation Reduction Act
15:33President Biden has signed into law the Inflation Reduction Act containing important provisions related to prescription drug costs. JAMA Health Forum Editor John Z. Ayanian, MD, MPP, and Deputy Editor Melinda B. Buntin, PhD, discuss the effects of these provisions on patients with Aaron S. Kesselheim, MD, JD, MPH, of Harvard Medical School and Brigham and Women’s Hospital. Related Content: New Reforms to Prescription Drug Pricing in the US Estimating Rebates and Other Discounts Received by Medicare Part D Estimation of the Share of Net Expenditures on Insulin Captured by US Manufacturers, Wholesalers, Pharmacy Benefit Managers, Pharmacies, and Health Plans From 2014 to 2018 Spending by the Centers for Medicare & Medicaid Services Before and After Confirmation of Benefit for Drugs Granted US Food and Drug Administration Accelerated Approval, 2012 to 2017 Improving Prescription Drug Affordability Through Regulatory Action
Migration and Mortality Among Patients With Kidney Failure After Hurricane Maria in Puerto Rico
12:43Hurricane Maria in Puerto Rico in 2017 was one of the most costly and catastrophic storms in US history. In this podcast, Maricruz Rivera-Hernandez, PhD, of Brown University speaks about her study of migration and mortality among patients with kidney failure requiring dialysis in Puerto Rico before and after Hurricane Maria with JAMA Health Forum Editor John Z. Ayanian, MD, MPP, and Deputy Editor Melinda B. Buntin, PhD. Related Content: Changes in Migration and Mortality Among Patients With Kidney Failure in Puerto Rico After Hurricane Maria
Does Rewarding Better Patient Care Experience Punish Safety-net Hospitals?
12:40Rishi K. Wadhera, MD, MPP, MPhil, Beth Israel Deaconess Medical Center, discusses his article investigating the association of the Medicare Hospital Value-Based Purchasing program with changes in patient care experience at safety-net vs non–safety-net hospitals with JAMA Health Forum editors John Z. Ayanian, MD, MPP, and Melinda B. Buntin, PhD. Related Content: Association of the Medicare Value-Based Purchasing Program With Changes in Patient Care Experience at Safety-net vs Non–Safety-net Hospitals