JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.4301
Scott M Gottlieb
{"title":"Is it Time to Refocus the Role of the CDC?","authors":"Scott M Gottlieb","doi":"10.1001/jamahealthforum.2024.4301","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.4301","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.3028
Chris Frenier, Beniamino Green, Jacob Wallace, Alexander Siebert, Andrew Anderson, Kevin Callison, Brigham Cody Walker
{"title":"Financial Health Among Louisiana Medicaid Enrollees.","authors":"Chris Frenier, Beniamino Green, Jacob Wallace, Alexander Siebert, Andrew Anderson, Kevin Callison, Brigham Cody Walker","doi":"10.1001/jamahealthforum.2024.3028","DOIUrl":"10.1001/jamahealthforum.2024.3028","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11470384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.2917
Daniel G Aaron, Eli Y Adashi, I Glenn Cohen
{"title":"The US FDA's New Rule for Regulating Laboratory-Developed Tests.","authors":"Daniel G Aaron, Eli Y Adashi, I Glenn Cohen","doi":"10.1001/jamahealthforum.2024.2917","DOIUrl":"10.1001/jamahealthforum.2024.2917","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.2892
Robert L Phillips, Se Kim, Elena Fuentes-Afflick
{"title":"Adapted Choice Architecture and Diversity in the National Academy of Medicine.","authors":"Robert L Phillips, Se Kim, Elena Fuentes-Afflick","doi":"10.1001/jamahealthforum.2024.2892","DOIUrl":"10.1001/jamahealthforum.2024.2892","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.3391
Étienne Gaudette, Shirin Rizzardo, Kevin R Pothier, Mina Tadrous
{"title":"Competition in International Generic Drug Markets.","authors":"Étienne Gaudette, Shirin Rizzardo, Kevin R Pothier, Mina Tadrous","doi":"10.1001/jamahealthforum.2024.3391","DOIUrl":"10.1001/jamahealthforum.2024.3391","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11470386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.3181
Matthew J Klebanoff, Pengxiang Li, Paula Chatterjee, Jalpa A Doshi
{"title":"Real-Time Prescription Benefit Tool Adoption Among US Hospitals.","authors":"Matthew J Klebanoff, Pengxiang Li, Paula Chatterjee, Jalpa A Doshi","doi":"10.1001/jamahealthforum.2024.3181","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.3181","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.3619
Sarah Y Bessen, Emmanuel E Garcia Morales, Frank R Lin, Nicholas S Reed
{"title":"Use of Hearing Services in Traditional Medicare and Medicare Advantage.","authors":"Sarah Y Bessen, Emmanuel E Garcia Morales, Frank R Lin, Nicholas S Reed","doi":"10.1001/jamahealthforum.2024.3619","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.3619","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.4523
Benjamin D Sommers, Lauren R Gullett, Shira B Hornstein
{"title":"Medicaid's Edge Case-Potential Expansion and Work Requirements in Mississippi.","authors":"Benjamin D Sommers, Lauren R Gullett, Shira B Hornstein","doi":"10.1001/jamahealthforum.2024.4523","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.4523","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.3360
Elizabeth Watts, Claire McGlave, Nicole Quinones, John P Bruno, Sayeh Nikpay
{"title":"340B Participation and Safety Net Engagement Among Federally Qualified Health Centers.","authors":"Elizabeth Watts, Claire McGlave, Nicole Quinones, John P Bruno, Sayeh Nikpay","doi":"10.1001/jamahealthforum.2024.3360","DOIUrl":"10.1001/jamahealthforum.2024.3360","url":null,"abstract":"<p><strong>Importance: </strong>The 340B program provides discounts on outpatient drugs to certain hospitals and federally supported clinics (covered entities) that can be used to generate revenue to fund safety net care. While numerous studies have found no association between 340B and safety net care provision for most hospital covered entities, less is known about whether federally qualified health centers (FQHCs), the largest group of covered entities after hospitals, use the program to enhance safety net care.</p><p><strong>Objective: </strong>To assess whether a proxy for 340B revenue was associated with increased safety net care provision among FQHCs.</p><p><strong>Design and setting: </strong>This descriptive, retrospective cohort study examined care provided from 2005 to 2022 by 1468 FQHCs that submitted to the Health Resources and Services Administration Uniform Data System. FQHC and year-level fixed effects were included, as well as a control for differential Medicaid expansion over time. The data were analyzed between March and December 2023.</p><p><strong>Exposure: </strong>One-year lagged number of locations registered to dispense or administer 340B-discounted drugs (registered locations), which included child sites, in-house pharmacies, and contract pharmacies in the 340B Outpatient Pharmacy Affairs Database.</p><p><strong>Main outcomes: </strong>Natural logarithm of patient volume by payer, low-income status, and use of enabling services. Natural logarithm of visits in which low-profit preventive services were provided.</p><p><strong>Results: </strong>An additional registered location was associated with increased patient volume, especially for uninsured (0.4%; 95% CI, 0.3%-0.5%) and privately insured (0.4%; 95% CI, 0.2%-0.5%) patients and low-income (0.4%; 95% CI, 0.2%-0.6%), unhoused (0.3%; 95% CI, 0.1%-0.5%), and non-English-speaking (0.3%; 95% CI, 0.1%-0.5%) patients. An additional registered location was associated with increased visits with an HIV test (0.7%; 95% CI, 0.4%-0.9%), serum lead test (0.8%; 95% CI, 0.6%-1.1%), seasonal influenza shot (0.4%; 95% CI, 0.3%-0.5%), Papanicolaou smear (0.5%; 95% CI, 0.4%-0.7%), and tobacco cessation counseling (1.0%; 95% CI, 0.5%-1.4%). Across the study period, the average annual increase in locations was 1.5.</p><p><strong>Conclusions and relevance: </strong>The results of this cohort study suggest that there are statistically significant increases in the provision of low-profit but high-value preventive services and care to safety net populations (those who lack insurance, have a low income, or require enabling services) and that, like public hospitals, FQHCs might use 340B revenues to enhance safety net care. This finding may inform debates on the 340B program by supporting differential 340B reforms across hospital and nonhospital covered entities.</p>","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JAMA Health ForumPub Date : 2024-10-04DOI: 10.1001/jamahealthforum.2024.2914
Kathryn A Phillips
{"title":"Open Access Publication at a Crossroads-Implications for Researchers and Beyond.","authors":"Kathryn A Phillips","doi":"10.1001/jamahealthforum.2024.2914","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.2914","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":null,"pages":null},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}