JAMA Health Forum Conversations - podcast cover

JAMA Health Forum Conversations

JAMA Networkjamanetwork.com
JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses policies, structures, and systems that affect health, medicine, and health care. The journal publishes original research, evidence-based reports, and opinion about national and global health policy; structures and systems that affect health and health care; and health care delivery, economics, access, quality, safety, equity, and reform.
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Episodes

The Evolution of Artificial Intelligence and Regulation

The evolution of artificial intelligence technology has outstripped most health policy oversight in the US. Michelle M. Mello, JD, PhD, Professor of Law and Professor of Health Policy at Stanford University, discusses this and more with JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH. Related Content: Inaction on Artificial Intelligence Regulation in a Time of Upheaval...

Jul 11, 202526 min

Improving Health and Health Care Affordability in the US with David Cutler

The US is an outlier in health system performance, spending more than other peer countries while performing worse. US economist David Cutler, who is the Otto Eckstein Professor of Applied Economics at Harvard University, discusses this and more with JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH. Related Content: On Making US Health Care Great and Affordable...

Jun 13, 202522 min

The Threat to Health Insurance Coverage in the US

Increased health insurance coverage in the US has had a broad range of positive impacts on US health, including increases in preventive care and better chronic disease management. Larry Levitt, MPP, of KFF joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss challenges facing US health insurance coverage today. Related Content: The Ongoing, and Heightened, Threat to Health Insurance Coverage in the US A Backlash Against Health Insurers, Redux...

May 16, 202515 min

The Potential Repercussions of Disinvestment in Health in the US

The first months of the Trump administration have been marked by a flurry of actions, many that have affected agencies directly related to health domestically and globally. Joshua M. Sharfstein, MD, of the Johns Hopkins Bloomberg School of Public Health joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss the contemporary threats to the health of the American public. Related Content: The Potential Consequences of Disinvestment in Health in the US...

Apr 11, 202516 min

The US, the World Health Organization, and a New Era in Global Health

US withdrawal from the World Health Organization will have significant implications for global health. Lawrence Gostin, JD, JAMA Legal and Global Health Correspondent and Faculty Director of the O’Neill Institute for National and Global Health Law at Georgetown University, joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss global health in an era of new uncertainty. Related Content: The US, the World Health Organization, and the Global Health Infrastructure...

Mar 14, 202520 min

What’s Next for JAMA Health Forum and for Health Policy?

Incoming Editor in Chief Sandro Galea, MD, DrPH, discusses the journal and the state of health policy with Deputy Editor Julie Donohue, PhD, and Senior Editor Melinda Buntin, PhD. Related Content: JAMA Health Forum: Meet the Editor in Chief, Sandro Galea, MD, DrPH JAMA Health Forum—Paving the Way for the Future of Health Policy Science and Scholarship...

Jan 03, 202514 min

Farewell Conversation With JAMA Health Forum Founding Editor in Chief John Ayanian

Founding Editor in Chief John Ayanian, MD, MPP, reflects on the origins and the highlights of the journal’s first 5 years, including seminal publications, the journal’s current No. 1 slot in the rankings, and the amazingly collegial editorial team, with JAMA Health Forum founding Deputy Editor Melinda Buntin, PhD. Related Content: Reflections on the First 5 Years of JAMA Health Forum...

Dec 27, 202420 min

Impact of US Tobacco 21 Policies on Potential Mortality Reductions by State

Research shows that Tobacco 21 (T21) policies with a minimum legal age to purchase tobacco products of 21 years reduce youth smoking, yet their potential long-term impact varies across US states. Jamie Tam, MPH, PhD, of the Yale University School of Public Health discusses these findings with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD. Related Content: US Tobacco 21 Policies and Potential Mortality Reductions by State...

Dec 20, 202417 min

Extreme Heat Health Consequences

Extreme heat in the US led to deaths and hospital admissions among community-dwelling older adults with low incomes. Hyunjee Kim, PhD, of the Oregon Health & Science University, and Jose F. Figueroa, MD, MPH, of Harvard University, discuss these findings with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD. Related Content: Heat Waves and Adverse Health Events Among Dually Eligible Individuals 65 Years and Older The Alarming Risks for Dually Eligible Ben...

Nov 08, 202416 min

Physician Altruism and Quality of Care

The use of care by patients of physicians considered more altruistic differs from the use of care of physicians considered less. Lawrence P. Casalino, MD, PhD, MPH, of Weill Cornell Medicine, discusses his work around this with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD. Related Content: Physician Altruism and Spending, Hospital Admissions, and Emergency Department Visits...

Oct 11, 202413 min

Health Care–Related Savings Accounts, Health Care Expenditures, and Tax Expenditures

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, spoke with Sherry Glied, PhD, and Dong Ding, MA, MPA, of New York University, about the effects of participation in health care savings accounts. Participation in flexible spending accounts is linked to higher health care and tax expenditures, while health care savings accounts do not reduce expenditures. Related Content: Health Care–Related Savings Accounts, Health Care Expenditures, and Tax Expenditures...

Sep 20, 202414 min

Highlights From the AcademyHealth 2024 Annual Research Meeting

AcademyHealth CEO Aaron Carroll, MD, MS, shares highlights from the AcademyHealth 2024 Annual Research Meeting in an interview hosted by JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD. John and Melinda then discuss key findings from 4 highly rated abstracts presented at the meeting that were published concurrently as Original Investigations in JAMA Health Forum. Related Content: Coverage and Access Changes During Medicaid Unwinding Changes in Health Care an...

Jul 26, 202417 min

Health Care–Based Voter Registration: A New Venue to Increase Voter Participation

More than 50 million adults in the US are eligible to vote but not registered. Alister F. Martin, MD, MPP, of Harvard University, and Katherine McCabe, PhD, of Rutgers University speak with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, about a program to register new voters in health care settings that has enrolled younger and racially and ethnically diverse adults. Related Content: Increasing Voter Participation Through Health Care–Based Voter Registrati...

Jun 21, 202417 min

Differences in Services Provided at Public and Nonprofit Hospitals Related to the 340B Drug Discount Program

JAMA Health Forum Editor John Ayanian, MD, MPP, speaks with Kelsey M. Owsley, PhD, of the University of Arkansas, and Sayeh Nikay, PhD, MPH, of the University of Minnesota, about how the 340B drug discount program influences the services offered by public and nonprofit hospitals. They also discuss new state policies and proposed federal policies to promote greater transparency and accountability in the 340B program. Related Content: US Hospital Service Availability and New 340B Program Participa...

May 03, 202417 min

Measuring Medicaid Enrollment More Accurately to Guide Post–COVID-19 Pandemic Policy

Benjamin D. Sommers, MD, PhD, of Harvard University, speaks with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, about differences in Medicaid enrollment as measured in surveys and administrative data. These differences have implications for estimating coverage now that the federal policy of continuous Medicaid eligibility during the COVID-19 pandemic has ended. Related Content: Survey-Reported Coverage in 2019-2022 and Implications for Unwinding Medicaid C...

Apr 05, 202419 min

Comparing Home Health Services in Traditional Medicare and Medicare Advantage

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Rachel A. Prusynski, DPT, PhD, of the University of Washington about differences in the use and outcomes of home health services provided to beneficiaries in traditional Medicare and Medicare Advantage. Related Content: Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage...

Mar 01, 202416 min

Changes in Access to Care and Preventive Services by Race and Ethnicity During the COVID-19 Pandemic

The COVID-19 pandemic has caused major disruptions in ambulatory care. In this interview with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, Rishi K. Wadhera, MD, MPP, MPhil, of Harvard Medical School discusses how access to care and preventive services changed for different racial and ethnic groups in the US from 2019 to 2022. Related Content: Changes in Health Care Access and Preventive Health Screenings by Race and Ethnicity...

Feb 02, 202414 min

Opioid Prescription Duration Limits

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Lindsay D. Allen, PhD, about how setting-specific opioid prescription duration limits helped reduce opioid overuse in West Virginia. Related Content: Opioid Prescribing Patterns After Imposition of Setting-Specific Limits on Prescription Duration...

Jan 19, 202414 min

Trends in Smoking Among US Adults From 2011 to 2022

Smoking remains a leading cause of preventable morbidity and mortality in the US. Rafael Meza, PhD, of the British Columbia Cancer Research Institute, discusses recent trends in smoking by US adults across different age and income groups in this interview with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD. Related Content: Trends in US Adult Smoking Prevalence, 2011 to 2022...

Dec 01, 202315 min

The History, Economics, and Policy Context of Pharmacy Benefit Managers

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Ge Bai, PhD, CPA, author of Pharmacy Benefit Managers: History, Business Practices, Economics, and Policy, about how pharmacy benefit managers (PBMs) have evolved in recent decades to play a central role in the US prescription drug market, including the benefits and policy challenges that PBMs present in this market. Related Content: Pharmacy Benefit Managers...

Nov 03, 202314 min

Economic Burden of Untreated Mental Illness in Indiana

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, spoke with Heather Taylor, MD, from Indiana University Richard M. Fairbanks School of Public Health, about the costs of untreated mental illness in the state of Indiana. Considering a wide set of direct and indirect costs, her team estimated the cost to Indiana is over $4 Billon per year. Related Content: Economic Burden Associated With Untreated Mental Illness in Indiana...

Oct 13, 202315 min

Innovative Approach to Promote Equitable Access to COVID-19 Preventive Therapy

In this interview, JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, explore with Erin K. McCreary, PharmD, and Atheendar S. Venkataramani, MD, PhD, how a large regional health system used a weighted lottery and intensive outreach to provide high-risk individuals in disadvantaged communities more equitable access to scarce monoclonal antibodies for preventing COVID-19. Related Content: Weighted Lottery to Equitably Allocate Scarce Supply of COVID-19 Monoclona...

Sep 01, 202322 min

How Safe Were Kids in School During Phases of the Pandemic?

JAMA Health Forum Editor John Ayanian, MD, and Deputy Editor Melinda Buntin, PhD, discuss with Sandra B. Nelson, MD (Massachusetts General Hospital, Boston), her JAMA Health Forum study of transmission of SARS-CoV-2 in schools in Massachusetts during 2 different phases of the COVID-19 pandemic. She found transmission rates were very low but varied by district and the availability of vaccines. Related Content: Prevalence and Risk Factors for School-Associated Transmission of SARS-CoV-2...

Aug 04, 202317 min

FDA Advisory Committees for New Prescription Drugs

JAMA Health Forum Editor John Ayanian, MD, MPP, and Associate Editor Julie Donohue, PhD, speak with Aaron S. Kesselheim, MD, JD, MPH, and Genevieve P. Kanter, PhD, about the role of advisory committees convened by the US Food and Drug Administration (FDA) to guide its decisions on whether to approve new prescription drugs. They also consider how the FDA has responded to recommendations from these advisory committees over the past decade. Related Content: Association of Advisory Committee Votes W...

Jul 07, 202320 min

Challenges of Addressing Food and Housing Insecurity in a Medicaid Context

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, talk with Anne N. Thorndike, MD, MPH, about the challenge of connecting Medicaid Accountable Care Organization (ACO) members with flexible benefits to address food and housing insecurity issues. Dr Thorndike and colleagues used a mixed-methods approach to conduct this evaluation of the implementation of a novel program in an ACO in Massachusetts. Related Content: Assessment of the Massachusetts Flexible Servic...

Jun 02, 202314 min

Health Care Use and Spending Among Dual-Eligible Medicare and Medicaid Beneficiaries

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, discuss with Brystana G. Kaufman, PhD, Duke Margolis Center for Health Policy, how health care use and spending differ for individuals residing in the community or nursing homes who are dually eligible for Medicare and Medicaid. They also explore the potential value of more tailored approaches to integrating benefits covered by these 2 public insurance programs. Related Content: Health Care Use and Spending Am...

May 12, 202316 min

Quality of Care and Visit Volume in Federally Qualified Health Centers During COVID-19

In this interview, JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Megan B. Cole, PhD, MPH, about changes in performance measures and use of ambulatory services provided by federally qualified health centers in the US during the first 2 years of the COVID-19 pandemic. Related Content: Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic...

Apr 07, 202319 min

Best Practice in Adjusting For Social Risk

Adjusting 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 Admis...

Mar 10, 202312 min

Predicting Future Malpractice Claims

In 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...

Feb 10, 202315 min

Use of Mental Health Services During the COVID-19 Pandemic

The 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 Adul...

Jan 06, 202315 min
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