Explore JAMA Network Open’s health policy collection, including open access research about health care reform, law, and economics.
This ecological study evaluates whether US Medicaid expansion was associated with state-level changes in physical abuse and neglect rates among children younger than 6 years compared with states that opted out of Medicaid expansion.
This Viewpoint proposes an array of approaches state governments might take to lower health care prices paid by private insurance, including rate setting using reference pricing; scrutiny of hospital mergers; expanding scope-of-practice laws to increase workforce; and investing in alternative payment models.
This cross-sectional study compares the 30-day costs of care for common conditions among US Medicare beneficiaries by hospital teaching status.
This survey study investigates the availability of naloxone nasal spray at pharmacies in Philadelphia, Pennsylvania, 3 years after the implementation of a statewide standing order allowing pharmacies to dispense naloxone without a physician’s prescription.
In this Viewpoint, Victor Fuchs reviews the evolution of the US employer-based health insurance toward a system favoring higher-income individuals, and proposes reforms in health care financing and in accessibility of lower-cost care as a way to make the system more fair and efficient.
In this Viewpoint, Woolhandler and Himmelstein review the potential benefits of single-payer health care reform, including savings on administrative costs and lower drug prices, and argue against partial solutions that might expand coverage without reducing costs and waste.
This cohort study examines whether the US Hospital Readmissions Reduction Program was associated with a greater decrease in readmissions after targeted procedures (total hip arthroplasty and total knee arthroplasty) compared with similar nontargeted procedures (lumbar spine fusion and laminectomy).
This economic evaluation study uses pharmaceutical insurance claims data to report the consistent rise in prices of commonly used prescription medicines in the United States.
This cross-sectional study compares the rate of opioid prescriptions by dentists dispensed from outpatient pharmacies and health care settings in the United States and England in 2016.
This cross-sectional study characterizes postapproval clinical trials sponsored by pharmaceutical companies of therapeutics approved by the US Food and Drug Administration (FDA) without postmarketing requirements or commitments.
This Viewpoint discusses the interplay between the advancement of a “Medicare-for-all” US health care policy initiative and the current cost margins and management strategies of hospitals, which comprise the largest share of US health care expenditures.
This cohort study examines US Medicare inpatient claims data from 2008 through 2015 for patients’ measured severity of illness after Medicare policy changes for the expansion of secondary diagnosis codes and payment reform.
This cross-sectional study evaluates the payment type and distribution from pharmaceutical companies, as well as policy transparency for conflict of interest disclosures among clinical practice guideline authors in Japan.
This cross-sectional study investigates whether the introduction of a new, stratified payment adjustment method is associated with an alteration in the distribution of penalties among hospitals included in the Hospital Readmissions Reduction Program.
This economic evaluation uses state-level data to estimate the association between eligibility thresholds for state Medicaid coverage and deaths related to substance use disorders.
This Viewpoint reviews proposed changes to regulations governing Canada’s Patented Medicine Process Review Board, a group mandated by Canada’s government to ensure manufacturers do not charge excessive drug prices, including use of cost-utility analyses to define excessive pricing, revision of reference country comparisons, and reducing regulatory burdens for generic drugs.
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