Explore the latest in health care reform from The JAMA Network, including innovations in health care delivery and payment models, the politics of reform, and more.
This Viewpoint discusses steps necessary to develop an all-payer hospital global budgeting system as one means to incentivize health systems to emphasize preventive care that reduces health service utilization and costs.
This analysis uses SEER Medicaid data to quantify changes in health insurance coverage under the Affordable Care Act among nonelderly patients newly diagnosed with cancer.
This Viewpoint discusses the importance of accounting for the cost of measurement in establishing the value of hospital quality measures.
This study evaluates changes in access to care for adults by mental health status using data from a national sample.
This study uses data from the Premier Alliance database to assess factors associated with the use of smoking cessation pharmacotherapy in smokers hospitalized for coronary heart disease.
This modeling analysis adds social determinants of health variables to a diagnosis-based payment formula that allocates funds to managed care plans and physician networks.
This cohort study assesses the association of expanded Medicaid eligibility under the Affordable Care Act with duration of hospitalization among patients with traumatic injury.
This study uses publicly available Marketplace health plan data from 2016 and 2017 to examine whether premium growth in monopoly markets with a declining number of insurers differs from that in markets having a stable number of insurers.
This study assessed a randomly selected, age-stratified sample of 698 childhood cancer survivors and 210 siblings and insurance coverage characteristics to determine the impact of underinsurance.
This study analyzes a newly released government survey examining Medicaid beneficiaries’ experiences with and opinions of the Medicaid program.
This analysis of claims data compares physician reimbursement in Medicare Advantage, traditional Medicare, and commercial health insurance plans.
This difference-in-differences analysis tests whether extending CareFirst’s program to Medicare fee-for-service patients improves care processes and reduces hospitalizations, emergency department visits, and spending.
This Viewpoint calls for truthful, timely, and transparent public reports on quality measures and suggests that such reports be linked to those developed by the Centers for Medicare & Medicaid Services or the LeapFrog Group.
This Viewpoint summarizes the main features of the Medicaid program and how proposed legislation might affect it.
This Viewpoint discusses a New York law that allows the state to negotiate rebates with manufacturers to obtain value-based prices for drugs in its Medicaid program and assesses the potential effects of value-based pricing.