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October 2017 - July 1883




July 28, 2015, Vol 314, No. 4, Pages 315-420 | Medicare and Medicaid at 50

In This Issue of JAMA


Abstract Full Text
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JAMA. 2015;314(4):315-317. doi:10.1001/jama.2014.11879

King v BurwellSubsidizing US Health Insurance for Low- and Middle-Income Individuals

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JAMA. 2015;314(4):333-334. doi:10.1001/jama.2015.8673

This Viewpoint discusses King v Burwell and provides insight about future prospects for universal health coverage in the United States.

Strengthening the Affordable Care ActThe Need for Strategic Building Blocks

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JAMA. 2015;314(4):335-336. doi:10.1001/jama.2015.7153

This Viewpoint discusses 4 key changes that could improve the Affordable Care Act and create broad support across the states.

From the Affordable Care Act to Affordable Care

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JAMA. 2015;314(4):337-338. doi:10.1001/jama.2015.7683

In this Viewpoint, Cutler proposes how policies to reduce medical spending and administrative costs and ease malpractice liability can serve as follow-ups to the reforms of the Affordable Care Act.

Improving and Refining the Affordable Care Act

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JAMA. 2015;314(4):339-340. doi:10.1001/jama.2015.5468

This Viewpoint discusses possible near-term and mid-term refinements to the Affordable Care Act that might improve the legislation.

Outlook for Alternative Payment Models in Fee-for-Service Medicare

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JAMA. 2015;314(4):341-342. doi:10.1001/jama.2015.8047

This Viewpoint describes the status of existing Medicare alternative payment models, which are designed to curb health spending, and assesses the viability of these models.

Medicaid’s New Role in the Health Care System

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JAMA. 2015;314(4):343-344. doi:10.1001/jama.2015.8433

This Viewpoint describes how Medicaid is evolving and how it will continue to change as states debate expansion and as delivery and payment processes are reformed.

Managing the Future of Medicaid

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JAMA. 2015;314(4):345-346. doi:10.1001/jama.2015.8209

This Viewpoint describes the strategies Medicaid can use to maximize the value of its resources as it continues to protect and improve the health of the country’s most vulnerable populations.

The Medicare Hospital Readmissions Reduction ProgramTime for Reform

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JAMA. 2015;314(4):347-348. doi:10.1001/jama.2015.6507

This Viewpoint discusses potential benefits to revising the Hospital Readmissions Reduction Program.

State Leadership in Health Care TransformationRed and Blue

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JAMA. 2015;314(4):349-350. doi:10.1001/jama.2015.8211

This Viewpoint discusses opportunities and challenges related to state-led reform of health care payment and delivery.

A Piece of My Mind

Running a Code in My Ice Skates, and Other Tales

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JAMA. 2015;314(4):351-352. doi:10.1001/jama.2015.4880

Medicare and Medicaid, the Affordable Care Act, and US Health Policy

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JAMA. 2015;314(4):353-354. doi:10.1001/jama.2015.8587
Original Investigation

Mortality, Hospitalizations, and Expenditures for the Medicare Population Aged 65 Years or Older, 1999-2013

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JAMA. 2015;314(4):355-365. doi:10.1001/jama.2015.8035

This study describes national trends in mortality for all Medicare beneficiaries and trends in hospitalizations and expenditures in the Medicare fee-for-service population from 1999 through 2013.

Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act

Abstract Full Text
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JAMA. 2015;314(4):366-374. doi:10.1001/jama.2015.8421

This analysis estimates national changes in self-reported coverage, access to care, and health during the ACA’s first 2 open enrollment periods and assesses differences between low-income adults in states that expanded Medicaid and in states that did not expand Medicaid.

Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program

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JAMA. 2015;314(4):375-383. doi:10.1001/jama.2015.8609

This study uses CMS Hospital Compare data to characterize hospitals penalized financially for preventable adverse events and investigates associations between financial penalties and quality scores.

Special Communication

Medicare and Medicaid at 50 YearsPerspectives of Beneficiaries, Health Care Professionals and Institutions, and Policy Makers

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JAMA. 2015;314(4):384-395. doi:10.1001/jama.2015.7811

In this Special Communication, Kaiser Family Foundation CEO Drew Altman and Senator William Frist review the history and roles of Medicare and Medicaid in the US health system and discuss the program’s future.

From the JAMA Network

Empirical Therapy of Community-Acquired PneumoniaAdvancing Evidence or Just More Doubt?

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JAMA. 2015;314(4):396-397. doi:10.1001/jama.2015.3858

This From The JAMA Network article discusses a JAMA Internal Medicine study comparing β-lactam alone with a combination of a β-lactam and macrolide for patients hospitalized with moderately severe community-acquired pneumonia.

JAMA Clinical Guidelines Synopsis

Healthy Lifestyle Counseling in Persons With Cardiovascular Risk Factors

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JAMA. 2015;314(4):398-399. doi:10.1001/jama.2015.4594

This JAMA Clinical Guidelines Synopsis article summarizes the evidence for physical activity and dietary recommendations in people with cardiovascular risk factors.

JAMA Clinical Challenge

Fever and Rash in a Patient With Hepatitis

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JAMA. 2015;314(4):400-402. doi:10.1001/jama.2015.3401

A 56-year-old man with longstanding human immunodeficiency virus (HIV) infection presented with new-onset fatigue and malaise, fever, and a macular rash involving the palms and soles. What is the diagnosis?

Research Letter

Outpatient Pharmacy Expenditures for Children With Serious Chronic Illness in California, 2010-2012

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JAMA. 2015;314(4):405-407. doi:10.1001/jama.2015.7169

This study analyzed expenditures for outpatient pharmacy products used by publicly insured children with serious chronic illness during 3 years.

Comment & Response

Surrogate Decision Making for Patients Without Nuclear Family

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JAMA. 2015;314(4):407-408. doi:10.1001/jama.2015.7245

Maternal Diabetes and Autism in Offspring

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JAMA. 2015;314(4):407. doi:10.1001/jama.2015.7250

Maternal Diabetes and Autism in Offspring—Reply

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JAMA. 2015;314(4):407. doi:10.1001/jama.2015.7256

Surrogate Decision Making for Patients Without Nuclear Family

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JAMA. 2015;314(4):408. doi:10.1001/jama.2015.7253

Potential Adverse Effects of Anesthesia in Children

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JAMA. 2015;314(4):408-409. doi:10.1001/jama.2015.7378

Potential Adverse Effects of Anesthesia in Children—Reply

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JAMA. 2015;314(4):409. doi:10.1001/jama.2015.7387
Medical News & Perspectives

Medicare at 50: Reflections From Former CMS Administrator Donald M. Berwick

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JAMA. 2015;314(4):324-326. doi:10.1001/jama.2015.7842

In this Medical News & Perspectives interview, former CMS administrator Donald M. Berwick discusses recent changes and innovations in Medicare and Medicaid while considering the 50th anniversary of the law that created them.

The JAMA Forum

Medicaid at 50: Time for a Major Overhaul

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JAMA. 2015;314(4):326-327. doi:10.1001/jama.2015.0937
Clinical Trials Update

Thrombectomy After Stroke Improves 90-Day Outcomes

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JAMA. 2015;314(4):331. doi:10.1001/jama.2015.8128

Communication Training Does Not Influence Vaccine Hesitancy

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JAMA. 2015;314(4):331. doi:10.1001/jama.2015.8469

Antibiotic Therapy for Uncomplicated Appendicitis

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JAMA. 2015;314(4):331. doi:10.1001/jama.2015.8471
Health Agencies Update

NIH Program to Fund Research on Molecular Changes Associated With Physical Activity

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JAMA. 2015;314(4):330. doi:10.1001/jama.2015.7781

Anxiety Disorders Affect 4.3 Million Working US Adults

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JAMA. 2015;314(4):330. doi:10.1001/jama.2015.8411

National Academies to Establish Human Gene Editing Guidelines

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JAMA. 2015;314(4):330. doi:10.1001/jama.2015.8413
News From the Centers for Disease Control and Prevention

Sexual Violence Against Adolescents

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JAMA. 2015;314(4):332. doi:10.1001/jama.2015.7909

Rapid Growth in Melanoma Rate

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JAMA. 2015;314(4):332. doi:10.1001/jama.2015.7911
JAMA Infographic

Visualizing Health Policy

Medicaid and Medicare at 50

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JAMA. 2015;314(4):328. doi:10.1001/jama.2015.8129

Visualizing Health Policy

Medicaid and Medicare Trends and Challenges

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JAMA. 2015;314(4):329. doi:10.1001/jama.2015.8130
The Art of JAMA

Portrait of My Teacher, Fräulein Sophie von PrieserFlorine Stettheimer

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JAMA. 2015;314(4):322-323. doi:10.1001/jama.2014.11881
Poetry and Medicine

The Questioning Clinician

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JAMA. 2015;314(4):410. doi:10.1001/jama.2015.4170
JAMA Revisited

Medicare: Theory and Practice

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JAMA. 2015;314(4):411. doi:10.1001/jama.2014.11888
JAMA Patient Page


Abstract Full Text
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JAMA. 2015;314(4):420. doi:10.1001/jama.2015.8049
JAMA Masthead


Abstract Full Text
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JAMA. 2015;314(4):319-320. doi:10.1001/jama.2014.11880