Federal investment in primary care delivery over the past decade led to improvements in clinical care, patient engagement, and practice experience, though changes in costs, utilization, and patient experience were mixed. ja.ma/3XghyLf

JAMA Health Forum is offering one editorial fellowship for an early-career scholar with a background in statistics, causal inference, or quantitative methods. The fellow will work closely with our statistical editors. This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK

The JAMA Summit on Firearm Violence gathered experts from medicine, policy, engineering, and community groups to develop a plan for reducing firearm harms by 2040. Learn more in this Special Communication: ja.ma/4nFGHK6

Viewpoint: Transitioning to continuous distribution in organ allocation requires ongoing input from clinicians and stakeholders to refine composite scoring, address unintended consequences, and ensure equity. ja.ma/3JBeEO6

Participation in graduate #meded has grown among critical access hospitals, with nearly 100 CAHs involved in resident training—an increase driven by policy reforms, financial incentives, and new Rural Track Programs. ja.ma/4qvq5Hx

JAMA Health Forum is offering one editorial fellowship for an early-career scholar with experience in quantitative methods, causal inference, or applied statistics in health services or policy research. 🔗 Apply now: ja.ma/47xSwfz

Medicaid expansion in Michigan was associated with employment gains among enrollees, with those who experienced improved health reporting the largest increases in full-time work. ja.ma/48Wq4Gz

Enacting evidence-based clinical coverage policies for low-value procedures was not associated with reductions in use among Louisiana Medicaid members. ja.ma/3JC7Boa

Neighborhoods with higher levels of structural racism was associated with greater prevalence of cardiovascular risk factors and diseases, including hypertension, diabetes, obesity, coronary heart disease, and stroke. ja.ma/4nB7MOK

"Looking ahead, the journal aims to publish articles that push the field forward." Read this editorial by JAMA Health Forum Editorial Fellow Austin Kilaru, MD, MSHP, Deputy Editor Julie Donohue, PhD, and EIC Sandro Galea, MD, DrPH. ja.ma/49w08S9

📢 Calling all early-career scholars! JAMA Health Forum is accepting applications for an editorial fellow who will work closely with our statistical editors and has experience with quantitative methods, causal inference, or applied statistics in health services or policy research. ja.ma/4oJjO9w

Viewpoint: Modernizing Medicare risk adjustment by prioritizing interoperable electronic health data and streamlining reporting could reduce administrative burden for clinicians. ja.ma/4o7rXVj

From 2009 to 2023, US states introduced 819 bills on palliative care, with most legislation focused on quality standards, public awareness, and payment policy. ja.ma/47nE9du

Child welfare system contact was linked to more frequent identification and treatment of developmental delays, reflecting both increased clinical scrutiny and enhanced service facilitation. ja.ma/43o64c8

Medicare Advantage contracts that repeatedly crossed the bonus-eligible star rating threshold were more likely to receive quality bonuses. ja.ma/42TrBJw

The TAF Analysis Reporting Checklist addresses variability in Medicaid claims data and supports researchers, editors, and policymakers in evaluating the reliability and generalizability of studies using federal Medicaid datasets. ja.ma/47EreVS

Eliminating cost sharing for public assistance recipients in Japan was associated with higher outpatient medical and dental care utilization, particularly for dental services. ja.ma/47F0a92

💬 Viewpoint: Innovations like e-cigarettes provide rapid nicotine delivery with reduced health risks compared to cigarettes, yet misinformation and regulatory barriers limit their impact on smoking-related disease. ja.ma/3KStQGV

Biologics eligible for Medicare price negotiation generated higher revenues over 9 and 13 years than small-molecule drugs, highlighting potential implications for pharmaceutical industry priorities and cost savings. ja.ma/4qf60oL

Opening medical or recreational cannabis dispensaries was associated with reductions in opioid prescriptions among cancer patients, suggesting cannabis may serve as a substitute for opioids in managing cancer-related pain. ja.ma/49854fN

Rosa M Gonzalez-Guarda, PhD, MPH, RN, joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss how centering women in our population health agenda can improve outcomes for all. 🎧 Listen now: ja.ma/3KXV0Mw

💬 Editorial by JAMA Health Forum EIC Sandro Galea, MD, DrPH: Current federal cuts to critical health and science areas risk undermining progress, narrowing career paths, and exacerbating gaps in knowledge. ja.ma/46XmeeU

While global health inequalities have declined over the past six decades—primarily due to reduced infant mortality and increased life expectancy—persistent gaps remain, especially in the US and low-income countries. ja.ma/3KSXNGS

While global health inequalities have declined over the past six decades—primarily due to reduced infant mortality and increased life expectancy—persistent gaps remain, especially in the US and low-income countries. ja.ma/48F7kv7

Across the JAMA Network, we seek submission of manuscripts describing original research that examines the application of #AI in clinical settings. 🔗 Learn more about submission criteria: ja.ma/48p3TbH

From @jama.com: #Microplastics are increasingly detected in human tissues w/ potential links to cognitive, cardiovascular, and inflammatory outcomes. 📌 Learn more: ja.ma/47pAOvJ

Viewpoint: Inaccurate provider directories create significant barriers for US residents seeking care, highlighting the urgent need for a centralized, accurate national directory. ja.ma/4nLARHT

In this cohort study, 40% of #GLP-1RA prescriptions were not filled, with lower fill rates and higher out-of-pocket costs for patients with obesity alone and racial and ethnic minorities. ja.ma/46K1neV

A nicotine reduction policy in cigarettes is estimated to provide broad population benefits and reduce disparities, most notably for American Indian, Black, Hispanic, and rural communities. ja.ma/472lGmQ

Following Medicaid unwinding, coverage losses varied widely by state and group, yet many individuals regained insurance, resulting in modest overall increases in uninsurance. ja.ma/48pvidw

Viewpoint: Court decisions regarding the Trump administration’s most-favored-nation drug pricing proposals will determine the legal limits of health agencies’ ability to enact large-scale reforms. ja.ma/46NhVTn

Special Communication: The Disabled Advanced Medical Assistance (DAMA) model is an innovative, adaptable hospital care approach that improves health outcomes and equity for persons with disabilities by streamlining care. ja.ma/4o5yJKQ

Viewpoint: Federal budget cuts are targeting integrated clinical-social care programs, with lack of consensus resulting in two competing models for addressing health-related social needs and ongoing disagreement over implementation. ja.ma/46NrC2H

Nearly all US public schools restrict cell phone use, with elementary schools having the strictest bans and high schools and schools in low- and medium-poverty neighborhoods having less strict policies. ja.ma/4nZ6cqe

Over the past four decades, US #antibiotic imports increased markedly with sourcing for finished dosage forms diversified across many countries, while active #pharmaceutical ingredients relied primarily on China. ja.ma/3VNI666

From 1900 to 2019, probability of premature death dropped substantially at the global frontier from 57% to 12%, with sub-Saharan Africa and China narrowing the gap over time and the US falling further behind. ja.ma/4n660VH

Value-based payment models outperformed fee-for-service for all 15 clinical quality outcomes among >3 million Medicare Advantage members in 2022. ja.ma/4nhC4qi

Lost-time injury rates were 74% higher for Black workers and 90% higher for Hispanic workers versus Whites in California; occupational concentration explained much, but not all, disparity. ja.ma/4gKoeKK

Despite increasing clearance of #AI/ML devices, standardized efficacy, safety, and risk assessment reporting remains inadequate for FDA-cleared devices. ja.ma/3KoVivF

"How do we create the conditions that allow all people to live longer, healthier lives?" Read this Editorial by @jamahealthforum.com Editor in Chief Sandro Galea, MD, DrPH, Associate Editor Ninez Ponce, PhD, MPP, and Editorial Fellow Sugy Choi, PhD, MS. ja.ma/4gJRykj

In this economic evaluation study, new firearm injuries created an estimated $7.7 billion in ED-only and inpatient hospital health care costs from 2016 to 2021. ja.ma/4nXZWiR

Viewpoint: States are enhancing primary care spending and managing costs through #Medicaid expansion and alternative payment models, yet disparities in insurance coverage for #LGBT individuals persist, requiring more equitable access efforts. ja.ma/4gGTQkb

See follow-on study @jamahealthforum.com showing NIH invests average of $1.44 billion in research leading to new drug approvals, provides $2.9 billion cost savings to industry per approval, and creates economic efficiencies through spillovers to multiple approvals. jamanetwork.com/journals/jam...

Viewpoint: Despite improvements in insurance coverage for #LGBT individuals post-Affordable Care Act and Obergefell v Hodges, gains have been concentrated among male, married, higher-income groups, revealing persistent disparities. ja.ma/4mq47Th

In Texas, a simulation model projected #measles outbreaks, showing that a 5% decrease in MMR #vaccination rates could notably increase cases, while a 5% increase in vaccination rates could prevent outbreaks. ja.ma/4nPv8kg

Among adolescents and young adults in a pediatric primary care network, those from higher Child Opportunity Index (COI) quintiles reported greater in-home firearm access, whereas those from lower COI quintiles reported more outside-home access. ja.ma/4gBgXgj

Special Communication: Only 33% of prioritized jurisdictions addressed the needs of Latino gay, bisexual, and other men who have sex with men in their Ending the #HIV Epidemic plans. ja.ma/3KekHYM

From 2000 to 2021, the proportion of surgical subspecialists increased from 38% to 58% among over 70,000 surgeons, leading to a reduced procedural scope for generalist surgeons and causing geographic variations in access to specialized care. ja.ma/4mlEt1T

Among #Medicaid enrollees, prediction models using individual and area-level factors effectively estimated the risk of hospitalization or emergency department visits for cocaine- and stimulant-involved overdoses. ja.ma/48lkAEQ

Editorial by Pragya Kakani, PhD, Melinda B. Buntin, PhD, and Sandro Galea, MD, DrPH: "The Purpose and Value of Editorial Content at JAMA Health Forum" ja.ma/4nbGC1n