David Cutler
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View article: The Worst Piece of Health Care Legislation Ever
The Worst Piece of Health Care Legislation Ever Open
This JAMA forum discusses the cuts to US health care spending in the One Big Beautiful Bill Act and their impacts on Medicare and Medicaid recipients, physicians, and hospitals, particularly those in rural areas.
View article: Income-related disparities in the value of health care in South Korea
Income-related disparities in the value of health care in South Korea Open
Introduction Health care spending in South Korea is associated with improvements in health. However, it remains unclear whether the value of this spending is equally distributed across income groups. Methods We analyzed lifetime health car…
View article: Cutting the NIH—The $8 Trillion Health Care Catastrophe
Cutting the NIH—The $8 Trillion Health Care Catastrophe Open
This JAMA Forum discusses the recent budget cuts to National Institutes of Health (NIH), the effects of these cuts on scientific research and health of individuals in the US, and the prospects for changes to Trump administration policies.
View article: Trends in Work Capacity in the US Population: Are Recent Cohorts in Worse Health?
Trends in Work Capacity in the US Population: Are Recent Cohorts in Worse Health? Open
View article: Availability of consistent, reliable, and actionable public data on US hospital administrative expenses
Availability of consistent, reliable, and actionable public data on US hospital administrative expenses Open
Health care spending continues to rise, and opportunities to decrease costs without negatively impacting patient care are a priority. Addressing administrative spending, approximately 25% of US health care spending, is an opportunity. To i…
View article: Trump’s Most Important Health Policy May Be at the Border
Trump’s Most Important Health Policy May Be at the Border Open
This JAMA Forum discusses immigration in the context of the health care workforce, the potential negative effects from a reduced supply of workers, and potential policy options.
View article: Trends in Work Capacity in the US Population: Are Recent Cohorts in Worse Health?
Trends in Work Capacity in the US Population: Are Recent Cohorts in Worse Health? Open
View article: Ways to Save Money in Health Care
Ways to Save Money in Health Care Open
This JAMA Forum discusses ideas for saving money in health care such as reducing the need for care, reducing excessive prices, and shifting to lower-cost practices.
View article: Medical visits and mortality among dementia patients during the COVID-19 pandemic compared to rates predicted from 2019
Medical visits and mortality among dementia patients during the COVID-19 pandemic compared to rates predicted from 2019 Open
Background During the COVID-19 pandemic, patients with Alzheimer’s disease and related dementias (ADRD) were especially vulnerable, and modes of medical care delivery shifted rapidly. This study assessed the impact of the pandemic on care …
View article: The Pathology of US Health Care—The Example of Weight Loss Medications
The Pathology of US Health Care—The Example of Weight Loss Medications Open
This JAMA Forum discusses the cost of newly approved weight loss medications in the US compared with other countries and provides arguments for why these medications should be more available for individuals in the US and covered by more in…
View article: Potential US Health Care Savings Based on Clinician Views of Feasible Site-of-Care Shifts
Potential US Health Care Savings Based on Clinician Views of Feasible Site-of-Care Shifts Open
Importance Shifting care to alternative sites when clinically appropriate may be associated with reduced US health care spending, improved access, and, in some cases, improved care outcomes. Objective To fill 2 main gaps in the current lit…
View article: Perceptions of prior authorization burden and solutions
Perceptions of prior authorization burden and solutions Open
The prior authorization (PA) process consumes time and money on the part of patients, providers, and payers. While some research shows substantial possible savings in the PA process, identifying what different groups can do is not as well …
View article: Can Fair Share Policies Expand Neighborhood Choice? Evidence From Bypassing Exclusionary Zoning Under Massachusetts Chapter 40B
Can Fair Share Policies Expand Neighborhood Choice? Evidence From Bypassing Exclusionary Zoning Under Massachusetts Chapter 40B Open
Opening up neighborhoods that offer greater opportunities for social mobility to low- and moderate-income households remains a challenge in the United States. Exclusionary zoning practices act as a barrier to current efforts by restricting…
View article: Financial Games in Health Care—Doing Well Without Doing Good
Financial Games in Health Care—Doing Well Without Doing Good Open
This JAMA Forum discusses dimensions of financial manipulation in health care and highlights policies that might address it.
View article: Human Capital Spillovers and Health: Does Living Around College Graduates Lengthen Life?
Human Capital Spillovers and Health: Does Living Around College Graduates Lengthen Life? Open
Equally educated people are healthier if they live in more educated places.Every 10 percent point increase in an area's share of adults with a college degree is associated with a decline in all-cause mortality by 7%, controlling for indivi…
View article: Trends in Integration Between Physician Organizations and Pharmacies for Self-Administered Drugs
Trends in Integration Between Physician Organizations and Pharmacies for Self-Administered Drugs Open
Importance Increasing integration across medical services may have important implications for health care quality and spending. One major but poorly understood dimension of integration is between physician organizations and pharmacies for …
View article: Technology Regulation Reconsidered: The Effects of Certificate of Need Policies on the Quantity and Quality of Diagnostic Imaging
Technology Regulation Reconsidered: The Effects of Certificate of Need Policies on the Quantity and Quality of Diagnostic Imaging Open
Estimates of the impact of Certificate of Need laws on medical care have been inconsistent, possibly because not all CON laws apply to all services.Using an original dataset identifying imaging-related CON laws, we estimate the effects of …
View article: The New Role of Private Investment in Health Care Delivery
The New Role of Private Investment in Health Care Delivery Open
This JAMA Forum discusses the good and bad of innovation in health care delivery, tax policy, an escrow account for failure, and state monitoring.
View article: Technology Regulation Reconsidered: The Effects of Certificate of Need Policies on the Quantity and Quality of Diagnostic Imaging
Technology Regulation Reconsidered: The Effects of Certificate of Need Policies on the Quantity and Quality of Diagnostic Imaging Open
View article: Addiction, Thick Market Externalities, and the Persistence of the Opioid Epidemic
Addiction, Thick Market Externalities, and the Persistence of the Opioid Epidemic Open
Opioid overdose death rates in the United States have risen continuously for over three decades, increasing 2,142 percent in total from 1990 to 2020.This is surprising.One might expect drug epidemics to be self-limiting, as policy and indi…
View article: Health System Change in the Wake of COVID-19
Health System Change in the Wake of COVID-19 Open
This JAMA Forum discusses resiliency, telehealth, the health care labor force, and public health in the context of the health system changes occurring since the start of the COVID-19 pandemic.
View article: Active steps to reduce administrative spending associated with financial transactions in US health care
Active steps to reduce administrative spending associated with financial transactions in US health care Open
US health care administrative spending is approximately $1 trillion annually. A major operational area is the financial transactions ecosystem, which has approximately $200 billion in spending annually. Efficient financial transactions eco…
View article: Specialist use among privately insured children with disabilities
Specialist use among privately insured children with disabilities Open
Objective To investigate primary care practice ownership and specialist‐use patterns for commercially insured children with disabilities. Data Sources and Study Setting A national commercial claims database and the Health Systems and Provi…
View article: What Artificial Intelligence Means for Health Care
What Artificial Intelligence Means for Health Care Open
This JAMA Forum discusses 5 observations about the possible effects of artificial intelligence on medicine.
View article: Organization of Cancer Specialists in US Physician Practices and Health Systems
Organization of Cancer Specialists in US Physician Practices and Health Systems Open
PURPOSE To describe the supply of cancer specialists, the organization of cancer care within versus outside of health systems, and the distance to multispecialty cancer centers. METHODS Using the 2018 Health Systems and Provider Database f…
View article: Severe Spontaneous Echocardiographic Contrast in a Patient With Normal Heart and Chronic Lymphocytic Lymphoma
Severe Spontaneous Echocardiographic Contrast in a Patient With Normal Heart and Chronic Lymphocytic Lymphoma Open
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View article: Health Care in a Time of Deficit Concern
Health Care in a Time of Deficit Concern Open
This JAMA Forum discusses some guidelines for discussing deficit reduction and suggests 3 principles for keeping the rates of health insurance coverage high, using averages in an unaverage world, and distinguishing between cost shifting an…
View article: Racial and Ethnic Disparities in Opioid Access and Urine Drug Screening Among Older Patients With Poor-Prognosis Cancer Near the End of Life
Racial and Ethnic Disparities in Opioid Access and Urine Drug Screening Among Older Patients With Poor-Prognosis Cancer Near the End of Life Open
PURPOSE To characterize racial and ethnic disparities and trends in opioid access and urine drug screening (UDS) among patients dying of cancer, and to explore potential mechanisms. METHODS Among 318,549 non-Hispanic White (White), Black, …
View article: The Potential Impact of Artificial Intelligence on Healthcare Spending
The Potential Impact of Artificial Intelligence on Healthcare Spending Open
The potential of artificial intelligence (AI) to simplify existing healthcare processes and create new, more efficient ones is a major topic of discussion in the industry.Yet healthcare lags other industries in AI adoption.In this paper, w…
View article: The Potential Impact of Artificial Intelligence on Healthcare Spending
The Potential Impact of Artificial Intelligence on Healthcare Spending Open