JAMA Health Forum Conversations

JAMA Health Forum Conversations

JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses policies, structures, and systems that affect health, medicine, and health care. The journal publishes original research, evidence-based reports, and opinion about national and global health policy; structures and systems that affect health and health care; and health care delivery, economics, access, quality, safety, equity, and reform.

Episodes

June 13, 2025 22 mins

The US is an outlier in health system performance, spending more than other peer countries while performing worse. US economist David Cutler, who is the Otto Eckstein Professor of Applied Economics at Harvard University, discusses this and more with JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH.

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Increased health insurance coverage in the US has had a broad range of positive impacts on US health, including increases in preventive care and better chronic disease management. Larry Levitt, MPP, of KFF joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss challenges facing US health insurance coverage today.

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The first months of the Trump administration have been marked by a flurry of actions, many that have affected agencies directly related to health domestically and globally. Joshua M. Sharfstein, MD, of the Johns Hopkins Bloomberg School of Public Health joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss the contemporary threats to the health of the American public.

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US withdrawal from the World Health Organization will have significant implications for global health. Lawrence Gostin, JD, JAMA Legal and Global Health Correspondent and Faculty Director of the O’Neill Institute for National and Global Health Law at Georgetown University, joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss global health in an era of new uncertainty.

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Incoming Editor in Chief Sandro Galea, MD, DrPH, discusses the journal and the state of health policy with Deputy Editor Julie Donohue, PhD, and Senior Editor Melinda Buntin, PhD.

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Founding Editor in Chief John Ayanian, MD, MPP, reflects on the origins and the highlights of the journal’s first 5 years, including seminal publications, the journal’s current No. 1 slot in the rankings, and the amazingly collegial editorial team, with JAMA Health Forum founding Deputy Editor Melinda Buntin, PhD.

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Research shows that Tobacco 21 (T21) policies with a minimum legal age to purchase tobacco products of 21 years reduce youth smoking, yet their potential long-term impact varies across US states. Jamie Tam, MPH, PhD, of the Yale University School of Public Health discusses these findings with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD.

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November 8, 2024 15 mins

Extreme heat in the US led to deaths and hospital admissions among community-dwelling older adults with low incomes. Hyunjee Kim, PhD, of the Oregon Health & Science University, and Jose F. Figueroa, MD, MPH, of Harvard University, discuss these findings with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD.

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October 11, 2024 12 mins

The use of care by patients of physicians considered more altruistic differs from the use of care of physicians considered less. Lawrence P. Casalino, MD, PhD, MPH, of Weill Cornell Medicine, discusses his work around this with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD.

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JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, spoke with Sherry Glied, PhD, and Dong Ding, MA, MPA, of New York University, about the effects of participation in health care savings accounts. Participation in flexible spending accounts is linked to higher health care and tax expenditures, while health care savings accounts do not reduce expenditures.

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AcademyHealth CEO Aaron Carroll, MD, MS, shares highlights from the AcademyHealth 2024 Annual Research Meeting in an interview hosted by JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD. John and Melinda then discuss key findings from 4 highly rated abstracts presented at the meeting that were published concurrently as Original Investigations in JAMA Health Forum.

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More than 50 million adults in the US are eligible to vote but not registered. Alister F. Martin, MD, MPP, of Harvard University, and Katherine McCabe, PhD, of Rutgers University speak with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, about a program to register new voters in health care settings that has enrolled younger and racially and ethnically diverse adults.

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JAMA Health Forum Editor John Ayanian, MD, MPP, speaks with Kelsey M. Owsley, PhD, of the University of Arkansas, and Sayeh Nikay, PhD, MPH, of the University of Minnesota, about how the 340B drug discount program influences the services offered by public and nonprofit hospitals. They also discuss new state policies and proposed federal policies to promote greater transparency and accountability in the 340B program.

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Benjamin D. Sommers, MD, PhD, of Harvard University, speaks with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, about differences in Medicaid enrollment as measured in surveys and administrative data. These differences have implications for estimating coverage now that the federal policy of continuous Medicaid eligibility during the COVID-19 pandemic has ended.

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JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Rachel A. Prusynski, DPT, PhD, of the University of Washington about differences in the use and outcomes of home health services provided to beneficiaries in traditional Medicare and Medicare Advantage.

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The COVID-19 pandemic has caused major disruptions in ambulatory care. In this interview with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, Rishi K. Wadhera, MD, MPP, MPhil, of Harvard Medical School discusses how access to care and preventive services changed for different racial and ethnic groups in the US from 2019 to 2022.

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January 19, 2024 13 mins

JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Lindsay D. Allen, PhD, about how setting-specific opioid prescription duration limits helped reduce opioid overuse in West Virginia.

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Smoking remains a leading cause of preventable morbidity and mortality in the US. Rafael Meza, PhD, of the British Columbia Cancer Research Institute, discusses recent trends in smoking by US adults across different age and income groups in this interview with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD.

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JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Ge Bai, PhD, CPA, author of Pharmacy Benefit Managers: History, Business Practices, Economics, and Policy, about how pharmacy benefit managers (PBMs) have evolved in recent decades to play a central role in the US prescription drug market, including the benefits and policy challenges that PBMs present in this market.

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    JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, spoke with Heather Taylor, MD, from Indiana University Richard M. Fairbanks School of Public Health, about the costs of untreated mental illness in the state of Indiana. Considering a wide set of direct and indirect costs, her team estimated the cost to Indiana is over $4 Billon per year.

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