JAMA Forum Research Articles

With or Without ACA Repeal, ACA and Medicaid Cuts Are Looming

This JAMA Forum discusses potential changes looming in 2025 under a Republican-controlled White House and Congress, such as allowing enhanced Affordable Care Act (ACA) financial aid to expire and cutting federal Medicaid spending.

Cross-Sector Support for a Policy Framework to Tackle Social Determinants of Health

This JAMA Forum discusses 4 focus areas developed by a collaborative of more than 40 organizations and experts in health care, social services, and other sectors designed to find ways to support and address social determinants of health with better program coordination and partnerships and novel financing approaches.

Medicaid’s Edge Case—Potential Expansion and Work Requirements in Mississippi

This JAMA Forum discusses the ongoing debate in Mississippi about whether to expand Medicaid under the Patient Protection and Affordable Care Act.

The Supreme Court Disempowers Public Health Agencies and Devalues Science

This JAMA Forum discusses recent rulings made by the US Supreme Court that limit the decision-making power of government agencies to safeguard public health, ensure safety, and protect the environment.

Caring for an Aging US Population—the Good News and the Bad News

This JAMA Forum discusses innovative ideas to care for an aging US population, provides examples of ways to rethink housing and nursing homes, and discusses potential policy changes.

The Implications of the Public’s Preexisting Condition—Amnesia

This JAMA Forum discusses how the Affordable Care Act (ACA) ended the denial of coverage to people with preexisting conditions and the potential ramifications if the ACA is repealed or replaced in the future.

Financial Games in Health Care—Doing Well Without Doing Good

This JAMA Forum discusses dimensions of financial manipulation in health care and highlights policies that might address it.

An Asset Framework to Guide Nonhealth Policy for Population Health

This JAMA Forum discusses 3 types of assets (financial, physical, and social) that unlock access to resources and shape population health.

Reconsidering and Measuring Patient Access in Medicaid

This JAMA Forum discusses the ways that policymakers can use different metrics that are more meaningful to patients when measuring patient access to treatment in the Medicaid program.

The Role for Policy in AI-Assisted Medical Diagnosis

This JAMA Forum discusses the promise and pitfalls of using large language models and artificial intelligence (AI) in the diagnosis of patients.

Bolstering FDA Pathways for Reducing Death and Disease from Tobacco

This JAMA Forum discusses the US Food and Drug Administration’s efforts to implement the 2009 Family Smoking Prevention and Tobacco Control Act through approval of products that demonstrate evidence to help smokers quit and to reduce their risk of relapse.

Early Lessons From State-Based Public Option Plans

This JAMA Forum discusses the early lessons from state-run public option–style health insurance plans in Colorado and Washington State that can be used by Minnesota and Nevada for their plans that are still under development.

The State of Health Insurance Coverage and the 2024 Election

This JAMA Forum discusses record health insurance enrollments and the risks to continuing gains in coverage.

Institutional Efforts to Address Legacies of Slavery—Implications for the Health Care System

This JAMA Forum discusses the legacies of slavery, efforts underway at colleges and universities to explore and address the legacies of slavery, and health care system actions to address structural racism.

Denial—Artificial Intelligence Tools and Health Insurance Coverage Decisions

This JAMA Forum discusses the potential and the pitfalls in the use of artificial intelligence in the coverage decisions made by health insurance companies.

Public Health in the Crosshairs of Culture Wars

This JAMA Forum discusses the topics of reproductive rights, transgender care, firearm safety, and COVID-19 vaccines in the context of public health and the political climate in the US.

Investing in Long-Term Health

This JAMA Forum discusses treatment and health care delivery, innovative use of risk analytics, and spending and coverage priorities in the US health insurance system.

Climate-Informed Patient Care as a Social Determinant of Health

This JAMA Forum discusses the implications for patient care by recognizing climate change as a social determinant of health.

Strategies for Regulating Disruptive Medical Technologies

This JAMA Forum discusses 3 regulatory lessons from the US Food and Drug Administration that could be used for regulating new medical devices and technologies, such as those that include artificial intelligence.

Burned Out on Burnout—The Urgency of Equity-Minded Structural Approaches to Support Nurses

This JAMA Forum discusses a health equity framework to address burnout and professional fulfillment among nurses.