JAMA Health Forum

Following open notes implementation, 55% of patients viewed #ambulatory visit notes, but engagement was lower among men, non-English speakers, and those in low-income or low-internet-access areas. ja.ma/3QNehUn

The share of MA beneficiaries in plans with $0 cost sharing for in-network #PCP visits rose from 46% in 2019 to 78% in 2025, but availability is lower in zero-premium and high-poverty counties. #MedicareAdvantage ja.ma/3SR3qta

Traffic-light menu #ecolabels led to 15%-30% lower meal #greenhouse gas #emissions and slight improvement in #healthfulness, outperforming other designs without raising fast-food costs. ja.ma/3QOV5FP

Home health care patients exposed to hurricane-related flooding had lower rates of timely care and discharge to the community, and longer home health stays compared to those in nonflooded areas. ja.ma/4eEDaJz

Greater geographic availability of methadone and naltrexone was linked to increased use among non-Hispanic White Medicaid enrollees, but not non-Hispanic Black or Hispanic enrollees. ja.ma/3R43IfB

In Hong Kong, overall #ColorectalCancer screening participation increased and socioeconomic disparities narrowed after a population-wide screening program, but uptake remains lower and gaps persist for specific groups. ja.ma/43xOsKK

America’s aging population is creating challenges for health policy, health services, and the long-term care system, which faces funding and workforce shortages. Sandro Galea, MD, MPH, and David Grabowski, PhD, discuss this and more. 🎧 Listen now: ja.ma/44cftmZ

Among #ICU patients aged ≥80 years, use of life-sustaining treatments varied widely between institutions, and higher treatment intensity was not associated with better in-hospital survival after adjustment for patient and institutional factors. ja.ma/43RWDlj

A claims-based model reliably identified Medicare beneficiaries with functional limitations, pinpointing many not captured in administrative data, supporting improved monitoring of functional status by the Centers for Medicare & Medicaid Services. ja.ma/4utVlYk

💬 Editorial by JAMA Health Forum EIC Sandro Galea, MD, DrPH: Population aging is projected to double Medicare spending and intensify demands for long-term care, calling for integrated health, social, and payment models. ja.ma/4uzjlJQ

Enrollment assisters perceived Colorado’s state-funded marketplace-like private health insurance program improved clients’ health and reduced emergency care use but noted limited spots and need for health insurance education. ja.ma/43e7OV3

#ChildWelfare involvement at birth was associated with reduced moderate- to high-complexity emergency department use in the first year of life among Medicaid-covered infants with prenatal substance exposure. ja.ma/4epCitj

Among US adults with live #births, electronic #health record network data validated adequacy of #prenatal care but consistently underestimated early care initiation compared with national vital statistics. ja.ma/4uXVxjQ

✨ Thinking about submitting your #ARM26 research to @JAMA_current, @JAMAHealthForum or one of our other JAMA Network journals? 🎥 This video explains what to expect from submission through peer review. ja.ma/43ASbqC

✨ Presented today at #ARM26: Tort Immunity and Nursing Home Staffing From @JAMAHealthForum 🔓Free to read online. ja.ma/4u4vkP4

State-level tort immunity for nursing homes during #COVID-19 was linked to a reduction in staff hours, particularly among certified nursing assistants, suggesting liability risk may influence staffing decisions and resident care. #ARM26 @AcademyHealth ja.ma/49xH0m8

Claims-identified mental health disorder diagnoses among Medicare fee-for-service beneficiaries increased substantially from 2000 to 2023, especially for anxiety, depression, and substance use disorders. ja.ma/4dGnma5

Indoor air quality in public housing communities remained significantly worse than outdoor air, even after adoption of a smoke-free housing policy, indicating persistent environmental health disparities. ja.ma/4u5MADC

📣 Final day of exhibits at #ARM26! 📍 Visit booth 703 📚 Get recent articles ✍️ Learn how to submit your meeting research to @JAMA_current, @JAMAHealthForum or one of our other JAMA Network journals.

Universal, first-dollar contraception coverage in British Columbia reduced out-of-pocket costs by 83% over two years, with the largest cost reductions among individuals aged 20 to 29 years. ja.ma/4ejYELV