JAMA Internal Medicine

AI summary · may contain errors

Managed care disaster coverage policies across major insurers have gaps that prevent coverage and payment from following beneficiaries during displacement after natural disasters.

AI summary · may contain errors

Reframing discussion of US health care waste toward patient-centered priorities, rather than global cost reduction, is the core aim of this Viewpoint.

AI summary · may contain errors

Uptake of the G2211 longitudinal care code among primary care clinicians and practices was evaluated in a cross-sectional study to gauge adoption and revenue potential.

AI summary · may contain errors

Smarter Care Virginia was linked to a 10.4% fewer share of patients receiving at least one of nine low-value services in Virginia, with a -1.1 percentage-point absolute reduction.

AI summary · may contain errors

In 6 Australian public hospitals, a stepped-wedge trial in patients aged 65+ with DBI>0 found only a modest, less-than-expected increase in deprescribing at discharge.

AI summary · may contain errors

COVID-19 vaccination is linked to a higher incidence of incident SIRVA than influenza vaccination in adults, with 1.84 vs 1.15 cases per 10,000 vaccinations.

AI summary · may contain errors

Continued surveillance mammography after nonmetastatic breast cancer in women aged 67+ is not linked to a lower risk of advanced second primary breast cancer (1.65% vs 2.15%).

AI summary · may contain errors

An octogenarian case with multiple comorbidities presented to the emergency department with weakness and anorexia, and was diagnosed with atrial fibrillation showing a very regular rhythm.

AI summary · may contain errors

Prevention-based accountability and price-based reforms are both proposed as ways to keep Medicare on a sustainable spending path, but the tradeoffs are debated.

AI summary · may contain errors

In dually enrolled male veterans aged 80+ in VA primary care, PSA testing and prostate biopsy rates were lower than fee-for-service Medicare (187.9 vs 267.9; IRR 0.70).

AI summary · may contain errors

Initiating methadone take-home dosing 5–12 weeks after induction completion in British Columbia is linked to the largest 78-week reductions in all-cause mortality and methadone discontinuation versus no take-home dosing.

AI summary · may contain errors

Universal opt-out HCV testing on entry in California state prisons enables cross-sectional assessment of testing and treatment outcomes among people entering custody.

AI summary · may contain errors

In noncirrhotic steatotic liver disease within the US Veterans Affairs system, the SAFE score best predicted 10-year cirrhosis risk, with a threshold of 29.5 mapping to 2.5% risk.

AI summary · may contain errors

Rebuilding, enhancing, and sustaining patient-physician trust is presented as a key need, with multiple initiatives being implemented to address it.

AI summary · may contain errors

High-performing specialist palliative care programs for patients with metastatic cancer in the United States show mutual trust and earlier hospice introduction by oncology clinicians.