This cohort study examined whether a monthly insulin out-of-pocket cap was associated with changes in spending, insulin use, or clinical outcomes in Medicare beneficiaries with type 2 diabetes. from JAMA Internal Medicine Online First https://ift.tt/u7eMojs

This review aims to present important diagnostic and treatment approaches for a generalist audience to improve confidence in managing orthostatic hypotension. from JAMA Internal Medicine Online First https://ift.tt/Y3Ro4J6

This Teachable Moment describes how traditional titration protocols for patients with fentanyl use disorder may be inadequate for patients with frequent, high-dose, or high-potency opioid use. from JAMA Internal Medicine Online First https://ift.tt/RoAJMU6

This Viewpoint discusses strategies for implementing and scaling hospital-at-home programs, which could help improve hospital capacity, quality, and patient experience. from JAMA Internal Medicine Online First https://ift.tt/kWRyX2N

This cross-sectional study compares prices and facility characteristics of residential substance use facilities owned by private equity firms with other for-profit facilities and whether there are differences by ownership type. from JAMA Health Forum New Online https://ift.tt/3rT9dpY

This cohort study identifies variations in the care cascade for patients in need of coronary artery disease testing and cardiology referral after an emergency department visit. from JAMA Health Forum New Online https://ift.tt/lkWOxNq

Health Policy from JAMA Health Forum New Online https://ift.tt/SzXkr6t

This Viewpoint discusses how partnerships between public health and criminal justice organizations could help improve health and safety and minimize harms from gun violence. from JAMA Health Forum New Online https://ift.tt/2E8y4zi

This JAMA Forum discusses the declining costs and use of diagnostic imaging, the reasons for the imaging slowdown, and the future of imaging in the US health care system. from JAMA Health Forum New Online https://ift.tt/h5AKOq6

In Reply In this Letter, Liu concludes that the “vital next step for the field” is to translate short-term risk reduction into self-sustaining health. Our ELM trial aimed to sustain healthy behaviors by shifting motivation from have to change, to want to change. This was challenging in a cohort of patients with metabolic syndrome of whom 85% were diagnosed with obesity and 98% with central obesity. from JAMA Internal Medicine Online First https://ift.tt/pYXkcFm

This multicenter cohort study evaluates whether red blood cell exchange transfusion improves clinical outcomes among hospitalized adult patients with severe babesiosis. from JAMA Internal Medicine Online First https://ift.tt/Coi8rFp