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Paul R Shafer

Biographic Data

ID5539965
NAMEPaul R Shafer
GIVEN NAMESPaul R
FAMILY NAMEShafer
SIGNATURESHAFER P R
AFFILIATIONSDepartment of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts
VERIFIEDNo
TOTAL WORKS8
TOTAL CITATIONS5
WORKS AS AUTHOR8
WORKS AS EDITOR0
FIRST PUBLICATION YEAR2014
LATEST PUBLICATION YEAR2026
H-INDEX1
  • Association of SNAP emergency allotment expiration with food insufficiency among households with children and adults recently out of work

    Open Access•Anna E Austin, Paul R Shafer et al.•ARTICLE•Children and Youth Services Review•2026

  • Favorable Selection of Veterans in Medicare Advantage

    Allison Dorneo, Steven D Pizer et al.•ARTICLE•Medical Care•2026•References: 20

    BACKGROUND: Prior literature has shown that favorable selection of enrollees in Medicare Advantage (MA) that is not accounted for under the Hierarchical Condition Category (HCC) risk adjustment model can result in significant overpayments to MA plans. Detailed data from the Veterans Health Administration's (VHA) Nosos risk score can measure previously undetected favorable selection in a unique cohort of patients. OBJECTIVE: To analyze characteris…

  • Characteristics and Benefit Design of Veteran Medicare Advantage Affinity Plans

    Open Access•Allison Dorneo, Yanlei Ma et al.•ARTICLE•JAMA Health Forum•2025

    This study found that MA insurers-specifically VMAPs-engaged in targeted marketing to veterans, offering $0 premiums, cash back benefits, and supplemental benefits. However, nearly all VMAPs excluded Medicare Part D, likely designed to attract veteran enrollees who use VHA care, making them low-cost enrollees to the plan. Since the VHA cannot bill plans for Medicare-covered services, VMAPs may be increasing wasteful federal spending

  • Association of Medicaid Managed Care Drug Carve Outs With Hepatitis C Virus Prescription Use

    Open Access•Samantha G Auty, Paul R Shafer et al.•ARTICLE•JAMA Health Forum•2021

    In this cross-sectional study of data from 39 states and the District of Columbia, carve outs of direct-acting antiviral HCV medications from Medicaid MCO prescription drug coverage were associated with significant increases in HCV medication use. Given their clinical benefits, greater uptake of HCV medication may help improve the health of Medicaid enrollees with HCV and reduce the economic burden of untreated HCV on the US health care system

  • What the New Biden Administration May Mean for Medicaid

    Open Access•Megan B Cole, Paul R Shafer et al.•ARTICLE•JAMA Health Forum•2021

    The Medicaid program provides health insurance coverage to more than 68 million low-income Americans. Over the past 4 years, the Trump administration aimed to reduce spending and enrollment in Medicaid through work requirements, monthly premiums, proposed block granting, and repealing the Affordable Care Act (ACA), upon which the authority and funding for Medicaid expansion rests. Although the upcoming Supreme Court ruling on the constitutionalit…

  • Health Care in the Biden Administration’s First 100 Days

    Open Access•Paul R Shafer, Paul Shafer et al.•ARTICLE•JAMA Health Forum•2020

    President-Elect Joe Biden will take office during uniquely challenging times. He will have the benefit of popular vote and electoral college victories but will likely face a divided Congress. Biden is unlikely to experience the energetic legislative cooperation expected during the first 100 days of a new president's first term. The filibuster remains a powerful tool for obstruction, and Senate Majority Leader Mitch McConnell is likely to frustrat…

  • Fighting the Institutionalization of Racism in Medicaid

    Paul R Shafer, Paul Shafer et al.•ARTICLE•American Journal of Public Health•2020•References: 3

    Fighting the Institutionalization of Racism in Medicaid Paul R. Shafer PhD, and Nambi Ndugga MPH Affiliation Paul R. Shafer and Nambi Ndugga are with the Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA.CopyRightCorrespondence should be sent to Paul R. Shafer, Assistant Professor, Boston University School of Public Health, Department of Health Law, Policy, and Management, 715 Albany St, Talbo…

  • Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults

    Annice Kim, Annice E Kim et al.•ARTICLE•American Journal of Public Health•2014•Cited by: 5•References: 24

    Objectives. We tested the impact of banning tobacco displays and posting graphic health warning signs at the point of sale (POS). Methods. We designed 3 variations of the tobacco product display (open, enclosed [not visible], enclosed with pro-tobacco ads) and 2 variations of the warning sign (present vs absent) with virtual store software. In December 2011 and January 2012, we randomized a national convenience sample of 1216 adult smokers and re…

  • Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults

    Annice Kim, Annice E Kim et al.•ARTICLE•American Journal of Public Health•2014•Cited by: 5•References: 24

    Objectives. We tested the impact of banning tobacco displays and posting graphic health warning signs at the point of sale (POS). Methods. We designed 3 variations of the tobacco product display (open, enclosed [not visible], enclosed with pro-tobacco ads) and 2 variations of the warning sign (present vs absent) with virtual store software. In December 2011 and January 2012, we randomized a national convenience sample of 1216 adult smokers and re…

  • Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults

    Annice Kim, Annice E Kim et al.•ARTICLE•American Journal of Public Health•2014•Cited by: 5•References: 24

    Objectives. We tested the impact of banning tobacco displays and posting graphic health warning signs at the point of sale (POS). Methods. We designed 3 variations of the tobacco product display (open, enclosed [not visible], enclosed with pro-tobacco ads) and 2 variations of the warning sign (present vs absent) with virtual store software. In December 2011 and January 2012, we randomized a national convenience sample of 1216 adult smokers and re…

  • Health Care in the Biden Administration’s First 100 Days

    Open Access•Paul R Shafer, Paul Shafer et al.•ARTICLE•JAMA Health Forum•2020

    President-Elect Joe Biden will take office during uniquely challenging times. He will have the benefit of popular vote and electoral college victories but will likely face a divided Congress. Biden is unlikely to experience the energetic legislative cooperation expected during the first 100 days of a new president's first term. The filibuster remains a powerful tool for obstruction, and Senate Majority Leader Mitch McConnell is likely to frustrat…

  • Fighting the Institutionalization of Racism in Medicaid

    Paul R Shafer, Paul Shafer et al.•ARTICLE•American Journal of Public Health•2020•References: 3

    Fighting the Institutionalization of Racism in Medicaid Paul R. Shafer PhD, and Nambi Ndugga MPH Affiliation Paul R. Shafer and Nambi Ndugga are with the Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA.CopyRightCorrespondence should be sent to Paul R. Shafer, Assistant Professor, Boston University School of Public Health, Department of Health Law, Policy, and Management, 715 Albany St, Talbo…

  • Association of Medicaid Managed Care Drug Carve Outs With Hepatitis C Virus Prescription Use

    Open Access•Samantha G Auty, Paul R Shafer et al.•ARTICLE•JAMA Health Forum•2021

    In this cross-sectional study of data from 39 states and the District of Columbia, carve outs of direct-acting antiviral HCV medications from Medicaid MCO prescription drug coverage were associated with significant increases in HCV medication use. Given their clinical benefits, greater uptake of HCV medication may help improve the health of Medicaid enrollees with HCV and reduce the economic burden of untreated HCV on the US health care system

  • What the New Biden Administration May Mean for Medicaid

    Open Access•Megan B Cole, Paul R Shafer et al.•ARTICLE•JAMA Health Forum•2021

    The Medicaid program provides health insurance coverage to more than 68 million low-income Americans. Over the past 4 years, the Trump administration aimed to reduce spending and enrollment in Medicaid through work requirements, monthly premiums, proposed block granting, and repealing the Affordable Care Act (ACA), upon which the authority and funding for Medicaid expansion rests. Although the upcoming Supreme Court ruling on the constitutionalit…

  • Characteristics and Benefit Design of Veteran Medicare Advantage Affinity Plans

    Open Access•Allison Dorneo, Yanlei Ma et al.•ARTICLE•JAMA Health Forum•2025

    This study found that MA insurers-specifically VMAPs-engaged in targeted marketing to veterans, offering $0 premiums, cash back benefits, and supplemental benefits. However, nearly all VMAPs excluded Medicare Part D, likely designed to attract veteran enrollees who use VHA care, making them low-cost enrollees to the plan. Since the VHA cannot bill plans for Medicare-covered services, VMAPs may be increasing wasteful federal spending

  • Association of SNAP emergency allotment expiration with food insufficiency among households with children and adults recently out of work

    Open Access•Anna E Austin, Paul R Shafer et al.•ARTICLE•Children and Youth Services Review•2026

  • Favorable Selection of Veterans in Medicare Advantage

    Allison Dorneo, Steven D Pizer et al.•ARTICLE•Medical Care•2026•References: 20

    BACKGROUND: Prior literature has shown that favorable selection of enrollees in Medicare Advantage (MA) that is not accounted for under the Hierarchical Condition Category (HCC) risk adjustment model can result in significant overpayments to MA plans. Detailed data from the Veterans Health Administration's (VHA) Nosos risk score can measure previously undetected favorable selection in a unique cohort of patients. OBJECTIVE: To analyze characteris…

Medicine (6 works) · Health care (4 works) · Healthcare Policy and Management (4 works) · Political science (4 works) · Environmental health (3 works) · Family medicine (3 works) · Law (3 works) · Medicaid (3 works) · Administration (probate law (2 works) · Confidence interval (2 works)

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