Paul Shafer
Biographic Data
| ID | 6924499 |
|---|---|
| NAME | Paul Shafer |
| GIVEN NAMES | Paul |
| FAMILY NAME | Shafer |
| SIGNATURE | SHAFER P |
| AFFILIATIONS | Boston University |
| ORCID | 0000-0003-0654-5821 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 7 |
| WORKS AS AUTHOR | 15 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Association of SNAP emergency allotment expiration with food insufficiency among households with children and adults recently out of work
Favorable Selection of Veterans in Medicare Advantage
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…
Medicaid Personal Needs Allowances—Overdue for Adjustment
This Viewpoint discusses the need to increase the federal personal needs allowance floor and index the floor to inflation to improve the quality of life for Medicaid beneficiaries living in nursing homes
Characteristics and Benefit Design of Veteran Medicare Advantage Affinity Plans
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
Women's Perspectives on the Influence of Intimate Partner Violence on Substance Use Disorder Recovery and Associated Service Needs
High Deductible Health Plans and Use of Free Preventive Services Under the Affordable Care Act
The Affordable Care Act aimed to increase use of preventive services by eliminating cost-sharing to consumers. However, patients may be unaware of this benefit or they may not seek preventive services if they anticipate that the cost of potential diagnostic or treatment services will be too high, both more likely among those in high deductible health plans. We used nationally representative private health insurance claims (100% sample of IBM ® Ma…
Association of Medicaid Managed Care Drug Carve Outs With Hepatitis C Virus Prescription Use
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
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
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…
To Truly Build the Affordable Care Act Into Universal Coverage, More Creativity Is Needed
Once former Vice President Biden clinched the Democratic Party presidential nomination in early June, it was clear that the chances of a Medicare-for-all-type system in the near future had all but disappeared. Yet, frustration with the fragmented health insurance system crystallized support of progressives for a fundamental rethinking of how US residents pay for health care. Although many progressives will not be satisfied with incremental change…
Competing Public and Private Television Advertising Campaigns and Marketplace Enrollment for 2015 to 2018
Paul R. Shafer a, David M. Anderson b, Seciah M. Aquino c, Laura M. Baum d, Erika Franklin Fowler e, Sarah E. Gollust f, Competing Public and Private Television Advertising Campaigns and Marketplace Enrollment for 2015 to 2018, RSF: The Russell Sage Foundation Journal of the Social Sciences, Vol. 6, No. 2, The Social, Political, and Economic Effects of the Affordable Care Act (July 2020), pp. 85-112
Fighting the Institutionalization of Racism in Medicaid
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…
Increasing the dose of television advertising in a national antismoking media campaign
The US 2013 Tips antismoking media campaign compared standard and higher doses by randomisation of local media markets. Results demonstrate the effectiveness of a higher dose for engaging non-smokers and further increasing quit attempts among smokers, especially African-Americans
Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults
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…
Adult smokers’ receptivity to a television advert for electronic nicotine delivery systems
Smokers are receptive to ENDS television adverts and report intention to try ENDS after viewing the advert. Future studies should monitor ENDS advertising and examine how exposure to ENDS adverts influences smokers' use of ENDS, dual use with cigarettes and cessation behaviour
Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults
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…
Competing Public and Private Television Advertising Campaigns and Marketplace Enrollment for 2015 to 2018
Paul R. Shafer a, David M. Anderson b, Seciah M. Aquino c, Laura M. Baum d, Erika Franklin Fowler e, Sarah E. Gollust f, Competing Public and Private Television Advertising Campaigns and Marketplace Enrollment for 2015 to 2018, RSF: The Russell Sage Foundation Journal of the Social Sciences, Vol. 6, No. 2, The Social, Political, and Economic Effects of the Affordable Care Act (July 2020), pp. 85-112
Adult smokers’ receptivity to a television advert for electronic nicotine delivery systems
Smokers are receptive to ENDS television adverts and report intention to try ENDS after viewing the advert. Future studies should monitor ENDS advertising and examine how exposure to ENDS adverts influences smokers' use of ENDS, dual use with cigarettes and cessation behaviour
Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults
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…
Increasing the dose of television advertising in a national antismoking media campaign
The US 2013 Tips antismoking media campaign compared standard and higher doses by randomisation of local media markets. Results demonstrate the effectiveness of a higher dose for engaging non-smokers and further increasing quit attempts among smokers, especially African-Americans
Health Care in the Biden Administration’s First 100 Days
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…
To Truly Build the Affordable Care Act Into Universal Coverage, More Creativity Is Needed
Once former Vice President Biden clinched the Democratic Party presidential nomination in early June, it was clear that the chances of a Medicare-for-all-type system in the near future had all but disappeared. Yet, frustration with the fragmented health insurance system crystallized support of progressives for a fundamental rethinking of how US residents pay for health care. Although many progressives will not be satisfied with incremental change…
Competing Public and Private Television Advertising Campaigns and Marketplace Enrollment for 2015 to 2018
Paul R. Shafer a, David M. Anderson b, Seciah M. Aquino c, Laura M. Baum d, Erika Franklin Fowler e, Sarah E. Gollust f, Competing Public and Private Television Advertising Campaigns and Marketplace Enrollment for 2015 to 2018, RSF: The Russell Sage Foundation Journal of the Social Sciences, Vol. 6, No. 2, The Social, Political, and Economic Effects of the Affordable Care Act (July 2020), pp. 85-112
Fighting the Institutionalization of Racism in Medicaid
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
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
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…
High Deductible Health Plans and Use of Free Preventive Services Under the Affordable Care Act
The Affordable Care Act aimed to increase use of preventive services by eliminating cost-sharing to consumers. However, patients may be unaware of this benefit or they may not seek preventive services if they anticipate that the cost of potential diagnostic or treatment services will be too high, both more likely among those in high deductible health plans. We used nationally representative private health insurance claims (100% sample of IBM ® Ma…
Medicaid Personal Needs Allowances—Overdue for Adjustment
This Viewpoint discusses the need to increase the federal personal needs allowance floor and index the floor to inflation to improve the quality of life for Medicaid beneficiaries living in nursing homes
Characteristics and Benefit Design of Veteran Medicare Advantage Affinity Plans
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
Women's Perspectives on the Influence of Intimate Partner Violence on Substance Use Disorder Recovery and Associated Service Needs
Association of SNAP emergency allotment expiration with food insufficiency among households with children and adults recently out of work
Favorable Selection of Veterans in Medicare Advantage
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 (10 works) · Healthcare Policy and Management (8 works) · Business (7 works) · Health care (7 works) · Political science (6 works) · Family medicine (5 works) · Advertising (4 works) · Law (4 works) · Medicaid (4 works) · Behavioral Health and Interventions (3 works)