Paul Shafer, PhD
Associate Professor, Health Law, Policy & Management - Boston University School of Public Health
Biography
Paul Shafer is an associate professor of health law, policy, and management and co-director of the Medicaid Policy Lab at the Boston University School of Public Health. His research focuses on how health insurance and social safety net policies affect health and equity. As a health economist, he is passionate about generating rigorous, timely, and policy-relevant research to ease administrative burdens, reduce economic deprivation, and improve health. He is also an investigator with the Partnered Evidence-Based Policy Resource Center at the VA Boston Healthcare System where he leads evaluations of policies and delivery innovations aimed at improving veterans access to care and health.
He is a member of the editorial board for Health Services Research and an editorial fellow for Health Affairs Scholar. His research has been funded by the National Institutes of Health, Agency for Healthcare Research and Quality, Robert Wood Johnson Foundation, Commonwealth Fund, and Arnold Ventures among others. His work has been cited by former President Biden, White House, Congress, Centers for Medicare and Medicaid Services, Surgeon General, US Preventive Services Task Force, and National Academies along with major news outlets, including the New York Times, Washington Post, NPR, CNN, NBC News, and The Atlantic.
He teaches graduate courses in health policy and econometrics and has been recognized with teaching awards at Boston University and the University of North Carolina at Chapel Hill. Previously, he served as a research economist at RTI International, junior fellow at the Agency for Healthcare Research and Quality, and research fellow at the Office of Personnel Management. He holds a BA and PhD from the University of North Carolina at Chapel Hill and an MA from the University of North Carolina at Greensboro.
Education
- University of North Carolina at Chapel Hill, PhD
- University of North Carolina at Greensboro, MA
Websites
Classes Taught
- SPHPM807
- SPHPM822
- SPHPM844
Publications
- Published on 12/17/2025
McCann NC, de Cuba SE, Hofman M, Pauly T, Ashe E, Younossi Y, Stein MD, Shafer PR, Hsu HE. Validation of an Electronic Health Record Algorithm for Identifying Housing-Related Needs in a Safety-Net Health System. Health Serv Res. 2025 Dec 17; e70076. PMID: 41405363.
Read At: PubMed
- Published on 12/3/2025
Gertner A, Easterly CW, DeSilva S, Shafer PR, Lombardi B, Hunt-Harrison T, Nag S, Cholera R, Roubinov D, Gaynes B. Changes in the Proportion of Office-Based Child and Adolescent Physician Visits Addressing Mental Health, 2005-2019. Psychiatr Serv. 2025 Dec 03; appips20240553. PMID: 41331832.
Read At: PubMed
- Published on 11/10/2025
McCann NC, Hsu HE, Ettinger de Cuba S, Frank J, Lange P, Stein MD, Shafer PR. When state Medicaid demonstrations end: projected eligibility loss after a MassHealth housing support program transition. Health Aff Sch. 2025 Nov; 3(11):qxaf213. PMID: 41267910.
Read At: PubMed
- Published on 11/10/2025
Ogden SN, Dichter ME, Major E, Harris MTH, Haley DF, Shafer PR, Clark JA. Women's Perspectives on the Influence of Intimate Partner Violence on Substance Use Disorder Recovery and Associated Service Needs. Womens Health Issues. 2025 Nov 10. PMID: 41219018.
Read At: PubMed
- Published on 10/8/2025
Dorneo A, Pizer SD, Garrido MM, Shafer PR, Frakt AB, Feyman Y. Favorable Selection of Veterans in Medicare Advantage: Risk-Adjusted Cost Differences of Dual Veteran Health Administration Enrollees. Med Care. 2026 Jan 01; 64(1):4-10. PMID: 41065485.
Read At: PubMed
- Published on 8/7/2025
Austin AE, Ettinger de Cuba S, Maierhofer CN, Naumann RB, Chen M, Anderson KN, Shafer PR. Food insufficiency and difficulty affording expenses after the end of Supplemental Nutrition Assistance Program emergency allotments in the United States among households with and without children. Prev Med. 2025 Oct; 199:108385. PMID: 40783141.
Read At: PubMed
- Published on 7/1/2025
Duffy EW, Poole MK, Gonzalez D, Petimar J, Kinsey EW, Shafer PR, Baldwin-SoRelle C, Austin AE. Beyond Food Assistance: A Scoping Review Examining Associations of Nonfood Social Safety Net Programs in the United States With Food Insecurity and Nutrition Outcomes. Nutr Rev. 2025 Jul 01; 83(7):1344-1357. PMID: 39868761.
Read At: PubMed
- Published on 6/1/2025
Shafer PR. Recoding America: Why Government is Failing in the Digital Age and How We Can Do Better. Journal of Health Politics, Policy and Law. 2025; 3(50):509–516.
Read At: Custom
- Published on 5/1/2025
Aswani MS, Do LA, Shafer PR. Use Of Social Determinants Of Health Z Codes Was Sparse, 2016-22. Health Aff (Millwood). 2025 May; 44(5):631-635. PMID: 40324133.
Read At: PubMed
- Published on 4/9/2025
Skinner A, McCann NC, Howe CJ, Leifheit KM, Dean LT, Diaz Y, Ettman CK, Raifman J, Shafer PR. Association between pre-pandemic wealth and material hardships during the COVID-19 pandemic: how racial and ethnic wealth inequities shape household vulnerability to national crises. Health Aff Sch. 2025 May; 3(5):qxaf078. PMID: 40322319.
Read At: PubMed
View 92 more publications:View Full Profile at BUMC
News & In the Media
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Published on December 3, 2025
1.6 Million Americans Removed from Health Care Plan Under Trump Admin
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Published on November 7, 2025
SPH Researchers to Study Sports Betting and Casino Gambling in Mass. with $2.5M Grant
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Published on November 1, 2025
Many Questions Remain After Judges Order USDA to Fund SNAP During Shutdown
- Published on October 30, 2025
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Published on October 14, 2025
SNAP Overhaul Reduces Benefits, Tightens Access for Students
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Published on October 9, 2025
First, the Trump Administration Cut SNAP Benefits. Now It Wants to Stop Measuring Food Insecurity
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Published on October 3, 2025
Most American Children Rely on Medicaid, Chip—They Could Soon Be at Risk
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Published on October 2, 2025
Map Shows Highest Health Insurance Premium Rises by U.S. State
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Published on September 23, 2025
Guest Essay: We Need Smarter Health Policy, Not Arbitrary Caps on Rules
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Published on September 22, 2025
Suspension of Covid-Era Snap Benefits Intensifies Food Insecurity and Financial Strain in Households
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Published on September 19, 2025
Halting COVID-related SNAP Benefits Left Families Struggling to Afford Food, Household Expenses
- Published on September 19, 2025
- Published on August 15, 2025
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Published on August 1, 2025
Supreme Court Rulings Deliver Victories and Challenges for Public Health
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Published on July 31, 2025
New York Removes Nearly 1 Million People from Health Care Plan
- Published on July 30, 2025
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Published on July 10, 2025
New Yorkers Spend 5th Highest Share of Income on Health Insurance, Study Finds
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Published on July 10, 2025
States Where People Spend the Most & Least on Health Insurance
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Published on July 8, 2025
The Supreme Court Upholds Free Preventive Care, but Its Future Now Rests in RFK Jr.’s Hands
- Published on July 7, 2025
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Published on July 2, 2025
The Supreme Court Upholds Free Preventive Care, but Its Future Now Rests in RFK Jr.’s Hands
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Published on July 1, 2025
Map Shows How Many Could Lose Health Care in Each State Under Tax Bill
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Published on June 11, 2025
Map Shows States Where People Are Being Removed from Health Care Plan
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Published on May 7, 2025
The Case for a Long Overdue ‘Raise’ for Seniors in Nursing Homes
- Published on April 28, 2025
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Published on April 24, 2025
Biden Let California Get Creative with Medicaid Spending. Trump Is Signaling That May End
- Published on April 15, 2025
- Published on March 14, 2025
- Published on March 3, 2025
- Published on February 18, 2025
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Published on February 4, 2025
“Unprecedented” Medicaid Cuts Could Cripple Health Program, BU Experts Warn
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Published on January 31, 2025
Restrictive Personal Needs Allowances ‘Compromise the Human Rights and Basic Needs of Older Adults’
- Published on January 30, 2025
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Published on January 22, 2025
Insurance Coverage, Type of Employment Shape Inequities in Access to Semaglutide
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Published on December 30, 2024
Health Insurance Premiums in Massachusetts Are Among the Most Expensive in the Country. Why?
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Published on December 16, 2024
5 of the Most Frustrating Health Insurer Tactics and Why They Exist
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Published on October 20, 2024
Charts: The Biggest Healthcare Issues Heading Into the 2024 Election
- Published on October 18, 2024
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Published on April 13, 2024
Free Cash Programs Spread as More Cities Expand the Anti-poverty Safety Net
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Published on February 16, 2024
Child Tax Credits Provided Significant Relief to Families Experiencing Economic Shocks during COVID
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Published on February 13, 2024
Permanently Expanding the Child Tax Credit Can Make Generational Change
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Published on October 28, 2023
Professor Collaborates with Federal Agency to Study Employee Health Insurance Utilization
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Published on October 25, 2023
Children in 1 Million More Families Faced Food Insecurity in 2022, USDA Says
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Published on October 25, 2023
Children in 1 Million More Families Faced Food Insecurity in 2022, USDA Says
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Published on April 14, 2023
Millions of Americans at Risk of Losing Free Preventive Care after Texas Ruling on ACA
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Published on April 10, 2023
Millions of Americans at Risk of Losing Free Preventive Care after Texas Ruling on ACA
- Published on March 31, 2023
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Published on March 11, 2023
‘I Got Scammed’: Americans Describe Getting Surprise Medical Bills via Health Care Loopholes
- Published on February 16, 2023
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Published on October 24, 2022
U.S. Child Hunger Spiked in Weeks After Child Tax Credits Repealed
- Published on October 24, 2022
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Published on October 24, 2022
Food Insufficiency Spiked in U.S. After Child Tax Credits Ended
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Published on October 21, 2022
US Food Insufficiency Spiked by 25 Percent After Child Tax Credits Expired
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Published on October 21, 2022
Food Insufficiency up 25% Since Manchin, GOP Killed Child Tax Credit Boost
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Published on October 21, 2022
Food Insufficiency Increased in Us Households by 25% After Expiration of Child Tax Credit Payments
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Published on October 7, 2022
Increasing Mental Health Providers May Reduce Suicides among Veterans
- Published on October 2, 2022
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Published on September 23, 2022
Monthly Caps on Out-Of-Pocket Costs Would Provide Financial Relief to Privately Insured Patients
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Published on September 16, 2022
Monthly Caps on Out-of-Pocket Costs Could Provide Financial Relief to Privately Insured Patients
- Published on September 13, 2022
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Published on August 9, 2022
Federal Government Steps in to Help Pull Missouri Out of Medicaid Backlog
- Published on May 17, 2022
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Published on April 13, 2022
The Expanded Child Tax Credit Could Have Helped Protect Families against Inflation
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Published on March 1, 2022
Monthly Child Tax Credit Payments Linked to Decline in Food Insufficiency
- Published on January 21, 2022
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Published on January 19, 2022
Advance Child Tax Credit Payments Cut Food Insufficiency by 26%, Study Finds
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Published on January 13, 2022
Advance Child Tax Credits Reduced US Food Insufficiency by 26 Percent
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Published on January 13, 2022
Special Pandemic Payments Staved off Hunger for Children’s Families
- Published on December 2, 2021
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Published on October 19, 2021
Only 15% Of Unemployed Adults in NC Gained Medicaid Coverage during the Pandemic, Finds Study
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Published on October 14, 2021
During COVID, Majority of Newly Unemployed Adults in North Carolina Didn’t Receive Medicaid
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Published on September 7, 2021
The Next Attack on the Affordable Care Act May Cost You Free Preventive Health Care
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Published on August 27, 2021
Subscription-Based Payment Models May Improve Access to Hepatitis C Medications
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Published on July 23, 2021
Many Patients Billed for Preventive Care That Should Be Free: Study
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Published on July 20, 2021
Patients Billed up to $219 Million in One Year for Preventive Services That Should Be Free
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Published on July 9, 2021
Study: People in Most Need Least Likely to Benefit from COVID Crowdfunds
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Published on April 30, 2021
BU Medicaid Policy Lab Advances Research with a Health Equity Focus
- Published on March 15, 2021
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Published on March 15, 2021
The Affordable Care Act Reduces Out-of-Pocket Costs for Children’s Care
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Published on March 12, 2021
Children’s Preventive Healthcare Costs Dropped Under the ACA
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Published on March 8, 2021
Expanding Health Coverage Is Good. But We Also Need to Fix Stingy Plans.
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Published on February 18, 2021
New BU Lab Studies Medicaid, Where Racism, Poverty, and COVID-19 Meet
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Published on January 21, 2021
Biden’s Top-Four Priorities, Explained by Leading BU Experts
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Published on January 5, 2021
How Biden Can Expand Healthcare Access in His First 100 Days
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Published on November 25, 2020
How President Biden Will Shape Healthcare in His First 100 Days in Office
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Published on November 25, 2020
The Health 202: The U.S. Is Poised for Another Wave of COVID-19 Deaths, Public Health Experts Warn
- Published on November 4, 2020
- Published on October 28, 2020
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Published on October 23, 2020
What Canada’s COVID Response Can Teach the U.S. About Social Safety Nets
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Published on August 26, 2020
While the US Is Reeling From COVID-19, the Trump Administration Is Trying to Take Away Health Care
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Published on August 25, 2020
While the US Is Reeling From COVID-19, the Trump Administration Is Trying to Take Away Health Care
- Published on July 16, 2020
- Published on July 14, 2020
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Published on June 29, 2020
Four Ways COVID-19 Has Exposed Gaps in the US Social Safety Net
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Published on May 26, 2020
4 Ways COVID-19 Has Exposed Gaps in the US Social Safety Net
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Published on May 26, 2020
4 Ways COVID-19 Has Exposed Gaps in the US Social Safety Net
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Published on April 29, 2020
Wait Times Remain Stubbornly Long in Hospital Emergency Rooms
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Published on August 23, 2019
New Rules from the Trump Administration Will Hurt El Paso Shooting Victims