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J. Franklin Wharam

Professor of Medicine
Medicine, General Internal Medicine
710 West Main Street, Durham, NC 27710
Dept of Med, Durham, NC 27710

Overview


Dr. Frank Wharam is a general internist and health policy researcher. He studies the impact of national and state policies on the health of large populations, chronically ill patients, and vulnerable subgroups. His research often examines effects of health insurance benefit designs such as value-based, consumer-directed (CDHPs), and high-deductible health plans (HDHPs). He has led many large-scale studies in these areas, funded by the National Institutes of Health, the Centers for Disease Control and Prevention, and the Patient-centered Outcomes Research Institute. Dr. Wharam is a leading scholar in research about HDHPs and cost sharing. He also focuses on interventions that affect people with diabetes, substance use disorders, cancer, obesity, mental illness, and respiratory diseases. He has expertise in rigorous quasi-experiment research designs, causal inference in observational data, and large claims data analyses. His work has been published in journals such as Annals of Internal Medicine, JAMA, the New England Journal of Medicine, and Health Affairs. He is the national co-chair of the Natural Experiments in Diabetes Translation (NEXT-D3) research collaborative.

Dr. Wharam is Professor of Medicine in the Division of General Internal Medicine and a core faculty member in the Margolis Center. He directs a new center devoted to analyzing large-scale health policy effects in order to inform a more efficient and equitable health care system. He also cares for patients at the Duke Outpatient Clinic. 

Dr. Wharam joined Duke after 17 years at the Harvard Medical School Department of Population Medicine. There he held the Martin Robison Delany endowed chair and was Director of the Division of Health Policy and Insurance Research. Before Harvard, he completed Internal Medicine residency at Duke in 2004. 

Current Appointments & Affiliations


Professor of Medicine · 2022 - Present Medicine, General Internal Medicine, Medicine
Member of the Duke Cancer Institute · 2022 - Present Duke Cancer Institute, Institutes and Centers
Core Faculty Member, Duke-Margolis Institute for Health Policy · 2024 - Present Duke-Margolis Institute for Health Policy, University Institutes and Centers

Recent Publications


Health Care Costs and Use of Patients Prescribed Four Different Obesity Medications.

Journal Article Obesity (Silver Spring) · May 12, 2026 OBJECTIVE: This study compared changes in health care costs and use across cohorts initiating four obesity medications (OMs). METHODS: Commercial insurance claims were used to identify new initiators of phentermine (n = 136,788), phentermine-topiramate-ER ... Full text Link to item Cite

Heavy Drinking, Alcohol Use Disorder, and Obesity.

Journal Article JAMA Intern Med · April 20, 2026 Full text Link to item Cite

Delay in Diabetes Diagnosis After High-Deductible Health Plan Enrollment: A Pre-Post Study with Control.

Journal Article J Gen Intern Med · April 2026 BACKGROUND: High-deductible health plan (HDHP) members face relatively high out-of-pocket (OOP) costs for urgent care, high-acuity care, and secondary prevention. These costs could affect the timing of cardiometabolic disease diagnosis. OBJECTIVE: To deter ... Full text Link to item Cite
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Recent Grants


Evaluating two novel, equity-focused health insurance designs: impact on diabetes outcomes

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2025 - 2030

Comparative effectiveness of anti-obesity medications for cardiometabolic health outcomes and health services use

ResearchPrincipal Investigator · Awarded by Harvard Pilgrim Health Care, Inc. · 2023 - 2028

Reducing disparities in alcohol use disorder treatment in underserved areas

ResearchPrincipal Investigator · Awarded by Harvard Pilgrim Health Care, Inc. · 2024 - 2027

View All Grants