Gregg's Top Three Health Policy Articles

If you can only read three things about health policy this week, I suggest...

The Top Three...

Modern Healthcare: Congress Passes Budget, Teeing Up Huge Healthcare Cuts Congress paved the way for deep cuts in healthcare spending as part of an effort to extend expiring tax cuts on Thursday. The House voted 216-214 to adopt the final version of the fiscal 2026 budget resolution, with GOP Reps. Thomas Massie (Ky.) and Victoria Spartz (Ind.) joining the Democratic minority in opposition. This followed a Senate vote to approve the budget on Monday and a House vote in February on the lower chamber's first draft of the measure. (McAuliff, 4/10)

The Wall Street Journal: Private Medicare Plans To Get Big Payment Boost From Trump Administration The Trump administration will substantially increase payment rates for Medicare insurers next year, generating more than $25 billion in additional revenue for the industry and doubling the boost proposed in January. The rate increase of 5.06%, compared with 2.23% in the earlier proposal from the Biden administration, overshoots even optimistic expectations from many Wall Street analysts, and will likely lead to a rally in the shares of big Medicare insurers such as UnitedHealth Group, Humana and CVS Health, parent of Aetna. (Wilde Mathews, 4/7)

CBS News: RFK Jr. To Lay Off More NIH Employees Amid HHS Restructuring, Officials Say More employees at the National Institutes of Health are expected to be laid off in the coming days, multiple federal officials say, less than a week after an initial wave of cuts gutted many offices within the health research agency. The NIH was initially supposed to lose about 1,200 scientists, support staff and other officials as a result of Health and Human Services Secretary Robert F. Kennedy Jr.'s restructuring. It is unclear how many additional employees will be targeted for cuts. (Tin and Gounder, 4/4)

For a Deeper Dive...

Modern Healthcare: What The Senate Budget Resolution Means For Medicaid Cuts Congressional Republicans agree that cutting taxes is their top priority, but the House and Senate have diverged on how, and how much, to cut Medicaid. The Senate approved a budget resolution in the early hours of Saturday that calls for $4 billion in spending cuts to offset a small portion of the $5.8 trillion cost for the tax cuts. By contrast, the House-passed budget resolution seeks at least $1.5 trillion in spending reductions including $880 billion from the Energy and Commerce Committee, which has jurisdiction over Medicaid. (McAuliff, 4/7)

Axios: A Closer Look At The Nationwide Impact Of NIH Cuts Nearly half of all U.S. counties will experience economic losses of at least $250,000 as a result of the Trump administration's planned cuts to indirect funding by the National Institutes of Health, per the Science & Community Impacts Mapping Project. (Reed, 4/9)

ABC News: RFK Jr. Said HHS Layoffs Are Needed As 'Americans Are Getting Sicker.' Here's What The Data Shows About 10,000 people across the United States Department of Health and Human Services were laid off this week as part of a massive restructuring plan. In a post on X on Tuesday afternoon, HHS Secretary Robert F. Kennedy Jr. said the layoffs represented "a difficult moment for all of us" but that "we must shift course" because Americans are "getting sicker every year." An official at the National Institutes of Health with knowledge on the matter, who asked not to be named, told ABC News that the layoffs were an "HHS-wide bloodbath," with entire offices being fired. (Kekatos and Akambase, 4/4)

Modern Healthcare: Emergency Departments Risk Closing Over Pay, Overcrowding: Rand Emergency departments are in danger of closing without legislative intervention, according to a new report. Increased violence towards providers, declining reimbursement from payers and higher volumes of complex patients are endangering the future of emergency departments, nonprofit research organization Rand wrote in a report on Sunday. Rand said policymakers must pass legislation to help hospitals navigate the challenges that have surmounted for emergency departments over the years. (DeSilva, 4/6)

Stat: U.S. Maternal Mortality Rate Increased By 27% Over Five Years, NIH Study Finds A new U.S. government paper documenting an increase in maternal mortality from 2018 to 2022 does not hedge in its conclusion, calling the issue “an urgent public health priority.” That it was published amid massive job and funding cuts at federal health agencies charged with reducing these deaths has not escaped notice. (Oza, 4/9)

Politico: RFK Jr. Said HHS Would Rehire Thousands Of Fired Workers. That Wasn't True When HHS Secretary Robert F. Kennedy Jr. said Thursday that he planned to rehire 20 percent of the employees he’d just terminated, he insisted such a move was “always the plan.” Turns out, it wasn’t the plan at all. HHS has no intention of reinstating any significant number of the staffers fired as part of a mass reduction-in-force on Tuesday, despite Kennedy’s assertion that some had been mistakenly cut, a person familiar with the department’s plans told POLITICO. (Cancryn, 4/4)

The Washington Post: RFK Jr: If You Smoke Or Eat Donuts, Should Society Pay For Your Health Care? Robert F. Kennedy Jr. asked whether society should pay for the health care of Americans who smoke or eat doughnuts when they know those habits can contribute to poor health outcomes. “If you’re smoking three packs of cigarettes a day, should you expect society to pay when you get sick?” the nation’s top health official asked in an interview released Wednesday with CBS News chief medical correspondent, physician Jon LaPook. (Weber, 4/10)

You Might Also Enjoy...

JAMA: Can a New Commission Make America Healthy Again? LO Gostin, SA Wetter, P Lurie

For the Visual Among Us...

A few years ago I started a weekly e-mail for friends and colleagues who want to keep up on major federal health policy developments but did not have time to plod through all the minutiae--they were busy doing important things like running organizations and taking care of patients! Much to my surprise, it became pretty popular. I have now converted to a weekly newsletter format so you can manage your own subscription preferences and forward to others that might be interested.

These summaries represent my judgement on health policy issues that may not on the front pages, but are relevant to clinicians, administrators, and educators. I monitor many news sources and clipping services to identify content for this newsletter and I try hard to be as factual, balanced, and non-partisan as possible. While the articles are written by others (with credit attributed), the choice of what to include is entirely mine. If you are interested in receiving a daily summary of health policy news, you might consider signing up for the KHN Morning Briefing. If you enjoy podcasts, I suggest What the Health? and Tradeoffs.

-Gregg S. Margolis, PhD