Gregg's Top Three Health Policy Articles

Health policy impacts everyone, but it can be hard to know what is important. If you can only read three things about health policy this week, I suggest...

The Top Three...

The Wall Street Journal: The Death Rate For Babies In America Rose For The First Time In 20 Years The rate of babies dying in the U.S. increased significantly for the first time in two decades, raising new alarms about maternal-infant health in America. The nation’s infant-mortality rate rose 3% from 2021 to 2022, reversing a decades long overall decline, the Centers for Disease Control and Prevention said Wednesday. The rate increased from 5.44 infant deaths for every 1,000 births to 5.6 in 2022, a statistically significant uptick. (Essley Whyte, 11/1)

Axios: Medicare Cuts Doctor And Hospital Payments Medicare administrators served doctors and hospitals a pair of big payment cuts late Thursday. Doctors will see a 3.4% decrease to a key factor determining their base Medicare pay next year, officials announced in a final rule. That’s virtually unchanged from what administrators proposed this summer. (Goldman, 11/3)

Modern Healthcare: How Biden's AI Executive Order Applies To Healthcare President Joe Biden signed a sweeping executive order and invoked the Defense Production Act on Monday to establish the first set of standards on the use of artificial intelligence in healthcare and other industries. As the hype, promise and usage of AI has grown in healthcare, health system leaders and developers have sought more concrete guardrails on its usage, particularly for clinical purposes. Biden signed the order at an afternoon AI-focused event at the White House. (Perna and Turner, 10/30)

For a Deeper Dive...

NBC News: By Repeatedly Denying Claims, Medicare Advantage Plans Threaten Rural Hospitals And Patients, Say CEOs Because the plans routinely deny coverage for necessary care, they are threatening the existence of struggling rural hospitals nationwide, CEOs of facilities in six states told NBC News. While the number of older Americans who rely on Medicare Advantage in rural areas continues to rise, these denials force the hospitals to eat the increasing costs of care, causing some to close operations and leave residents without access to treatment. (Morgenson, 10/31)

Modern Healthcare: CDC Launches Healthcare Worker Burnout Initiative The Centers for Disease Control and Prevention is launching an effort to help hospitals address workforce burnout and support the mental wellness of their employees. Led by the CDC’s National Institute for Occupational Safety and Health and the Dr. Lorna Breen Heroes Foundation, the initiative includes resources for hospitals to identify areas for improvement in employee well-being and training for frontline leaders to help foster a better work-life balance among staff. (Devereaux, 10/31)

Axios: U.S. Health Plan Rates Can Vary Sharply By County, Study Shows One of the first studies of publicly available insurer price data found generally higher rates for office visits and medical procedures in the Upper Midwest and Southeast, and the lowest costs in the Central U.S. and Florida. The findings published in JAMA Health Forum could help shine a light on regional price variations and whether higher costs translate to more value in markets. (Goldman, 10/30)

Stat: Biden Proposes Fixes To No Surprises Act Dispute Resolution Process The Biden administration dropped a new proposal Friday designed to fix the controversial dispute resolution process that’s part of the federal surprise billing ban. Since the beginning of 2022, the No Surprises Act has shielded patients in most cases against bills from out-of-network providers for care delivered at in-network facilities. But the behind-the-scenes battles between those providers and health insurers over what that care should cost have gotten ugly. (Bannow, 10/27)

Politico: Johnson’s Brewing SNAP Crisis Republican Speaker Mike Johnson, more so than previous Speaker Kevin McCarthy, is a proponent of more hard-line GOP efforts to overhaul the Supplemental Nutrition Assistance Program, the country’s largest anti-hunger program that serves 41 million low-income Americans. As a senior member of the conservative-leaning Republican Study Committee, Johnson backed proposals to roll back food aid expansions under Biden and block states from exempting some work requirements for SNAP, formerly known as food stamps. In 2018, Johnson referred to SNAP as “our nation’s most broken and bloated welfare program.” (Hill, 11/2)

The Washington Post: New York City Has A Plan For Everyone To Live To At Least 83 New York City officials on Wednesday announced a sweeping agenda “to achieve healthier, longer lives for all New Yorkers” and raise the city’s average life span to at least 83 years, as public health leaders across the country grapple with declining life expectancy and seek strategies to reverse the trend. (Diamond, 11/1)

CBS News: "Hopeless And Frustrated": Idaho's Abortion Ban Is Driving OB/GYNs Out Of The State Idaho's restrictive abortion laws are fueling an exodus of OB/GYNs, with more than half of those who specialize in high-risk pregnancies expected to leave the state by the end of the year. Doctors CBS News spoke with said treating non-viable pregnancies, in which the fetus is not expected to survive, puts them and their patients in what they call an impossible position. (Diaz, Kegu, and Novak, 10/31)

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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