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...

Fierce Healthcare: Senate Panel Launches Effort To Shore Up Health Workforce A key Senate panel is launching a major effort to shore up the healthcare workforce after lingering shortages have roiled the industry. The Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing Thursday on addressing the crisis. Some of the policy solutions include expanding the Graduate Medical Education program and growing teaching health centers. (King, 2/16)

The Hill: CBO Warns Of Sharp Uptick In Social Security, Medicare Spending Federal spending on Social Security and Medicare is projected to rise dramatically over the next decade, far outpacing revenues and the economy on the whole while putting new pressure on Congress to address accelerated threats of insolvency, according to new estimates from the Congressional Budget Office (CBO). The increase is driven by a variety of factors, including Social Security’s new cost-of-living adjustment, the rising cost of medical services under Medicare and greater participation rates in both programs, as the last of the baby boomers become eligible for retirement benefits. (Lillis, 2/15)

NBC News: FDA Panel Recommends Making Opioid Overdose Antidote Available Over The Counter “For the sake of the public and saving lives, I believe this medication should be available over the counter as soon as possible,” Dr. Katalin Roth, a professor of medicine at the George Washington University School of Medicine and Health Sciences, said following the vote. (Lovelace Jr., 2/15)

For a Deeper Dive...

Stat: Biden Admin Pitches 3 Big New Drug Pricing Reform Experiments The new proposals are the result of an executive order President Biden signed last year directing the administration to develop demonstrations that would complement Democrats’ new drug pricing law. The Centers for Medicare and Medicaid Services uses demonstrations to pilot test policy ideas, and if those policies work out, the agency can expand them into programs without the approval of Congress. The law Democrats passed last summer directs Medicare to negotiate drug prices, makes drug companies pay back Medicare when price hikes outstrip inflation, and caps seniors’ annual spending for retail drugs — but it will take years to fully implement. (Cohrs and Wilkerson, 2/14)

The Wall Street Journal: U.S. Begins Allowing Medicaid Money To Be Spent On Food The Biden administration has started approving state requests to use Medicaid to pay for groceries and nutritional counseling as policy makers explore whether “food as medicine” programs can lead to broad health benefits and trim costs. A growing body of research suggests that addressing food insecurity can improve health as well as deliver savings by reducing medical visits, the need for medication, or by helping control serious illness. The programs have also appealed to some GOP lawmakers who believe states should have more control over their Medicaid programs. (Armour and Peterson, 2/12)

Fierce Healthcare: Lawmakers Question Why PBMs ‘Even Exist’ In Heated Hearing Senators pilloried the lack of transparency from pharmacy benefit managers during a hearing Thursday, as lawmakers hope to pass reforms this session. The Senate Commerce Committee hosted the hearing amid concerns that PBMs steer patients toward pharmacies that they own. Lawmakers have introduced legislation to shed light on the issue, but some Republicans have balked over giving the federal government more authority. (King, 2/16)

Stat: Moderna Says Covid Vaccines Will Remain Available At No Cost In an unexpected shift, Moderna has decided not to ask Americans to pay for its Covid-19 vaccine, a move that follows intense criticism over initial plans to charge $110 to $130 per dose after the company pivots from government contracts to commercial distribution. (Silverman and Owermohle, 2/15)

AP: 18% Drop Since 2020 In People With Reported Medical Debt The number of people with medical debt on their credit reports fell by 8.2 million — or 17.9% — between 2020 and 2022, according to a report Tuesday from the U.S. Consumer Financial Protection Bureau. White House officials said in a separate draft report that the two-year drop likely stems from their policies. Among the programs they say contributed to less debt was an expansion of the Obama-era healthcare law that added 4.2 million people with some form of health insurance. Also, local governments are leveraging $16 million in coronavirus relief funds to wipe out $1.5 billion worth of medical debt. (Boak, 2/14)

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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?

-Gregg S. Margolis, PhD