Top Stories

  • President-elect Joe Biden called on Congress to approve $415 billion for the federal COVID-19 response — including $20 billion for vaccinations, $50 billion for testing and $30 billion for supplies and protective gear — as part of a broader $1.9 trillion stimulus plan during an address where he described the vaccine rollout as a “dismal failure” so far. Biden hopes to pass the first phase of his pandemic response plan through bipartisan legislation, though some provisions, such as raising the minimum wage, may risk alienating congressional Republicans. (Stat News)
  • Biden named Dr. David Kessler, a pediatrician who led the Food and Drug Administration under Presidents George Bush and Bill Clinton, to replace Dr. Moncef Slaoui as the chief science adviser for Operation Warp Speed, the federal program on coronavirus vaccines and treatments, transition officials said. Kessler is the co-chair of the Biden transition team’s COVID-19 task force, and will share the Warp Speed initiative’s top duties with Gen. Gustave Perna, who will remain chief operating officer. (The New York Times)
  • The Trump administration is rushing to finalize a rule that would mandate job reviews every five years for career government scientists in top roles at the FDA, Centers for Disease Control and Prevention and other health agencies, with reviews leading to renewal or reassignment, three current senior health officials said. Officials said that if enacted, the rule could increase political pressure on public health officials and lead to questions about their independence, while a senior administration official described the measure as a “good governance action” that could increase diversity and opportunities at the Department of Health and Human Services. (Politico)
  • The coronavirus pandemic will lower U.S. life expectancy by 1.13 years in 2020, according to new projections published in the Proceedings of the National Academy of Sciences. The reductions are estimated to be three to four times higher among Black and Latino communities than among whites, wiping out more than a decade of progress in narrowing the Black-white life expectancy gap. (CNN)

Chart Review

Events Calendar (All Times Local)

01/15/2021
J.P. Morgan Healthcare Conference
Medicare Payment Advisory Commission Meeting 9:30 am
HHS Secretary Alex Azar Discusses COVID-19 Response at the Foundation for Research on Equal Opportunity 9:30 am
Axios: Health Care Affordability and the Next Administration 12:30 pm
National Institute for Health Care Management Foundation Panel on The Challenges of Aging During COVID-19: Long Term Care, Vaccination and Isolation 1:00 pm
01/16/2021
J.P. Morgan Healthcare Conference
View full calendar


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Coronavirus

The Covid-19 Death Toll Is Even Worse Than It Looks
Paul Overberg et al., The Wall Street Journal

The recorded death count from the Covid-19 pandemic as of Thursday is nearing 2 million. The true extent is far worse.

Biden’s Vaccination Chief Takes On 100-Million-Dose Mission
John Tozzi, Bloomberg

Amid these dark days, President-elect Joe Biden has set an ambitious goal of administering 100 million shots in his first 100 days in office, even as he acknowledges this will be “one of the hardest and most costly operational challenges in our nation’s history.”

Trump wants billions cut from global Covid vaccine distributor
Caitlin Emma et al., Politico

The White House has asked Congress to cut $27 billion from a recent spending bill. Among the cuts: $4 billion for a group helping with the international Covid fight.

Participants in Moderna’s early clinical trials are being offered a booster shot.
Denise Grady and Katherine J. Wu, The New York Times

People who received two shots of the Moderna Covid-19 vaccine in its earliest, Phase 1 clinical trial are being offered a third shot, a so-called booster, as part of a continuing study to determine whether repeated vaccinations are needed and whether they are safe and effective, the company said on Thursday.

CDC Officials Urge Biden Team to Dump Palantir’s COVID Tracker
Erin Banco, The Daily Beast

Officials working on the Trump administration’s data collection efforts during the COVID-19 pandemic have suggested to transition officials for President-elect Joe Biden that the new team get rid of a newly minted system originally designed by the Silicon Valley company Palantir, warning that it is not accurate.

Azar acknowledges a top C.D.C. official was right in her February warning about mass disruption.
Sheryl Gay Stolberg and Javier C. Hernández, The New York Times

The official, Dr. Nancy Messonnier, was muzzled for nine months after issuing the Feb. 25 warning, which threw the stock market into a nosedive and infuriated President Trump, who was on his way back from India at the time.

Companies scramble to expand coronavirus vaccine supply
Carolyn Y. Johnson, The Washington Post

Production of the two coronavirus vaccines authorized in the United States is accelerating, even as companies with experimental vaccines nearing the end of trials struggle to meet ambitious manufacturing targets.

The Real Story On The Vaccine Rollout Is More Complicated Than You’ve Heard
Jonathan Cohn, HuffPost

It turns out the U.S. is faring pretty well, relatively speaking. In fact, shots are getting into arms faster than in most of Western Europe, at least according to the available data.

Some big U.S. pharmacies will not check ID before administering COVID-19 vaccines
Richa Naidu et al., Reuters

Many U.S. pharmacies, including those inside Kroger Co supermarkets and the drugstore chain of CVS Health Corp, say they will not be checking IDs before administering COVID-19 vaccines, leaving the door open to those who do not meet states’ guidelines to jump the line.

Pushed to Give Covid Therapy, Health Centers Await Medicare Cash
Jacquie Lee, Bloomberg Law

Medicare money isn’t coming in fast enough for many health facilities administering monoclonal antibody treatments to Covid-19 patients, federal officials and local hospital leaders said Thursday.

When Covid Deaths Aren’t Counted, Families Pay the Price
Melissa Bailey and Eli Cahan, Kaiser Health News

Omitting covid-19 on death certificates threatens to undercount the toll of the pandemic nationwide.

The U.S. Needs More Covid Testing, and Minnesota Has Found a Way
Susan Berfield and Michelle Fay Cortez, Bloomberg Businessweek

Minnesota isn’t the biggest state or the wealthiest. But it has a progressive governor, a budget surplus that’s allowed it to supplement federal funding and spend about $150 million on testing so far, and a well-functioning pandemic task force.

Payers

UnitedHealthcare just became the latest health insurer to encourage patients to see a primary-care doctor online
Shelby Livingston, Business Insider

UnitedHealthcare this week became the latest health insurer to unveil a new telehealth service that allows people to get primary care through a computer or phone screen instead of going to a brick-and-mortar doctor’s office.

States Can Exit Obamacare Exchange in 2022 Under Final Rule
Sara Hansard, Bloomberg Law

States would be able to largely bypass the federal Obamacare exchange under a rule finalized Thursday by the Trump administration.

Providers

Trump administration will let nearly all doctors prescribe addiction medicine buprenorphine
Lev Facher, Stat News

The Trump administration announced a major shift in addiction medicine policy Thursday, giving doctors dramatically more flexibility to prescribe a popular and effective drug used to treat opioid use disorder.

Slim Medicare Payment Rate Increase Recommended for Hospitals
Tony Pugh, Bloomberg Law

Hospitals would see a 2% increase in their Medicare base payment rates in 2022, but physicians and other clinicians would see no payment increases under final recommendations to Congress approved Thursday by the Medicare Payment Advisory Commission.

Pharma, Biotech and Devices

Medicare Part D spent twice what the VA paid for the same drugs
Ed Silverman, Stat News

Medicare Part D spent more than twice as much on hundreds of prescription drugs than the Department of Veterans Affairs in 2017, largely because the agency representing military veterans was able to negotiate prices directly with drug makers, according to a new report.

Insulin ‘Shadow Pricing’ Boosted Industry Profits, Panel Finds
Alex Ruoff, Bloomberg Law

Drugmakers spent years raising the cost of insulin largely to compete with each other, resulting in higher prices for the uninsured and the underinsured, according to a two-year-long investigation by the Senate Finance Committee.

Aurinia in ‘show-me phase’ as FDA nears approval decision on autoimmune kidney disease drug
Adam Feuerstein, Stat News

If the decision goes Aurinia’s way, the oral drug called voclosporin will be the first commercial product developed successfully by the drug maker, founded in 1993 and based in Victoria, British Columbia, in Canada.

New drug combo may help people fight meth addiction, study shows
Eileen Drage O’Reilly, Axios

Combining two FDA-approved drugs may help stop some people’s use of methamphetamine, a new study shows.

Health Technology

Two ways Fitbit could boost Google’s health ambitions
Erin Brodwin and Mario Aguilar, Stat News

Google’s newly-finalized purchase of Fitbit is poised to provide the tech giant with a potentially lucrative toehold into two competitive markets: clinical trials and employer benefits.

Opinions, Editorials and Perspectives

Selling Survival: Marketing Must Support Medicine
Susan Doktor, Morning Consult

We’ll need consistent, compelling messaging to counter the disinformation that runs rampant in the media. And we must deliver an unfailingly positive customer experience to build trust, educate, and — to use an apt marketing term — convert enough people to achieve herd immunity.

Research Reports

‘Vaccine Deserts’ Threaten to Prolong COVID-19 Vaccine Rollout and Widen Disparities
Tori Marsh, GoodRx

According to new research from GoodRx, much of the country is at risk of falling behind in line for the COVID-19 vaccine because they live in a “pharmacy desert,” an area defined by limited access to pharmacies.

General

FDA Veteran Being Considered to Lead Agency Under Biden
Anna Edney, Bloomberg

Janet Woodcock, a 30-year veteran of the Food and Drug Administration, is being considered by President-elect Joe Biden to serve as commissioner of the agency, according to people familiar with the selection process.

Top Official at Indian Health Service Will Step Down
Mark Walker, The New York Times

The next director of the health service will inherit an agency that has drawn intense criticism for its failures to provide adequate care both before and during the coronavirus pandemic.

Morning Consult