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April 16, 2021
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  • Pfizer Inc. Chief Executive Albert Bourla said people will likely need a third COVID-19 vaccine within a year of the initial two-dose regimen and that annual booster shots to protect against the disease may also be necessary, adding that it is “extremely important to suppress the pool of people that can be susceptible to the virus.” Pfizer and BioNTech SE are studying how long immunity lasts after vaccination. (NBC News)
  • Ten senators asked President Joe Biden to join a push by India and South Africa to have the World Trade Organization temporarily loosen intellectual property rules, a move that would help accelerate COVID-19 vaccine manufacturing in poorer countries struggling to vaccinate their populations. The lawmakers, including Sen. Bernie Sanders (I-Vt.) and nine Democrats, said in a letter, obtained by a media outlet, that Biden should “prioritize people over pharmaceutical company profits” and support the temporary waiver. (The Associated Press)
  • Johnson & Johnson privately asked Pfizer, Moderna Inc. and AstraZeneca PLC to jointly study the risks of blood clots associated with COVID-19 vaccines and communicate with the public about safety, but while AstraZeneca accepted, Pfizer and Moderna declined, saying their vaccines appeared to be safe, according to people familiar with the matter. (The Wall Street Journal)
  • UnitedHealth Group Inc., parent of megainsurer UnitedHealthcare and Optum health services, recorded higher-than-expected profits in the first quarter, carried by growth in its insurance membership and falling costs for COVID-19-related care. Total revenue for UHG rose 9 percent from the year-ago period to $70.2 billion. (The Wall Street Journal)
 

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What Else You Need to Know

Coronavirus
 

States Struggle With Vaccine Pause as Federal Officials Reassure Public

Sheryl Gay Stolberg et al., The New York Times

Dr. Anthony S. Fauci said he hoped for a decision “quite soon” on the Johnson & Johnson vaccine, as local governments shifted to more complicated two-dose vaccines for marginal populations.

 

Blood Clots More Likely After Covid-19 Than After Vaccination, Study Finds

Jenny Strasburg, The Wall Street Journal

A study by the University of Oxford found the risk of rare but sometimes-deadly blood clotting is roughly eight to 10 times greater in Covid-19 sufferers than among people who have received any of the first three Western-developed vaccines widely available.

 

CDC: About 5,800 ‘breakthrough infections’ reported in fully vaccinated people

Erika Edwards, NBC News

On Thursday morning, the CDC said it had reports of approximately 5,800 so-called breakthrough infections, out of the nearly 77 million individuals in the United States who have been fully vaccinated.

 

Unused Vaccines Are Piling Up Across U.S. as Some Regions Resist

Anna Edney and Drew Armstrong, Bloomberg

Many U.S. states and cities have a growing surplus of Covid-19 vaccines, a sign that in some places demand is slowing before a large percentage of the population has been inoculated, according to an analysis by Bloomberg News.

 

Vaccines Won’t Protect Millions of Patients With Weakened Immune Systems

Apoorva Mandavilli, The New York Times

Many cannot produce enough infection-fighting cells to fend off the coronavirus. But researchers are testing one therapy that may help: monoclonal antibodies.

 

Lilly asks FDA to revoke authorization for COVID-19 antibody bamlanivimab alone

Manojna Maddipatla, Reuters

Eli Lilly and Co said on Friday it had requested the U.S. Food and Drug Administration to revoke the emergency use authorization granted to its COVID-19 antibody bamlanivimab alone due to the full availability of its combination therapy.

 

Next-generation Covid-19 vaccines are supposed to be better. Some experts worry they could be worse

Helen Branswell, Stat News

With Covid-19 vaccines, the world hopes to beat back the virus that causes the disease. But some scientists are increasingly concerned that, because of a quirk of our own biology, future iterations of the vaccines might not always be quite as effective as they are today.

 

The Covax initiative seeks $2 billion to lock up vaccine in advance for lower-income countries.

Sheri Fink, The New York Times

An effort to promote Covid-19 vaccination in the world’s lowest-income countries is trying to raise an additional $2 billion to help secure access to doses before they are snapped up by wealthier nations.

 

Indian vaccine maker asks US to ease export curbs

Aniruddha Ghosal, The Associated Press

The chief executive of Serum Institute of India, the world’s largest maker of vaccines and a critical supplier of the U.N.-backed COVAX facility, asked President Joe Biden on Twitter to lift the U.S. embargo on exporting raw materials needed to make the the jabs.

 

Around the World, Conflicting COVID-19 Vaccination Advice Puts Pregnant People At Risk

Jessica Abrahams, The Fuller Project

Pregnant and lactating people have been excluded from clinical trials for all the major COVID-19 vaccines. The lack of data has led to ambiguous and sometimes conflicting guidance from health authorities around the world.

 
General
 

Hints emerge about a key Senate committee’s plans for health care

Nicholas Florko, Stat News

A Senate hearing Thursday provided one of the clearest roadmaps to date for how Senate Democrats plan to use their newfound majority to advance new health care policies.

 

Wyden Expresses Strong Support for CMS, HHS Deputy Nominees

Tony Pugh, Bloomberg Law

Two Biden administration nominees for key positions at HHS received strong support from Senate Finance Committee Chairman Ron Wyden during a confirmation hearing on Thursday.

 

Biden administration poised to change Trump restrictions on fetal tissue research

Amy Goldstein, The Washington Post

The Biden administration is preparing to announce Friday that it will alter Trump-era restrictions on federal funding of research that uses fetal tissue, according to the nation’s top health official, potentially allowing a resumption of thwarted scientific studies into covid-19 treatments, HIV and other diseases.

 

‘We’re done dying’: How Black women lawmakers are advocating for pregnancy-related health

Alexa Mikhail and Barbara Rodriguez, The 19th

During Black Maternal Health Week, The 19th spoke with Black women state lawmakers who are working to address disproportionate effects of racism on Black pregnancy-related health outcomes.

 

Private equity’s estimated healthcare spending halved in first quarter

Tara Bannow, Modern Healthcare

Private equity’s estimated investment in healthcare in the first quarter of 2021 was half of its total in the final quarter of 2020, when the broader economy was recovering from the worst of the COVID-19 pandemic.

 
Payers
 

Oscar names new virtual-first care division president

Nona Tepper, Modern Healthcare

Oscar Health announced a new lead to its medical group on Thursday. The new lead comes as Oscar experiences growth in its virtual-first product, a new benefits structure that other insurers have been working to emulate.

 

Missouri House redirects money meant for Medicaid expansion

Summer Ballentine, The Associated Press

The GOP-led Missouri House on Thursday passed an alternative plan for spending funding initially meant for Medicaid expansion. Instead of using the money to pay an estimated 275,000 more low-income adults to access the government health care program, the House proposed spending most of the money on care for the elderly and people with disabilities.

 
Providers
 

Pandemic Highlights Need for Urgent Care Clinics for Women

Rachel Scheier, Kaiser Health News

For years, many women with common but urgent conditions like painful urinary tract infections or excessive bleeding in the aftermath of a miscarriage have faced a grim choice between waiting weeks for an appointment with their regular OB-GYN or braving hours in an ER waiting room.

 

Physician salaries held steady in 2020. Here’s the one specialty that got a big pay bump during COVID-19

Heather Landi, Fierce Healthcare

Physicians experienced extreme income volatility in 2020 due to the COVID-19 pandemic, with some doctors indicating there were months where they had no income at all.

 
Health Technology
 

In a sharp rebuke, health officials toss Trump-era proposal to exempt medical AI tools from review

Casey Ross, Stat News

In a searing rebuke, the Biden administration is formally withdrawing a last-minute proposal by the Trump administration to exempt a wide swath of medical devices and artificial intelligence tools from regulatory review.

 
Opinions, Editorials and Perspectives
 

COVID-19 Provides a Roadmap for Effective Health Care Policy

Matthew Kandrach (President, Consumer Action for a Strong Economy), Morning Consult

Thankfully, the American free-market system spurs private innovation and helps products reach consumers quickly, especially in times of need. This is how we’ve led the charge in developing lifesaving drugs for decades and why we outpaced the world in COVID-19 vaccine development.

 






Morning Consult