Morning Consult Health Presented by the Coalition for Medicare Choices: What’s Ahead & Week in Review




 


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Essential health care industry news & intel to start your day.
March 26, 2023
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Good morning, health readers. There’s a long list of events this week as the House reviews President Joe Biden’s fiscal year 2024 budget proposal, and a number of top stories from last week that I review below. So, I’ll save you the 12,000 words I planned to file on the amazing playoff race in the NBA’s Western Conference, the greatness of Caitlin Clark and Azzi Fudd and my excitement for Ben Affleck’s “Air” (shoutout to those sunglasses), and jump straight to the quiz question and a jam-packed newsletter.

 

What share of U.S. adults said they would not pay to use a social media platform?

 

  • 46%
  • 61%
  • 76%
  • 91%

 

You can check your answer in this week’s MCIQ quiz, and catch up on stories that you may have missed last week!

 

What’s Ahead

There is a list of House meetings worth watching on Tuesday:

  • Appropriations Committee hearing on “Fiscal Year 2024 Request for the Department of Health and Human Services.” Health and Human Services Secretary Xavier Becerra is scheduled to testify.
  • Becerra is then scheduled to appear before the Ways and Means Committee for his second 2024 budgetary hearing of the day.
  • Oversight and Accountability Committee’s Health Care and Financial Services Subcommittee hearing on “FDA Oversight Part I: The Infant Formula Shortage.” 
  • Oversight and Accountability Committee’s Coronavirus Pandemic Select Subcommittee hearing on “The Consequences of School Closures: Intended and Unintended.”

 

The Food and Drug Administration’s Safety and Risk Management and Dermatologic and Ophthalmic Drugs committees will hold a joint meeting Tuesday and Wednesday to discuss proposed changes to the iPLEDGE Risk Evaluation and Mitigation Strategy requirements to minimize the burden on patients, pharmacies, and prescribers while maintaining safe use of isotretinoin oral capsules for patients.

 

The House Appropriations Committee will hold a hearing Wednesday on “Fiscal Year 2024 Request for the Food and Drug Administration.”

 

Axios is hosting its “What’s Next Summit” on Wednesday. Speakers include CVS Health Corp. Chief Executive Karen Lynch, Arati Prabhakar, director of the White House Office for Science and Technology Policy, and Timbaland, producer of Missy Ellliot’s hip-hop masterpiece “Supa Dupa Fly.”

 

The Hill is hosting its “Disability Summit” on Wednesday, featuring Reps. Mike Bost (R-Ill.) and Debbie Dingell (D-Mich.) and Day Al-Mohamed, director of the White House Domestic Policy Council Disability Policy.

 

The House Natural Resources Committee’s Indian and Insular Affairs Subcommittee will hold a hearing Wednesday on “Challenges and Opportunities for Improving Healthcare Delivery in Tribal Communities.”

 

The Senate Finance Committee’s Health Care Subcommittee will hold a hearing Wednesday on “An Oral Health Crisis: Identifying and Addressing Health Disparities.”

 

AHIP’s 2023 AHIP/OPM FEHB Carrier Virtual Conference will run Wednesday and Thursday, featuring a keynote session with Rachel Levine, assistant secretary of health for HHS.

 

The Hill is holding an event Thursday on “Pathways to Patient Affordability.” Speakers include Sen. Tom Carper (D-Del.), Rep. Buddy Carter (R-Ga.) and Stephen Ubl, CEO of the Pharmaceutical Research and Manufacturers of America.

 

The Bipartisan Policy Center is hosting an event Thursday on “Primary Care Payment Reform,” featuring Reps. Ami Bera (D-Calif.) and Larry Bucshon (R-Ind.) and Adam Boehler, former director of the Centers for Medicare and Medicaid Innovation.

 

The Senate Finance Committee will hold a hearing Thursday on “Pharmacy Benefit Managers and the Prescription Drug Supply Chain: Impact on Patients and Taxpayers.” The hearing is one of several moves by Congress to increase scrutiny over PBMs.

 

Week in Review

Medicare Advantage drama continues: Sens. Elizabeth Warren (D-Mass.) and Jeff Merkley (D-Ore.) blasted seven top Medicare Advantage insurers for opposing proposed rate cuts despite the long history of “outsized profits” and “corporate profiteering” in the MA program. In letters to the companies — including UnitedHealthcare Group Inc., CVS’s Aetna, Humana Inc. and Cigna Corp. — the lawmakers requested information on whether the insurers would cut executives’ “exorbitant salaries” or “massive payouts” to shareholders to preserve seniors’ Medicare benefits, turning the industry’s arguments against itself.

 

Mr. Bancel Goes to Washington: In a Senate Help, Education, Labor and Pensions Committee hearing, Moderna Inc. CEO Stéphane Bancel defended the company’s decision to roughly quadruple the price of its COVID-19 vaccine to $130 when it goes to the commercial market amid ongoing criticisms from lawmakers, with the executive blaming the price hike on the complexity of developing and delivering the shots and the product’s value.

 

Alzheimer’s drug coverage: Senators in a budget hearing questioned Becerra about Medicare’s decision to limit coverage on recent Alzheimer’s treatments from Biogen Inc. and Eisai Co. Ltd., with some Republican lawmakers using the line of questions as an opportunity to raise concerns about the potential efficacy of Medicare’s newly granted authority to negotiate prescription drug prices.

 

COVID-19 origins, response, vaccines: President Joe Biden signed a bill into law that orders the Director of National Intelligence to declassify information on the origins of the COVID-19 pandemic, saying that he plans to “share as much of that information as possible, consistent with my constitutional authority to protect against the disclosure of information that would harm national security.” Meanwhile, a new analysis of data showed a potential connection between the COVID-19 virus and animals sold at a market in Wuhan, China, a report that some researchers say offers the strongest evidence yet that the coronavirus jumped from animals to humans.

 

The White House will shut down its COVID-19 response team once the national and public health emergencies expire in May, and Dr. Ashish Jha, who leads the team, plans to leave the Biden administration once the group disbands, according to multiple current and former officials. A senior administration official said in a statement that while the pandemic is not over and will remain a priority for the administration, COVID-19 “no longer disrupts our lives because of investments and our efforts to mitigate its worst impacts.”

 

The FDA may authorize a second omicron-tailored COVID-19 booster vaccine for the elderly and people considered high risk for developing severe illness within the next couple of weeks, according to people familiar with the agency’s deliberations. After the FDA finalizes a decision, the Centers for Disease Control and Prevention would have to recommend the shots for them to become widely available.

 

Addressing insulin costs: California Gov. Gavin Newsom (D) announced the state will work with the generic drug nonprofit Civica Rx. to produce insulin that will cost the state $30 per vial to make. The contract, which comes after top insulin makers said they would significantly lower insulin prices, requires Civica to manufacture state-branded insulin and offer it to any Californian by mail order and at local pharmacies, regardless of their insurance coverage.

 

Finally, Sens. Raphael Warnock (D-Ga.) and John Kennedy (R-La.) announced a plan to introduce a bill that would cap monthly insulin costs at $35 a month for people with private insurance and those without insurance, the latest push in Washington, D.C., to cut patients’ out-of-pocket spending on insulin. The bill follows announcements from the top manufacturers to significantly reduce the prices of certain insulin products and Biden’s proposal to cap costs at $35 a month in his fiscal year 2024 budget.

 
Stat of the Week
 

1,471

The number of cases of the drug-resistant fungus Candida auris reported in the United States in 2021, a 95% increase over the 756 cases reported in 2020. The CDC warned that cases are increasing at an “alarming” rate in U.S. health facilities, with 30 states and the District of Columbia reporting Candida auris patients as of last week. After only a few dozen cases were reported each year since the first reported American case in 2016, preliminary figures show that there were at least 2,377 cases last year.

 
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