Morning Consult Health: What’s Ahead & Week in Review




 


Health

Essential health care industry news & intel to start your day.
May 14, 2023
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Good morning, health readers. Last week, the Biden administration let the COVID-19 public health emergency expire after more than three years. The end of the declaration is a significant moment, though it did feel rather quiet — despite the flurry of “What’s next?” or “How this affects you” articles — as many people seem to have moved on over the past few months.

 

The pandemic is not likely to be over any time soon, however, and the crisis may have permanently altered aspects of the health system and individuals’ relationships with it.

 

One of the most prominent — and often controversial — topics throughout the crisis has been the public’s trust in health agencies, the medical community and the White House. I spoke with public health experts in January about how the politicization of the pandemic and the federal government’s communication problems with the public contributed to an erosion of trust with federal health agencies and the health care industry in general, which could hurt responses to potential future crises.

 

Coming out of the emergency declaration, U.S. adults said that they trust health information and news from health providers and most federal agencies much more than the White House, according to a Morning Consult survey. Respondents said they trust providers like doctors and nurses the most of any entity surveyed (81%) and the White House the least (51%).

 

The data also showed that Democrats were more likely to trust every institution surveyed than Republicans, with the White House and the World Health Organization having the starkest partisan divides.

 


 

Check out the story here: Federal Agencies Exit COVID-19 Public Health Emergency With Majority of the Public’s Trust

 

We also published the final update of MC’s Return to Normal tracker. One major strategy shift that came with the end of the emergency has been the Biden administration’s move to revoke certain COVID-19 vaccine requirements. Roughly half of U.S. adults supported vaccination mandates in the latest data, dropping from highs of roughly 60%.

 

The decline comes as the share of adults who say they are very concerned about COVID-19 has flattened out at 22%-24% for the past seven months.

 

Check out the story for more insights: As COVID-19 Vaccine Mandates End, a Slim Majority of Americans Still Supports Most of Them



 
 

What’s Ahead

The Financial Times will host its “U.S. Pharma and Biotech Summit” on Tuesday and Wednesday. Speakers include Elizabeth Fowler, director of the Center for Medicare and Medicaid Innovation, Amgen Inc. Chief Executive Robert Bradway, Roche Pharmaceuticals CEO Teresa Graham and Regeneron Pharmaceuticals Inc. CEO Leonard Schleifer, among others.

 

The House Ways and Means Committee will hold hearings Tuesday on “Health Care Price Transparency: A Patient’s Right to Know,” and Wednesday on “Why Health Care is Unaffordable: Anticompetitive and Consolidated Markets.”

 

The Brookings Institution will hold an event Tuesday on “Public health in Africa: Assuring health security for all.” Speakers include Chikwe Ihekweazu, assistant director-general of the WHO’s Hub for Pandemic and Epidemic Intelligence, and Michelle Williams, dean of the faculty and a professor in the Harvard University’s T.H. Chan School of Public Health and Kennedy School.

 

There are three Food and Drug Administration meetings worth watching this week:

  • The Vaccines and Related Biological Products Advisory Committee will meet on Thursday to review Pfizer Inc.’s RSV vaccine.
  • The Tobacco Products Scientific Advisory Committee will meet on Thursday to discuss and provide an opportunity for recommendations on the proposed Requirements for Tobacco Product Manufacturing Practice rule.
  • The Gastrointestinal Drugs Advisory Committee will meet on Friday to review Intercept Pharmaceuticals Inc.’s new drug application for its obeticholic acid oral tablets for the treatment of pre-cirrhotic liver fibrosis due to nonalcoholic steatohepatitis.

 

The Senate Special Committee on Aging will hold a hearing Thursday on “Residents at Risk: The Strained Nursing Home Inspection System and the Need to Improve Oversight, Transparency, and Accountability.” Erin Bliss, assistant inspector general for evaluation and inspections with the Department of Health and Human Services Office of Inspector General, is scheduled to testify.

 

Week in Review

COVID-19 PHE expires: Dr. Ashish Jha, the White House COVID-19 response coordinator, said that the end of the COVID-19 PHE is not an “end to the pandemic or fighting COVID,” adding that while the country is better prepared to manage the pandemic, there is still more work that needs to be done. Separately, Jha told reporters that the congressionally mandated Office of Pandemic Preparedness and Response Policy would not be established in time for the end of the PHE, and he deflected questions about his future with the administration.

 

The Centers for Disease Control and Prevention’s decision to limit the tracking of COVID-19 data — particularly community-level transmissions — will cut off a vital public health information tool, with one expert arguing that it will make it harder for the United States to understand new outbreaks and force people to “make a lot of assumptions.”

 

Meanwhile, the Drug Enforcement Administration extended for six months pandemic-era policies that allow doctors to prescribe certain medications via telehealth, including prescriptions for Adderall, oxycodone and buprenorphine, which is used to treat opioid use disorder. The extension, which now goes through Nov. 11, gives the agency time to review tens of thousands of complaints for its proposal to reinstate stricter policies requiring in-person visits.

 

Congress watch: A bipartisan group of senators introduced a bill that would create a COVID-19 task force — modeled after the 9/11 Commission — to investigate the U.S. response to the pandemic and what caused the global crisis. The bill, led by Sens. Kirsten Gillibrand (D-N.Y.) and Roger Marshall (R-Kan.), would establish a 10-person task force equally selected by both parties and require the group, which would have subpoena power, to issue an interim report within one year.

 

The Senate HELP Committee passed a slate of health bills aimed at boosting competition for generic drugs and increasing scrutiny of pharmacy benefit managers, though the committee did not pass as strict of PBM legislation as some may have hoped. The PBM legislation passed would ban spread pricing, where the groups charge insurers more for drugs than they pay pharmacies, and require the drug middlemen to disclose rebates, fees and payments they receive and pass them on to the insurers with whom they negotiate.

 

The committee passed the legislation the day after a hearing on insulin costs with the top insulin manufacturers and leading pharmacy benefit managers that forced high-profile drug chief executives to testify before Congress, but offered the same arguments and questions the companies and senators have used for years and little clarity on how to lower costs.

 

OTC birth control: An expert adviser panel to the FDA unanimously recommended that the agency allow people to get the birth control medication Opill without a prescription, potentially setting up the first over-the-counter contraceptive pill to be offered on the U.S. market. The panel said that the benefits of Opill, which is made by Perrigo Co.’s HRA Pharma, outweigh the risks of people improperly using the medication.

 

Drug shortages: The Biden administration has assembled a secret team to investigate and address the country’s ongoing drug shortage problem as shortages hit a five-year high, according to several people familiar with the matter. Susan Rice, the White House’s top domestic policy adviser who will leave the role later this month, has asked the group to finalize proposals and strategies for the federal government to implement by early spring, according to one source.

 
Stat of the Week
 

$5 billion

The amount the Biden administration will spend on a project to develop future coronavirus vaccines — called Project NextGen — despite the end of the COVID-19 PHE, mirroring the Trump-era Operation Warp Speed.

 
The Most Read Stories This Week
 

1) Drugmakers set strategy for legal fight against US pricing regulation

 Patrick Wingrove and Michael Erman, Reuters

 

2) Federal Agencies Exit COVID-19 Public Health Emergency With Majority of the Public’s Trust

Ricky Zipp, Morning Consult

 

3) Health Insurance Claim Denied? See What Insurers Said Behind the Scenes

Maya Miller et al., ProPublica

 

4) Disease experts warn White House of potential for omicron-like wave of illness

Dan Diamond, The Washington Post

 

5) Corporate Giants Buy Up Primary Care Practices at Rapid Pace

Reed Abelson, The New York Times

 

6) White House Assembles Secret Team to Tackle Drug Shortages, Quality Woes

Riley Griffin et al., Bloomberg

 

7) Insulin makers, PBMs echo old finger-pointing in Senate hearing

Sarah Owermohle, Stat News

 

8) 23 Pandemic Decisions That Actually Went Right

Rachel Gutman-Wei et al., The Atlantic

 

9) U.S. Senators Revive Bid to Form Covid-19 Commission

Warren P. Strobel and Michael R. Gordon, The Wall Street Journal

 

10) Elizabeth Holmes Isn’t Fooling Anyone

Benjamin Mazer, The Atlantic

 
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