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KHN’s ‘What the Health?’: The Autumn of Democrats’ Discontent

Congress is back in session with a short time to finish a long to-do list, including keeping the government operating and paying its bills. Hanging in the balance is President Joe Biden’s entire domestic agenda, including major changes proposed for Medicare, Medicaid and the Affordable Care Act. Meanwhile, the new Texas abortion law that bans the procedure early in pregnancy is prompting action in Washington. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews former FDA Commissioner Scott Gottlieb about his new book on the covid-19 pandemic.

Sept. 23, 2021

Biosimilar Drugs Are Cheaper Than Biologics. Are They Similar Enough to Switch?

Biologic drugs, made from living organisms, and the cheaper biosimilar drugs that mimic them are more complex than chemical drugs and their generic counterparts. The Food and Drug Administration says biosimilars are as safe and effective as the biologics, and doctors agree — but they are cautious about changing the treatment regimen of patients doing well.

By Michelle Andrews

Sept. 23, 2021

Public Health Experts ‘Flabbergasted’ That Biden Still Hasn’t Picked an FDA Chief

The Food and Drug Administration has been mired in controversies related to drug approvals and covid vaccines, all without a permanent leader.

By Rachana Pradhan

Sept. 22, 2021

KHN Impact

Congress Cites KHN Investigation in Probe of National Academies

The House oversight committee is requesting conflict-of-interest disclosure forms from a National Academies committee studying organ transplants. KHN previously reported on apparent conflicts among members of a committee studying drug waste.

By Christina Jewett and JoNel Aleccia

Sept. 21, 2021

Podcast

KHN’s ‘What the Health?’: Much Ado About Drug Prices

Democrats have hit a snag in their effort to compile a $3.5 trillion social-spending bill this fall — moderates are resisting support for Medicare drug price negotiation provisions that would pay for many of the measure’s health benefit improvements. Meanwhile, the new abortion restrictions in Texas have moved the divisive issue back to the political front burner. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interview’s KHN’s Phil Galewitz about the latest KHN-NPR “Bill of the Month” installment, about two similar jaw surgeries with very different price tags.

Sept. 16, 2021

From Uber Rides to Patient Advocates: What It Takes to Increase ER Addiction Treatment

Despite widespread consensus on the importance of addiction treatment in the ER, many hospitals fail to screen for substance use, offer medications to treat opioid use disorder or connect patients to follow-up care. But some are working to change that.

By Aneri Pattani

Aug. 25, 2021

COVID-19

These Governors Push Experimental Antibody Therapy — But Shun Vaccine and Mask Mandates

Governors in Southern states, amid a surge of delta-variant infections, are rushing to provide an experimental antibody cocktail therapy, even as they oppose measures like mask mandates and vaccine passports that health officials say can prevent infection in the first place.

By JoNel Aleccia

Aug. 25, 2021

COVID-19

‘We Sent a Terrible Message’: Scientists Say Biden Jumped the Gun With Vaccine Booster Plan

Many experts say the evidence doesn’t justify widespread booster shots for adults.

By Rachana Pradhan

Aug. 20, 2021

Podcast

KHN’s ‘What the Health?’: Booster Time

As the delta variant continues to spread around the U.S., the Biden administration is taking steps to authorize covid vaccine boosters, require nursing home workers to be vaccinated and protect school officials who want to require masks despite state laws banning those mandates. Meanwhile, the U.S. House is returning from its summer break early to start work on its giant budget bill, which includes a long list of health policy changes. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Kimberly Leonard of Business Insider join KHN’s Julie Rovner to discuss these issues and more.

Aug. 19, 2021

COVID-19

The White House Says Boosters for All. Here’s What You Need to Know.

Federal officials are preparing to offer those who received Pfizer or Moderna covid vaccines a third dose in September. But the FDA and CDC are still reviewing the data for final clearance.

By Sarah Jane Tribble

Aug. 18, 2021

COVID-19

Have Vaccines, Will Travel: On the Road With a Covid Entrepreneur

While many businesses scaled back at the height of the pandemic, one Montana man used covid-19 to open his own mobile pharmacy. He’s now bringing covid shots to Montana’s vaccine deserts while filling his wallet. But he cannot fill all the vaccination gaps.

By Katheryn Houghton

Aug. 17, 2021

COVID-19

Pfizer CEO to Public: Just Trust Us on the Covid Booster

As pharmaceutical companies declare a need for boosters, scientists and doctors emphasize there’s no proof yet.

By Sarah Jane Tribble

Aug. 13, 2021

Podcast

KHN’s ‘What the Health?’: The Senate Acts

The U.S. Senate worked well into its scheduled August recess to pass a bipartisan infrastructure bill and a budget blueprint that outlines a much larger bill — covering key health priorities — to be written this fall. Meanwhile, the latest surge of covid is making both employers and schools rethink their opening plans. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Yasmeen Abutaleb of The Washington Post join KHN’s Julie Rovner to discuss these issues and more. Also, for “extra credit,” the panelists suggest their favorite health policy stories of the week they think you should read, too.

Aug. 12, 2021

National Academies’ Report Took Pharma-Friendly Stance After Millions in Gifts From Drugmakers

Congress tapped a national academies committee to examine a drug cost issue. It got a report that includes “egregious” failures to disclose conflicts of interest.

By Christina Jewett

Aug. 12, 2021

Shot of shelves stocked with various medicinal products in a pharmacy

The Last Drugstore

Pharmacies Face Extra Audit Burdens That Threaten Their Existence

Pharmacy benefit managers have curtailed in-person audits of pharmacy claims during the pandemic, switching to virtual audits done by computer. That has markedly increased the number of claims they can review — and the chances for payment denials — squeezing pharmacies and bringing in more cash for the benefit companies.

By Markian Hawryluk

Aug. 6, 2021

Podcast

KHN’s ‘What the Health?’: Delta Blues

Covid is back with a vengeance, with some people clamoring for booster shots while others harden their resistance to getting vaccinated at all. Meanwhile, the Food and Drug Administration is pushing hard on drugmaker Pfizer’s request to upgrade the emergency authorization for its vaccine and give it final approval. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Also, for “extra credit,” the panelists suggest their favorite health policy stories of the week they think you should read, too.

Aug. 5, 2021

2+2=? Senate Uses Murky Math as It Shelves Drug Pricing Rule to Fund Infrastructure

The Medicare rule, designed by the Trump administration to take money away from drug industry brokers and provide refunds to patients, has not been implemented. But budget analysts say if it were, it would cost the government money. So senators are pushing the rule aside and claiming to save billions of dollars, which they want to use instead on new projects.

By Michael McAuliff

Aug. 5, 2021

Waistlines and Bottom Lines

Diabetes Drug’s New Weight Loss Formula Fuels Cost-Benefit Debate

Health plans’ coverage of the medication, branded as Wegovy — which has a $1,300-a-month price tag — is not a sure thing.

By Julie Appleby

July 30, 2021

Pfizer Court Fight Could Legalize Medicare Copays and Unleash ‘Gold Rush’ in Sales

Pharmaceutical companies routinely cover the cost of patient copays for expensive drugs under private insurance. A federal judge could make the practice legal for millions on Medicare as well.

By Jay Hancock

July 29, 2021

Kathi Arbini holds a poster with her son Kevin Mullane's photo

As Holdout Missouri Joins Nation in Monitoring Opioid Prescriptions, Experts Worry

Missouri is the last state to create a monitoring program to help spot the misuse of prescription drugs. But some public health experts warn that the nation’s programs are forcing people addicted to opioids to seek deadlier street options.

By Eric Berger

July 26, 2021

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