- KFF Health News Original Stories 4
- Trump’s Medicaid Cuts Were Aimed at ‘Able-Bodied Adults.’ Hospitals Say Kids Will Be Hurt.
- Lice Pose No Health Threat, Yet Some Parents Push Back on Rules To Allow Affected Kids in Class
- RFK Jr. Said ‘Everybody Can Get’ a Covid Vaccine. Is That True?
- Listen to the Latest 'KFF Health News Minute'
From KFF Health News - Latest Stories:
KFF Health News Original Stories
Trump’s Medicaid Cuts Were Aimed at ‘Able-Bodied Adults.’ Hospitals Say Kids Will Be Hurt.
The GOP said its overhaul of Medicaid was aimed at reducing fraud and getting more adult beneficiaries to work. Among the likely side effects: fewer services and doctors for treating sick children. (Phil Galewitz, 9/10)
Lice Pose No Health Threat, Yet Some Parents Push Back on Rules To Allow Affected Kids in Class
Public health officials see lice as a nuisance, not a health threat, and the Centers for Disease Control and Prevention has recommended for years that students with live lice be allowed to remain in class. But as “no-nit” policies have been dropped in favor of “nonexclusion” rules, some school districts have seen parents and teachers push back. (Blake Farmer, Nashville Public Radio, 9/10)
RFK Jr. Said ‘Everybody Can Get’ a Covid Vaccine. Is That True?
Although the FDA has approved the vaccines for anyone 65 or older and anyone at least 6 months old who is at risk of a severe covid infection, barriers to coverage and access persist. (Grace Abels, PolitiFact and Maria Ramirez Uribe, PolitiFact, 9/10)
Listen to the Latest 'KFF Health News Minute'
The "KFF Health News Minute” brings original health care and health policy reporting from our newsroom to the airwaves each week. (9/9)
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Summaries Of The News:
HHS Report Lays Out Health Priorities For Kids, Omits Biggest Cause Of Death
HHS Chief Robert F. Kennedy Jr. on Tuesday released the "Make Our Children Healthy Again" plan, which mentioned several dozen issues that the federal government aims to tackle, such as poor diet, chemical exposures, and excess prescription medications. But the report didn't mention gun violence, which is the leading cause of death for people younger than 18.
Stat:
RFK Jr. Releases MAHA Report On Fighting Childhood Chronic Disease
Health and Human Services Secretary Robert F. Kennedy Jr. made his chronic disease-fighting plan, a version of which was leaked last month, official on Tuesday. The final version looks markedly similar to the draft that made rounds and garnered heavy criticism in recent weeks, but with more detail. (Cueto and Todd, 9/9)
Los Angeles Times:
MAHA Child Health Report Ignores Gun Violence, The Leading Cause Of Child Death
Absent from the document was any mention of guns, the leading cause of death for people under the age of 18. Firearms have been the leading cause of death for children ages 1 to 17 every year since 2022. More than 2,500 kids died from gunshot wounds in 2022, the last year for which complete data is available, and guns were responsible for 30% of all deaths of 15- to 17-year-olds, the Johns Hopkins Center for Gun Violence Solutions found after analyzing data from the Centers for Disease Control and Prevention. Guns’ absence from the MAHA strategy raised alarm among pediatricians and public health experts. (Purtill, 9/9)
The New York Times:
Read The MAHA Strategy Report
A report from the White House outlines strategies to combat childhood chronic disease and attempts to set a MAHA agenda for the country. (9/9)
On autism —
AP:
RFK Jr.'s New Report Calls For More Scrutiny Of Vaccines And Autism
The Trump administration directed the nation’s public health and environmental agencies to prioritize investigations into vaccine injuries, prescription drug use and autism’s causes in its latest “Make America Healthy Again” report released Tuesday. The 20-page report, overseen by Health and Human Services Secretary Robert F. Kennedy Jr., echoes many of the talking points Kennedy and those in his wide-ranging and politically diverse “MAHA” movement have united around. (Seitz, 9/10)
MedPage Today:
RFK Jr. May Link Vax Aluminum Adjuvant And Autism, Former FDA Chief Says
Scott Gottlieb, MD, who served as FDA commissioner from 2017 to 2019 during President Donald Trump's first term, expressed concern about the future of the U.S. pediatric vaccine schedule in an interview with CNBC on Monday. Notably, Gottlieb said during the interview that he believes HHS Secretary Robert F. Kennedy Jr. could use a forthcoming agency report to claim an association between alum -- an aluminum-based adjuvant used in some vaccines -- and autism, and that this claim could ultimately "take down the whole pediatric vaccine enterprise." (Henderson, 9/9)
Related news about children's health —
The 19th:
The EPA Ended Her Research Into How Climate Change Endangers Children
Jane Clougherty has dedicated the majority of her professional life to researching the health effects of air pollution and, more recently, extreme heat. But in May, she got an email from the Environmental Protection Agency (EPA) that ground her potentially life-saving work to a halt. (Kutz, 9/9)
Capital & Main:
MAHA Promised Healthier Kids. But School Lunches May Deliver Less.
The rise of Make America Healthy Again arrived with big promises for kids: an end to chronic disease, a focus on nutrition and healthier school meals. For school food professionals and public health advocates, it seemed like an unexpected win that could benefit the millions of children who rely on federal school meals, often the most nutritious — and sometimes the only reliable — food they receive all day. That push to improve children’s health from a Republican administration was all the more surprising, considering the political attacks Michelle Obama endured when she campaigned to improve school nutrition. (Stukin, 9/8)
The 19th:
New Mexico Will Be The First State To Make Child Care Free
In an unprecedented move, New Mexico is making child care free. Beginning in November, it will be the first state in the nation to provide child care to all residents regardless of income, Gov. Michelle Lujan Grisham announced this week. (Carrazana, 9/9)
North Carolina Health News:
Helpline Aids NC Pediatricians In Mental Health Care
In North Carolina, the odds of finding a child psychiatrist depend too often on your ZIP code. Even in urban counties such as Wake or Mecklenburg, families may wait months for an appointment. In much of rural North Carolina, the wait is indefinite: There is simply no one to see. (Chambliss, 9/9)
KFF Health News:
Lice Pose No Health Threat, Yet Some Parents Push Back On Rules To Allow Affected Kids In Class
Any evidence of lice was once a reason for immediate dismissal from school, not to return until the student’s head was lice-free. But what are known as “no-nit” policies have been dropped in favor of “nonexclusion” rules, prioritizing class time over any nuisance caused by parasites the size of sesame seeds. That leniency, of late, is coming back to bite some schools. Parents in Massachusetts, Texas, Ohio, and Georgia are petitioning for their districts to revive strict rules on nits and live lice. (Farmer, 9/10)
US Death Rate Fell 4% In 2024; Covid No Longer A Top 10 Cause, CDC Says
Heart disease and cancer remain the leading causes of death, a report indicates, but overdoses and other unintentional injuries along with suicides ticked up last year. Plus: Another group recommends covid vaccines; HHS officials want to scour health data for ill effects of covid shots; and more.
CNN:
US Death Rate Dropped Back To Pre-Covid Levels In 2024, CDC Report Says
The death rate in the United States returned to pre-pandemic levels in 2024 as Covid-19 fell out of the top 10 leading causes of death, according to a report published Wednesday by the US Centers for Disease Control and Prevention. (McPhillips, 9/10)
More news about covid and vaccines —
MedPage Today:
Physicians Group Recommends All Adults Get A COVID Booster
The American Academy of Family Physicians (AAFP) split with federal health officials and recommended that all U.S. adults get an updated COVID-19 vaccine for the upcoming respiratory virus season. In particular, people 65 years or older, those at increased risk for severe outcomes, and anyone who has never received a COVID-19 shot before should be prioritized for vaccination, AAFP said. (Rudd, 9/9)
San Francisco Chronicle:
California Rejects CDC, Backs Medical Groups On COVID Vaccines
In a break from the past, California is endorsing COVID-19 vaccine recommendations from national medical professional organizations rather than federal health officials. State public health departments typically adopt vaccine recommendations from the U.S. Centers for Disease Control and Prevention, which takes their cues from a scientific advisory panel composed of experts who specialize in vaccines and infectious diseases. (Ho, 9/9)
CIDRAP:
Pfizer Reports Strong Phase 3 Clinical Data For 2025-26 COVID Vaccine
Yesterday Pfizer and BioNTech reported phase 3 clinical trial data for their updated COVID vaccine, Comirnaty. That vaccine is authorized for use by the Food and Drug Administration (FDA) for seniors 65 and older and for younger adults with at least one underlying health condition. The data show at least a fourfold increase in neutralizing antibodies, reinforcing preclinical data, and Pfizer has submitted these data to the FDA. (Soucheray, 9/9)
The Wall Street Journal:
Health Officials Hunt For Cases Connecting Covid Shot And Harm In Pregnant Women
Top health officials under Robert F. Kennedy Jr. are compiling examples of harmful effects of Covid shots on pregnant women to share with the public, people familiar with the matter said, furthering the administration’s scrutiny of vaccines and a debate with GOP lawmakers over their efficacy. Food and Drug Administration Commissioner Marty Makary and one of his top deputies, vaccines chief Vinay Prasad, are seeking to waive privacy protections around certain data on Covid vaccines and pregnant women, people familiar with the matter said. (Essley Whyte, 9/9)
KFF Health News:
RFK Jr. Said ‘Everybody Can Get’ A Covid Vaccine. Is That True?
When health secretary Robert F. Kennedy Jr. testified before the Senate Finance Committee on Sept. 4, several senators criticized him for restricting the covid-19 shots after promising in November he wouldn’t “take away anybody’s vaccines.” “Did you hold up a big sign saying that you were lying when you said that?” Sen. Elizabeth Warren (D-Mass.) asked Kennedy. (Abels and Ramirez Uribe, 9/10)
The Washington Post:
How To Find A Covid Vaccine Without A Prescription
Getting an updated coronavirus vaccine can be particularly challenging this year. The Food and Drug Administration approved those shots for people who are 65 and older or have underlying conditions that elevate their risk of severe disease, narrowing the pool of Americans who have easy access to the shots. (Ovalle, 9/9)
CNN:
Florida’s Surgeon General Said He Didn’t Calculate The Costs Of Ending Vaccine Mandates In The State. But Scientists Have.
Florida’s surgeon general said Sunday that he had not weighed the cost – in terms of infections, hospitalizations or deaths – of ending vaccine mandates in his state. But scientists who have done those calculations say those costs may be high. (Goodman and McPhillips, 9/9)
Also —
CIDRAP:
Studies Show How Common Long COVID Is Globally And In Teens
Long COVID, the post-infection condition that can encompass a number of symptoms in the weeks following an active COVID-19 infection, is shown to be highly prevalent in a new global analysis of studies published in Open Forum Infectious Diseases. A second study in The Journal of Infectious Diseases describes the prevalence of long COVID in adolescents in the summer of 2022, and shows that while many teens report lingering symptoms, most are resolved by 3 months post-infection. (Soucheray, 9/9)
CIDRAP:
Dogs Exposed To COVID-Positive People Show Increased Risk Of Infection
A surveillance survey published in Virus Research finds an almost 70% elevated prevalence of SARS-CoV-2 antibodies in the blood of pet dogs exposed to the virus in their homes. (Van Beusekom, 9/9)
White House Steps Up Enforcement Of Rules For Pharma Ads On TV, Online
On Tuesday, President Donald Trump signed an executive action to crack down on misleading ads. Separately, 340B Drug Pricing Program spending grew 565% from 2010 to 2021, according to a new report from the nonpartisan Congressional Budget Office. Also: Novo Nordisk is cutting 9,000 jobs.
The Wall Street Journal:
Trump Executive Action Cracks Down On Pharmaceutical Ads
President Trump on Tuesday signed an executive action calling for stepped-up federal enforcement of rules for pharmaceutical ads. Here’s what to know: In conjunction with the action, the Food and Drug Administration said it is sending thousands of enforcement letters to drugmakers related to misleading ads. In addition, the Department of Health and Human Services is planning to close what the administration sees as a loophole allowing certain broadcast ads to give abbreviated descriptions of drug side effects. (Essley Whyte, Andrews and Lukpat, 9/9)
On the high cost of prescription medication —
Modern Healthcare:
340B Drug Spending Rose 565% From 2010-2021, CBO Reports
Spending on prescription medications under the 340B Drug Pricing Program grew more than sixfold from 2010 to 2021, according to a report the nonpartisan Congressional Budget Office published Tuesday. Safety-net providers participating in 340B spent $43.9 billion on covered drugs in 2021, a 565% increase from $6.6 billion in 2010, the legislative branch agency reported. The findings are limited to the 90% of 340B providers that use the Health Resources and Services Administration’s Prime Vendor Program. (Early, 9/9)
FiercePharma:
Novo, Lilly Obesity Meds 'Highly Cost-Effective': Watchdog Report
Amid a yearslong wave of enthusiasm and uptake for Eli Lilly and Novo Nordisk's blockbuster obesity medicines, the drugs have scored a strong endorsement from an independent U.S. cost watchdog. In a draft report (PDF), the Institute for Clinical and Economic Review (ICER) determined the drugs are "highly cost-effective" because of their ability to help patients lose weight, reduce metabolic risk factors and address obesity-related health complications. The group specifically looked at Novo's injectable semaglutide at the 2.4-mg dose, Novo's investigational oral semaglutide 25-mg dose and Lilly's injectable 15-mg dose of tirzepatide. (Sagonowsky, 9/9)
In other pharmaceutical developments —
AP:
Novo Nordisk, Maker Of Obesity Drug Wegovy, To Cut 9,000 Jobs To Sharpen Focus, Meet Competition
Danish pharmaceutical company Novo Nordisk, maker of weight-loss drug Wegovy, said Wednesday it would cut 9,000 jobs, 5,000 of them in Denmark, in order to strengthen the company’s focus on growth opportunities in obesity and diabetes medications. The restructuring, which would eliminate 11% of the company’s workforce, aimed to reduce organizational complexity and speed up decision-making as the company faces a more competitive market for obesity drugs. (9/10)
Bloomberg:
Hims To Launch New Offerings For Men With Low Testosterone
Hims & Hers Health Inc. plans to launch offerings for men with low testosterone on Wednesday, marking the telehealth company’s long-awaited move into the fast-growing hormonal health category. The offerings expand Hims’ core sexual health franchise amid a slowdown in weight-loss drug sales that has dragged on its stock price in recent months. (Muller, 9/10)
CDC Infectious-Disease Data Project Put On Hold Indefinitely
The user-friendly website would have made access to information on numerous diseases readily accessible. Also: Ex-CDC Chief Susan Monarez will testify at a Senate committee hearing on Sept. 17.
MedPage Today:
CDC Infectious Disease Data Project Shelved
HHS has put on ice a CDC project that would make information about dozens of diseases available in near real time, CDC sources told MedPage Today. Since early summer, the team has been working on a more user-friendly website that would make case counts on 127 notifiable conditions available in one place, alongside expert commentary. But when they asked for approval to launch it, HHS put it on hold indefinitely, several sources said. (Fiore, 9/9)
Former CDC director will tell her side to senators —
NBC News:
Former CDC Director Susan Monarez To Testify At Senate Committee Hearing
The Senate committee that oversees the Centers for Disease Control and Prevention will hold a hearing next week with testimony from former CDC Director Susan Monarez, whom the Trump administration abruptly fired last month after she refused to resign under pressure. The hearing before the Senate Health, Education, Labor and Pensions Committee, chaired by Bill Cassidy, R-La., will take place Sept. 17 and focus on oversight of the CDC. (Leach, Thorp V and Richards, 9/10)
More health news from the Trump administration —
AP:
Judge Blocks Trump Administration's Subpoena Of Trans Patients' Records
A federal judge has blocked the Trump administration’s attempt to subpoena medical records of transgender patients who received gender-affirming care at Boston Children’s Hospital. In a ruling on Tuesday, U.S. District Judge Myong Joun said the administrative subpoena served by the U.S. Department of Justice was improper and “motivated only by bad faith.” The Justice Department said the information was needed to investigate possible fraud or unlawful off-label promotion of drugs, but the information requested — including actual patient records — seemed to be unrelated, the judge said. (Boone, 9/10)
KFF Health News:
Trump’s Medicaid Cuts Were Aimed At ‘Able-Bodied Adults.’ Hospitals Say Kids Will Be Hurt
Republicans insist that President Donald Trump’s cuts to Medicaid were aimed at reducing fraud and getting more of its adult beneficiaries into jobs. But the side effects may include less care for sick kids. Some children’s hospitals collectively stand to lose billions of dollars in revenue once Trump’s wide-ranging tax and spending law, which Republicans called the “One Big Beautiful Bill,” is fully enacted, according to the Children’s Hospital Association. (Galewitz, 9/10)
ProPublica:
The Case Against Ayman Soliman Could Fuel Trump Immigration Crackdown
In the weeks leading up to July 9, Ayman Soliman told friends he was terrified of losing the sanctuary he’d found after fleeing Egypt in 2014 and building a new life as a Muslim chaplain at Cincinnati Children’s Hospital. Soliman, 51, was to show up at 9 a.m. on that date for his first check-in with Immigration and Customs Enforcement since losing his asylum status. He’d been granted the protections in 2018 under the first Trump administration. (Allam, 9/9)
Wildfire Fighters Will Now Be Provided With Masks For Smoke Protection
The move, which reverses a decades-long ban, comes after a series of articles in The New York Times describing health crises among wildfire fighters. Also in the news: California, Ohio, New York, Colorado, Utah, Idaho, Wyoming, Arizona, Rhode Island, Maine, Alaska, and elsewhere.
The New York Times:
U.S. Wildfire Fighters To Mask Up After Decades-Long Ban On Smoke Protections
The U.S. government will provide wildfire fighters with masks to protect against smoke — reversing a decades-long ban that exposed workers to toxins known to cause cancer and other serious diseases. The Forest Service posted new guidance on Monday acknowledging for the first time that masks can protect firefighters against harmful particles in wildfire smoke. The move is part of a flurry of safety improvements in recent weeks as the government faces increasing pressure to aid firefighters. For years, the Forest Service had barred workers from wearing masks, arguing that they were too cumbersome for the job. (Dreier, 9/9)
San Francisco Chronicle:
California Pledges Millions Of Dollars To Study Firefighter Health
Cal Fire will spend $9.7 million on research into how worsening wildfires and other exposures may be increasing the risk for cancer among California firefighters, the governor’s office announced Tuesday. Researchers from UCLA and UC Davis will evaluate the health of 3,500 firefighters over two years and look for signs that they have been exposed to cancer-causing substances or have experienced biological changes that increase their odds of getting the disease. (Johnson, 9/9)
More health news from across the U.S. —
The (Cleveland) Plain Dealer:
Cleveland’s Safety Net Hospital Could Close, Mayor Justin Bibb Says
Mayor Justin Bibb predicted in a recent Politico interview that MetroHealth System could “go out of business” if the federal government cuts Medicaid funding to hospitals.“ Cleveland is home to our only safety net hospital, Metro Hospital (sic), and they could go out of business if these cuts go through,” Bibb said in the interview. (Washington, 9/9)
Axios:
New York Scraps Expanded State Health Coverage, Citing GOP Budget Law
New York plans to phase out a program that offers zero-premium health coverage for working-class residents due to funding cuts in the GOP's tax and spending package, Gov. Kathy Hochul's office tells Axios first. (Goldman, 9/10)
The Colorado Sun:
Anthem And Rocky Mountain Health Plans Won't Pull Back In Colorado
Two major health insurers in Colorado — Anthem and Rocky Mountain Health Plans — have reversed their plans to withdraw from several counties next year. (Ingold, 9/9)
Wyoming Public Radio:
Mountain West Has One Of The Worst Nursing Shortages In U.S.
The Mountain West is home to states with some of the worst nursing shortages in the country. Utah is at the top of the shortage list, with about 1.4 nurses per 100 people, according to an analysis of data from the U.S. Census Bureau and the National Council of State Boards of Nursing. Idaho, Wyoming, Arizona and Colorado trail close behind, with at least 25% fewer nurses than the national average (2.2 nurses per 100 people). (Merzbach, 9/9)
AP:
Former CVS Executive Helena Foulkes Is Running For Governor Of Rhode Island
Former CVS Health executive Helena Foulkes announced her second campaign for Rhode Island governor on Tuesday, challenging incumbent Gov. Dan McKee in the Democratic primary. Foulkes finished a close second to McKee in the 2022 primary after a late surge in the polls and a last-minute endorsement from The Boston Globe’s editorial board. McKee is seeking his second full term after stepping up from the lieutenant governorship when Gov. Gina Raimondo was tapped as U.S. commerce secretary in the Biden administration in 2021. (9/9)
On EEE, borealpox, and bird flu —
The Boston Globe:
First Human Case Of EEE Reported In Maine, Officials Say
Health officials in Maine on Tuesday said the Eastern Equine Encephalitis virus has been detected in a resident from Penobscot County, the first human case of the virus in the state this year. The Maine Center for Disease Control and Prevention announced the case on social media and said the risk level for EEE is currently “severe” in Penobscot, Piscataquis, Somerset, and Waldo counties, areas that have had a history of EEE activity in recent years. (Stoico, 9/9)
CIDRAP:
Six Recent Sporadic Borealpox Cases In Alaska Tied To Rodents
A Centers for Disease Control and Prevention–led study links spillover from small mammals such as voles and squirrels to cases of borealpox in five adults and one child in Alaska from 2020 to 2023. (Van Beusekom, 9/9)
The New York Times:
Scientists Begin Testing Bird Flu Vaccine In Seals
Wildlife veterinarians have begun testing bird flu vaccines in marine mammals, which have suffered enormous losses in the ongoing global outbreak. The first trial, which began in July, is tiny, enrolling just six northern elephant seals that were already being rehabilitated at the Marine Mammal Center in Sausalito, Calif. But if the results are promising, the researchers hope to quickly begin vaccinating wild Hawaiian monk seals, an endangered species that they fear could be wiped out by the virus. (Anthes, 9/9)
CIDRAP:
CDC Says Avian Flu May Infect The Gut, Though Risk Is Low
Given ongoing detections of H5N1 avian flu in poultry, dairy cows, and wildlife, the US Centers for Disease Control and Prevention (CDC) yesterday addressed the potential for the threat of contracting the virus by eating or drinking potentially contaminated food or beverages, such as raw milk, saying the risk is low but possible. (Schnirring, 9/9)
Marijuana Use May Be Linked To Birth Defects, Miscarriages, Study Finds
The study, published Tuesday, links high levels of THC with changes in how eggs mature and a possible increase in chromosome malformations. Plus: a new test for HPV-linked head and neck cancer; brain iron levels linked to cognitive impairments; and more.
CNN:
Marijuana May Cause Chromosomal Defects In Human Egg Cells, Study Finds
Marijuana may damage oocytes — unfertilized eggs in female ovaries — in ways researchers worry may lead to infertility, miscarriage and possible genetic defects in babies, new research has found. (LaMotte, 9/9)
Medical Xpress:
Blood Test Identifies HPV-Associated Head And Neck Cancers Up To 10 Years Before Symptoms
In a study published in the Journal of the National Cancer Institute, Mass General Brigham researchers show that a novel liquid biopsy tool they developed, called HPV-DeepSeek, can identify HPV-associated head and neck cancer up to 10 years before symptoms appear. By catching cancers earlier with this novel test, patients may experience higher treatment success and require a less intense regimen, according to the authors. (9/9)
MedPage Today:
Brain Iron Predicts Risk Of Future Cognitive Impairment
Brain iron measured with quantitative susceptibility mapping (QSM) MRI predicted cognitive decline in healthy adults, a prospective study showed. In 158 cognitively unimpaired older adults, higher baseline magnetic susceptibility in the entorhinal cortex was tied to an increased risk of subsequent mild cognitive impairment (HR 2.00, P=0.005), reported Xu Li, PhD, of Johns Hopkins University in Baltimore, and co-authors. (George, 9/9)
The Hill:
What Is The Rare Condition Known As Type 1.5 Diabetes?
When someone is diagnosed with diabetes, it’s usually pretty simple which one they have — Type 1 or Type 2. The rate of diabetes has grown worldwide, having surpassed 800 million people a year ago. By 2050, that number is expected to increase to over 853 million. What some might not realize is that those rising numbers can also be attributed to another rare condition that might often be misdiagnosed, which is Type 1.5 diabetes. (Taub, 9/9)
Phys.org:
Beer Drinkers Are Mosquito Magnets, According To A Festival Study
Participants who drank beer were 1.35 times more attractive to mosquitoes than those who didn't. The tiny vampires were also more likely to target people who had slept with someone the previous night. The study also revealed that recent showering and sunscreen make people less attractive to the buzzing menace. (Arnold, 9/9)
KFF Health News:
Listen To The Latest 'KFF Health News Minute'
Katheryn Houghton reads the week’s news: New research shows that regular, moderate use of devices like computers and smartphones can be good for the cognitive health of older people, and human resources departments can help employees get health insurance companies to pay for covered care. (9/9)
CMS Delays Medicare Advantage Rule Requiring Reminders Of Unused Perks
The agency says it needs time "to address logistical concerns and reevaluate current requirements" regarding a notification policy about unused benefits. Plus, UnitedHealth's intentions for Medicare Advantage plans.
Modern Healthcare:
CMS Drops Medicare Advantage Unused Benefits Notification Policy
Medicare Advantage carriers will not be required to remind members about unused supplemental benefits, the Centers for Medicare and Medicaid Services notified insurers Monday. CMS will not enforce the mandate “while it reconsiders the regulatory requirements,” the agency wrote in a memo to health insurance companies. The policy was scheduled to take effect next year. (Tong, 9/9)
Modern Healthcare:
UnitedHealth, HCSC Cut Medicare Advantage Commissions
UnitedHealthcare is backing away from many Medicare Advantage plans as it seeks to restore profitability to the business. The UnitedHealth Group subsidiary will cease paying commissions on new sales of 18% of its products for 2026, the company notified third-party marketers Tuesday. UnitedHealthcare will pay only partial commissions for another 2% of its Medicare Advantage plans. The insurer will continue to compensate brokers for renewals. (Tepper, 9/9)
Modern Healthcare:
UnitedHealth Expects Most Medicare Advantage Members In Top Plans
The vast majority of UnitedHealthcare Medicare Advantage members will be enrolled in policies with high quality scores next year, parent company UnitedHealth Group announced Tuesday. UnitedHealthcare anticipates that 78% of its Medicare Advantage enrollees in 2026 will have plans in contracts that earned at least four out of five stars under the Star Ratings quality measurement program. That compares with 71% this year. (Tepper, 9/9)
In other health industry news —
Modern Healthcare:
Pacs Group's CFO Derick Apt Resigns
Pacs Group Chief Financial Officer Derick Apt resigned from the troubled nursing home company last week after he allegedly accepted improper gifts from related parties. The company said in a Monday Securities and Exchange Commission filing that Apt resigned Sept. 2 after an audit committee alleged he violated the company’s code of conduct by accepting high-value items from individuals associated with entities that do business with Pacs Group. Efforts to reach Apt were unsuccessful. (Eastabrook, 9/9)
Modern Healthcare:
How Hospital Presumptive Eligibility Can Help With Medicaid Cuts
Hospitals are ramping up strategies to prevent Medicaid patients from losing coverage as they try to get ahead of federal policy changes. A growing number of providers are pursuing hospital designations that allow them to streamline the Medicaid enrollment process, known as presumptive eligibility. Others are enlisting vendors to collect and organize patient data and partnering with community organizations to bridge coverage gaps. (Kacik, 9/9)
Newsweek:
How Health Systems Are Turning Living Rooms Into Hospital Rooms
Erica Olenski's North Texas home is a constant churn of activity, as is typical for a family with two young boys. Scattered about are baseball bats, book bags, bicycles. But that's where the ordinary ends. Olenski's son, August, was diagnosed with an aggressive form of brain cancer in May of 2019, at 5 months old. For the next six years, their home served as a personal intensive care unit. (Kayser, 9/10)
Viewpoints: Medical Debt Is A Full-On Health Emergency; Ultraprocessed Foods Have Sickened Americans
Opinion writers examine these public health issues.
The CT Mirror:
The Hidden Health Crisis: Medical Debt
When we talk about the U.S. healthcare crisis, the conversations often turn to buzzwords: skyrocketing premiums, pharmaceutical greed, hospital consolidations. However, the real emergency isn’t just what’s happening inside hospitals or insurance plans. Instead, it’s what’s happening to millions of Americans: crushing medical debt. (Brandon M. Macsata, Guy Anthony and Jonathan Sosa, 9/10)
The New York Times:
It’s Not You, It’s The Food
Such advice has won the backing of Health Secretary Robert F. Kennedy Jr., who makes valid critiques of the state of America’s health while also promoting wearable health devices to help people “take responsibility,” and promising to free Americans from the Food and Drug Administration’s “aggressive suppression” of vitamin supplements, which he views as a key part of a healthy lifestyle. (Julia Belluz and Kevin Hall, 9/10)
Bloomberg:
Gen Z Is Bucking A Terrible Mortality Trend
Young adults in the US are dying at a slower pace. The 2024 mortality numbers collected by the Centers for Disease Control and Prevention’s National Center for Health Statistics won’t be officially finalized for a while yet, but I’ve been checking the provisional updates every week, and the totals have stopped changing, so I think its safe to say that last year’s US death rate for ages 25 through 34 was the lowest since 2015. (Justin Fox, 9/9)
Stat:
AI Is Helping My Doctors Treat My Cancer
When I turned 60, I knew something wasn’t right. I lost weight. I felt drained. I had no appetite. I had a gut feeling — literally, abdominal discomfort — and a sense that something serious was going on beneath the surface. So I asked my doctors to test everything. (Steve Brown, 9/10)
The Colorado Sun:
As Health Care Costs Rise, Coloradans Battling Cancer Will Endure Even More Financial Hardships
Cancer is the leading cause of death in Colorado, with 44,527 dying from cancer in 2024; and nearly 26,000 new cancer diagnoses last year. People who live in areas with low household incomes — be it urban, suburban or rural — are more likely to be diagnosed with later stage disease, require more aggressive treatments, and have a poorer health outlook. However, with rising costs of new cancer drugs, unaffordable treatments will not be confined to those without insurance or access to care. The ability to be treated may soon be out of reach for many patients and families. (Cathy J. Bradley, 9/9)
Stat:
My Mother And I Were Both Misdiagnosed. I Lived. She Died
In 2009, what began as a swollen ankle ended with a terminal cancer diagnosis. Driving home from Florida, I could barely walk when I pulled off I-95. A Virginia ER dismissed me as constipated. But back in New Jersey, CT scans revealed a 28-centimeter uterine mass and multiple lung metastases. A lung biopsy confirmed stage IV uterine leiomyosarcoma. (Michelle Patroni, 9/10)