Debt limit deal will not effect Medicaid; a national safety board may make health care safer; experimental hemophilia therapy reduces bleeding.
Medicaid Work Requirements Not Attached to Debt Limit Deal
Although Democrats successfully resisted Republican efforts to attach Medicaid work requirements to the debt limit deal, the agreement includes the return of approximately $30 billion in unspent COVID-19 relief funds, according to Axios. The deal aims to maintain flat non-defense discretionary spending levels for 2024, with a small 1% increase in 2025, potentially impacting funding for agencies like the National Institutes of Health.
Advocates Want to Create a National Patient Safety Board
Patient safety advocates are pushing for the creation of a National Patient Safety Board, modeled after the National Transportation Safety Board, according to CNN. The board would investigate medical errors, identify problem areas, and recommend preventive measures to improve patient safety. However, concerns have been raised regarding the lack of transparency and accountability in the proposed board, as it would require permission from health care organizations to probe safety events and would not have the power to identify healthcare providers or settings in its reports.
Pfizer’s Hemophilia Therapy Reduced Bleeding Better Than Standard of Care
Pfizer announced positive results from a late-stage study of its experimental hemophilia therapy, marstacimab, according to Reuters. The study showed that marstacimab demonstrated superiority over current standard of care treatments in reducing bleeding rates in patients with severe hemophilia A and moderately severe to severe hemophilia B. Furthermore, the therapy achieved a 92% reduction in bleeding, offering potential benefits to patients who require regular infusion of missing proteins. Pfizer is also conducting further trials of marstacimab in patients with inhibitors, with results expected in late 2024.
Neonatology Pricing and Network Participation Under State Balance Billing Regulations
October 2nd 2025This national study of neonatology services found no clear evidence that state surprise billing regulations influenced prices or provider network participation for the commercially insured.
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AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Managed Care Reflections: A Q&A With Ge Bai, PhD, CPA
October 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care, each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The October issue features a conversation with Ge Bai, PhD, CPA, professor of accounting at Johns Hopkins Carey Business School and professor of health policy and management at Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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