Monday report

Simplicity is a virtue.

From Washington, DC,

  • Per a Centers for Medicare and Medicaid Services news release,
    • “To stop payments above market rates for laboratory services in Medicare and save taxpayer dollars, the Centers for Medicare & Medicaid Services (CMS) plans to better align the 2027 clinical laboratory fee schedule rates with private sector payment rates, saving an estimated $1 billion annually. While final rates won’t be released until later this year, CMS is releasing the data and information used to determine the preliminary 2027 Medicare payment rates for laboratory services showing that Medicare has been paying about 16% more for laboratory services than private payors. Basing Medicare’s rates on those paid by the private sector helps ensure that Medicare is paying appropriate amounts for laboratory tests and protecting taxpayer dollars.” * * *
    • By law, Medicare payment for a clinical diagnostic laboratory test cannot be reduced by more than 15% per year through 2029. CMS will gradually phase in the reductions through 2029. 
    • The public has 30 days from today to review and submit comments on the preliminary Calendar Year (CY) 2027 Clinical Laboratory Fee Schedule rates and supporting data. For laboratory tests that didn’t get any private-payor data reported to CMS, CMS held a public meeting September 15 and 16 to decide how to price them. These determinations will be published in early October along with a 30-day comment period.
    • CMS anticipates finalizing the CY 2027 payment rates for clinical diagnostic laboratory tests under the Clinical Laboratory Fee Schedule in November 2026. The final payment rates will go into effect beginning January 1, 2027. 
    • View a fact sheet on the Preliminary CY 2027 Medicare Clinical Laboratory Fee Schedule Payment Rates. 
    • To view the preliminary CY 2027 Clinical Laboratory Fee Schedule rates and data, visit https://www.cms.gov/medicare/payment/fee-schedules/clinical-laboratory-fee-schedule-clfs.
  • The American Hospital Association News adds,
    • “The Centers for Medicare & Medicaid Services announced Sept. 18 that all 50 states, Washington, D.C., and Puerto Rico have applied to participate in its initiative to make certain prescription drugs available to people with Medicaid at prices aligned with those paid in other countries, known as most-favored-nation pricing. The initiative, called the GENErating cost Reductions fOr U.S. Medicaid (GENEROUS) Model, is being implemented by the CMS Innovation Center. CMS said that 40 states and Puerto Rico have already signed agreements to participate in the model, and that the remaining applicants have until Sept. 30 to sign agreements. The GENEROUS Model launched in January and will run for five years.”
  • Beckers Hospital Review reports,
    • Pfizer agreed to give HHS a portion of its increased revenue if it is able to charge higher drug prices abroad, according to a “most favored nation” contract released Sept. 19, Bloomberg reported. 
    • The contract, released by consumer watchdog Public Citizen and obtained from a Freedom of Information Act lawsuit, showed documents related to Pfizer and Eli Lilly contracts, though some information is redacted. More than two dozen other deals remain confidential. * * *
    • “Pfizer agreed to share a portion of its net increased revenue from charging higher prices abroad, effective Jan. 1, 2026, through Jan. 20, 2029. The rate and medicines included were redacted. 
    • “The company said it stands “by our belief that the agreement Pfizer voluntarily reached with the administration last September is a win for American patients” and achieves priorities to lower prices for patients, redistribute global research and development costs, and create a predictable investment environment, Pfizer spokesperson Amy Rose told Bloomberg.”  
  • Per a National Institutes of Health news release,
    • “The National Institutes of Health (NIH) is making its biggest push yet to move biomedical research beyond animal model use, unveiling five major initiatives that could reshape how new drugs and treatments are developed and evaluated. Together, the efforts signal a significant investment into human-based technologies as the future of preclinical science, aiming to make research faster, more predictive, and more directly relevant to human health.
    • “Efforts include more than $88 million in funding for biomedical infrastructure projects nationwide; a new challenge offering over $7 million in awards to demonstrate how quantum-enabled approaches can improve detection and measurement in lab-based New Approach Methodologies (NAMs); a state-of-the-art laboratory at the NIH Clinical Center that will integrate standardized human organoid models, robotics, AI, and advanced data capabilities to enable experiments on reproducible human biological systems; an initiative to recruit grant reviewers who are experts in human-based science; and a new request for information from the scientific community to assess the feasibility of an annual public report tracking the number of vertebrate animals used in NIH-funded research.
    • “NIH is building the scientific infrastructure needed to develop, validate, and scale technologies that better reflect human biology,” said NIH Director Jay Bhattacharya, M.D., Ph.D. “Our goal is to give researchers better tools to understand human disease and translate discoveries into treatments that improve patients’ lives.”

From the U.S. Office of Personnel Management front,

  • FedWeek reports,
    • “OPM has proposed to revise regulations governing hiring into the excepted service to align them with several Trump administration policies.
    • “Rules proposed in the September 18 Federal Register would “conform OPM regulations to current excepted-service schedules, including Schedules E, Policy/Career, and G; modernize part 302 procedures while preserving veterans’ preference, compensable-injury restoration rights, and other priority placement rights; authorize and clarify Pathways conversions to Schedule Policy/Career.”
    • “Schedule E was created in the first Trump term relating to hiring of administrative law judges, which Schedule Policy/Career and Schedule G were created during the current term; both apply to certain policy-related positions, with the former applying to career employees and the latter to political appointees.
    • “The Pathways Program is a longstanding program of internships for students and appointments of recent graduates, with the potential for non-competitive conversion to the competitive service; Trump last year abolished one element, the Presidential Management Fellows for those with advanced degrees, typically in public service administration.”
  • and
    • “I’ve promised this article twice now — in Part 3 on SSDI and again in Part 6 on the benefits of disability retirement — because it answers the question every client eventually asks: “If I get both, what do I actually take home?” The word “offset” scares people. Some employees hear it and conclude that SSDI isn’t worth the fight after their initial application is denied (which is very common).
    • “Let me show you why that’s the wrong conclusion, with real numbers. Remember, of course, that SSDI is only available to those who generally cannot work at all — or can earn only very little.”
  • FedSmith adds,
    • “For many federal employees, reaching Minimum Retirement Age (MRA) with 30 years of service feels like the finish line.
    • “The pension becomes available. The FERS Retirement Supplement may begin. FEHB can continue into retirement. The Thrift Savings Plan becomes accessible without early withdrawal penalties.
    • “After decades of federal service, retiring at MRA + 30 often feels emotionally justified and financially achievable. But there is an important distinction many employees overlook: retirement eligibility is not the same thing as retirement readiness.
    • The federal retirement system gives employees the ability to retire relatively early compared to many private-sector workers. That flexibility is valuable.
    • “But it also means employees must evaluate whether they are truly prepared for what may become a 30-year retirement. The question should not simply be: “Can I retire?” It should also be: “Can my retirement survive stress?”

From the Food and Drug Administration front,

  • Per a Department of Health and Human Services news release,
    • “The U.S. Food and Drug Administration (FDA) today issued a direct final rule updating its regulations to remove references to animal testing and implement the FDA Modernization Act.” * * *
    • “HHS also launched a new webpage providing a comprehensive accounting of actions of more than 20 actions the Department has taken to reduce animal testing and advance NAMs.”
  • Reuters reports,
    • “The US FDA’s staff reviewers did not raise major concerns about the accuracy and safety of Grail’s (GRAL.O), blood test designed ​to detect more than 50 cancers, sending the company’s shares soaring 35% on Monday.
    • “The ‌findings on the screening test, called Galleri, will be discussed at the FDA’s external advisers’ meeting on Wednesday [September 23] to review Grail’s request for premarket approval.
    • “The FDA ​has no outstanding questions for the external panel on ​analytical performance, study design and the primary safety analyses of ⁠Galleri, according to the briefing documents.”
  • Fierce Pharma relates,
    • “IntraBio is on a roll with its expansion plans for chemically altered amino acids, Aqneursa.
    • “The Texas-based pharma just secured FDA approval to expand the label of Aqneursa, which is now the first treatment indicated for a rare and prematurely fatal neurodegenerative disease called ataxia-telangiectasia (A-T).
    • “The positive ruling was based on data from IntraBio’s phase 3 IB1001-303 phase 3 data announced earlier this year. In the crossover study, which included 73 A-T patients ages 4 to 50, Aqneursa significantly improved ataxia symptoms and provided functional benefits for everyday life compared with placebo within 12 weeks of starting treatment.” * * *
    • “The FDA cleared Aqneursa, given as an oral suspension, for both children and adults with A-T, as long as they are over 15 kilograms (33 pounds).”
       
  • Cardiovascular Business tells us,
    • “The U.S. Food and Drug Administration (FDA) has approved the Cordis Selution SLR (Sustained Limus Release) drug-eluting balloon (DEB) for the treatment of coronary in-stent restenosis (ISR). This is the first sirolimus DEB cleared in the U.S.
    • “The FDA previously designated this device as a breeakthrough device because of its sustained limus release, allowing the anti-proliferative drug to continue to prevent the growth of scar tissue inside a stent over a longer period of time to prevent further ISR. 
    • “As the first and only sirolimus drug-eluting balloon approved in the United States, Selution SLR DEB introduces a groundbreaking therapy for the treatment of coronary ISR,” Matt Muscari, president of the Americas at Cordis, said in a statement. “This innovative device will enable physicians to address one of the most complex coronary clinical challenges.”

No Surprises Act News,

  • Fierce Healthcare reports,
    • “Self-funded employers are facing the brunt of costs associated with the No Surprises Act (NSA) arbitration process, a new report from the ERISA Industry Committee (ERIC) found.
    • “The report (PDF)—entitled Employer Exposure Under the No Surprises Act—was in part informed by confidential interviews with larger self-funded employer plan sponsors. 
    • “Employer-sponsored insurance covers approximately 154 million non-elderly Americans, with 67% of covered workers enrolled in self-funded plans, according to the report. With firms of 200 or more employees, the share is 80%.
    • “In Independent Dispute Resolution (IDR) cases, employers fund outcomes, the report notes.
    • “This is no trivial matter,” analysts wrote. “As IDR payouts reach upwards of $15 billion dollars throughout the life of the program, the direct cost to employers is quickly becoming untenable.” * * *
      • “Analysts put forth several policy recommendations, including:
      • “Restoring the “intended role” of qualifying payment amounts (QPAs)
      • “Establishing a limited appeals mechanism
      • “Addressing volume abuse
      • “Enacting transparency reform”
  • FEHBlog Observation – The necessary tranparency report — good faith estimates by providers and advance explanations of benefits by providers — is already law; we just need the No Surprises Act regulators to implement the law for insured people.

From the judicial front,

  • The U.S. Court of Appeals for the Sixth Circuit issued its opinion in the Commonwealth of Kentucky v. Express Scripts case last Friday.
    • The Commonwealth of Kentucky filed this lawsuit in state court, alleging that a group of healthcare firms contributed to Kentucky’s opioid crisis by conspiring with drug manufacturers to increase the supply of prescription opioids. The defendant firms include two Pharmacy Benefit Managers that negotiate with drug manufacturers to provide prescription drug coverage for federal employees. The Pharmacy Benefit Managers removed the case to federal court under the federal officer removal statute. Kentucky moved to remand, arguing that its complaint effectively disclaimed liability for any conduct the firms undertook at the behest of a federal officer. The district court agreed and granted Kentucky’s motion. In view of our decision in Ohio ex rel. Yost v. Ascent Health Services, LLC, 165 F.4th 999 (6th Cir. 2026), we reverse.
  • FEHBlog observation — This opinion is quite favorable to FEHB and PSHB carriers, large providers, underwriters and administrators.
  • Beckers Payer Issues reports,
    • “A New York state court has dismissed a lawsuit brought by two medical practices seeking more than $1.7 million from Elevance Health subsidiaries over unpaid No Surprises Act arbitration awards, ruling that the providers failed to make a viable claim under state law.
    • “Suffolk County Supreme Court Justice Paul Hennings granted the insurer’s motion to dismiss Sept. 17, throwing out all seven claims brought by True North Medical of Manhasset and True North Medical of Suffolk against four Anthem companies.
    • “The two Long Island practices provided out-of-network care to members of Anthem-administered health plans. After disputing certain payment amounts, the providers took their claims through the independent dispute resolution process and won 13 determinations totaling more than $1.7 million, which they alleged Anthem did not pay.
    • “Rather than filing under the No Surprises Act itself, the practices brought claims under New York state law, including unjust enrichment, violation of New York’s Prompt Pay statute, implied contract, insurance bad faith and declaratory judgment. They argued the IDR awards established what they were owed and that state law independently allowed them to collect.
    • “The court found that every claim depended on the IDR determinations for both the obligation to pay and the dollar amount owed. The No Surprises Act does not create a private right of action to enforce those awards, and state-law claims cannot fill the gap when the underlying payment obligation comes entirely from the federal process.”
  • Healthcare Dive relates,
    • “A judge in Texas last week approved a bankruptcy plan for CVS’ Omnicare, winding down the pharmacy services division after it sold its business operations for $250 million and settled an almost $1 billion judgment for improperly billing government healthcare programs.
    • “Judge Stacey G. C. Jernigan of the U.S. Bankruptcy Court for the Northern District of Texas greenlit the plan on Thursday, almost a year after Omnicare filed for Chapter 11 bankruptcy.
    • “The plan, which reorganizes some Omnicare assets and liquidates others, will pay all creditors in full, and go into effect in October, a lawyer for Omnicare told Bloomberg Law.

From the public health and medical / Rx research front,

  • Cardiovascular Business reports,
    • “Chronic kidney disease (CKD) is known to significantly increase a person’s risk of heart disease or stroke. However, women with CKD often receive a delayed diagnosis and are less likely to receive a kidney transplant. It is with these trends in mind that multiple researchers collaborated for a new American Heart Association (AHA) scientific statement. The document, published in Circulation, highlights the importance of diagnosing CKD early in women and includes new recommendations designed to improve care for them going forward.”
    • “Many cases go undiagnosed in women because common tests and research do not always reflect women’s biology and life stages,” Eman Y. Gohar, PhD, MS, volunteer chair of the scientific statement’s writing group and an assistant professor of medicine with Vanderbilt University Medical Center, said in a statement. “Biological differences include genetics, sex chromosomes, hormones, immune-system responses and differences in how the body processes and responds to medication. We also need to acknowledge female-specific factors that do not apply in the same way to male patients. These include menstrual health, pregnancy, postpartum changes and menopause, as well as socioeconomic factors like financial barriers or cultural expectations. Each of these creates considerations that are unique to women and may require tailored care.”
    • “The statement emphasizes that women face many challenges when it comes to receiving kidney care. If clinicians fail to keep these challenges in mind, they risk letting patients with CKD go untreated until symptoms get much worse.
    • “Women are not simply smaller versions of men,” Gohar added. “Their biology, reproductive life stages and responses to medication may differ, and those differences need to be reflected in clinical care and research.” 
  • Health Day relates,
    • “Strength training is not linked to ventricular arrhythmia for people living with arrhythmogenic cardiomyopathy (ACM), according to a study published online Sept. 10 in JACC: Clinical Electrophysiology.
    • “Katia Chiampas, from Johns Hopkins University in Baltimore, and colleagues evaluated the risk for ventricular arrhythmia (VA) in individuals with ACM and/or pathogenic/likely pathogenic ACM gene variants exposed to strength-based exercise. The analysis included 355 individuals (median age, 34 years) identified from the Johns Hopkins Arrhythmogenic Right Ventricular Cardiomyopathy Registry, with follow-up from age 10 years.
    • “The researchers found that overall lifetime risk for VA was higher with increased aerobic exercise (dual + endurance) than without (strength + sedentary). However, there were no differences identified between dual versus endurance athletes or strength athletes versus sedentary. There was also no association between VA and strength training, but there was a significant association with endurance exercise.”
  • MedPage Today tells us,
    • “Patients with frailty are often undertreated with effective medications due to concerns around potentially attenuated benefits and safety risks.
    • “Baseline frailty did not limit the clinical benefits of semaglutide in a post-hoc trial analysis of patients with cardiovascular disease and overweight/obesity.
    • “The most frail participants experienced greater quality-of-life gains and lower treatment discontinuation rates due to adverse events.”
  • Healio discusses us,
    • “When should older adults get a flu vaccine? Experts offer advice.
    • “One expert simplified it for older adults, saying: “Don’t try to fake out flu. Just get your vaccine.”
    • “Another expert who is aged over 65 years said he may get the mRNA flu shot that just hit the market.”
  • Beckers Clinical Leadership informs us,
    • “A blood test correctly identified 87% of stage 1 and 2 pancreatic cancers, according to a study published Sept. 16 in Nature Medicine.
    • ‘For the study, researchers from Duarte, Calif.-based City of Hope tested the PANXEON liquid biopsy in nearly 1,800 patients across the U.S., Europe and Asia.
    • “The test identifies three biomarkers — circulating microRNAs, exosomal microRNAs and the protein CA19-9 — and assigns a single AI-generated pancreatic cancer risk score.
    • ‘The test’s false-positive rate was 3% among low-risk patients and 16% among high-risk patients. It also detected precancerous high-grade dysplasia in more than 64% of cases.
    • “The test is designed to complement, rather than replace, existing diagnostic strategies by flagging high-risk patients for further evaluation, researchers said in the release. 
    • “Read the full study here.”
  • Fierce Pharma notes,
    • “As Johnson & Johnson’s $14.6 billion bet on Intra-Cellular Therapies continues to pay off with blockbuster sales of Caplyta, the atypical antipsychotic has passed a phase 3 test that puts it one step closer to a wider psychiatric label.
    • “Caplyta (lumateperone), first approved back in 2019 under Intra-Cellular’s stewardship for schizophrenia, helped deliver rapid improvement in manic symptoms and improved overall illness severity, among other benefits versus placebo, over three weeks in a late-stage trial in adults with manic episodes associated with bipolar I disorder, J&J said in a release Monday.
    • “The results, which pointed to improvements in bipolar mania on Caplyta starting as early as day 3 of treatment, were presented with a clutch of other J&J readouts at the recent 2026 Psych Congress annual meeting in New Orleans. The study, coded 451, is part of a pair looking at Caplyta in adults with bipolar I-associated manic episodes.”
  • BioPharma Dive lets us know,
    • “A gene therapy from Beacon Therapeutics succeeded in a late-stage study involving people with a rare, often blinding eye condition, setting the company up to seek regulatory approval. 
    • “Called laruparetigene zovaparvovec, or laru-zova, the treatment helped a higher proportion of trial enrollees with X-linked retinitis pigmentosa read at least 15 more letters on a visual acuity test in low-light conditions than untreated participants after a year of follow-up. Beacon said the adverse events associated with treatment were “predominantly mild to moderate.”
    • “Further details from the study will be revealed at a medical meeting in October. The biotechnology firm plans to begin submitting a “rolling” approval application, which can be submitted in piecemeal fashion, by the end of the year.”
  • STAT News points out,
    • “Drugs called orexin agonists have been hailed for their ability to treat rare sleep disorders, but with new data, Alkermes is showing for the first time that the new class of therapies may benefit people with ADHD.
    • “In a randomized Phase 1 study, the company’s new drug, called ALKS 7290, was well tolerated and showed a signal of efficacy, Alkermes said Monday.
    • “Participants in the study started with a median score of 39 on a diagnostic known as the Adult ADHD Investigator Symptom Rating Scale, indicating that they had moderate to severe symptoms. After two weeks, those taking a high dose of 50 milligrams of ALKS 7290 experienced a 19-point reduction on the scale, indicating that their symptoms had become mild.
    • “Common ADHD treatments like stimulants have shown a similar magnitude of effect in trials over a longer period of time, four weeks, said Greg Mattingly, founding partner of St. Charles Psychiatric Associates, who consults for Alkermes.”
  • Per Genetic Engineering and Biotechnology News,
    • “Scientists have traditionally thought of the brain as a single, unified organ. But new research by Stanford Medicine scientists, working with collaborators from the California Institute of Technology and the University of California, San Francisco, indicates that what we call the brain is two distinct organs that evolved independently over hundreds of millions of years.
    • “The discovery overturns a prevailing model of brain development, based on the theory that there is a single progenitor cell early in development that gives rise to the entire brain. This model suggested that all parts of the brain shared a common developmental origin. The newly reported findings show that the human brain consists of two ancient nervous systems cleverly packaged together—a more primitive part that regulates the heart beating, our breathing and other functions, and another part that makes us distinctly human, capable of poetry, mathematics and wondering about our own origins.
    • “The results could help explain why scientists have struggled for decades to grow certain types of brain cells in the laboratory—and it opens new avenues for studying devastating diseases that affect the brain stem, such as spinal muscular atrophy (SMA) and amyotrophic lateral sclerosis (ALS).”
    • “We’ve shown for the first time that the front of the brain arises from a totally different progenitor cell than the back of the brain,” said Kyle Loh, PhD, associate professor of developmental biology. “Our discovery means that we can now grow neurons from the back of the brain, the hindbrain, in a petri dish and study their functions.” Loh is senior author, and Carolyn Dundes, PhD, and Rayyan Jokhai are co-first authors of the scientists’ published paper in Nature Neuroscience, titled “Two parallel neural ectoderm progenitors contribute to the developing brain,” in which they concluded that “… the emerging notion of two parallel brain progenitors has a number of ramifications for development, differentiation and evolution.”

From the U.S. healthcare business front,

  • Beckers Hospital Review reports,
    • “Nashville, Tenn.-based HCA Healthcare is pushing toward an average of 20 outpatient facilities for every hospital by the end of the decade as the company continues to make ambulatory expansion a centerpiece of its long-term growth strategy.
    • “CFO Mike Marks said Sept. 15 at the Jefferies Healthcare Services and Technology Conference that HCA has already increased its outpatient footprint from about 12 facilities per hospital in 2023 to more than 14 today.
    • “Our goal, based on what we’re seeing in our markets, is that that would likely be 20 outpatient facilities per hospital by the end of the decade,” Mr. Marks said. “That reflects what we’re seeing for demand in our markets and just the value of having a comprehensive network of ambulatory sites to support your hospitals.”
    • “The target builds on several years of accelerated outpatient investment. HCA added about 100 outpatient facilities in 2025 and entered 2026 with roughly 2,700 outpatient sites. CEO Sam Hazen said in January the system had “significant capital in the pipeline” for additional outpatient development in 2026 and 2027, with growth expected through both new construction and acquisitions.”
  • and
    • Financial pressure is accelerating consolidation at a pace not seen in years. Staffing shortages, aging infrastructure, heavy Medicaid and Medicare dependence, and mounting payer denials have left hundreds of community hospitals with a stark choice: find a partner or close. 
    • Academic health systems, large nonprofits and regional powerhouses are all moving aggressively to absorb distressed and independent facilities, expanding geographic footprints, offloading debt and locking in patient pipelines in the process. 
    • [The article identifies] 34 academic health systems that have announced or plan to close strategic mergers, acquisitions or partnerships this year.
  • and
    • “Novo Nordisk unveiled its 2030 strategic targets at a Capital Markets Day in London Sept. 21, aiming to reassure investors it can navigate looming patent expirations for semaglutide, the active ingredient in Ozempic and Wegovy, according to a Sept. 21 report from the Financial Times.”
  • The Wall Street Journal adds,
    • Ipsen IPN shares fell sharply after the U.S. Food and Drug Administration approved a generic competitor to its flagship hormone drug earlier than expected.
    • “Shares fell 6.6% to a seven-month low of 145.60 euros in morning European trade, making Ipsen the worst performer in the Europe-wide Stoxx 600 index.
    • ‘The FDA approved Amneal Pharmaceuticals’ AMRX 9.25%increase; up pointing triangle lanreotide injection—a generic of Ipsen’s Somatuline drug—at a dose of 120 milligrams, the New Jersey-based drugmaker said in a release after market close Friday.
    • “The drug will launch immediately and be produced in-house, Amneal said.
    • “The launch comes sooner than Ipsen had expected. Following the company’s second-quarter results in July, Chief Financial Officer Aymeric Le Chateliersaid he expected “some delay on the entry of [the] generic,” with Somatuline’s competitor expected to arrive in the fourth quarter.”
  • Beckers Payer Issues relates,
    • “Nationally, employees contribute an average of $7,314 per year toward the cost of employer-sponsored family health insurance, according to an analysis from KFF.
    • “The 2025 data comes from the Agency for Healthcare Research and Quality’s Medical Expenditure Panel Survey Insurance Component, an annual survey of employers.”
  • Fierce Healthcare tells us,
    • “Zocdoc, the marketplace for booking provider visits, is making its infrastructure available to enterprise partners to support bookings anywhere patients look for care. 
    • “The new enterprise offering, Care Access Network, enables payers and tech or consumer platforms to embed Zocdoc’s appointment-booking capabilities directly into their own websites and apps. The infrastructure is built on two decades of connecting provider orgs, payers, electronic health records (EHRs) and practice management systems with scheduling workflows. Zocdoc’s marketplace today connects to over 200,000 providers across over 200 specialties and 10,000 plans. 
    • “I’m incredibly proud of the door we built with Zocdoc.com, but I’ve come to the conclusion that the front door to healthcare can’t be owned,” Oliver Kharraz, M.D., founder and CEO of Zocdoc, told Fierce Healthcare in an advanced interview. Wherever a consumer is searching, “you should be able to book right there and then.”
  • and
    • “Biological threat intelligence is increasingly becoming a workforce and business issue, not just a public health concern. Emerging threats—infectious disease outbreaks, pandemics and potential bioterrorism events—can cause significant workforce and operational disruptions.
    • “The Business Group on Health is partnering with biological intelligence service BioRadar to help employers better prepare for emerging biological threats. The collaboration will give employers access to BioRadar’s AI-powered biological intelligence platform, designed to identify and assess threats in real time before they escalate into widespread health concerns and business disruptions. 
    • “The collaboration reflects lessons learned during the COVID-19 pandemic, the organizations said, exposing the need for more proactive monitoring and planning rather than relying solely on public health alerts after threats have already spread. The COVID-19 pandemic forced sudden operational shutdowns, severe revenue contractions and historic labor shifts across nearly every sector.”
    • “Through the partnership, employers will also help to shape the next generation of biological intelligence tools so that workforce needs, business continuity considerations and public health priorities are considered from the outset, the organizations said.
    • “The health, well-being, safety and productivity of the workforce increasingly depends on timely insight into emerging biological threats,” Ellen Kelsay, president and CEO of Business Group on Health, said in a statement.”
  • Fierce Pharma points out,
    • “Bayer has decided to offload its aging cancer drug Stivarga to German compatriot Grünenthal as competition mounts.
    • “Grünenthal announced Monday that it will pay up to 375 million euros ($431 million) to acquire Stivarga, an oral multikinase inhibitor. 
    • “According to Grünenthal, patent protection for Stivarga is expected to last until 2029 in the European Union and by 2030 in the U.S. But loss of exclusivity in China has already taken a toll on sales.”

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