STAT https://www.statnews.com/ Reporting from the frontiers of health and medicine Mon, 05 Aug 2024 02:31:20 +0000 en-US hourly 1 https://wordpress.org/?v=6.6.1 https://www.statnews.com/wp-content/uploads/2023/06/cropped-STAT-Favicon-Round-32x32.png STAT https://www.statnews.com/ 32 32 STAT Copyright 2024 STAT+: Medicare scrambles to keep prescription drug plan premiums stable ahead of elections https://www.statnews.com/2024/08/05/medicare-part-d-prescription-drug-plans-premiums-subsidy/?utm_campaign=rss Mon, 05 Aug 2024 08:30:27 +0000 https://www.statnews.com/?p=1189252 WASHINGTON — Medicare officials are offering private insurers big subsidies to keep premiums for prescription-drug plans stable as the elections approach.

The Inflation Reduction Act, passed by Democrats in 2022, made several changes to Medicare’s drug benefit, known as Medicare Part D. All were aimed at lowering drug prices and drug costs for both seniors and the federal government. The most well-known policies cap annual out-of-pocket drug costs for seniors, limit their monthly insulin costs, and direct Medicare to negotiate drug prices.

The law also made changes to Medicare Part D that matter to insurers but aren’t well-known to the general public. Among them, insurers now must pay a much greater share of seniors’ catastrophic drug costs, which are out-of-pocket costs that exceed $2,000, starting next year. The federal government used to cover the vast majority of those costs.

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Adobe One hundred dollar bill and pills seen in a grocery shopping cart. -- health policy coverage from STAT 2024-08-02T12:49:37-04:00
Politics is holding back the best tool for treating meth addiction https://www.statnews.com/2024/08/05/meth-addiction-contingency-management-incentives/?utm_campaign=rss Mon, 05 Aug 2024 08:30:17 +0000 https://www.statnews.com/?p=1189288 When it comes to treating methamphetamine addiction, the use of behavioral incentives is settled science. Offering financial rewards, like gift cards, to people who demonstrate that they’ve reduced or stopped their meth use, is highly effective: Studies show that contingency management, as it is known, can promote abstinence from drugs, increase utilization of health care services, and even reduce high-risk sexual behavior.

But despite spiking meth overdose rates and the Biden administration’s expressions of support for high-quality addiction treatment, contingency management has failed to gain traction. Instead, it has been held back by politics: namely, a longstanding $75 annual cap for contingency management services funded by select federal programs.

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PATRICK T. FALLON/AFP via Getty Images Use of incentives, known as contingency management, is one of the few proven ways to reduce methamphetamine use. A hand holds a vial of meth — health coverage from STAT 2024-08-04T22:31:20-04:00
Opinion: Diversity statements should not be required for federal STEMM grant funding https://www.statnews.com/2024/08/05/stemm-funding-diversity-and-inclusion/?utm_campaign=rss Mon, 05 Aug 2024 08:30:16 +0000 https://www.statnews.com/?p=1188676 Federally funded research in science, technology, engineering, mathematics, and medicine (STEMM) is a crown jewel of American higher education that confers enormous benefits upon the U.S. and the world. The integrity of the processes by which funding decisions are made is critically important to the success of the enterprise and its support by the public who pay for this research. As documented in a recent commentary that I and several colleague published in the journal Frontiers in Research Metrics and Analytics, considerations of diversity, equity, and inclusion (DEI) have been introduced into federal science funding decisions. I believe these threaten serious damage to this important ecosystem and require critical analysis before they are routinely implemented.

STEMM funding by federal agencies has fueled the great success of U.S. science, advancing knowledge production and improving the human condition worldwide. Each of the major U.S. funding agencies — the National Institutes of Health, the National Science Foundation, the National Aeronautics and Space Administration, and the Department of Defense has a distinct mission, and in 2024 they will together distribute more than $90 billion dollars in research grants.

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Adobe The details of DEI requirements for research funding proposals vary across agencies and programs. Stock photo of a close up of gloved hands manipulating a slide under a microscope lens 2024-08-03T11:25:17-04:00
Opinion: Phasing out the ‘D-word’ https://www.statnews.com/2024/08/05/phasing-out-the-d-dementia-word/?utm_campaign=rss Mon, 05 Aug 2024 08:30:00 +0000 https://www.statnews.com/?p=1189160 As I roamed the meeting rooms and halls of the Alzheimer’s Association International Conference in Philadelphia last week, I kept hearing a word — dementia — I’ve come to loathe as someone with early Alzheimer’s.

The use of this term goes back as far as the late 1500s, when it referred to insanity. It’s an inaccurate, outdated, and stigmatizing term that I and others living with cognitive impairment want to see retired permanently. Not only is it offensive, but it actively holds back early diagnosis, effective care, and faster research progress towards new, life-changing treatments.

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Adobe A pencil's eraser was dragged along a paper, leaving a trace of shavings — first opinion coverage from STAT 2024-08-02T15:11:39-04:00
Opinion: Performance-enhancing drugs or placebos? The myth at the heart of anti-doping https://www.statnews.com/2024/08/04/performance-enhancing-drugs-or-placebos-the-myth-at-the-heart-of-anti-doping/?utm_campaign=rss Sun, 04 Aug 2024 11:00:07 +0000 https://www.statnews.com/?p=1188995 With Chinese swimmers getting 200 drug tests over 10 days ahead of the Paris Olympics, all eyes are on the World Anti-Doping Agency (WADA). Anti-doping is being politicized and some important questions are being asked with this Chinese fiasco. We believe an important question is this: Do performance-enhancing drugs actually work, or are they just placebos?

WADA bases its policies on a prohibited list of banned or performance-enhancing substances. To be placed on the list, a substance must meet at least two of three criteria: it is performance-enhancing; harmful to health; or a violation of the spirit of sport. Sanctions for using a substance on the list are severe, ranging from months of ineligibility and loss of rankings and earnings to lifetime bans from sport.

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Ashley Landis/AP Swimmers competing at the 2024 Summer Olympics in Nanterre, France. News photograph of Swimmers competed during heat three in the men's 800-meter freestyleat the 2024 Summer Olympics, Monday, July 29, 2024, in Nanterre, France. 2024-08-02T12:58:06-04:00
Opinion: Letters on Sonya Massey’s death, vaccine injuries, and much more https://www.statnews.com/2024/08/03/first-opinion-letters-sonya-massey-death-vaccine-injuries-long-covid-more/?utm_campaign=rss Sat, 03 Aug 2024 11:00:41 +0000 https://www.statnews.com/?p=1189336 First Opinion is STAT’s platform for interesting, illuminating, and maybe even provocative articles about the life sciences writ large, written by biotech insiders, health care workers, researchers, and others.

To encourage robust, good-faith discussion about issues raised in First Opinion essays, STAT publishes selected Letters to the Editor received in response to them. You can submit a Letter to the Editor here, or find the submission form at the end of any First Opinion essay.

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Molly Ferguson for STAT Illustration of a large open envelope with many symbols of healthcare and science pouring out, on a purple background 2024-08-04T16:19:16-04:00
Weight loss drugs without a prescription? Study warns it’s a ‘very risky business’ https://www.statnews.com/2024/08/02/weight-loss-drugs-semaglutide-illegal-pharmacies/?utm_campaign=rss Fri, 02 Aug 2024 15:00:06 +0000 https://www.statnews.com/?p=1189070 In the face of ongoing shortages of the obesity and diabetes medications known as GLP-1s, patients have resorted to a wide array of sources for the drugs, including medical spas and telehealth sites that prescribe compounded versions of the drugs. But a new paper published in JAMA Network Open highlights one of the riskiest sources of non-branded drugs: illegal online pharmacies that bypass prescription entirely.

Researchers from the University of San Diego and the University of Pécs in Hungary found that semaglutide ordered from these illegal sites contained significantly more of the drug than labeled. One sample also contained signs of potential bacterial contamination during manufacturing.

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Christine Kao/STAT Researchers found that semaglutide ordered from illegal online pharmacies contained significantly more of the drug than labeled. Photo illustration of bottles of semaglutide products 2024-08-02T14:52:43-04:00
Opinion: The coronavirus lab leak hypothesis is damaging science https://www.statnews.com/2024/08/02/coronavirus-lab-leak-hypothesis-damages-science/?utm_campaign=rss Fri, 02 Aug 2024 14:24:10 +0000 https://www.statnews.com/?p=1188753 Where and when the Covid-19 pandemic began — in Wuhan, China in late 2019 — is well known. How it began is a matter of heated controversy. There are two competing hypotheses, one of which is hindering the process of scientific discovery and could hold back the development of vaccines and other antiviral agents in the U.S.

The zoonosis hypothesis proposes that SARS-CoV-2, the virus that causes Covid-19, was naturally transmitted from an animal to one or more humans in a so-called wet market in Wuhan selling fresh produce, meat, fish, and live animals. The lab leak hypothesis posits that the virus was modified (possibly through gain of function maneuvers), or even created, in the Wuhan Institute for Virology (WIV) and somehow escaped the laboratory.

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NIAID Transmission electron micrograph of a SARS-CoV-2 virus particle pandemic prediction hospitals 2024-08-02T10:39:23-04:00
STAT+: Pharmalittle: We’re reading about a soft-tissue cancer drug approval, the Zepbound shortage ending, and more https://www.statnews.com/pharmalot/2024/08/02/cancer-fda-adaptimmune-lilly-zepbound-uniqure-23andme-novo-galapagos/?utm_campaign=rss Fri, 02 Aug 2024 13:36:48 +0000 https://www.statnews.com/?p=1189039 Good morning, and happy Friday. This is Jonathan Wosen, West Coast biotech and life sciences reporter, filling in for Ed Silverman while he’s away from the Pharmalot campus. As you may know from my past entries, I’m no coffee drinker, but here are some newsy items to help wake you up and kick-start your weekend. …

The FDA has approved a cutting-edge treatment for a rare soft tissue cancer, STAT tells us. The therapy equips T cells, an important class of immune cell, to target synovial sarcomas, cancers that can form in muscles and ligaments. The drug is the first approved product by Adaptimmune, a biotech with operations split between Philadelphia and Oxford in the U.K.

Eli Lilly’s CEO says a shortage of its weight loss drug will end soon, Bloomberg notes. CEO David Ricks expects Zepbound to come off the FDA’s shortage list in the coming days. That announcement has already led to a sharp drop in share price for Hims & Hers Health, a telehealth company that sells a compounded or copycat version of a different weight loss drug, Wegovy.

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Alex Hogan/STAT an anthropomorphized red and blue pill illustrated in the style of the famous american gothic painting 2024-08-02T09:36:48-04:00
STAT+: 23andMe board rejects co-founder Anne Wojcicki’s offer to take company private https://www.statnews.com/2024/08/02/23andme-private-offer-rejected/?utm_campaign=rss Fri, 02 Aug 2024 12:36:49 +0000 https://www.statnews.com/?p=1189015 A special committee of the board of directors of 23andMe rejected an offer from the company’s co-founder and CEO, Anne Wojcicki, to take the company private.

In a letter made public Friday, the board said that Wojcicki’s proposal failed to offer a premium to 23andMe’s current stock price, did not have committed financing from other investors, and came with other conditions it rejected. The letter also asked Wojcicki to withdraw her opposition to an alternative transaction so that the board can assess whether there is interest from other potential buyers.

“Our expectation after months of work was that you would submit a fully-financed, fully-diligenced, actionable proposal that is in the best interests of the non-affiliated shareholders,” the committee wrote.

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Adobe 23andMe office 2024-08-02T08:51:08-04:00
Moderna is still in a Covid hangover https://www.statnews.com/2024/08/02/biotech-news-biogen-modern-abbvie-fda-immunotherapy-t-cell-cerevel/?utm_campaign=rss Fri, 02 Aug 2024 12:28:09 +0000 https://www.statnews.com/?p=1189004 Want to stay on top of the science and politics driving biotech today? Sign up to get our biotech newsletter in your inbox.

Good morning and happy Friday. We discuss a new innovative immunotherapy, and we take a look at some of the earnings highlights yesterday.

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APU GOMES/AFP via Getty Images triage vaccine nationalism 2024-08-02T08:28:09-04:00
Opinion: Trump gave patients a ‘right to try.’ It hasn’t helped them https://www.statnews.com/2024/08/02/trump-gave-patients-right-to-try-it-hasnt-helped-them/?utm_campaign=rss Fri, 02 Aug 2024 12:00:14 +0000 https://www.statnews.com/?p=1188372 As Donald Trump seeks a second presidential term, front and center among the achievements he’s touting is the federal Right to Try law he signed in 2018. It was intended to let people who are terminally ill try experimental treatments when there were no approved options and they couldn’t participate in clinical trials. Over the six years of its existence, the law has not lived up to that promise.

During the Republican National Convention, Trump called Right to Try “a big deal.” He claimed it helps terminally ill patients “use our new space-age drugs,” suggested the law is “saving thousands and thousands of lives,” and indicated it was an accomplishment others had failed to achieve for more than half a century.

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Alex Wong/Getty Images President Donald Trump at the signing ceremony for the Right to Try Act on May 30, 2018. Former U.S. President Donald Trump shows his signing of the "Right to Try" Act, surrounded by a group of people, some sit in power wheelchairs, some standing up, and some clapping — first opinion coverage from STAT 2024-08-02T06:37:11-04:00
STAT+: UnitedHealth and HCA clash over hospital chain’s rates in ‘battle of the giants’ https://www.statnews.com/2024/08/02/unitedhealth-hca-healthcare-contract-dispute-goes-public/?utm_campaign=rss Fri, 02 Aug 2024 08:30:59 +0000 https://www.statnews.com/?p=1188825 Contract disputes between hospitals and health plans have become routine, but they tend to be local, affecting a handful of hospitals and the people in the surrounding communities.

This latest one is different. It involves the country’s biggest private health insurer, UnitedHealthcare, and its biggest hospital chain, HCA Healthcare. If they can’t strike a deal on prices by Sept. 1, 38 hospitals and their affiliated physician groups and surgery centers across four states — Texas, Colorado, South Carolina, and New Hampshire — would become out-of-network for UnitedHealthcare members.

“This very much seems like a battle of the giants, because United: huge, HCA: huge,” said Morgan Henderson, director of analytics and research at The Hilltop Institute, a research group at the University of Maryland, Baltimore County. “This is going to be very interesting to see how this plays out.”

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Adobe A three to four-story brick building adorned with the sign "HCA Houston Healthcare," standing in front of a grassy area — hospitals coverage from STAT 2024-08-01T16:44:37-04:00
Opinion: ACL tears in women: Too many injuries and too little research https://www.statnews.com/2024/08/02/acl-tear-female-athletes-suffer-torn-acl-more-than-men/?utm_campaign=rss Fri, 02 Aug 2024 08:30:40 +0000 https://www.statnews.com/?p=1188400 Some of the world’s finest athletes were sidelined by a torn anterior cruciate ligament (the ligament that helps stabilize the knee joint) long before the torch was lit for the Paris Olympics. The list of women competitors with ACL tears is stunning. Basketball player Cameron Brink, rugby medalist Shiray Kaka, gymnast Asia D’Amato, and several other athletes will not be competing because of this all-too-common, season-ending, and potentially career-ruining injury.

It’s time for more answers about why women athletes — of all skill levels and in all sports — disproportionately experience this painful injury. Women are three to six times more likely than men to endure an ACL tear.

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Steph Chambers/Getty Images Cameron Brink of the Los Angeles Sparks Sitting on the court with both legs curled up slightly, Cameron Brink of the Los Angeles Sparks frown with her mouth open — first opinion coverage from STAT 2024-08-01T12:57:08-04:00
What we do and don’t know about the shortage of blood culture bottles https://www.statnews.com/2024/08/02/blood-culture-bottles-shortage/?utm_campaign=rss Fri, 02 Aug 2024 08:30:34 +0000 https://www.statnews.com/?p=1188767 In July, federal health officials warned hospitals that there would be a critical shortage of blood culture bottles that will stretch into September.

Blood culture bottles are key in diagnosing sepsis, a deadly infection of the bloodstream caused by a number of different bacteria. According to the Centers for Disease Control and Prevention, about half of U.S. labs get their bottles from a company known as BD, the supplier that is in shortage, meaning that the shortage could have big implications for patient care. Every hour that antibiotics are delayed in treating sepsis results in a 7.6% decrease in patient survival.

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Illustration: Christine Kao/STAT; Photo: Wikimedia Commons Two blood culture bottles stand together, spotlighted by khaki geometric shapes on a military green background — coverage from STAT 2024-08-01T16:30:23-04:00
Opinion: Address liquid biopsy disparities today to ensure equity in outcomes tomorrow https://www.statnews.com/2024/08/02/liquid-biopsy-address-disparities-today-ensure-outcomes-equity/?utm_campaign=rss Fri, 02 Aug 2024 08:30:22 +0000 https://www.statnews.com/?p=1187035 The promise of scientific and medical innovation often comes with a downside: improvements in care benefit some people, but not all. Without concerted effort, that is exactly what could happen with liquid biopsy — an evolving technology aimed at improving cancer care using just a few milliliters of blood or other body fluids.

Liquid biopsy technologies are maturing at a rapid pace. They are already being used as a precision medicine tool, helping clinicians match a patient’s cancer to targeted therapies. Additional uses are on the horizon. The Food and Drug Administration’s approval this week of a liquid biopsy test for colorectal cancer is the latest step forward in the effort to make this approach part of the existing toolbox to detect hidden cancer. Liquid biopsy is also demonstrating promise in monitoring how individuals are responding to treatment and in detecting cancer recurrence.

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Jacqueline Larma/AP Cancer Screening Blood Test 2024-08-01T13:03:06-04:00
STAT+: FDA approves innovative T cell immunotherapy for rare soft-tissue cancer https://www.statnews.com/2024/08/02/fda-t-cell-immunotherapy-tcr-sarcoma-adaptimmune/?utm_campaign=rss Fri, 02 Aug 2024 07:01:51 +0000 https://www.statnews.com/?p=1188940 LONDON — U.S. regulators have authorized a cutting-edge treatment relying on T cells for a rare cancer that arises in the body’s soft tissues, extending the power of immunotherapies to difficult-to-reach sarcomas. 

The medicine, called Tecelra and developed by Adaptimmune Therapeutics, is what’s known as a T cell receptor therapy. The approach has similarities to the CAR-T therapies that have dramatically improved the treatment of some blood cancers, but it has tricks up its sleeve that allow it to target solid tumors, which CAR-Ts have struggled to fight. 

The Food and Drug Administration granted Tecelra, also known as afami-cel, accelerated approval for patients with synovial sarcomas, which can form in muscles and ligaments throughout the body, the company said Thursday night. The one-time treatment is the first authorized medicine from Adaptimmune, which has operations split between Philadelphia and Oxford in the U.K. 

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Wikimedia Commons Sarcoma cells Clear cell sarcoma, in pink, was revealed in a tendon, shown in purple, under a micrograph 2024-08-02T09:20:55-04:00
STAT+: Private equity firms to acquire health care billing and payments firm R1 in $8.9 billion deal https://www.statnews.com/2024/08/01/r1-rcm-deal-towerbrook-cdr/?utm_campaign=rss Thu, 01 Aug 2024 21:28:55 +0000 https://www.statnews.com/?p=1188862 R1 RCM is finally getting taken off the public markets, ending a months-long saga between private equity firms that were trying to take control of the large health care billing and collections company.

Private equity firms TowerBrook Capital Partners and Clayton, Dubilier & Rice are teaming up to buy R1, the companies said Thursday. TowerBrook, in a partnership with the Catholic hospital system Ascension, already owns 36% of R1 — which made TowerBrook and Ascension the company’s largest combined shareholder. TowerBrook and CD&R are buying the rest of the company for $14.30 per share in cash, valuing R1 at $8.9 billion.

The bidding war for R1 highlights private equity’s appetite for “revenue cycle management” companies, which run the medical billing, collections, patient registration, and other administrative services for hospitals and physician groups.

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Adobe Illustration of two people talking with money signs as speech bubbles. -- health business coverage from STAT 2024-08-01T17:28:55-04:00
Listen: The long journey to make malaria vaccines, and Sarepta’s ties with patient advocates https://www.statnews.com/2024/08/01/readout-loud-podcast-malaria-vaccine-sarepta-mount-sinai/?utm_campaign=rss Thu, 01 Aug 2024 19:12:37 +0000 https://www.statnews.com/?p=1188732 Why has it taken so long for the world to get malaria vaccines? What relationship should drug companies have with patient advocates? And who in biotech is having a brat summer?

We discuss all that and more in this week’s episode of “The Readout LOUD,” STAT’s biotech podcast. Andrew Joseph, our Europe correspondent, joins us to talk about his special report on the 40-year quest to develop the world’s first malaria vaccines.

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Morning Rounds: Inside the making of the first malaria vaccine https://www.statnews.com/2024/08/01/morning-rounds-inside-the-making-of-the-first-malaria-vaccine/?utm_campaign=rss Thu, 01 Aug 2024 14:59:10 +0000 https://www.statnews.com/?p=1188565 Want to stay on top of health news? Sign up to get our Morning Rounds newsletter in your inbox.

Okay, I know it’s unoriginal to express awe at the speed at which time passes, but like … how is it already August? Okay, instead I will recall Louise Glück’s “Matins.” (“You want to know how I spend my time?”) (“And soon the summer is ending, already / the leaves turning, always the sick trees / going first”) (Bye!!)

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Leandro Lemgruber/University of Glasgow via Wellcome Trust A purple and yellow Microscopy photograph of the malaria parasite 2024-08-01T13:56:09-04:00