Biden’s home test-delivery site is here

From: POLITICO Pulse - Wednesday Jan 19,2022 03:02 pm
Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Jan 19, 2022 View in browser
 
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By Sarah Owermohle and Adam Cancryn

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Quick Fix

Covidtests.gov is here after bumpy beta testing Tuesday and pending equity questions.

The president is mounting a high-quality mask campaign amid Omicron surges and cloth-mask fears.

Drug prices are still a problem in Medicare per a new administration report pressing for ambitious reforms.

WELCOME TO WEDNESDAY PULSEWhere your co-author Sarah just returned from three weeks without internet and is still catching up on what to know. Help me out and tell Adam, too, at sowermohle@politico.com and acancryn@politico.com.

 

A message from PhRMA:

Did you know more than half of every dollar spent on medicines goes to someone who doesn’t make them? There’s a long line of middlemen, like PBMs and insurers, collecting a significant portion of what you pay for medicine. The share of total spending for brand medicines received by the supply chain and other stakeholders increased from 33% in 2013 to 50.5% in 2020. Learn more.

 
Driving the Day

BIDEN’S TEST PLAN HITS DELIVERY BUMP — The Biden administration’s website for ordering free rapid Covid-19 tests quickly hit a logistical hurdle as some apartment dwellers struggled to order tests supplied by the federal government amid Omicron’s surge.

The website, COVIDtests.gov, went live a day early on Tuesday as a “beta test,” sending millions of users to sign up for the tests using an order form ahead of an official Wednesday morning launch, health tech reporter Ben Leonard reports. A White House official said this was “standard practice to address troubleshooting” to make Wednesday’s launch “as smooth … as possible.”

The problem: If you weren’t the first person in certain multiunit residences to order tests, you were met with an error message saying tests had already been ordered for that address. An administration official said the problem wasn’t widespread and orders are being prioritized for people in areas facing disproportionate Covid-19 cases and deaths — the first 20 percent of test orders processed will be for people in vulnerable ZIP codes.

“This will help ensure those most in need of the tests are receiving them as quickly as possible,” said the official, who was granted anonymity to speak freely about the site.

The U.S. Postal Service said the issue stems from buildings not being registered as multiunit complexes and affected only a “small percentage of orders.”

The impact: Biden officials had already begun managing expectations before today’s rollout, warning that Omicron sparked an “extraordinary rise in demand” for tests, as Surgeon General Vivek Murthy said Sunday, and that tests could initially take some time to ship.

The beta-testing hurdle also adds to equity concerns. Ben writes that, on top of the apartment confusion, a planned phone hotline for people without internet access wasn’t yet available on Tuesday. The administration official emphasized that the site hasn’t been officially launched and the call line would be ready by week’s end.

President Joe Biden is slated to hold a press conference this afternoon, when he’ll likely field questions about the test delivery launch, Omicron projections and mask policies. Speaking of ...

BIDEN’S MASK GIVEAWAYThe administration this morning unveiled a plan to distribute hundreds of millions of free, high-quality masks through pharmacies and community sites amid the Omicron surge.

The masks will be N95s sourced from the government’s Strategic National Stockpile, three people with knowledge of the matter told David Lim and Adam before the announcement. The administration still doesn’t have kid-sized versions to distribute, but two of those sources familiar said they’re working to procure them.

The initiative comes amid growing pressure on the administration to encourage Americans to abandon cloth masks in favor of more protective versions, amid evidence that the cloth coverings don’t work as well against the more transmissible Omicron variant.

Public health experts and former Biden transition advisers have also lobbied the White House in recent weeks to give out masks, arguing that cheap and genuine N95s are still difficult for people to find, as David and Adam reported last week.

But the plan is expected to lean heavily on pharmacies — which have become an integral part of the administration’s vaccination campaign — to also distribute the N95s at no cost.

HHS: MILLIONS ON MEDICARE STRUGGLE WITH DRUG COSTS — More than 5 million Medicare beneficiaries struggle to afford their prescription medications, a number skewed toward older Black and Latino people, according to a Health and Human Services report publishing today.

Yet, drug pricing issues spread far beyond the older population; people under 65 who qualify for Medicare because of kidney disease or disabilities have much higher rates of drug affordability problems than those 65 and older.

What they say: The administration argues in its report that several proposed Medicare Part D reforms could lower costs and help those beneficiaries. That includes an ambitious proposal for the program to negotiate prices and limit price hikes past inflation — both currently mired in congressional deadlock — and an administration effort, signaled this month as an incoming rule, to apply point-of-sale rebates for customers. HHS also noted less controversial provisions such as capping out-of-pocket costs for enrollees.

Ultimately, the report notes “substantial disparities” for people struggling to afford their medicine and argues those reforms could tackle equity issues.

 

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Research Corner

STUDY ARGUES FOR PRENATAL SCREENINGMost cases of DiGeorge syndrome were caught in the largest-to-date prenatal screening study , while false positives for the genetic disorder — which causes heart problems and neurodevelopmental delay — were low, scientists wrote last week in the American Journal of Obstetrics and Gynecology.

Researchers enrolled more than 20,000 patients at 21 providers worldwide and detected nine of 12 DiGeorge cases, with a 0.05 percent false positive rate, using cell-free DNA, or cfDNA, non-invasive prenatal screening. The study was funded by Natera, a giant in the prenatal testing space that recently came under fire after a New York Times investigation of prenatal screening and false positive rates (early results of the study were also shared last year).

Why it matters: Though the study was more than five years in the making, its conclusions come amid a heated discussion around prenatal testing and positive results that spark parental concerns. Natera processed more than 400,000 DiGeorge tests last year among thousands of others, but the field has boomed with competitive testmakers.

Screening tests typically rely on a blood sample that tells potential parents the chances of certain risks. Diagnostic tests are more accurate but more invasive — though rare, the process with some diagnostic tests can jeopardize a fetus. Screening supporters argue that a wider berth should be allowed for the blood samples, which might suggest a risk that further testing could answer. But critics say false positive rates drive fear and potentially unnecessary invasive testing.

 

STEP INSIDE THE WEST WING: What's really happening in West Wing offices? Find out who's up, who's down, and who really has the president’s ear in our West Wing Playbook newsletter, the insider's guide to the Biden White House and Cabinet. For buzzy nuggets and details that you won't find anywhere else, subscribe today.

 
 
Names in the News

The Federation of American Hospitals tapped Marty Bonick of Ardent Health Services to chair its new board of directors. Bonick takes over for 2021 FAH Chair Prem Reddy, the chairman, president and CEO of Prime Healthcare Services.

 

BECOME A GLOBAL INSIDER: The world is more connected than ever. It has never been more essential to identify, unpack and analyze important news, trends and decisions shaping our future — and we’ve got you covered! Every Monday, Wednesday and Friday, Global Insider author Ryan Heath navigates the global news maze and connects you to power players and events changing our world. Don’t miss out on this influential global community. Subscribe now.

 
 
What We're Reading

The federal testing launch is here, but the “Google it” solution administration officials are messaging is already set up for equity and access failures, Libby Watson writes in Sick Note.

National drug regulators are bracing for Covid vaccine updates by anticipating global cooperation that helps countries and also drugmakers find their path, Stat News’ Helen Branswell writes.

The World Health Organization's chief scientist Soumya Swaminathan said there’s no current evidence that healthy children and teens need Covid vaccine boosters, Reuters reported.

 

A message from PhRMA:

Did you know that PBMs, hospitals, the government, insurers, and others received a larger share of total spending on medicines than biopharmaceutical companies? That’s right, more than half of spending on brand medicines goes to someone who doesn’t make them. Let’s fix the system the right way and ensure more of the savings go to patients, not middlemen. Read the new report.

 
 

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