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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, May 9 2022

Full Issue

NIH Efficiency Board Hasn't Met In 7 Years For Unknown Reasons

A surprising report in Stat says some members of the oversight board, designed to improve efficiency at the National Institutes of Health, aren't even sure if the board still exists. Other health industry news includes health care hiring rising in April, a federal investigation of Cerebral, and more.

An oversight board tasked with making the National Institutes of Health more efficient and more effective mysteriously stopped meeting seven years ago, according to a STAT review of agency records 鈥 and its members don鈥檛 know why. The group, which Congress created in 2006, was intended to serve as a sounding board for the NIH director, providing periodic feedback and recommendations aimed at improving the government鈥檚 largest science agency. But it hasn鈥檛 met since the summer of 2015, and several prominent researchers whom the NIH website still lists as board members appear confused as to whether the group still exists. (Facher, 5/9)

In health industry news from Florida, Indiana, and Connecticut 鈥

The DeSantis administration is asking Florida hospitals to determine how much money they spend on health care for patients living in the country illegally. Hospitals have until May 23 to submit a record of any such funds to the state Agency for Health Care Administration.聽AHCA Secretary Simone Marstiller sent a letter to the Florida Hospital Association, which represents the state鈥檚 hospitals, with a reminder that all partners must participate. (Prieur, 5/8)

Last week, an Indiana employers group unveiled the latest tools in聽the聽fight to decrease hospital costs 鈥 a new hospital pricing transparency website and the so-called Rand 4.0 study which found that Indiana hospital costs rank seventh highest in the nation.聽The two additions to the landscape could聽provide fodder for the debate about hospital costs in Indiana.聽Five years ago, a study found that the prices Indiana employers pay for health care were 鈥渟hockingly high鈥 compared to those that Medicare pays. That study, also conducted by researchers at the Rand Institute, helped spark a statewide movement among business leaders to find ways to lower health care costs that has now spread to state lawmakers. (Rudavsky, 5/9)

On a Sunday evening in February, Bea Trotta鈥檚 94-year-old mother started having trouble breathing at her home in the northwestern corner of the state.聽She felt exhausted. An ambulance drove her 30 minutes to the nearest emergency room, at Sharon Hospital, where she was diagnosed with congestive heart failure. Her heart wasn鈥檛 pumping enough blood to keep her body functioning. When Trotta arrived at the hospital to meet her mother, staff told her the case was too complex to be handled there. If her mother wanted treatment, they鈥檇 have to transfer her to another facility that could provide a more advanced level of care. (Golvala, 5/8)

In other health care industry news 鈥

Healthcare hiring accelerated in April even as ongoing staff shortages continue to challenge the industry, according to Bureau of Labor Statistics data published Friday. Employers in the sector added an estimated 34,300 jobs last month, up from 23,300 in March, preliminary data show. The healthcare industry contributed to 428,000 hires made across the economy in April. Physician offices, home health providers and hospitals saw the largest gains among healthcare employers. (Devereaux, 5/6)

The numbers tell a bleak story for the industry.聽A聽third of nurses in the United States plan to leave their jobs by the end of the year, according to a survey conducted by staffing firm Incredible Health. Another 20% plan to leave the industry altogether, a separate survey made by consulting firm McKinsey聽& Co. found.聽The reasons are largely due to聽the incessant burnout, stress, and fatigue that nurses have experienced during the COVID-19 pandemic. But other factors聽include聽financial considerations and a perceived lack of flexibility in the industry as well as too few advancement opportunities.聽(Sutherland, 5/9)

Some hospitals grappling with rising nurse salaries are seeking to raise prices by up to 15%, touching off contract fights with health insurers and businesses and threatening higher premiums. HCA Healthcare Inc. and Universal Health Services Inc. are among the hospitals asking health plans to pay them more for care to offset mounting nurse costs. (Evans, 5/8)

Kaiser Permanente recorded a $961 million net loss in the first quarter as COVID-19 cases and labor expenses surged, the Oakland, California-based integrated health system announced Friday. A 9.5% year-over-year increase in operating expenses coupled with investment losses diluted Kaiser's balance sheet. It reported $24.2 billion in operating revenues, which didn't keep pace with its $24.3 billion in operating expenses. Kaiser had a $2 billion net income on $23.2 billion of operating revenue in the first quarter of 2021. (Kacik, 5/6)

More than three months after Tufts Medicine abruptly announced plans to shut its children鈥檚 hospital, the health system is revealing long-awaited details about the fate of dozens of doctors and nurses as well as thousands of patients, many of whom are on Medicaid and live with complex medical conditions. The details include employment opportunities for all physicians and a pledge to keep open a unique rheumatology clinic at Tufts, which several families had feared would close. 鈥淲e鈥檝e been working very closely with all of our physicians ... to make sure we鈥檙e coming up with the right model of care,鈥 Michael Dandorph, CEO of Tufts Medicine, the parent organization of Tufts Medical Center, said in an interview. (Bartlett, 5/8)

By the end of summer, a handful of nursing students at Fayetteville State University will have started taking courses on how to care for sexual assault survivors. It鈥檚 a small start but one Sheila Cannon has worked toward for more than two years. The funding comes from the state legislature, which allocated $125,000 for a pilot training program in Cumberland County late last year. Cannon said she expects to train 10 students starting this summer, but she hopes the program can grow from meager beginnings into a program that continues to train sexual assault nurse examiners, or SANE nurses, year after year. (Martin, 5/7)

Cerebral, the digital mental health 鈥榰nicorn鈥, said on Saturday聽it was under investigation by the federal government for 鈥減ossible violations of the Controlled Substances Act." 聽The company said it received a grand jury subpoena from the U.S. Attorney鈥檚 Office for the Eastern District of New York on May 4. In a statement to Digital Health Business & Technology, Cerebral said at this time no regulatory, or law enforcement authority has accused Cerebral of violating any law. Cerebral said it will cooperate with the investigation. (Perna, 5/7)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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