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☕️ A hefty price tag
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The cost of Alzheimer’s drugs could put a strain on Medicare’s budget.
Morning Brew July 29, 2024

Healthcare Brew

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Welcome to Monday! The Olympics Games are officially in full swing—and (as they should) everyone is looking to Simone Biles. Three years ago, the most-decorated gymnast in the sport’s history took a step back from the Olympics because she was concerned about her mental health and safety, leaving her mark not just for how many gold medals she’s won but also as an advocate for mental well-being in sports. She triumphantly returns to the games this year, and is set to compete in the team final on Tuesday.

In today’s edition:

Medicare’s financial quandary

Hospital earnings are (mostly) positive

Change outage lawsuit

—Maia Anderson, Cassie McGrath, Caroline Catherman

MEDICARE

Straining the budget

A pharmacy technician grabs a bottle of medicine off a shelf at a pharmacy George Frey/Getty Images

Purse strings are pretty tight all around lately, and thanks in part to new Alzheimer’s drugs, so are Medicare’s.

While Alzheimer’s drugs developed in recent years represent historic strides in treating the debilitating disease, they also come with hefty price tags. And experts worry this could strain Medicare’s wallet, potentially raising premiums and pulling financial resources away from other more effective treatments.

In early July, the FDA approved Kisunla, pharmaceutical giant Eli Lilly’s Alzheimer’s treatment. Kisunla is the second FDA-approved drug—after Biogen and Eisai’s Leqembi received approval in July 2023—shown to slow cognitive decline in mild dementia by targeting a protein called amyloid, according to the FDA.

Leqembi costs $26,500 per year, and in April, the Centers for Medicare and Medicaid Services (CMS) published a document estimating that Medicare would spend up to $3.5 billion on the drug in 2025.

Keep reading here.—MA

   

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EARNINGS

Q2 roundup

Heart ecg adjusted to create the appeal of an upwards chart Francis Scialabba

Second-quarter earnings are out for some major health systems across the US, and many have performed much better than expected.

Tenet Healthcare, HCA Healthcare, Universal Health Services, and Community Health Systems all reported Q2 earnings last week, and all but one saw strong revenue growth, largely due to an increase in hospital admissions across many facilities.

The results led to stock jumps, too: Tenet Healthcare saw a two-decade high at $145.34 per share on July 24.

Healthcare Brew broke down how the health systems—which, all combined, operate more than 340 hospitals—performed.

Keep reading here.—CM

   

PAYERS

Pharmageddon

Health cross with red and green glitch overlay effects Francis Scialabba

A pharmacy group joined providers in filing a class-action lawsuit on July 19 over February’s cyberattack against Change Healthcare. The plaintiffs claim some providers are still waiting on delayed payments for healthcare services.

The National Community Pharmacists Association (NCPA), which represents more than 19,000 pharmacies nationwide, claimed alongside 30+ providers that UnitedHealth Group and its subsidiaries Optum and Change Healthcare could have done more to prevent the cyberattack, such as using multi-factor authentication on the server that hackers infiltrated.

The suit also criticized the insurance giant’s decision to take the system offline without a backup plan—a decision that cost UnitedHealth Group up to $2.5 billion in 2024, Modern Healthcare reported.

Keep reading here.—CC

   

TOGETHER WITH HSBC

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VITAL SIGNS

A laptop tracking vital signs is placed on rolling medical equipment. Francis Scialabba

Today’s top healthcare reads.

Stat: 100%. That’s how many patients remained HIV-free after a twice-yearly lenacapavir injection, according to a newly published study of 5,000+ women and girls in South Africa and Uganda. (the Washington Post)

Quote: “Nothing in life is without risk, but I would also argue that the status quo is not safe for people who need the medicine and can’t get it.”—Vivek Gupta, a doctor in California who has prescribed compounded weight loss drugs, on how patients are trying to get alternatives to popular weight loss medications (KFF Health News)

Read: Medicaid was a financial benefit to some health insurers during the Covid-19 pandemic, but now that’s not the case. (the Wall Street Journal)

One-stop compliance: Wanna reach your compliance goals with one comprehensive solution? Try Thoropass. They combine smart automation with expert guidance to support frameworks and regulations critical to healthcare companies. Get $1,000 off.*

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