How has President Trump’s recent executive orders gave a new shape to the US healthcare system? Below, I present a summary of executive orders related to health care issued this week:
- ACA premium subsidy will be reduced: Trump quashed the Executive Order of Biden, which led to the longer the period of enrollment for affordable care act schemes in most states. In short, in 2021, temporary subsidy was passed as part of the US Rescue Scheme Act (ARPA). In 2022, the Inflation Act (IRA) extended these subsidies for an additional 3 years, however, President Trump canceled these additional subsidies.
- CMMI is on drug pricing model holdThe Center for Medicare and Medicade Innovation (CMMI) plans to implement 3 drug pricing models, aims to limit the cost of pockets for generic drugs, low reimbursement and cell for approved drugs through quick approval and cell And the result-based contract for genes is to apply. Treatment is below additional details on these models.
- America separated from World Health OrganizationPresident Trump withdrew from the World Health Organization (WHO). Apparently it endangers international efforts to fight infectious disease. The Trump administration claims that these funds can be used better for health care in America
- Preparations for Covid-19 epidemic getting weakenedPresident Trump canceled several policies of former President Biden, whose purpose was to deal with Covid-19 epidemic and prepare the country for the outbreak of infectious disease in the future.
- Withdrawal of diversity, equality and inclusion (DEI) initiativeThe AJMC reports that recently “… the hearing of the Senate Committee emphasized the requirement of racial, ethnic and gender diversity among the providers for the best patient results and reliable provider relationships.” However, Trump’s executive orders have withdrawn the existing DEI efforts inside and outside the healthcare. It is not clear whether government data collections around DEI will also be stopped.
- Federal Health Agency Communication BlackoutNBC reports that President Trump has requested to stop the federal health agency “public communication” by 1 February. NBC reports that “US health agencies including CDC, FDA and NIH regularly release information on food recall, drug and medical equipment approval, as well as updated on increasing dangers of public health including natural disasters and infectious diseases including infectious diseases . It is not clear whether this communication will continue for the next 10 days.
- Some IRA provisions remain intactIRA initiatives related to patient cost sharing (for example, $ 35 insulin cap, $ 2000 annual cap on prescription drug cost) and Medicare’s drug price negotiations remain unchanged.
For more information, Stat News and AJMC have additional information.
Recently CMMI drug pricing model was canceled
- State Medicade Program for Expensive Medicines: States allow the states to collect resources for the result -based contract for cell and gene therapy
- Medicare payment for quick approvals: Low payment for medicines given by FDA to encourage confirmation tests was approved
- Flat $ 2 co-operation for generic: Stimulation of medicare drug schemes to reduce the standardization and co-operation of general generic drugs
