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‘A Bridge, Not a Destination’: What We Heard This Week

“Medicaid should be a bridge, not a destination” — Doug Badger, a visiting fellow at the Heritage Foundation, on the value of Medicaid work requirements.

“You don’t have to threaten people’s insurance coverage to get them to work” — Sara Rosenbaum, JD, of the Milken Institute School of Public Health at George Washington University in Washington, on the problem with Medicaid work requirements.

“This manuscript is meant to be used, not just read.” — Erica Shenoy, MD, PhD, of Massachusetts General Hospital in Boston, talking about new recommendations to identify and rule out penicillin allergy.

“I think it’s impossible to understate the concern about [diabetic ketoacidosis] really just because the absolute increase is really remarkable” — Michael Blaha, MD, of Johns Hopkins Ciccarone Center for the Prevention of Heart Disease in Baltimore, after a split FDA advisory committee vote on whether or not to recommend the SGLT-1/2 inhibitor sotagliflozin for approval.

“The results clearly show that the position of the drug companies is such that they’re misusing their leverage.” — Chip Kahn, MPH, president and CEO of the Federation of American Hospitals, discussing a new report on hospital drug spending and manufacturer shortages.

“These findings … call upon us to change our own thinking, widen our lens, and start to ask our patients more about ‘what really matters’ to them, rather than just ‘what’s the matter’ with them.” — Wayne Jonas, MD, of Samueli Integrative Health Programs, commenting on a survey suggesting office visits with primary care providers often fail to meet patients’ needs.

“We’re all struggling with ‘how do we maintain adequate income for primary care physicans,’ and if they’re possibly making a little money by hiring NPs to do the work … that may not necessarily be a bad thing” — Medicare Payment Advisory Commission (MedPAC) Commissioner Marjorie Ginsburg, BSN, MPH, of Sacramento, speaking about “incident to” billing for NPs and PAs, a payment option MedPAC voted to eliminate on Thursday.