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Exclusive: Enlisting rap royalty (and others) to rein in hospital prices, comparing ketamine to ECT, & controversial figure in addiction treatment indicted

May 25, 2023
Reporter, Morning Rounds Writer
Good morning. The latest STAT Report, a guide through the maze that is Medicare, is out today. You can find "Decoding Medicare: 10 key decisions and how they're made" here.

exclusive

Enlisting rap royalty to rein in hospital prices? That's just one tool philanthropists wield on Capitol Hill

Power to the Patients

Picture a mosh pit full of health policy staffers. Ushered in on a red carpet ahead of rap royals Busta Rhymes and Fat Joe (above), they wore wristbands resembling hospital bracelets. Custom cocktail cups at the extravagant D.C. party explained the wide variation in what patients pay for a brain MRI. The artists mixed mini-lectures about hospitals' high prices in with their usual hits about sex, money, violence, and drugs. The not-so-subtle effort to convince Congress and other policymakers to crack down on the powerful hospital industry was financed by ultra-wealthy businesswoman Cynthia Fisher.

She's part of a small club of wealthy philanthropists using unorthodox tactics to mount a campaign to rein in hospital prices, STAT's Rachel Cohrs reports in an exclusive story. They're buying Super Bowl ad spots, bringing celebrities to Capitol Hill, bankrolling research at reputable institutions, and financing small advocacy groups across the country. Read more on who's joining Fisher and how it's going. 


mental health

Ketamine performs at least as well as ECT in treatment-resistant depression, study says

Neither ketamine nor electroconvulsive therapy are perfect solutions for people with treatment-resistant depression, but a new study finding ketamine comparable to gold-standard ECT may move the anesthetic drug into more conversations. The downside to ketamine is its addictive potential, while ECT can cause cognitive impairment, including memory loss. In the study of 403 people, presented yesterday at the American Psychiatric Association meeting and published in NEJM, trial participants randomly assigned to take ketamine did slightly better than those who got ECT.

"I would say hands-down that this should change the practice of interventional psychiatry," moving ketamine from last to first choice for these patients, said Patrick Oliver, medical director at MindPeace ketamine clinics. Still, he added, the results aren't great for either one. "We're at a C-minus." STAT's Olivia Goldhill has more, including whether insurers will pay for ketamine.


addiction

Federal indictment alleges fraud by founder of addiction treatment centers

Photo illustration: STAT; photo: Facebook

Daniel Cleggett Jr. (above), long controversial in the addiction recovery community, is in the news again. In 2017, the Massachusetts attorney general's office began investigating addiction treatment scams after STAT and the Boston Globe uncovered his alleged role in a lucrative practice called "brokering." Brokers were paid for recruiting addicted young people to travel from Massachusetts to questionable drug rehab centers in South Florida. Two died of drug overdoses.

Now federal prosecutors allege Cleggett and a deputy used their sober homes and a second, separate home-insulation business to scam the state, mortgage lenders, and a sober home clients' family. Cleggett, whose social media presence depicts a life of luxury, is also accused of fraudulently collecting hundreds of thousands of dollars in federal Covid disaster relief loans. Yesterday's indictments shocked Maureen Graney, whose son Patrick died in 2016 after Cleggett allegedly sent him to Florida for treatment. "I screamed, I started crying," she told the Globe's Evan Allen. Read more.



Closer Look

Experimental immunotherapy turns up the heat on brain tumors

Brain tumors are among the most difficult targets in cancer to reach and to treat. Even immunotherapies fall short, despite their promise in other cancer types. That's because brain tumors and surrounding tissues aren't "hot" enough, meaning they have too few immune cells to jump-start into attacking tumors. In a new approach to this problem, researchers writing in Science Translational Medicine report that combining immunotherapy with chemotherapy turned cold tumors hot in mice with glioblastoma, the most aggressive form of brain cancer.

In six patients enrolled in a Phase 1 trial based on the mouse results, the method also shrank recurring tumors. Researchers are now enrolling patients in a randomized Phase 2 trial that will compare the immunotherapy they used, one being developed by being the Swiss-Italian biotech Philogen, to standard of care. Scientists are also exploring combining it with other immunotherapies, such as CAR-T treatments. STAT's Andrew Joseph has more.


health insurance

How people pay for pregnancy and childbirth 

Health coverage during pregnancy and childbirth is crucial. A new CDC report tells us who pays for it, based on national birth certificate data: 51.6% of births were covered by private insurance, 41% by Medicaid, 3.4% by other insurance, and 3.9% by patients' own funds. Those who self-pay are more likely to receive late or no prenatal care than those with coverage. Some other differences:

  • Patients under 20 were nearly three times more likely to use Medicaid than those 35 and over.
  • Patients with a bachelor's degree or higher were eight times more likely to have private insurance than mothers without a high school diploma.
  • Among Black and Hispanic patients, 64% and 58.1% of deliveries, respectively, were covered by Medicaid, compared with 22.5% of Asian, 23.2% of American Indian or Alaska Native, 28.9% of Native Hawaiian or other Pacific Islander, and 28.1% of white patients.

guns

Opinion: Are active-shooter drills the best way to protect schoolchildren?

Listen to this third-grade teacher: "Sometimes we play games to help us learn. Sometimes we play games just for fun," Mira Taichman writes in NEJM. "And twice a year, we play a sick game where we imagine what would happen if someone walked through our hallway with an assault rifle, hunting children." The children aren't present in these scheduled active-shooter drills, but they still learn how to evacuate a building or block a door. "I would do anything — including take a bullet — to protect my kids. If that means rehearsing school shootings, so be it. But is that the best way?"

We don't know, Mary Beth Miotto and Robin Cogan write in another NEJM commentary. The ubiquitous programs, mandated in 40 states, lack evidence on their value. "It's time to reject school crisis simulations that rely on survival reactions in students and educators and which have not been rigorously studied," they say.


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What we're reading

  • In the "Wild West" of outpatient vascular care, doctors can reap huge payments as patients risk life and limb,

    ProPublica


  • A paralyzed man can walk naturally again with brain and spine implants, New York Times
  • Congress took on high drug prices in Medicare. Now Biden wants to take it to Medicaid, STAT
  • How a little more silence in children's lives helps them grow, NPR

  • FDA delays decision on Sarepta's gene therapy for Duchenne muscular dystrophy, STAT


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