NEJM – Health Policy & Reform News

Today, the covenant between U.S. academic medical centers and society is under strain: corporatization and the mandate to maximize profits threaten the AMC ecosystem and harm medical training.
Author: Jatin M. Vyas
Posted: May 7, 2026, 12:00 am
The administration recently announced a new payment model to align some Medicare Part B drug payments with international pricing benchmarks. Various factors could affect the model’s scope and impact.
Author: Thomas J. Hwang, Lisa Clemans-Cope, Aaron S. Kesselheim
Posted: May 7, 2026, 12:00 am
A new pilot Medicaid program — GENEROUS — combines centralized pharmaceutical-coverage negotiations with most-favored-nation pricing in an effort to lower drug costs, but it has some limitations.
Author: Luca Maini, Rachel E. Sachs, Michael Anne Kyle, Pragya Kakani
Posted: May 7, 2026, 12:00 am
Many clinical algorithms, including the eGFR test for kidney function, have actually had race baked into them and produce different results for Black patients. Most of us assume these algorithms are based on science, but what if the science is wrong?
Posted: May 7, 2026, 12:00 am
A Tennessee bill focused on directed blood donation exemplifies a pattern of efforts to legislate medical practice in ways that override scientific consensus while invoking the language of autonomy.
Author: Jeremy W. Jacobs, Nikki B. Zite, Miriam Brown, Sarah S. Osmundson, Deva Sharma
Posted: April 30, 2026, 12:00 am
There has been substantial interest in the development of GLP-1 drugs and optimism about their public health effects. But some worrisome signals related to disordered eating have emerged.
Author: Amanda Banks
Posted: April 30, 2026, 12:00 am
Some foreign pharmaceutical plants that export generic drugs to the United States have glaring quality problems that can lead to drug shortages. There is a better way to assure the safety of generic drugs.
Author: Kevin Schulman, Arthur L. Kellermann
Posted: April 30, 2026, 12:00 am
Structural competence, a framework encouraging physicians to recognize the broad forces affecting patients, is yet another valuable analytic concept now facing political pushback.
Author: Jeremy A. Greene, Jason E. Glenn, Rachel M. Niehuus, David S. Jones
Posted: April 29, 2026, 12:00 am
Jack, a retired teacher whose 91 years hadn’t been easy, wanted to leave the hospital forever. With a hospice nurse who was Polish like his cherished grandmother, he could finally take comfort in his care.
Author: Mark Earnest
Posted: April 23, 2026, 12:00 am
Consolidation in drug markets could promote availability of innovative treatments. But current antitrust screening is inadequate for detecting anticompetitive behavior, including “killer acquisitions.”
Author: S. Sean Tu, Jaime King
Posted: April 23, 2026, 12:00 am
Utah recently rolled out a pilot program involving an AI system that autonomously renews certain prescriptions for people with chronic conditions. This program raises important clinical and legal issues.
Author: Sara Gerke, Ravi B. Parikh, I. Glenn Cohen
Posted: April 23, 2026, 12:00 am
The Pediatric Research Equity Act was intended to promote the development and testing of prescription drugs for children. But its implementation has been constrained.
Author: Ian T.T. Liu, Florence Bourgeois
Posted: April 23, 2026, 12:00 am
Despite the erosion of public confidence in science and medicine, nurses remain highly trusted professionals. Integrating nurse scientists into health communication strategies would benefit public health.
Author: Paule Joseph, Mayu O. Frank, Rita Devine, Jill McCabe, Bernadette Capili
Posted: April 16, 2026, 12:00 am
The Trump administration’s wide-ranging actions to dismantle U.S. environmental regulations will cause long-lasting health harms, disproportionately affecting low-income and other vulnerable groups.
Author: Adam W. Gaffney, David Himmelstein, Steffie Woolhandler, Sancia Sehdev, Philip J. Landrigan
Posted: April 16, 2026, 12:00 am
As part of a restructuring of federal loan limits, loans for graduate nursing programs may be capped below amounts for medical and law programs. This proposal isn’t supported by publicly available data.
Author: Amy W. Stimpfel, Maja Djukic
Posted: April 16, 2026, 12:00 am
In the final NOS episode of the season, host Lisa Rosenbaum and her guests elucidate the quiet beauty of good primary care and consider how to induce the U.S. health care system to prize it more highly.
Posted: April 16, 2026, 12:00 am
Recognizing that family physicians face obstacles to addressing social determinants of health, the American Academy of Family Physicians developed a set of practical tools to enhance community–clinical linkages and advance health equity.
Author: W. Todd Moore, Ruaa Hassaballa, Kevin A. Kovach, Danielle D. Jones
Posted: April 9, 2026, 12:00 am
Asian Health Services in Alameda County, California, conducted a multifaceted project to address the low rates of access to and use of digital diabetes technologies in marginalized populations.
Author: Eliza Chan, George Lee, Thu Quach, Tran T. Doan
Posted: April 9, 2026, 12:00 am
The NYC Health Department hosted two symposia for students, faculty, and health professionals to launch ongoing learning about the harms of race essentialism, racial biases, and systemic racism.
Author: Haniya Abbasi, Jenny Fleuristal, Naomi C. Legros, Antonia P. Eyssallenne
Posted: April 9, 2026, 12:00 am
In 2022, more than 130,000 deaths in the United States were primarily attributable to high blood pressure and were largely preventable; this number represents a near doubling since 2012.1 Despite the availability of multiple effective, safe, and inexpensive therapies for lowering blood pressure, fewer than half of U.S....
Author: Sadiya S. Khan, Mark D. Huffman
Posted: April 9, 2026, 12:00 am
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Lucy Woodham answers your questions on the outbreak of hantavirus on board a cruise ship
Some passengers potentially exposed to hantavirus have already taken flights to numerous countries.
The origin of the outbreak is still unknown, with the World Health Organisation saying investigations are "still under way".
Two survivors who caught the hantavirus years earlier told the BBC they both felt lucky to be alive.
When should we worry that our snoring might be the sign of a larger problem?

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