ZorroCard Round Up (10/9/24)

FDA Sued Over Tirzepatide Shortage Decision, Poor MA Members Face Supplemental Benefit Gap, and Maven Clinic celebrates ten years with $200 million.

Hey all,

Today’s run down highlights how things like weight loss drugs, dental/vision/hearing benefits, and fertility care are can often out of the reach of lower income individuals. There are many reasons for this but it is a shame nonetheless. I am thankful I have access to the care I receive everyday.

Enjoy,

Jacob Brody (Co-Founder & CEO, ZorroCard)

Stat News (FDA Sued Over Tirzepatide Shortage Decision): A trade group representing compounding pharmacies has sued the FDA for removing Eli Lilly’s diabetes and obesity drug, tirzepatide, from the official shortages list, arguing the move was “reckless” and still affects patients. The lawsuit claims this benefits Lilly at the expense of the public and accuses the FDA of bypassing legal procedures—though I’m sure Lilly execs did no lobbying of the FDA. The high demand for weight-loss drugs and supply problems are clashing with drug companies' desire to make money from their products. Full Article

Health Affairs (Medicare Advantage Supplemental Benefits Fall Short For Low Income Members): Despite nearly $20 billion in rebate payments to Medicare Advantage (MA) plans for supplemental benefits, low-income beneficiaries are still left squinting, smiling with gaps, and turning up the TV volume because of unmet dental, vision, and hearing needs. The study found that higher same-year star ratings were linked to fewer dental unmet needs, but prior-year ratings (the ones that actually determine plan payments) didn’t seem to do much. Policymakers might want to consider whether these bonus payments are really adding any value for beneficiaries’ access. Full Article

Hospitalogy (Maven Clinic’s 10-Year Journey): Maven Clinic, a leader in women’s and family health, has raised $200 million in its Series E round, bringing its total fundraising to over $400 million. Blake Madden of Hospitalogy highlights Maven’s growth over the past decade, serving more than 25 million people through employer sponsored programs. Maven partners with employer-sponsored health plans and has already worked with more than 2,000 clients including Amazon. Full Article