A look at how shortages differed before COVID-19
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Thursday, December 15, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

In case you missed it, we published a new Health Policy Brief last week about structural stigma in law. We regularly publish briefs on topics like value-based payment, health spending, and more which you can read on our website here.
 
Medical Device Shortages
In the December 2022 issue of Health Affairs, Trinidad Beleche and coauthors investigate medical device shortages in the US from 2006-20.

Medical device shortages were particularly concerning during the COVID-19 pandemic, which exposed vulnerabilities in device markets. However, as Beleche and coauthors explain, “medical device shortages are neither a new phenomenon nor the result of the COVID-19 pandemic alone.”
Beleche and coauthors go on to examine trends in medical device shortages over time, and indicate that shortages before 2020 “stemmed from regulatory and enforcement actions resulting from product quality and manufacturing issues.”

Finally, Beleche and coauthors determine that the types of device shortages differed during COVID-19.

Shortages during the pandemic involved personal protective equipment, diagnostic testing supplies and equipment, ventilator-related medical devices, and vital sign monitoring while pre-pandemic shortages involved infusion pumps and related accessories, medical devices used in dialysis treatment, needles and syringes, ventilators, and sterilization products.
Elsewhere At Health Affairs
In a continuation of yesterday's Forefront article, Nitzan Arad and Mark McClellan consider the Inflation Reduction Act's probable effects on drug rebates, alternative payment arrangements, drug development, and evidence to guide drug use.

In case you missed it, a new analysis from the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) was released ahead-of-print yesterday. Anne B. Martin and coauthors review national health care spending in 2021 and find that spending in the US grew 2.7 percent.


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