From Health Affairs Today <[email protected]>
Subject Global Supply Chain For US Generic Active Pharmaceutical Ingredients
Date March 13, 2023 8:04 PM
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Forefront: Integration For Dual Eligible Individuals After The
Medicare-Medicaid Plan Model
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Monday, March 13, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

Are you interested in connecting with authors and experts in your field?


By becoming an Insider, you can join us on March 16 at 3:00 PM to hear
from Thomas Dobbs, Dean of the John D. Bower School of Population Health
at the University of Mississippi's Medical Center, as he discusses
findings from the paper "Surviving The Surge: Nonurgent Procedures,
Intensive Care, And Mississippi's COVID-19 Waves
<[link removed]>."

Pharmaceutical Supply Chain

In the March issue, Mariana Socal and colleagues provide a systematic
examination of active pharmaceutical ingredients (APIs)
<[link removed]>
produced globally for the US market between 2020 and 2021.

The authors find that "the US manufactures only about 14 percent of APIs
necessary for the domestic generic drug market," with India, China, and
Italy being the largest API manufacturers.

"More than one in every five APIs linked to [abbreviated new drug
application]-holding companies reflected markets where the current [US
Food and Drug Administration's] threshold of three or fewer
manufacturers would have failed to detect low competition," Socal and
colleagues note.

The authors argue for two key actions to strengthen the supply of APIs
in critical markets: improved monitoring of API manufacturing and
enhancing incentives for domestic production of priority APIs.

Read More
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Elsewhere At Health Affairs

Elsewhere in Forefront, Rae Anne M. Martinez and coauthors discuss how
without clear communication, assumptions about race and ethnicity can go
unchallenged
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Allison Rizer and Nils Franco argue that Congress and other policy
makers need to recognize the Medicare-Medicaid Coordination Office at
CMS
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as the central body designing and overseeing integrated programs.

This article is the latest in a series about Medicare and Medicaid
Integration
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that's produced with the support of Arnold Ventures
<[link removed]>.

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Daily Digest

Competition And Vulnerabilities In The Global Supply Chain For US
Generic Active Pharmaceutical Ingredients
<[link removed]>

Mariana P. Socal et al.

Threats To Equity: Missing Methodological Details About Race And
Ethnicity In Health Research
<[link removed]>

Rae Anne M. Martinez et al.

Preserving Integration For Dual Eligible Individuals After The End Of
The Medicare-Medicaid Plan Model
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Allison Rizer and Nils Franco

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In a peer-reviewed article published in Wiley Learned Publishing,
Director Of Health Equity Vabren Watts and others from the Health
Affairs team shared insights about the journey to advance racial equity
in scholarly publishing
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policy and health services research.

Watts also discusses this article on the most recent episode of This
Week
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where he is joined by Ryann Tanap, the program manager of health equity
education at Health Affairs.

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