
Policy Update – November 3, 2025
This week’s digest: agencies in crisis, providers under pressure, and everyone wondering who’s actually steering the ship.

This week’s digest: agencies in crisis, providers under pressure, and everyone wondering who’s actually steering the ship.

This week: how federal dysfunction collides with Medicare Advantage’s first enrollment contraction in 20 years, raising fundamental questions about healthcare system stability and access for vulnerable populations.

This week: More shutdown fallout with Congress no closer to finding an end.

A perfect storm: federal shutdown furloughs 32,000+ HHS staff and halts FDA approvals, Medicare Advantage enrollment drops amid premium cuts, Trump’s drug pricing deals draw widespread skepticism, and millions face insurance cost spikes as Congress battles over ACA subsidies.

This week: government shutdown… will they? won’t they?

RFK Jr.’s sweeping vaccine policy changes triggered unprecedented disruption across federal health agencies this week, with ACIP eliminating universal COVID recommendations and former CDC Director Monarez testifying about political pressure to modify childhood immunization schedules without scientific evidence.

This week, CMS unveiled sweeping Medicaid payment caps while advancing its controversial AI-powered prior authorization model, sparking fierce debate over whether technology and standardization will streamline federal healthcare programs or erect new barriers for America’s most vulnerable patients.

HS Secretary Robert F. Kennedy Jr. faces an unprecedented crisis of confidence as bipartisan lawmakers, over 1,000 federal employees, medical societies, and his own family demand his resignation amid controversial vaccine policies and CDC leadership upheaval.

This week: With at least six top leaders resigning, congressional hearings underway, and former CDC directors warning of dangers to American health, the crisis threatens to fundamentally reshape the nation’s disease surveillance and emergency response capabilities.

This week: federal health agencies face unprecedented upheaval as the Supreme Court upholds $783 million in NIH cuts, HHS Secretary RFK Jr. drives sweeping reforms amid employee revolt, and major medical societies openly defy CDC guidance—signaling a fundamental restructuring of American healthcare policy that will reshape everything from drug approvals to patient care standards.
Savage Health Policy
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