Policy Blog

Timely and informative health policy content
authored and curated by Savage Health Policy

Policy Digest — February 16, 2026

This week’s digest features our deep dive into RFK Jr.’s first year at HHS, marked by broken promises, eroding public trust, and a push to reshape American health policy. Elsewhere, ACA exchanges face enrollment declines and sweeping proposed rules after subsidy expiration, the CDC confronts both grant clawbacks and a leadership vacuum, Medicaid work requirements advance toward impacting millions, and vaccine policy turmoil continues on multiple fronts.

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Policy Digest — February 9, 2026

This week: Congress ended a partial government shutdown with legislation extending Medicare telehealth flexibilities and enacting sweeping PBM reforms. The FDA moved to crack down on compounded GLP-1 drugs as Novo Nordisk sued Hims & Hers. ACA Marketplace enrollment declined for the first time since 2020 following the expiration of enhanced premium subsidies, while hospitals began preparing for Medicaid cuts under the One Big Beautiful Bill Act.

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They’re Here!

The Fourth of July can be counted on for two things: fireworks, and Medicare payment rules, the defining documents that sort DC health policy folk into two camps. On one side, there are the Hill staffers and lobbyists who are trying to strategically plot a path through the appropriations quagmire to get to August recess. Then there are the regulatory staff whose year has just started.

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New Drug Pricing Changes and Utilization Management

You may have heard about the Inflation Reduction Act or changes regarding the Medicare program’s ability to negotiate prescription drug prices. Join me as I host fellow colleagues for a discussion about what these changes mean for you.

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Getting Started

I’m going to go out on a limb and suggest that making sure doctors get paid enough isn’t on many people’s end of year to-do lists. Why should we care? In my opinion, we should care, but not because I am desperate to get in a battle of who has the prettiest line chart depicting how much doctors are (or are not) being paid. I think we should care because most people have no idea what we are (and are not) paying for in our healthcare system – and that makes all the difference.

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