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HHS Secretary Alex Azar and Attorney General Bill Barr opposed the Trump administration’s support to overturn the Affordable Care Act (ACA) through a federal lawsuit; OxyContin maker Purdue Pharma and its owners, the Sackler family, agreed to pay $270 million to avoid a state court trial in Oklahoma over the company’s role in the spread of opioids over the past 20 years; a New York county is banning unvaccinated children in public places in the wake of a measles crisis that has infected more than 150 people.

Johnson & Johnson and Bayer, who jointly sell the blood thinner drug Xarelto, settled lawsuits that claimed the companies failed to warn about potentially fatal side-effects for $775 million; the Oversight and Investigations Subcommittee of the House Energy and Commerce Committee have planned hearings in the coming weeks over the rising cost of insulin; the American Academy of Pediatrics and the American Heart Association called for taxes, warning labels, and advertising curbs on soda in hopes to reduce consumption among children and adolescents.

FDA Commissioner Scott Gottlieb, MD, called for stricter oversight of electronic health records (EHRs); Medicaid expansion in Kentucky has led to increases in screening, diagnoses, and survival of colorectal cancer (CRC); contradicting claims from some federal and state officials, the majority of beneficiaries who lost coverage for not complying with Arkansas’ Medicaid work requirements have not found employment.

This week, the top managed care news included new primary prevention guidelines that could increase the use of some diabetes drugs; the FDA expanded criteria for which patients can take part in clinical trials; a summit on value-based insurance design showed the need for tough conversations with stakeholders.

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