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On Friday, December 20, President Trump signed 2 spending packages totaling $1.4 trillion to fund the federal government for the rest of the fiscal year. The package allows federal funds to be allocated to the National Institutes of Health and CDC for the purpose of conducting research on gun violence for the first time in 2 decades.

Two new classes of drugs that offer significant clinical benefits for patients with diabetes and heart failure dominated medical conferences in 2019. Meanwhile, ovarian cancer guidelines were updated to add new therapies and the intersection of consumer health technology and cardiology also took over headlines. Read on for more.

The FDA approved [fam-] trastuzumab deruxtecan-nxki, which will be marketed as Enhertu; preliminary CMS numbers show that 8.3 million people enrolled in coverage under the Affordable Care Act (ACA) from November 1 to December 17, about 2% fewer than last year; Sutter Health agreed to pay $575 million to settle claims of anticompetitive behavior brought by the California state attorney general as well as unions and employers.

The top 5 most-read news stories of 2019 for The American Journal of Managed Care® ran the gamut, from the ongoing opioid epidemic to hoped-for new drug approvals to treat type 2 diabetes.

This week, top managed care news included a federal appeals court overturning the individual mandate; the Trump administration unveiling a plan to import low-cost drugs; FDA approving a popular fish oil pill to prevent heart attacks and strokes.

Findings of a review analyzing the association between cigarette smoking and multiple sclerosis (MS) highlight numerous detrimental effects the habit has on those with the disease. The review, published in the Journal of the America Medical Association (JAMA) Neurology, collected data from studies published between 1965 and 2018.

Hypertrophic cardiomyopathy (HCM) is an inherited condition in which mutations in genes that encode the sarcomere proteins in the heart cause an abnormal thickening of that muscle, with no known cure. In black patients, HCM is usually diagnosed at a younger age and accompanied by a greater burden of symptomatic heart failure. These patients, however, are not well represented in surveys of the condition, which tend to focus on white patients.

A federal appeals court today struck down the individual mandate—the heart of the Affordable Care Act (ACA) that requires everyone to have health coverage and lays the groundwork for a risk pool that is more balanced between the sick and the healthy, the young and the old.

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