{"id":425692,"date":"2025-04-02T14:22:33","date_gmt":"2025-04-02T14:22:33","guid":{"rendered":"https:\/\/clarivate.com\/life-sciences-healthcare\/?p=425692"},"modified":"2025-10-29T12:48:56","modified_gmt":"2025-10-29T12:48:56","slug":"navigating-uncertainty-whats-keeping-healthcare-execs-up-at-night-in-this-new-era","status":"publish","type":"post","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/blog\/navigating-uncertainty-whats-keeping-healthcare-execs-up-at-night-in-this-new-era\/","title":{"rendered":"Navigating uncertainty: What\u2019s keeping healthcare execs up at night in this new era"},"content":{"rendered":"<p>Uncertainty is anathema to the world of business and finance, and one need only look at the major stock indices to know that certainty is in short supply of late.<\/p>\n<p>As the new administration in the United States sets about radically reshaping the size and scope of government, companies and investors are recalibrating their strategies amid a fast-changing and often unpredictable policy environment. In <a href=\"https:\/\/clarivate.com\/life-sciences-healthcare\/webinars\/stirred-and-shaken-how-a-new-administration-will-change-the-u-s-healthcare-market\/\">our recent webinar with Fierce Pharma, <em>Stirred and Shaken: How a new administration will change the U.S. healthcare market<\/em><\/a>, we polled the audience (n=400+) about what policy uncertainties were of most concern to them.<\/p>\n<h3><strong>The covered lives question mark<\/strong><\/h3>\n<p>The number one item, cited by more than a third of viewers (35%), was shifts in insurance coverage. With Elon Musk\u2019s Department of Government Efficiency reportedly \u00a0<a href=\"https:\/\/www.nbcnews.com\/tech\/elon-musk\/musk-uses-immigration-claims-voter-fraud-sell-social-security-cuts-rcna196863\" target=\"_blank\" rel=\"noopener\">talking of rooting out fraud<\/a> in entitlement programs like Social Security and Medicaid and Republicans in Congress <a href=\"https:\/\/www.kff.org\/quick-take\/the-math-is-conclusive-major-medicaid-cuts-are-the-only-way-to-meet-house-budget-resolution-requirements\/\" target=\"_blank\" rel=\"noopener\">eyeing those programs for <\/a>$880 billion in savings, <a href=\"https:\/\/www.fool.com\/retirement\/2025\/03\/16\/these-states-are-already-implementing-medicaid-wor\/\" target=\"_blank\" rel=\"noopener\">some states are moving to add work requirements to Medicaid<\/a>. Critics worry that this could lead to a substantial increase in the number of uninsured Americans, adversely impacting access to care. A recent analysis by the Urban Institute and the Robert Wood Johnson Foundation <a href=\"https:\/\/www.beckershospitalreview.com\/finance\/work-requirements-could-strip-5m-people-of-medicaid-report\/\" target=\"_blank\" rel=\"noopener\">estimated<\/a> that as many as 5.2 million adults could lose Medicaid coverage due to difficulty navigating these rules.<\/p>\n<p>For its part, The White House <a href=\"https:\/\/www.whitehouse.gov\/articles\/2025\/03\/fact-check-president-trump-will-always-protect-social-security-medicare\/\" target=\"_blank\" rel=\"noopener\">has said<\/a> that \u201cThe Trump administration will not cut Social Security, Medicare or Medicaid benefits.\u201d<\/p>\n<p>Then there\u2019s the Medicare picture. President Trump\u2019s nominee to lead the Centers for Medicare and Medicaid Services (CMS), Dr. Mehmet Oz, has in the past advocated for privately-run Medicare Advantage plans. However, he recently <a href=\"https:\/\/www.healthcaredive.com\/news\/cms-dr-oz-promises-scrutinize-medicare-advantage\/742662\/\" target=\"_blank\" rel=\"noopener\">criticized<\/a> those plans for charging the government more than traditional Medicare.<\/p>\n<h3><strong>Policy uncertainty<\/strong><\/h3>\n<p>Equal numbers of respondents (15%) expressed concern about three critical policy areas:<\/p>\n<ol>\n<li><strong>Potential changes to the Affordable Care Act (ACA):<\/strong> Republicans narrowly failed to torpedo the law during President Trump\u2019s first term and may not have appetite for another swing at the law, but might take aim at lower-hanging fruit, such as exchange plan subsidies \u2013 without which these plans might be unaffordable to many beneficiaries.<\/li>\n<li><strong>Adjustments to the Inflation Reduction Act:<\/strong> One of President Trump\u2019s first executive orders instructed officials to freeze disbursement of IRA environmental funding, and Trump has <a href=\"https:\/\/www.nbcnews.com\/health\/health-news\/trump-reverses-biden-policies-drug-pricing-obamacare-rcna188555\" target=\"_blank\" rel=\"noopener\">revoked<\/a> some healthcare-related executive orders issued under the Biden administration that are aimed at reforming healthcare payments and lowering prescription drug costs. So far, however, the Trump administration\u2019s plans for the prescription drug provisions of the IRA remain unclear.<\/li>\n<li><strong>Impact on Vaccine Development and Guidelines:<\/strong> In his confirmation hearings, Department of Health and Human Services Secretary Robert F. Kennedy, Jr. said he had never been anti-vaccine and vowed not to change the nation\u2019s vaccine schedule. However, shortly after his confirmation, he said the agency would investigate vaccine safety in children. Then the Centers for Disease Control <a href=\"https:\/\/www.statnews.com\/2025\/02\/20\/cdc-vaccine-promotions-rfk-jr-informed-consent\/\" target=\"_blank\" rel=\"noopener\">nixed<\/a> an ad campaign promoting vaccination and signaled a new approach emphasizing \u201cinformed consent,\u201d while postponing a meeting of its vaccines advisory committee indefinitely. FDA Commissioner Dr. Martin Makary <a href=\"https:\/\/apnews.com\/article\/childhood-vaccines-schedule-kennedy-trump-hhs-4d5e6c52c602f5edbcd837748605e9d0\" target=\"_blank\" rel=\"noopener\">was an outspoken opponent<\/a> of vaccine mandates for COVID-19, but has expressed interest in expediting drug approvals, particularly for generics, biosimilars and rare disease treatments.<\/li>\n<\/ol>\n<h3><strong>The unknown unknowns<\/strong><\/h3>\n<p>Sweeping <a href=\"https:\/\/www.science.org\/content\/article\/nih-slashes-overhead-payments-research-sparking-outrage\" target=\"_blank\" rel=\"noopener\">cuts to National Institutes of Health grants<\/a> wasn\u2019t on our radar when we designed our poll but seems likely to have a substantial impact on drug R&amp;D over the medium-to-long term. Similarly, enormous <a href=\"https:\/\/www.statnews.com\/2025\/03\/27\/rfk-jr-10000-job-cuts-hhs-restructuring-health-agency-impacts-cdc-fda-nih-cms\/\" target=\"_blank\" rel=\"noopener\">workforce reductions<\/a> at federal health agencies could affect drug approval timelines and much else. We will be convening panel discussions on these and other topics in the coming months.<\/p>\n<p>For healthcare businesses, staying informed and adaptable is crucial. Engaging with policymakers, participating in industry discussions, and leveraging data-driven insights can help organizations navigate these uncertainties and continue to deliver quality care.<\/p>\n<p>Clarivate data, solutions and expertise can help companies stay ahead of the curve and mitigate the impact of uncertainty. Learn more about how <a href=\"https:\/\/clarivate.com\/life-sciences-healthcare\/consulting-services\/commercial-consulting-services\/\">Clarivate commercial consulting services<\/a> help life science companies navigate a fast-changing landscape to deliver innovative treatments to patients.<\/p>\n<p><strong>Gain actionable visibility with <a href=\"https:\/\/clarivate.com\/life-sciences-healthcare\/commercialization\/healthcare-business-insights\/\">business intelligence for healthcare<\/a> to confidently navigate executive priorities and industry uncertainty.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adapting to the fast-changing policy environment in the United States is challenging, to say the least. Among execs&#8217; top concerns are changes to health insurance programs like Medicare and Medicaid, the Affordable Care Act, the Inflation Reduction Act and the Food and Drug Administration.<\/p>\n","protected":false},"author":59,"featured_media":267917,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_links_to":"","_links_to_type":0,"footnotes":""},"categories":[19,21,23],"tags":[90,333,159,30,302],"class_list":["post-425692","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biopharma","category-life-sciences-healthcare","category-medtech","tag-market-access","tag-pharma","tag-portfolio-strategy","tag-regulatory","tag-research-commercialization","clarivate-product-biopharma","clarivate-product-medtech"],"acf":[],"lang":"en","translations":{"en":425692},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/425692","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/users\/59"}],"replies":[{"embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/comments?post=425692"}],"version-history":[{"count":7,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/425692\/revisions"}],"predecessor-version":[{"id":502333,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/425692\/revisions\/502333"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media\/267917"}],"wp:attachment":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media?parent=425692"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/categories?post=425692"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/tags?post=425692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}