Good morning ... Happy Halloween! If, by chance, you're worried about how to sell your house even though it's haunted, Curbed has some practical tips: At least in New York, "if a seller has 'claimed to the public at large' that house is haunted, it is required to disclose this to the buyer. But if this is just a private belief of the seller, it is not required to be disclosed."
The more you know ...
Democratic candidates in the midterm elections, and many of the party’s top 2020 prospects, have endorsed “Medicare for All,” but have significantly differing views of what that policy should actually look like. Turns out, the public is in pretty much the same situation.
In our latest Axios/SurveyMonkey poll, we asked respondents two related questions: What they think candidates mean by “Medicare for All” and what they want that policy to mean, if they support it at all.
By the numbers: Overall, 52% of those surveyed said they think “Medicare for All” refers to a single, government-run health care program covering everyone.
Voters were more divided over what they want “Medicare for All” to be, given the same choices.
The bottom line: Add it all up, and most people — 67% — seem to be on board with either single-payer or a public option, suggesting that “Medicare for All” is popular, but that's partly because of its multiple meanings.
My thought bubble: In the midterms, there are so many candidates running for so many offices, it’s no surprise they’re able to describe different policies under one banner.
The Centers for Medicare & Medicaid Services is ready to charge ahead with broad audits of Medicare Advantage plans, which could result in companies paying back billions of dollars to the federal government, Axios’ Bob Herman reports.
How it works: The federal government pays MA companies monthly amounts based on how sick their enrollees are. Insurers code the conditions people have, and the more health problems someone has, the more insurers get paid.
The threat of these federal audits has existed for several years, but the audits haven't led to large clawbacks yet. CMS now has an estimate of those improper payments to insurers: almost $14.4 billion in 2017, or 7% of MA spending from that year.
Up to 2.7 million people could gain access to Medicaid as a result of next week's elections, according to new estimates from Avalere Health.
Medicaid expansion is on the ballot in 3 states: Idaho, Nebraska and Utah.
Flashback: It's a good thing you read Vitals, where we've been hammering away at this point for over a year. The governors' races are the main event in the midterms and you'll never convince me otherwise.
Don't pretend you don't recognize this drug. Photo: Wodicka/ullstein bild via Getty Images
Viagra is blue. Nexium is purple. Those color schemes have been integral to the drugs’ marketing, and thus their sales, and thus the billions of dollars they’ve made for their manufacturers. And those colors weren’t an accident.
“We typically select a brand’s colors palette and logo years before launch, based on deep customer insights," Eli Lilly told BioPharma Dive for this thorough exploration of the color-selection process.
Several factors affect drugmakers’ dye decisions, according to the report:
"If you have a product for, let's just say a dermatology product for psoriasis, you're not going to make the color red because that reminds people of inflammation. You're not going to use the color yellow for something treating an infection because that reminds you of puss," Dave Traini, the creative director at a health care advertising agency, told BioPharma Dive.
Alvar Aalto's Paimio Sanatorium. Photo: Getty Images
Well, obviously tuberculosis isn't fun. But this history is: Modernist architecture and design apparently owe a lot to the treatment systems for tuberculosis.
"In their designs for workers’ housing, early Modernists in Europe such as Bruno Taut and Peter Behrens drew on sanatoria for inspiration. Behrens designed an apartment block that 'was directly inspired by the model of the sanatorium,'" bioethicist Elizabeth Yuko writes in a fascinating history lesson at CityLab.
Treatment for tuberculosis was largely environmental, focusing on giving patients easy access to fresh air and natural light, often in purpose-built buildings.
Some of those principles — namely, easy exposure to nature — are still a big part of health care architecture.