Section 1115 Waiver Watch: A Look at the Use of Contingency Management to Address Stimulant Use Disorder

Contingency management is an evidence-based psychosocial intervention that uses motivational incentives, such as vouchers or gift cards, to encourage recovery behaviors like stimulant abstinence and treatment session (e.g., cognitive behavioral therapy, group therapy) attendance. The Biden administration has approved four state contingency management waivers (California, Delaware, Montana, and Washington); three additional state contingency management requests…

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Beam’s Base-Editing Sickle Cell Therapy Shows Early Promise, But a Fatality Overshadows Results

The death wasn’t due to Beam Therapeutics’ sickle cell disease therapy, BEAM-101, but was instead attributed to the preconditioning treatment needed before the genetic medicine is infused. A different Beam program in preclinical development could avoid the need for toxic preconditioning; data from both programs will be presented during the upcoming American Society of Hematology…

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Welcome to the (U.S. Science) Apocalypse

By KIM BELLARD I’m starting to feel like I’m beating a dead horse, having already written a couple times recently about the Trump Administration’s attacks on science, but the hits just keep on coming. Last Friday, for example, not only did the Administration’s proposed 2026 budget slash National Science Foundation (NSF) funding by over 50%,…

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Why are U.S. healthcare costs so high?

The Incidental Economist website has a helpful explainer video. The truth is that higher cost is due to both higher prices and more utilization of healthcare goods and services. It is not caused by any one stakeholder within the healthcare ecosystem. Reducing health care costs would require significant–and often painful–tradeoffs.

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Federal Cuts Gut Food Banks as They Face Record Demand

Food bank shortages caused by high demand and cuts to federal aid programs have some residents of a small community that straddles Idaho and Nevada growing their own food to get by. For those living in Duck Valley, a reservation of about 1,000 people that is home to the Shoshone-Paiute Tribes, there’s just one grocery…

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