LabCorp, UnitedHealthcare boost relationship
LabCorp and Minneapolis-based UnitedHealthcare have renewed a partnership whereby the Burlington-based diagnostics behemoth will continue to serve as the insurer ’s exclusive national laboratory provider until Jan. 1, 2019, and they have agreed to expanding the partnership to better leverage real-time data sharing.  In an announcement, the two health care giants said they will expand their relationship to collaborate on a variety of value-based programs. That will include collaborating on sharing… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 25, 2018 Category: American Health Authors: Lloyd Whittington Source Type: news

LabCorp, UnitedHealthcare extend, expand relationship
LabCorp and Minneapolis-based UnitedHealthcare have renewed a partnership whereby the Burlington-based diagnostics behemoth will continue to serve as the insurer ’s exclusive national laboratory provider until Jan. 1, 2019, and they have agreed to expanding the partnership to better leverage real-time data sharing.  In an announcement, the two health care giants said they will expand their relationship to collaborate on a variety of value-based programs. That will include collaborating on sharing… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 25, 2018 Category: Biotechnology Authors: Lloyd Whittington Source Type: news

My View: Is management missing in health care?
In the past few years alone, we ’re seen politicians argue the nuts and bolts of a national health care plan, and we’ve seen insurers — public and private alike — struggle with balancing premiums and plans with exchanges and actual service. All this at a time when the growth of the health-care industry in the U.S. is expl oding. On its own, health-care spending makes up one-sixth of our economy, topping out in 2017 at around $3.5 trillion. With an aging population, among other factors, there’s… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 24, 2018 Category: Pharmaceuticals Source Type: news

Zoom+Care grades insurers — and itself — on cutting costs and waste, boosting quality
The neighborhood clinic provider graded eight insurers on a set of metrics, including how long they take to complete preauthorizations. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 23, 2018 Category: Pharmaceuticals Authors: Elizabeth Hayes Source Type: news

Zoom+Care grades insurers — and itself — on cutting costs and waste, boosting quality
The neighborhood clinic provider graded eight insurers on a set of metrics, including how long they take to complete preauthorizations. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 23, 2018 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

ZappRx taps FDB MedsTracker to bolster specialty pharma prescribing tool
Specialty pharmaceuticals are all different, but there ’s one thing they have in common: they are difficult to prescribe. Whether it’s because of high cost, high risk, narrow therapeutic range, or complicated dosing, these drugs require would-be prescribing physicians to prove to insurers the drug is the right choice for their patient by filling out a number of forms and providing key data about the patient. (Source: mobihealthnews)
Source: mobihealthnews - May 22, 2018 Category: Information Technology Source Type: news

As an insurer resists paying for ‘avoidable’ ER visits, patients and doctors push back
To rein in emergency medicine costs, health insurer Anthem is reviving an old, contentious tactic: pushing back on patients who visit the emergency room for ailments deemed minor. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 21, 2018 Category: Pharmaceuticals Authors: Reed Abelson, Margot Sanger Katz and Julie Creswell Source Type: news

Obamacare premiums set to explode again next year; Democrats who passed it now blame Republicans
(Natural News) Americans who have to purchase their own insurance have no doubt noticed that, since about 2012 or 2013, premiums and out-of-pocket deductibles have soared. Now, health insurers are set to dramatically increase premiums once again in 2019, meaning consumers will have seen their rates triple in a span of six years. Early in... (Source: NaturalNews.com)
Source: NaturalNews.com - May 20, 2018 Category: Consumer Health News Source Type: news

As an Insurer Resists Paying for ‘ Avoidable ’ E.R. Visits, Patients and Doctors Push Back
Guessing wrong on when a condition is a life-threatening medical emergency could mean a large bill. Or worse. (Source: NYT Health)
Source: NYT Health - May 19, 2018 Category: Consumer Health News Authors: REED ABELSON, MARGOT SANGER-KATZ and JULIE CRESWELL Tags: Emergency Medical Treatment Health Insurance and Managed Care Anthem Inc Consumer Protection Hospitals Doctors Source Type: news

Why Data Interoperability Matters to Global Health
May 18, 2018The global digital health community has been talking about it for more than a decade. So where do things stand?Predictive analytics, rapid diagnostics, and portable, personal medical records promise a future where health systems are stronger and more efficient, and where anyone can live a longer, healthier, fuller life.But one of the prerequisites for this promised transformation is that health systems —whether they’re for diagnostics or patient records or lab results—are interoperable, meaning they can quickly and seamlessly exchange data using open standards.The greater the interoperability ...
Source: IntraHealth International - May 18, 2018 Category: International Medicine & Public Health Authors: mnathe Source Type: news

BCBSNC to remove NC hospital from its network
Blue Cross and Blue Shield of North Carolina will remove LifeBrite Community Hospital of Stokes, located in Danbury, from its network in three months and has filed a lawsuit accusing the facility of "fraudulent" laboratory billing practices. LifeBrite Community Hospital, a 99-licensed bed hospital, will be removed from the insurance company's network on Aug. 21, Blue Cross NC said Thursday. In court documents filed this month, Blue Cross NC said LifeBrite has engaged "in a fraudulent scheme to… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 18, 2018 Category: American Health Authors: Jessica Seaman Source Type: news

Neighborhood Health doubles down on opioid addiction treatment
The health insurance company owned by Boston-based Partners HealthCare plans to begin offering financial incentives to encourage more providers to offer medication-assisted treatment, and to hire recovery coaches and waive co-pays for Narcan. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 18, 2018 Category: American Health Authors: Katie Lannan Source Type: news

BCBSNC to remove Triad hospital from its network
Blue Cross and Blue Shield of North Carolina will remove LifeBrite Community Hospital of Stokes, located in Danbury, from its network in three months and has filed a lawsuit accusing the facility of "fraudulent" laboratory billing practices. LifeBrite Community Hospital, a 99-licensed bed hospital, will be removed from the insurance company's network on Aug. 21, Blue Cross NC said on Thursday. In court documents filed this month, Blue Cross NC said LifeBrite has engaged "in a fraudulent scheme… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 17, 2018 Category: American Health Authors: Jessica Seaman Source Type: news

Report: Amazon-Berkshire Hathaway-JPMorgan Chase health play struggles to find CEO
The joint healthcare venture between Amazon (NSDQ:AMZN), Berkshire Hathaway and J.P. Morgan Chase that looks to lower costs and improve health insurance is struggling to find the right individual to fill the corner office, according to a CNBC report. The joint venture began searching for a CEO after announcing its launch in January, according to the report, meeting potential candidates by phone and in person in Omaha, Nebraska, where Berkshire Hathaway resides, and in New York, where J.P. Morgan is based. The group considered health insurance and policy experts, including ex-Aetna exec Gary Loveman and former CMS chie...
Source: Mass Device - May 17, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Amazon Berkshire Hathaway JP Morgan Chase Source Type: news

Chinese insurtech startup CareVoice launches voice-based virtual assistant
This morning Shanghai-based insurtech company CareVoice launched what it claims is the first AI voice-based virtual health assistant for insurers and employers in Greater China.   (Source: mobihealthnews)
Source: mobihealthnews - May 17, 2018 Category: Information Technology Source Type: news

Individual Insurance Market Performance in 2017
A new issue brief examines annual financial data from 2017 to determine if recent premium increases were sufficient to bring insurer performance back to pre-2014 levels. (Source: HSR Information Central)
Source: HSR Information Central - May 17, 2018 Category: International Medicine & Public Health Source Type: news

Hawaii Medical Service Association reports $17M net loss for Q1 2018
The Hawaii Medical Service Association  reported a net loss of $17.6 million for the first quarter of 2018, citing taxes and fees from the Affordable Care Act as the reason for the loss. Hawaii’s largest health insurer said it recorded $67.9 million in ACA taxes and fees in the first three months of the year. HMSA collected $876.3 million in premium revenue for the first quarter, compared to $848 million in the first quarter of 2017. The company paid $757.6 million for its members’ medical… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - May 16, 2018 Category: Health Management Authors: Anna Hrushka Source Type: news

Hawaii Medical Service Association reports $17M net loss for Q1 2018
The Hawaii Medical Service Association  reported a net loss of $17.6 million for the first quarter of 2018, citing taxes and fees from the Affordable Care Act as the reason for the loss. Hawaii’s largest health insurer said it recorded $67.9 million in ACA taxes and fees in the first three months of the year. HMSA collected $876.3 million in premium revenue for the first quarter, compared to $848 million in the first quarter of 2017. The company paid $757.6 million for its members’ medical… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 16, 2018 Category: Biotechnology Authors: Anna Hrushka Source Type: news

Why one Oregon health insurer is bucking the trend and wants to cut premiums
PacificSource's strategy to manage expenses seems to be bearing fruit. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 16, 2018 Category: Pharmaceuticals Authors: Elizabeth Hayes Source Type: news

Why one Oregon health insurer is bucking the trend and wants to cut premiums
PacificSource's strategy to manage expenses seems to be bearing fruit. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 16, 2018 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

Women in Business Awards 2018: Ruth Gutierrez Hafoka
Ruth Gutierrez Hafoka oversees employee development and leadership, as well as talent acquisition at one of the state's largest health insurers. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 16, 2018 Category: American Health Authors: Elizabeth Millard Source Type: news

Health insurers seek to reclaim millions lost in rural hospital billing schemes
Rural hospitals across the U.S. are closing at the highest rates in decades. Desperate to stay open, some hospitals got caught in dubious billing schemes. Jim Axelrod reports with new information on the CBS News investigation. (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - May 16, 2018 Category: Consumer Health News Source Type: news

State's biggest health insurance firms blame Obamacare tax for Q1 losses
The state ’s largest insurers suffered deep losses in the first quarter of 2018, blaming the red ink on a newly-resumed tax of the Affordable Care Act. Blue Cross Blue Shield of Massachusetts, the state’s largest insurer with 2.8 million members, reported a $97.2 million operating loss in the first quar ter, compared to a $10.6 million operating gain in the same period last year. Harvard Pilgrim Health Care, which has the second largest membership at 1.3 million members, reported a $9.4 million… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 16, 2018 Category: American Health Authors: Jessica Bartlett Source Type: news

Some Oregonians may face 16% health insurance hikes in 2019
Oregon health insurers ’ rate requests for next year are all over the map, but considerably less than proposals in at least two other states. In the individual market, the average requests range from a 9.6 percent decrease from PacificSource Health Plans to a 16.3 percent increase from Health Net Health Plan of Oregon, according to data from the Oregon Department of Consumer and Business Services. Those requests would translate to $425 a month for a healthy 40-year-old in Portland who buys a PacificSource… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 15, 2018 Category: Pharmaceuticals Authors: Elizabeth Hayes Source Type: news

Some Oregonians may face 16% health insurance hikes in 2019
Oregon health insurers ’ rate requests for next year are all over the map, but considerably less than proposals in at least two other states. In the individual market, the average requests range from a 9.6 percent decrease from PacificSource Health Plans to a 16.3 percent increase from Health Net Health Plan of Oregon, according to data from the Oregon Department of Consumer and Business Services. Those requests would translate to $425 a month for a healthy 40-year-old in Portland who buys a PacificSource… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 15, 2018 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

This local health IT startup just raised $2M in seed funding from some big names
Insightin Health, a Gaithersburg data startup that connects health insurers with consumers, has raised $2 million in seed financing. New York-based venture capital firm Health Catalyst Capital Management led the round, announced Tuesday, with participation from several local investors including Revolution’s Rise of the Rest Seed Fund, Maryland’s Technology Development Corp., SaaS Ventures, TCP Ventures and an angel group le d by Blu Venture Investors Founding Principal Paul Silber. The company,… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 15, 2018 Category: American Health Authors: Sara Gilgore Source Type: news

Minnesota 2.0: Can this major U.S. medical device cluster become a healthcare innovation hub?
Minnesota has the institutions and the talent to transform healthcare in the U.S. The question is whether the money will follow. RxFunction makes wearable devices called “Walkasins” that help people with chronic health conditions prevent falls that can lead to serious injury. It took eight painstaking years, though, before the Eden Prairie, Minn.-based startup secured the $7.5 million in Series A funding it needed to prepare for the commercialization of its product: Shoe inserts that measure users’ foot pressure and enable immediate sensory cues to control balance. Lars Oddsson, RxFunction’s preside...
Source: Mass Device - May 15, 2018 Category: Medical Devices Authors: Chris Newmarker Tags: Business/Financial News mHealth (Mobile Health) News Well Research & Development devicetalksminnesota evergreenmedicaltechnologies lemhiventures Mayo Clinic Medical Alley Assn. pediatricdeviceinnovationconsortium rxfunction universit Source Type: news

Disability Benefits Must Be Reinstated; Evidence Supports Claimant's Inability To Work
CINCINNATI - A disability claimant's benefits must be reinstated because the disability insurer failed to give sufficient weight to the opinions of the claimant's treating physicians, who stated that the claimant was unable to return to work after a leg injury, the Sixth Circuit U.S. Court of Appeals said May 3 in reversing a district court's judgment in favor of the insurer (Richard Wagner v. American United Life Insurance, No. 17-4072, 6th Cir., 2018 U.S. App. LEXIS 11477). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Insurer Acted Arbitrarily, Capriciously In Terminating Benefits
DENVER - A disability insurer acted arbitrarily and capriciously in failing to request additional evidence from a disability claimant and in failing to conduct an independent medical exam because there was evidence suggesting that the claimant was still disabled when the insurer terminated her benefits, a Colorado federal magistrate judge said April 25 in recommending that the insurer's denial of benefits be reversed (Julia Mark v. Aetna Life Insurance Co., et al., No. 17-441, D. Colo., 2018 U.S. Dist. LEXIS 69561). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Claimant's Suit Dismissed With Leave To Refile Complaint
CHARLESTON, S.C. - A South Carolina federal judge on April 26 dismissed a disability claimant's suit but said that the claimant could refile the complaint to include the facts and arguments raised for the first time in the claimant's response to the insurer's motion to dismiss (Cheryl Deas v. Prudential Insurance Company of America, No. 17-3016, D. S.C., 2018 U.S. Dist. LEXIS 70659). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Claims Against Disability Insurer Dismissed As Benefits Were Awarded To Claimant
LAFAYETTE, La. - A Louisiana federal magistrate judge on April 13 dismissed a disability claimant's suit seeking benefits after determining that the claims against the disability insurer cannot stand because the insurer eventually awarded the claimant short-term disability and long-term disability benefits (Jack V. Venable Jr. v. Schlumberger Technology Corp., et al., No. 16-01336, W.D. La., 2018 U.S. Dist. LEXIS 63101). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Benefits Offset Permitted Under Policy At Issue, Federal Judge Says
JOHNSTOWN, Pa. - A Pennsylvania federal judge on March 28 dismissed a disability claimant's suit arising out of an offset applied to long-term disability benefits because the policy at issue clearly allows the insurer to offset benefits by the amount of benefits the claimant's children receive from the Social Security Administration (Anthony Patchell et al., v. Cigna Health and Life Insurance Co., et al., No. 17-161, W.D. Pa.). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Eye Condition Qualifies As Pre-Existing Condition, Iowa Federal Magistrate Says
DES MOINES, Iowa - An Iowa federal magistrate judge on April 9 recommended granting judgment in favor a disability insurer because the plan's pre-existing condition provision bars benefits for an eye condition that caused the claimant's blindness (Jeremy J. Timm v. Unum Life Insurance Company of America, No. 17-3019, N.D. Iowa, 2018 U.S. Dist. LEXIS 59522). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Claimant Failed To File Suit Within 3-Year Limit, Judge Says
JACKSON, Miss. - A Mississippi federal judge on April 19 granted a disability insurer's motion to dismiss a disability claimant's suit on the basis that the claimant failed to file suit within the three-year limitations period provided for in the policy (Alexander Williams v. Hartford Life& Accident Insurance Co., No. 17-927, S.D. Miss., 2018 U.S. Dist. LEXIS 65881). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Claimant Did Not Exhaust Administrative Remedies, Panel Says
CINCINNATI - The Sixth Circuit U.S. Court of Appeals on April 13 affirmed a district court's ruling in favor of a disability insurer after determining that the disability claimant's suit seeking long-term disability benefits fails because the claimant did not exhaust all administrative remedies before filing suit (William Kennedy v. Life Insurance Company of North America, No. 17-5901, 6th Cir., 2018 U.S. App. LEXIS 9214). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

District Court Erred In Dismissing Suit Against Accidental Disability Insurers
NEW YORK - The Second Circuit U.S. Court of Appeals on April 12 reversed a district court's dismissal of a suit filed by individuals seeking reimbursement of premiums paid for accidental disability policies after determining that the plaintiffs have standing to assert the claims against the issuers of the policies (Manette DuBuisson, et al. v. Stonebridge Life Insurance Co., et al., No. 16-3526, 2nd Cir., 2018 U.S. App. LEXIS 9180). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Claimant Does Not Have Standing To File Suit Against Insurer
OAKLAND, Calif. - A California federal judge on May 7 granted a disability insurer's motion for summary judgment after determining that the claimant does not have standing to bring suit against the insurer because she was actually not a participant in the long-term disability plan (Brenda Spies v. Life Insurance Company of North America, No. 17-2012, N.D. Calif., 2018 U.S. Dist. LEXIS 76987). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Insurer Has Standing To Enforce Separation Agreement
PHILADELPHIA - A Pennsylvania federal judge on May 8 denied a disability claimant's motion to dismiss a disability insurer's breach of contract counterclaim after determining that the insurer was included as a released party in a separation agreement signed by the claimant and his employer and, therefore, has standing to enforce the terms of the separation agreement (Roger Michael Thomas v. Prudential Insurance Company of America, No. 17-4522, E.D. Pa., 2018 U.S. Dist. LEXIS 77732). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Claimant's Interest In Privacy Supports Sealing Entire Administrative Record
PORTLAND, Ore. - An Oregon federal judge on April 17 granted a disability claimant's motion to file the entire administrative record under seal after determining that the claimant's interest in keeping her personal and medical information private outweighs the right of public access to the information (Alison Gary v. Unum Life Insurance Company of America, No. 17-1414, D. Ore., 2018 U.S. Dist. LEXIS 64186). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Insurer's Reserves Data Deemed Relevant, Discoverable In Long-Term Disability Suit
NEW ALBANY, N.Y. - An Indiana federal judge on May 2 partly sustained an insured's objection to a magistrate's decision not to compel certain documents from her long-term disability insurance provider, concluding that information about the insurer's reserves was relevant to contractual claims over termination of benefits (Lanisa Kelly v. Lincoln National Life Insurance Co., No. 4:15-cv-00126, S.D. Ind., 2018 U.S. Dist. LEXIS 74741). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Claimant Can Supplement Administrative Record With Some Information
SPRINGFIELD, Mass. - A disability claimant is permitted to supplement the administrative record with information from a disability insurer's claims manual pertaining to the handling of vocational analyses and subjective pain complaints because the information is relevant to the review of the claimant's long-term disability benefits claim, a Massachusetts federal magistrate judge said April 23 (Natalya Prohkorova v. Unum Life Insurance Company of America, No. 17-30064, D. Mass., 2018 U.S. Dist. LEXIS 67548). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Insurer Ordered To Supplement Interrogatories With Compensation Information
NEW ORLEANS - A Louisiana federal magistrate judge on April 23 determined that a disability insurer must supplement its answers to a disability claimant's interrogatories regarding compensation paid to attorneys and physicians who advised the disability insurer during the administration of the plan participant's claim, but said the disability insurer is not required to produce information regarding previously investigated and adjusted claims (Anne Wittmann v. Unum Life Insurance Company of America, No. 17-9501, E.D. La., 2018 U.S. Dist. LEXIS 68145). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Disability Claimant Is Not Permitted To Depose Insurer's Employee, Judge Says
BOSTON - A Massachusetts federal judge on May 2 denied a disability claimant's motion to reopen the administrative record to conduct additional discovery because the claimant failed to present sufficient evidence that would justify reopening the administrative record (Amy Scolnick v. Prudential Insurance Company of America, No. 17-11430, D. Mass., 2018 U.S. Dist. LEXIS 73976). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

9th Circuit Panel Denies Disability Plan's Motion For Attorney Fees
SAN FRANCISCO - The Ninth Circuit U.S. Court of Appeal on April 27 denied a motion for attorney fees filed by a disability plan and its insurer following the appeals panel's recent finding that a work incentive benefit in a disability policy's summary plan description does not violate the disclosure requirements of the Employee Retirement Income Security Act (Howard Lyle Abrams v. Life Insurance Company of North America, et al., No. 16-55858, 9th Cir., 2018 U.S. App. LEXIS 10919). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - May 14, 2018 Category: Medical Law Source Type: news

Dying Erika Zak pens letter to insurer that denied her a liver
Surgery to remove tumors on her liver from stage 4 colon cancer left Erika Zak of Oregon with a hole in the organ which is now failing the young mother, but her insurance refused to cover a transplant. (Source: the Mail online | Health)
Source: the Mail online | Health - May 14, 2018 Category: Consumer Health News Source Type: news

The Healthy America Program: Building on the Best of Medicare and the Affordable Care Act
Paper presents a set of policy ideas that would provide universal access to comprehensive coverage but would also allow people to keep their employer-sponsored coverage, would offer a range of insurer options and ensure broad pooling of health care risk, would not have an employer mandate, would provide income-related federal assistance, and would create a more flexible individual incentive to remain insured than that under the ACA. (Source: HSR Information Central)
Source: HSR Information Central - May 14, 2018 Category: International Medicine & Public Health Source Type: news

A dying mother's plea for her life
Her only chance at life is a new liver, but her insurer said no. Then she wrote a powerful plea to the CEO. (Source: CNN.com - Health)
Source: CNN.com - Health - May 14, 2018 Category: Consumer Health News Source Type: news

HRSA: Solicitation of Nominations for Membership To Serve on the Council on Graduate Medical Education
The Health Resources and Services Administration is seeking nominations on a continuous basis for the Council on Graduate Medical Education (COGME), including representatives of practicing primary care physicians, national and specialty physician organizations, foreign medical graduates, medical student and house staff associations, schools of allopathic and osteopathic medicine, public and private teaching hospitals, and representatives of health insurers, business, and labor. Nominations of medical students, residents, and/or fellows are also encouraged. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - May 14, 2018 Category: Rural Health Source Type: news

Cover story: How big data is fighting the opioid epidemic
Big data helping health insurers and government to inform policy, identify patterns of overprescribing. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 10, 2018 Category: Biotechnology Authors: Paul J. Gough Source Type: news

Wright Medical ’ s Q1 bests estimates
Wright Medical (NSDQ:WMGI) yesterday posted first-quarter results that topped the consensus estimate on Wall Street and said it won a nearly $31 million dispute with an insurer over its recalled ProFemur hip implant. Memphis, Tenn.-based Wright slashed its losses by -56.5% to -$25.5 million, or -24¢ per share, on sales growth of 12.0% to $198.5 million for the three months ended April 1, compared with Q1 2017. Adjusted to exclude one-time items, earnings per share were -1¢, a full 6¢ ahead of The Street, where analysts were looking for revenues of $194.0 million. “We delivered strong results across the...
Source: Mass Device - May 10, 2018 Category: Medical Devices Authors: Brad Perriello Tags: MassDevice Earnings Roundup Orthopedics Wall Street Beat wrightmedical Source Type: news