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Ex-WellCare general counsel gets six months in U.S. prison
(Reuters) - A former general counsel of insurer WellCare Health Plans Inc was sentenced on Wednesday to six months in prison for making a false statement to Florida's Medicaid program as part of what prosecutors called a sophisticated healthcare fraud scheme. (Source: Reuters: Health)
Source: Reuters: Health - November 22, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

Baker signs free contraception bill
The bill is expected to add between 7 cents and 20 cents to the average monthly premium. Concessions allows insurers to charge co-pays for brand-name contraceptives if a generic drug is available. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 21, 2017 Category: Pharmaceuticals Authors: Matt Murphy Source Type: news

AMA Considers Taking Action Against Anthem AMA Considers Taking Action Against Anthem
Doctors at the association's interim meeting call for negotiation, legislation, or litigation with the big national insurer for reducing payments by setting aside the E/M code modifier.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Substituting methadone for opioids could save billions
(Reuters Health) - Policymakers and insurers have been pushing people addicted to opioids into abstinence-based detox programs, but a new study concludes that methadone and similar drug-maintenance treatments save lives and money. (Source: Reuters: Health)
Source: Reuters: Health - November 20, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

New Analysis Estimates Cost of the Opioid Epidemic Tops $500 billion
WASHINGTON (AP) — The White House says the true cost of the opioid drug epidemic in 2015 was $504 billion, or roughly half a trillion dollars. In an analysis to be released Monday, the Council of Economic Advisers says the figure is more than six times larger than the most recent estimate. The council said a 2016 private study estimated that prescription opioid overdoes, abuse and dependence in the U.S. in 2013 cost $78.5 billion. Most of that was attributed to health care and criminal justice spending, along with lost productivity. The council said its estimate is significantly larger because the epidemic has worsen...
Source: JEMS Administration and Leadership - November 20, 2017 Category: Emergency Medicine Authors: Darlene Superville, Associated Press Tags: News Administration and Leadership Source Type: news

New Analysis Estimates Cost of the Opioid Epidemic Tops $500 billion
WASHINGTON (AP) — The White House says the true cost of the opioid drug epidemic in 2015 was $504 billion, or roughly half a trillion dollars. In an analysis to be released Monday, the Council of Economic Advisers says the figure is more than six times larger than the most recent estimate. The council said a 2016 private study estimated that prescription opioid overdoes, abuse and dependence in the U.S. in 2013 cost $78.5 billion. Most of that was attributed to health care and criminal justice spending, along with lost productivity. The council said its estimate is significantly larger because the epidemic has worsen...
Source: JEMS: Journal of Emergency Medical Services News - November 20, 2017 Category: Emergency Medicine Authors: Darlene Superville, Associated Press Tags: News Administration and Leadership Source Type: news

UnitedHealthcare adds Samsung, Garmin trackers to employee wellness platform Motion
UnitedHealthcare members who participate the insurer's UnitedHealthcare Motion employee wellness program, will now be available to use Samsung and Garmin trackers in addition to Fitbit devices.   (Source: mobihealthnews)
Source: mobihealthnews - November 20, 2017 Category: Information Technology Source Type: news

Insurer Participation in the 2018 Individual Marketplace
This slide pack demonstrates the current participation of insurers in the Marketplace, compared to 2017. (Source: HSR Information Central)
Source: HSR Information Central - November 20, 2017 Category: International Medicine & Public Health Source Type: news

Another Alabama hospital to close
Another rural Alabama hospital is closing its doors to patients. Lakeland Community Hospital in Haleyville will shut down by the end of the year, according to the Cullman Times. Lakeland Community reported $2 million in losses from low reimbursements from the government and commercial insurers. The 59-bed hospital is the only one in Winston County. The neare st hospitals for Winston County residents are Cullman Regional Medical Center in Cullman County to the east and Walker Baptist Medical Center… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 20, 2017 Category: American Health Authors: Hanno van der Bijl Source Type: news

Centene strikes deal with Sacramento that may bring up to 5,000 jobs
The city of Sacramento has signed an agreement with health insurance company Centene Corp. that may bring up to 5,000 new jobs to the city, according to city officials. “When completed, (the agreement) will represent the single biggest private-sector job recruitment in the city’s modern history,” Mayor Darrell Steinberg said. The agreement is said to be a first big step toward establishing a regional corporate headquarters for Centene (NYSE: CNC) in Sacram ento. The company's main headquarters… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 20, 2017 Category: American Health Authors: Scott Rodd Source Type: news

Insurer Ads Boost Obamacare Despite Trump's Marketing Squeeze
More Americans are seeing more ads and information on how to get insurance under the Affordable Care Act, a Kaiser Family Foundation tracking poll shows in what could be boosting Obamacare enrollment. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 19, 2017 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:CNC Source Type: news

Insurer Ads Boost Obamacare Despite Trump's Marketing Squeeze
More Americans are seeing more ads and information on how to get insurance under the Affordable Care Act, a Kaiser Family Foundation tracking poll shows in what could be boosting Obamacare enrollment. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 19, 2017 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:CNC Source Type: news

Sacramento strikes deal with health insurer that may bring up to 5,000 jobs
The city of Sacramento has signed an agreement with health insurance company Centene Corp. that may bring up to 5,000 new jobs to the city, according to city officials. “When completed, (the agreement) will represent the single biggest private-sector job recruitment in the city’s modern history,” Mayor Darrell Steinberg said. The agreement is said to be a first big step toward establishing a regional corporate headquarters for Centene (NYSE: CNC) in Sacram ento. The company's main headquarters… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 18, 2017 Category: Biotechnology Authors: Scott Rodd Source Type: news

Sacramento strikes deal with health insurer that may bring up to 5,000 jobs
The city of Sacramento has signed an agreement with health insurance company Centene Corp. that may bring up to 5,000 new jobs to the city, according to city officials. “When completed, (the agreement) will represent the single biggest private-sector job recruitment in the city’s modern history,” Mayor Darrell Steinberg said. The agreement is said to be a first big step toward establishing a regional corporate headquarters for Centene (NYSE: CNC) in Sacram ento. The company's main headquarters… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - November 18, 2017 Category: Health Management Authors: Scott Rodd Source Type: news

JDRF touts win after Anthem decides to cover artificial pancreas systems
JDRF said today it successfully persuaded Anthem to cover artificial pancreas systems, after meeting the health insurer as part of is Coverage2Control campaign. America’s 25 largest health insurers now cover Medtronic‘s (NYSE:MDT) MiniMed system, according to the organization. Get the full story at our sister site, Drug Delivery Business News. The post JDRF touts win after Anthem decides to cover artificial pancreas systems appeared first on MassDevice. (Source: Mass Device)
Source: Mass Device - November 17, 2017 Category: Medical Devices Authors: Sarah Faulkner Tags: Diabetes Drug-Device Combinations Pharmaceuticals Wall Street Beat Anthem Inc. Juvenile Diabetes Research Foundation (JDRF) Medtronic Source Type: news

Collaboration is the key to better health care
Most everyone can agree we need to improve health care quality, reduce costs and move from an outdated model of sick care to well care. But how can this be accomplished efficiently and effectively? What ’s needed is collaboration. Aurora Health Care and Anthem Blue Cross and Blue Shield are working together through a 50-50 joint venture called Wisconsin Collaborative Insurance Company and its Well Priority product to: You may wonder why a health care system and an insurance company would coll aborate… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 17, 2017 Category: American Health Authors: John Foley Source Type: news

Trump administration proposes Medicare rules aimed at opioids, drug costs
(Reuters) - The Trump administration on Thursday proposed changes to Medicare drug plans including limits on opioid prescriptions and rules aimed at reducing drug costs for seniors, such as requiring health insurers to pass on discounts to consumers. (Source: Reuters: Health)
Source: Reuters: Health - November 17, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

Oscar Health Finances Improve Ahead Of Obamacare Expansion
Startup health insurer Oscar Health's losses are narrowing ahead of a major expansion selling individual Obamacare coverage under the Affordable Care Act. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 16, 2017 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:HUM NYSE:ANTM NYSE:AET Source Type: news

KU Health System lands deal to provide ACA coverage
The University of Kansas Health System and St. Louis-based insurer Centene Corp. said Wednesday that they'd struck a deal to offer coverage on the Affordable Care Act (ACA) Marketplace. In 2018, health system patients will be able to receive in-network care through Centene's Sunflower State Health Plan in Kansas, and its Home State Health Plan in Missouri. "Once we understood no options were available on the exchange for individuals in Wyandotte and Johnson (counties) in Kansas and throughout Missouri… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 15, 2017 Category: Pharmaceuticals Authors: Elise Reuter Source Type: news

KU Health System lands deal to provide ACA coverage
The University of Kansas Health System and St. Louis-based insurer Centene Corp. said Wednesday that they'd struck a deal to offer coverage on the Affordable Care Act (ACA) Marketplace. In 2018, health system patients will be able to receive in-network care through Centene's Sunflower State Health Plan in Kansas, and its Home State Health Plan in Missouri. "Once we understood no options were available on the exchange for individuals in Wyandotte and Johnson (counties) in Kansas and throughout Missouri… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 15, 2017 Category: Biotechnology Authors: Elise Reuter Source Type: news

State's top three insurers report promising Q3 financials
Massachusetts largest insurers have reported higher year-over-year operating margins in the most recent quarter, but remain concerned that potential changes to the Affordable Care Act could throw the market into disarray. On Wednesday, the state’s three largest insurers all reported financials for the third quarter, which ended Sept. 30. They attributed the growth in the past year to efforts to hold down growing medical and pharmaceutical costs. But the insurers cautioned that the market is still… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 15, 2017 Category: Pharmaceuticals Authors: Jessica Bartlett Source Type: news

State's top three insurers report promising Q3 financials
Massachusetts largest insurers have reported higher year-over-year operating margins in the most recent quarter, but remain concerned that potential changes to the Affordable Care Act could throw the market into disarray. On Wednesday, the state’s three largest insurers all reported financials for the third quarter, which ended Sept. 30. They attributed the growth in the past year to efforts to hold down growing medical and pharmaceutical costs. But the insurers cautioned that the market is still… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 15, 2017 Category: Biotechnology Authors: Jessica Bartlett Source Type: news

Denver-area hospitals increase profits, with some reporting margins over 40%
Denver-area hospitals produced a combined income of nearly $1.3 billion in 2016 — a number that reflected significant gains for most local medical centers, some of which operated at margins above 40 percent, according to a biennial report released today. Health insurers also increased their profitability in 2016, according to the Colorado Health Market Review 2017, produced by Minneapolis-based analyst Allan Baumgarten, who uses information from Medicare cost reports submitted to the federal government… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 15, 2017 Category: American Health Authors: Ed Sealover Source Type: news

Univera projecting 20% membership growth for 2018
The Amherst-based health insurer points to new commercial clients, as well as a plan to reintroduce Medicaid offerings. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 15, 2017 Category: American Health Authors: Tracey Drury Source Type: news

EndoGastric Solutions touts more MAC reimbursement wins for Esophyx device
EndoGastric Solutions said today that new Medicare Administrative Contractors Noridian Health Care Solutions and National Government Services have been granted reimbursement access for the transoral incisionless fundoplication procedure using its Esophyx device. The Redmond, Wash.-based company’s TIF procedure is designed to prevent stomach acids refluxing back into the esophagus by reconstructing the gastroesophageal valve. Noridian, which provides coverage for more than 10.7 million Medicare beneficiaries in 13 states, made the reimbursement decision effective October 27, while NGS, which covers approximately 10.1 ...
Source: Mass Device - November 14, 2017 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Otolaryngology Ear, Nose & Throat endogastricsolutions Source Type: news

Termination Of Disability Benefits Was Arbitrary And Capricious, Federal Judge Says
NEWARK, N.J. - A disability insurer's termination of long-term disability benefits after approving the claimant's benefits for seven years was arbitrary and capricious because the insurer failed to properly define the material duties of the claimant's occupation and because the evidence does not support the insurer's termination, a New Jersey federal judge said Oct. 23 (Christopher Patterson v. Aetna Life Insurance Co., No. 15-8156, D. N.J., 2017 U.S. Dist. LEXIS 175543). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Disability Insurer Did Not Act In Bad Faith In Failing To Pay Disability Claim
MOBILE, Ala. - A disability insurer did not act in bad faith in investigating and in failing to pay a disability claim because the insurer conducted an extensive investigation into the claim and had an arguable and debatable reason for denying the claim, an Alabama federal judge said Oct. 24 in granting the insurer's motion for summary judgment (Scott R. Weisberg, M.D., v. Guardian Life Insurance Company of America et al., No. 16-568, N.D. Ala., 2017 U.S. Dist. LEXIS 176021). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Disability Insurer Erred In Applying Pre-Existing Condition Exclusion
FLINT, Mich. - A Michigan federal judge on Nov. 2 granted judgment in favor of a disability claimant after rejecting the disability insurer's argument that the plan's pre-existing condition exclusion barred coverage for the claimant's disability (Cheryl L. Wallace v. Beaumont Healthcare Employee Welfare Benefit Plan, et al., No. 16-10625, E.D. Mich., 2017 U.S. Dist. LEXIS 182028). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Disability Insurer Erred In Determining Claimant's Date Of Disability, Panel Says
ATLANTA - A disability insurer acted arbitrarily and capriciously in determining the date of a claimant's disability, the 10th Circuit U.S. Court of Appeals said Oct. 17 in reversing a district court's judgment in favor of the insurer (Greggory B. Owings v. United Of Omaha Life Insurance Co., No. 16-3128, 10th Cir., 2017 U.S. App. LEXIS 20228). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Disability Claimant Properly Exhausted Administrative Remedies, Federal Judge Says
PEORIA, Ill. - An Illinois federal judge on Oct. 10 denied a motion to dismiss a complaint alleging wrongful denial of disability benefits after determining that the claimant exhausted her administrative remedies by submitting additional medical evidence in response to the disability insurer's denial of her claim (Sherry Meyer v. Group Long Term Disability Plan for Employees of Edward D. Jones& Co. L.P., et al., No. 16-1282, C.D. Ill., 2017 U.S. Dist. LEXIS 166947). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Federal Judge Dismisses Breach Of Fiduciary Claim Based On Misrepresentation
SCRANTON, Pa. - A Pennsylvania federal judge on Oct. 27 reiterated that a section of Pennsylvania's motor vehicle statute "regulates insurance" and is therefore saved from preemption under the Employee Retirement Income Security Act but said that the plaintiffs' claim for breach of fiduciary duty based on a disability insurer's misrepresentations must be dismissed because it is not clear that the insurer misrepresented the terms of the plan at issue (Eric Yost, et al. v. Anthem Life Insurance Co., No. 3:16-cv-00079, M.D. Pa.; 2017 U.S. Dist. LEXIS 178883). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Ohio Federal Judge Dismisses Breach Of Fiduciary Duty Claim In Disability Benefits Suit
COLUMBUS, Ohio - An Ohio federal judge on Oct. 10 dismissed a claim for breach of fiduciary duty alleged against a disability insurer because the same equitable relief sought by the disability claimant can be obtained if the claimant prevails on his claim seeking recovery of disability benefits (Edward Osborn Sr. v. Principal Life Insurance Co., No. 17-329, S.D. Ohio, 2017 U.S. Dist. LEXIS 166877). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Missouri Federal Judge Dismisses Disability Suit On Preemption Basis
CAPE GIRARDEAU, Mo. - A Missouri federal judge on Nov. 3 granted a disability insurer's motion to dismiss a claimant's suit alleging that the insurer acted in bad faith in denying a claim for disability benefits because the claimant's state law claims are preempted by the Employee Retirement Income Security Act and the claimant alleged no ERISA claims that can withstand dismissal (Patricia Carmack v. Liberty Life Assurance Company of Boston, No. 17-121, E.D. Mo., 2017 U.S. Dist. LEXIS 182319). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Disability Claimant's Amended Complaint Dismissed; Claims Not Timely, Judge Says
MIAMI - A Florida federal judge on Oct. 30 dismissed a disability claimant's amended complaint after determining that the claims alleged against the disability insurer are barred by Florida's applicable statutes of limitations (Victor Gonzalez-Guzman v. Metropolitan Life Insurance Co., No. 17-20107, S.D. Fla., 2017 U.S. Dist. LEXIS 179259). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Disability Claimant Permitted To Conduct Discovery Outside Of Administrative Record
WICHITA, Kan. - A disability claimant is permitted to conduct limited discovery outside of the administrative record, a Kansas federal magistrate judge said Oct. 10 after determining that the claimant met her burden of showing that "some limited extra-record discovery" is relevant and appropriate as it applies to the defendant's dual role of plan insurer and plan administrator (Karen A. Baty v. Metropolitan Life Insurance Co., 17-1200, D. Kan., 2017 U.S. Dist. LEXIS 171014). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

N.Y. Federal Judge Says Disability Claimant's Request Was Properly Denied
NEW YORK - A New York federal judge on Oct. 12 overruled a disability claimant's objections to a magistrate judge's order denying the claimant's request for statistical information on claim acceptance rates by a disability insurer after determining that the requested statistics do not directly relate to the disability claim at issue (Cherylle McFarlane v. First Unum Life Insurance Co., No. 16-7806, S.D. N.Y., 2017 U.S. Dist. LEXIS 169052). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Denial Of Appellate Attorney Fees In Disability Dispute Was An Abuse Of Discretion
SAN FRANCISCO - The Ninth Circuit U.S. Court of Appeals on Oct. 31 reversed a district court's denial of attorney fees to a disability plan acting on behalf the plan participant after determining that the plan is entitled to collect the attorney fees it incurred as result of the disability insurer's appeal and that the district court's denial of attorney fees was an abuse of discretion (John Paul Micha M.D., v. Sun Life Assurance Of Canada, Inc., No. 16-55053, 9th Cir., 2017 U.S. App. LEXIS 21800). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Montana Federal Judge Awards Disability Claimant Attorney Fees
BILLINGS, Mont. - A Montana federal judge on Oct. 23 granted a disability claimant's motion for more than $28,000 in attorney fees because the claimant prevailed on her claim for disability benefits and the disability insurer failed to file a response to the claimant's motion (Theresa Sand-Smith v. Liberty Life Assurance Company of Boston, No. 17-0004, D. Mont., 2017 U.S. Dist. LEXIS 175177). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 14, 2017 Category: Medical Law Source Type: news

Medtronic is closer to VenaSeal coverage: Here ’ s how
Medtronic’s VenaSeal system [Image courtesy of Medtronic]Medtronic is touting new CMS codes for its VenaSeal varicose vein closure device – codes that company officials think bring the device closer to positive coverage from public and private insurers in the U.S. CMS announced the new codes on Nov. 1 as part of final rules for the 2018 Medicare Physician Fee Schedule (CMS-1676-P) and Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems (CMS-1678). The new rules take effect Jan. 1, 2018. “This definitely represents progress for us as we seek positive coverage for Ven...
Source: Mass Device - November 13, 2017 Category: Medical Devices Authors: Chris Newmarker Tags: Business/Financial News Cardiovascular Medicare News Well Medtronic varicoseveins Source Type: news

Video: What is a results-based contract?
New medicines are revolutionizing how we fight disease, but too often patients have to fight to access innovative treatments. As part of the solution to this problem, biopharmaceutical companies are working with insurers to develop new ways to pay for medicines. (Source: The Catalyst)
Source: The Catalyst - November 13, 2017 Category: Pharmaceuticals Authors: Katie Koziara Tags: Access Value drug cost Value-Driven Health Care The Value Collaborative Source Type: news

Harnessing high-performance computing to manage financial risk
Since the global financial crisis a decade ago, banks, asset managers, insurers and regulators have been seeking better ways to manage financial risk. The solution may lie in high-performance computing, say EU-funded researchers who have developed novel financial models and algorithms to improve their financial risk management. (Source: EUROPA - Research Information Centre)
Source: EUROPA - Research Information Centre - November 13, 2017 Category: Research Source Type: news

Rising Insurer Profits Boost Obamacare
Health plans with Obamacare business are seeing increased profits, led by Blue Cross and Blue Shield companies. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 12, 2017 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:MOH NYSE:CNC NYSE:ANTM NYSE:CI Source Type: news

Rising Insurer Profits Boost Obamacare's Long Term Prospects
Health plans with Obamacare business are seeing increased profits, led by Blue Cross and Blue Shield companies. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 12, 2017 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:MOH NYSE:CNC NYSE:ANTM NYSE:CI Source Type: news

Rising Insurer Profits Boost Obamacare's Long-Term Prospects
Health plans with Obamacare business are seeing increased profits, led by Blue Cross and Blue Shield companies. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 12, 2017 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:MOH NYSE:CNC NYSE:ANTM NYSE:CI Source Type: news

BMS-Pfizer Alliance to unveil real-world data analyses - cost, safety and comparative effectiveness findings associated with oral anticoagulants in non-valvular atrial fibrillation
Bristol-Myers Squibb Company (NYSE:BMY) and Pfizer Inc. (NYSE:PFE) plan to release real-world data (RWD) analyses of outcomes associated with direct oral anticoagulants (DOAC) among non-valvular atrial fibrillation (NVAF) patients using the U.S. Medicare database - the nation's largest insurer handling more than one billion total claims per year(1) (Source: World Pharma News)
Source: World Pharma News - November 10, 2017 Category: Pharmaceuticals Tags: Featured Bristol-Myers Squibb Business and Industry Source Type: news

Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Interviews with regulators and insurers offer insight into how a set of diverse states sought to preserve coverage options for consumers in the wake of considerable instability in federal policy. (Source: HSR Information Central)
Source: HSR Information Central - November 10, 2017 Category: International Medicine & Public Health Source Type: news

Is it an Emergency? Insurer Asks Patients to Question ED Visits
INDIANAPOLIS (AP) — Alison Wrenne was making waffles for her two young children one morning when abdominal pain forced her to the floor. A neighbor who is a physician assistant urged her to go to the emergency room. Wrong decision, according to her health insurer. Wrenne was diagnosed with a ruptured ovarian cyst, but Anthem said that wasn't an emergency and stuck her with a $4,110 bill. "How are you supposed to know that?" said the 34-year-old from Lexington, Kentucky. "I'm not a doctor ... that's what the emergency room is for." In an effort to curb unnecessary and costly ER visits, the Blue Cro...
Source: JEMS Patient Care - November 10, 2017 Category: Emergency Medicine Authors: Tom Murphy, Associated Press Tags: Patient Care News Administration and Leadership Source Type: news

Is it an Emergency? Insurer Asks Patients to Question ED Visits
INDIANAPOLIS (AP) — Alison Wrenne was making waffles for her two young children one morning when abdominal pain forced her to the floor. A neighbor who is a physician assistant urged her to go to the emergency room. Wrong decision, according to her health insurer. Wrenne was diagnosed with a ruptured ovarian cyst, but Anthem said that wasn't an emergency and stuck her with a $4,110 bill. "How are you supposed to know that?" said the 34-year-old from Lexington, Kentucky. "I'm not a doctor ... that's what the emergency room is for." In an effort to curb unnecessary and costly ER visits, the Blue Cro...
Source: JEMS Administration and Leadership - November 10, 2017 Category: Emergency Medicine Authors: Tom Murphy, Associated Press Tags: Patient Care News Administration and Leadership Source Type: news

Is it an Emergency? Insurer Asks Patients to Question ED Visits
INDIANAPOLIS (AP) — Alison Wrenne was making waffles for her two young children one morning when abdominal pain forced her to the floor. A neighbor who is a physician assistant urged her to go to the emergency room. Wrong decision, according to her health insurer. Wrenne was diagnosed with a ruptured ovarian cyst, but Anthem said that wasn't an emergency and stuck her with a $4,110 bill. "How are you supposed to know that?" said the 34-year-old from Lexington, Kentucky. "I'm not a doctor ... that's what the emergency room is for." In an effort to curb unnecessary and costly ER visits, the Blue Cro...
Source: JEMS: Journal of Emergency Medical Services News - November 10, 2017 Category: Emergency Medicine Authors: Tom Murphy, Associated Press Tags: Patient Care News Administration and Leadership Source Type: news