Log in to search using one of your social media accounts:

 

CDC Director Resigns Amid Reports of Tobacco Stock Trade
The Department of Health and Human Services (HHS) announced on January 31, 2018, that Dr. Brenda Fitzgerald would resign as the Director of the Centers for Disease Control and Prevention (CDC). The statement read, “Dr. Fitzgerald owns certain complex financial interests that have imposed a broad recusal limiting her ability to complete all of her duties as the CDC Director. Due to the nature of these financial interests, Dr. Fitzgerald could not divest from them in a definitive time period.” The decision came a day after Politico reported that she bought stock in a large tobacco company within a month of start...
Source: Public Policy Reports - February 23, 2018 Category: Biology Authors: AIBS Source Type: news

D.C. insurance regulator tells CareFirst to pay back surplus. Again. But that's not the last word.
Washington, D.C.'s top insurance regulator again ruled against CareFirst BlueCross BlueShield this week, denying the nonprofit insurer's request from 2016 to reconsider an order to pay back a portion of its surplus in rebates to its members in D.C. This was just another step in the decadelong fight over the size of the $963 million surplus that Baltimore-based CareFirst's D.C. subsidiary, Group Hospitalization and Medical Services Inc., or GHMSI, had in reserve at the end of 2011. D.C.'s Department… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 22, 2018 Category: Pharmaceuticals Authors: Tina Reed Source Type: news

D.C. insurance regulator tells CareFirst to pay back surplus. Again. But that's not the last word.
D.C.'s top insurance regulator again ruled against CareFirst BlueCross BlueShield this week, denying the nonprofit insurer's request from 2016 to reconsider an order to pay back a portion of its surplus in rebates to its members in the District. This was just another step in the decadelong fight over the size of the $963 million surplus that CareFirst's D.C. subsidiary, Group Hospitalization and Medical Services Inc., or GHMSI, had in reserve at the end of 2011. D.C.'s Department of Insurance,… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - February 22, 2018 Category: American Health Authors: Tina Reed Source Type: news

The Nasal Flu Vaccine Is Set to Come Back Next Year. Here ’s What to Know About It
After a two-year hiatus, the nasal flu vaccine is set to return to doctors’ offices next year. The Advisory Committee on Immunization Practices (ACIP) voted 12 to 2 on Wednesday to return the nasal spray to the CDC’s list of recommended vaccines for the 2018-2019 flu season. Pending final approval from the CDC director, the vote would greenlight the spray for widespread use and compel insurance companies to cover it. The committee stopped short of explicitly recommending the nasal spray, however, and will instead let providers and patients decide if they’ll use it instead of traditional flu shots. There ...
Source: TIME: Health - February 22, 2018 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized healthytime medicine onetime Source Type: news

Another Voice: Trump administration jeopardizing health care for California ’s small businesses
President Donald Trump's administration recently proposed a rule  that would make it easier for insurance companies to sell health insurance across state lines, an idea Trump’s supporters have argued would lower health care costs for small businesses. In reality, however, Trump and his allies are using small businesses as cover for a policy that would weak en the Affordable Care Act and, in turn, the health insurance marketplaces that many California entrepreneurs need to access quality, affordable… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - February 22, 2018 Category: Biotechnology Authors: Mark Herbert Source Type: news

Is spending for infused chemotherapy by commercial insurers lower at physician offices?
(JAMA Network) Delivering infused chemotherapy in a physician office was associated with lower spending by commercial health insurers compared with chemotherapy administered in a hospital outpatient department. (Source: EurekAlert! - Cancer)
Source: EurekAlert! - Cancer - February 22, 2018 Category: Cancer & Oncology Source Type: news

Anthem: anesthesiologists 'unneeded' for some operations  
Insurance company Anthem has issued new guidelines suggesting that ophthalmologists administer and monster anesthesia while looking through microscopes to operate on eyes. (Source: the Mail online | Health)
Source: the Mail online | Health - February 21, 2018 Category: Consumer Health News Source Type: news

Report: Pharmacy acquired by Missouri insurer supplied execution drugs to state
A St. Louis-area pharmacy that was acquired by Centene Corp. last year reportedly has served as a supplier of execution drugs to the state of Missouri. The state has used drugs supplied by Foundation Care, a compounding pharmacy, for 17 executions, BuzzFeed reports. Since 2014, the state has spent more than $135,000 to acquire the drugs, a transaction that is completed by a corrections officer meeting with a representative from the Earth City pha rmacy and exchanging an envelope of cash for vials… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - February 21, 2018 Category: Biotechnology Authors: Angela Mueller Source Type: news

Isreal's OrCam raises $30.4M to use computer vision to help the blind
OrCam, an Israeli company working on augmented reality for the blind and vision impaired, has raised $30.4 million. According to Reuters, which broke the news, the round included Israeli insurer Clal Insurance and investment group Meitav Dash. (Source: mobihealthnews)
Source: mobihealthnews - February 20, 2018 Category: Information Technology Source Type: news

Idaho aims to test ACA exemptions
Idaho wants to offer an insurance plan that could skirt provisions of the Affordable Care Act. Health and Human Services Secretary Alex Azar told a U.S. House Energy& Commerce Committee last week that he is considering whether to allow Blue Cross of Idaho implement its new Freedom Blue plan, which the insurer says lowers premiums by 50 percent, The Wall Street Journal reports. If Azar and Centers for Medicare& Medicaid Services director Seema Verma OK the move, other insurers might follow in … (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 20, 2018 Category: Pharmaceuticals Authors: Betsey Guzior Source Type: news

How new CEO Patrick Conway is ready to shake things up at BCBSNC
As the state ’s largest insurer – and the only insurer to offer Affordable Care Act plans in all of the state’s 100 counties this year – it’s impossible for BCBSNC to untangle itself from any issue impacting the current landscape. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 20, 2018 Category: Pharmaceuticals Authors: Jennifer Henderson Source Type: news

The United States: Innovation and Immobility
Joaquín Roy is Jean Monnet Professor and Director of the European Union Center at the University of Miami.By Joaquín RoyMIAMI, Feb 20 2018 (IPS)It is the country of paradox, based on the double column of creativity and tradition. Americans are unable to escape the twin submission to the adamnism of being the first and the last to accept that the rest of the planet can be more original and may outrank them in any field. Expelled, transferred, fled from Europe, they refuse to admit that the reconstructed European civilization, which they have neglected since 1776, can be superior to them. Sometimes, as Trump ca...
Source: IPS Inter Press Service - Health - February 20, 2018 Category: International Medicine & Public Health Authors: Joaquin Roy Tags: Crime & Justice Global Geopolitics Headlines Health Human Rights North America Regional Categories Source Type: news

Long-term follow-up of whiplash injuries reported to insurance companies: a cohort study on patient-reported outcomes and impact of financial compensation - Rydman E, Ponzer S, Brisson R, Ottosson C, Pettersson-J ärnbert H.
PURPOSE: The long-term outcome of Whiplash-associated disorder (WADs) has been reported to be poor in populations from medical settings. However, no trials have investigated the long-term prognosis of patients from medico-legal environment. For this group,... (Source: SafetyLit)
Source: SafetyLit - February 17, 2018 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

How investors responded after regulators issued an order for one of Tampa ’s biggest health insurers
The order green-lighted a request by the company but also said the firm had to pay a fine. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 16, 2018 Category: Pharmaceuticals Authors: Margie Manning Source Type: news

Copay coupons can help ease patients ’ out-of-pocket costs
Each year, middlemen, like pharmacy benefit managers (PBMs) and insurers,shift more of the costs of health care to patients. Ensuring patients have affordable access to their medicines is the top priority for the biopharmaceutical industry. We need to make sure insurance benefits encourage and promote health – not prevent patients from accessing health care treatments. Copay coupons offered by biopharmaceutical companies can provide a valuable source of assistance for many commercially insured patients to afford out-of-pocket costs associated with insurance coverage for their medicines. (Source: The Catalyst)
Source: The Catalyst - February 16, 2018 Category: Pharmaceuticals Tags: Access drug cost health insurance out of pocket costs Pharmacy Benefit Managers Empower Consumers Source Type: news

Insurers Predict Stable 2018 Obamacare Marketplace
Cigna, Centene, Molina and Anthem say profit margins are improving in the individual Obamacare business under the Affordable Care Act. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - February 16, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:MOH NYSE:CNC NYSE:HUM NYSE:ANTM NYSE:CI Source Type: news

HeartFlow secures $240M in financing
Cardiovascular software developer HeartFlow has secured $240 million in financing,...Read more on AuntMinnie.comRelated Reading: 7 new insurers to cover HeartFlow's software HeartFlow nets more coverage for its software HeartFlow highlights new APC code for FFR-CT software 3 insurers to cover HeartFlow FFR-CT Analysis Philips teams up with HeartFlow (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - February 16, 2018 Category: Radiology Source Type: news

'I felt bullied and harassed': A Montrealer's fight to get insurer to recognize his depression
Montreal writer Samuel Archibald has received an outpouring of support ever since he published an open letter about being denied disability insurance for his depression. (Source: CBC | Health)
Source: CBC | Health - February 16, 2018 Category: Consumer Health News Tags: News/Canada/Montreal Source Type: news

Aetna inquiry widens over ex-medical director's comments
Three more states announced this week that they are opening investigations of Aetna after a former medical director for the insurer admitted under oath that he never looked at patients' medical records when deciding whether to approve or deny care. (Source: CNN.com - Health)
Source: CNN.com - Health - February 15, 2018 Category: Consumer Health News Source Type: news

Highmark makes moves to reduce opioid abuse
Highmark Inc. will limit its commercial members to an initial seven-day supply of opioid-based medication when first prescribed. The company also plans to expand a program that uses data analysis to help providers cut down on the potential for opioid abuse among patients. The moves were announced Thursday at a news conference held by top executives at the Pittsburgh-based insurer. The restrictions on initial opioid prescr iptions announced Thursday took effect Feb. 1 for its commercial members.… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - February 15, 2018 Category: Biotechnology Authors: Paul J. Gough Source Type: news

Legislative committee backs increase in regulations on free-standing emergency rooms
Republicans and Democrats have teamed with business leaders, insurers and health-care advocates to come up with a solution that received bipartisan support in passing out of its first committee on Wednesday. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 15, 2018 Category: Pharmaceuticals Authors: Ed Sealover Source Type: news

Legislative committee backs increase in regulations on free-standing emergency rooms
Republicans and Democrats have teamed with business leaders, insurers and health-care advocates to come up with a solution that received bipartisan support in passing out of its first committee on Wednesday. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - February 15, 2018 Category: Biotechnology Authors: Ed Sealover Source Type: news

HeartFlow closes $240m Series E
HeartFlow said today it closed a $240 million Series E round of financing, with funds slated to support commercial expansion and studies of its HeartFlow FFRct analysis system. Redwood City, Calif.-based HeartFlow’s FFRct technology works by taking the data from a standard CT scan and applying algorithms that result in a color-coded 3D “map” detailing the changes in flow across coronary lesions. Financing in the round included investments from Wellington Management, Baillie Gifford & Company and existing investors, the company said. “We are delighted to be investing in HeartFlow on beh...
Source: Mass Device - February 14, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Funding Roundup HeartFlow Source Type: news

Walgreens Won't Buy An Insurer If AmerisourceBergen Stake Grows
Walgreens is unlikely to buy a health insurance company if it buys the 74% of distributor AmerisourceBergen Corp. that the drugstore giant doesn't already own. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - February 14, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NASDAQ:WBA NYSE:ABC NYSE:CVS NYSE:HUM NYSE:AET Source Type: news

GAO Report Shows Medicare Advantage Plans Could Be a Disadvantage for Seniors with Health Issues; Narrow Networks Continue to Impact Smaller Clinical Laboratories
Tight provider networks have some seniors dropping private plans after losing access to ‘preferred doctors and hospitals’ and experiencing issues with ‘access to care’ Medicare Advantage Plans continue to rise in popularity. That trend has implications for clinical laboratories and anatomic pathology groups because private insurers running Medicare Advantage plans tend to have narrow or […] (Source: Dark Daily)
Source: Dark Daily - February 14, 2018 Category: Laboratory Medicine Authors: Jude Tags: dark daily home page Laboratory Pathology Laboratory Testing AHIP America’s Health Insurance Plans anatomic pathology Center for Medicare Advocacy centers for medicare and medicaid services clinical laboratory CMS David Lipschutz JD Source Type: news

Report: Amazon gearing up for entry into medical supplies biz
Amazon (NSDQ:AMZN) is looking to up the ante in its medical supplies business and turn the unit into a major supplier to US hospitals and clinics, according to a Wall Street Journal report. The online mega retailer has initiated a trial of a new system testing to see if it can use its Amazon Business site to supply healthcare products to a large midwestern hospital and its approximately 150 outpatient facilities, according to the report. The system is customized to the hospital’s catalog of supplies and allows employees to compare prices on the Amazon Business marketplace to those it negotiates with through dist...
Source: Mass Device - February 13, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Distribution Hospital Care Amazon Source Type: news

Minnesota Blue Cross CEO Guyette leaves for California optical company
Michael Guyette will leave his post as president and CEO of Blue Cross and Blue Shield of Minnesota to take a job as the top executive at optical-care company VSP Global. Blue Cross named board member Kathleen Blatz, a retired Minnesota Supreme Court judge, its interim CEO. Eagan-based Blue Cross will start a search for Guyette’s replacement. Guyette joined Blue Cross as CEO from Aetna Inc. in 2013 at a time when the insurer had rotated through several top execu tives. He succeeded Ken Burdick,… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - February 13, 2018 Category: Health Management Authors: Katharine Grayson Source Type: news

Med industry insurer Medmarc sues Medtronic over pelvic mesh claims
Medtronic (NYSE:MDT) is facing a suit from its insurer Medmarc Casualty Insurance alleging that the medtech giant inappropriately handled settlements related to pelvic mesh claims and is not entitled to $17.3 million in coverage from the company. In the suit, filed in the U.S. District Court for the Eastern District of Virginia, Medmarc and subsidiary Noetic Specialty Insurance Company claim that Fridley, Minn.-based Medtronic, and its acquired subsidiary Covidien, repeatedly disregarded its obligations towards Medmarc and conditions necessary to ensure payment of judgements and settlements. Medmarc said that Medtronic and...
Source: Mass Device - February 13, 2018 Category: Medical Devices Authors: Fink Densford Tags: Legal News Medtronic Source Type: news

Time for insurers to have a health check
Healthcare is where Big Tech is posing its largest challenge to the industry   (Source: FT.com - Drugs and Healthcare)
Source: FT.com - Drugs and Healthcare - February 13, 2018 Category: Pharmaceuticals Source Type: news

Modicare-like option in ESI faces heat from RSS affiliate
Trade union members of the ESIC are opposing the government ’s plan to introduce health insurance schemes offered by other insurers as an option for employees. (Source: The Economic Times)
Source: The Economic Times - February 13, 2018 Category: Consumer Health News Source Type: news

Kenya:Business of Medicine - Coughs, Colds Gobble Up Millions From Insurers
[East African] Lifestyle changes, characterised by poor diet, alcoholism and reduced physical activity, are driving up Kenya's cost of health care. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - February 13, 2018 Category: African Health Source Type: news

Panel Remands Disability Claim After Finding Questions Of Fact Exist Regarding Denial
PHILADELPHIA - The Third Circuit U.S. Court of Appeals on Jan. 24 determined that a district court properly applied an abuse-of-discretion standard of review in a disability benefits dispute but remanded the suit after determining that questions of facts exist regarding the disability insurer's decision not to conduct an independent medical evaluation and disregard of the claimant's fatigue and pain complaints (Renee Killebrew v. The Prudential Insurance Company of America, No. 17-2137, 3rd Cir., 2018 U.S. App. LEXIS 1672). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Indiana Federal Judge Says Plan's Denial Of Disability Benefits Must Be Affirmed
SOUTH BEND, Ind. - Noting that an arbitrary and capricious standard of review applies in a disability benefits dispute based on a district court's prior decision, an Indiana federal judge on Jan. 17 affirmed the disability insurer's denial of benefits on the basis that there is rational support for the insurer's denial of benefits (Donald Fessenden v. Reliance Standard Life Insurance Co., et al., No. 15-370, N.D. Ind., 2018 U.S. Dist. LEXIS 7754). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Disability Claimant Is Owed Benefits Under Any-Occupation Standard, Federal Judge Says
TUCSON, Ariz. - An Arizona federal judge on Jan. 19 determined that a disability claimant is entitled to current and retroactive long-term disability (LTD) benefits because the evidence supports a finding that the claimant is clearly disabled from performing the duties of any occupation (Rebecca Brown v. Life Insurance Company of North America, et al., No. 16-162, D. Ariz., 2018 U.S. Dist. LEXIS 9759). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Disability Insurer Must Reimburse Claimant For Amount Of Offset Benefits
MISSOULA, Mont. - A Montana federal judge on Jan. 30 reinstated a disability claimant's long-term disability benefits and ordered the disability insurer to reimburse the claimant for the amount offset by the insurer after determining that a settlement received by the claimant was not subject to offset because the settlement was not for the same disability for which the claimant was receiving disability benefits (Dawn Rustad-Link v. Providence Health and Services, et al., No. 16-136, D. Mont., 2018 U.S. Dist. LEXIS 14928). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

9th Circuit Panel Denies Petition For Rehearing In Disability Offset Suit
SAN FRANCISCO - The Ninth Circuit U.S. Court of Appeals on Jan. 9 refused to reconsider its ruling that a disability plan administrator did not abuse its discretion in offsetting a claimant's long-term disability (LTD) benefits to account for Social Security disability income (SSDI) benefits that she receives for her dependents (Susan Rene Jones v. Life Insurance Company of North America, et al., No. 16-16172, 9th Cir., 2018 U.S. App. LEXIS 565). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Disability Insurer's Denial Of Claim Warranted Based On Pre-Existing Condition
JACKSON, Miss. - A disability claimant is not entitled to long-term disability (LTD) benefits because the plan's pre-existing condition limitation bars benefits because the claimant was treated for back pain within the plan's look-back period, a Mississippi federal judge said Jan. 24 (Gary Bales v. Hartford Life& Accident Insurance Co., No. 15-790, S.D. Miss., 2018 U.S. Dist. LEXIS 11180). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Disability Claimant Failed To Exhaust Administrative Remedies, 6th Circuit Says
CINCINNATI - A claim alleging that a disability insurer violated the Employee Retirement Income Security Act when it offset a plan participant's disability benefits was properly dismissed because the claim arose under the disability plan and the claimant was required to administratively exhaust the plan's remedies or plead futility, neither of which the claimant did, the Sixth Circuit U.S. Court of Appeals said Jan. 23 (Oliver H. Barber III, et al. v. Lincoln National Life Insurance Co., No. 17-5588, 6th Cir., 2018 U.S. App. LEXIS 1560). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Statute Of Limitations Bars Disability Claimant's Suit, Maryland Federal Judge Says
BALTIMORE - A Maryland federal judge on Feb. 1 determined that a disability claimant's breach of contract suit is barred by the applicable statute of limitations because the statute of limitations began to run when the insurer issued its denial letter and not when the insurer denied the claimant's appeal (Nancy F. George v. Massachusetts Mutual Life Insurance Co., No. 17-1073, D. Md., 2018 U.S. Dist. LEXIS 16528). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Disability Claimant's Suit Dismissed; Nevada Not Proper Venue, Federal Judge Says
LAS VEGAS - A Nevada federal judge on Jan. 24 dismissed a disability claimant's suit against a disability insurer after determining that the claimant failed to prove that Nevada is the proper jurisdiction for the suit (Edgar Ortiz v. Reliance Standard Life Insurance Co., No. 17-580, D. Nev., 2018 U.S. Dist. LEXIS 11374). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

Motion To Transfer Disability Suit Denied; Suit Remains In California
LOS ANGELES - A California federal judge on Feb. 6 denied a motion to transfer a disability claimant's suit to Pennsylvania federal court because the defendants failed to prove that transferring the suit would serve the convenience of the parties and would promote the interests of justice (Stephanie Stefan v. Life Insurance Company of North America, et al., No. 17-6165, C.D. Calif., 2018 U.S. Dist. LEXIS 20356). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - February 13, 2018 Category: Medical Law Source Type: news

He Took a Drug to Prevent AIDS. Then He Couldn ’ t Get Disability Insurance.
Insurers have denied life and disability coverage to men taking Truvada to prevent H.I.V. infection, say gay rights advocates and medical experts. (Source: NYT Health)
Source: NYT Health - February 12, 2018 Category: Consumer Health News Authors: DONALD G. McNEIL Jr. Tags: Acquired Immune Deficiency Syndrome Truvada (Drug) Discrimination Homosexuality and Bisexuality Life Insurance GLBTQ Legal Advocates and Defenders (GLAD) PrEP (pre-exposure prophylaxis) Mutual of Omaha Source Type: news

Insurers Signal Medicare Advantage Buyouts Ahead
Anthem, Humana and WellCare Health Plans say they will seek mergers and acquisitions to help grow their Medicare Advantage businesses. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - February 12, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:WCG NYSE:ANTM NYSE:HUM NYSE:AET NYSE:CI Source Type: news

Girl has blunt message for Aetna after her brain surgery request was denied
Cara Pressman sobbed in the big red chair in her living room. The 15-year-old tried to absorb the devastating news relayed by her parents: that their insurance company, Aetna, denied her for a minimally invasive brain surgery that could end the seizures that have haunted her since she was 9 years old. (Source: CNN.com - Health)
Source: CNN.com - Health - February 11, 2018 Category: Consumer Health News Source Type: news

Waiting to Treat the Cancer
It would be a race between the leukemia returning and the insurance company approving the procedure that could keep it at bay permanently. (Source: NYT Health)
Source: NYT Health - February 8, 2018 Category: Consumer Health News Authors: MIKKAEL A. SEKERES, M.D. Tags: Leukemia Transplants Bone Marrow Health Insurance and Managed Care Chemotherapy Testicles Cancer Source Type: news

Insurers wary of impact from repeal on individual mandate penalty
While it didn ’t actually repeal the Affordable Care Act or the individual mandate, the tax bill passed by Congress late last year pulls the teeth out of the measure by eliminating income penalties on those who opt out of health insurance coverage. Insurers are still unsure how that will impact enrollment and r ates in the longterm. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - February 8, 2018 Category: American Health Authors: Tracey Drury Source Type: news

Board Meeting January 9, 2018
Participants: Dave DeBronkart, Judy Danielson, Peter Elias, Nancy Finn, John Grohol, Sarah Krug, Tyson Ortiz Mike Robkin, Burt Rosen, Danny Sands, Linda Stotsky, Joe Ternullo, Sue Woods, Matthew Holt, Dave Dolton, Janice McMullan, Minutes approved Election Results The Board congratulated Burt Rosen, Pres Elect and Janice McCallum,  Secretary The Board recognized the service of Nancy Finn who served as secretary for over six years and the outstanding presidency this year of Joe Ternullo The Board welcomed several new Board members. They include: Geri Lynn Baumblatt, Dave Dolton, Matthew Holt, Jan Oldenburg and Parika (...
Source: Society for Participatory Medicine - February 7, 2018 Category: General Medicine Authors: Nancy Finn Tags: Board Minutes News Source Type: news

Are You Facing an Increase in Medical Necessity Claims Denials? Are You Facing an Increase in Medical Necessity Claims Denials?
Medicare and private insurers are supposed to cover medically necessary services, but an increasing number of physicians and patients are receiving coverage denials for these treatments.Medscape Reader Polls (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - February 7, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

How Regence reduced opioid prescriptions by 22%
The insurer is on track to reach its goal of a 25 percent reduction across its four-state region two years ahead of schedule. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 6, 2018 Category: Pharmaceuticals Authors: Elizabeth Hayes Source Type: news

7 new insurers to cover HeartFlow's software
Cardiovascular software developer HeartFlow announced that seven new commercial...Read more on AuntMinnie.comRelated Reading: HeartFlow nets more coverage for its software HeartFlow highlights new APC code for FFR-CT software 3 insurers to cover HeartFlow FFR-CT Analysis Philips teams up with HeartFlow HeartFlow lands positive BCBS reviews (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - February 6, 2018 Category: Radiology Source Type: news