UPMC reports busy Medicare Advantage marketplace
A UPMC executive Tuesday reported a strong Medicare Advantage enrollment market as insurers and seniors face a changing market ahead of next July ’s end to the Highmark-UPMC consent decree. "The market is on fire," said UPMC CFO Robert A. DeMichiei during a quarterly briefing with reporters Tuesday afternoon. "This is looking to be one of our best years ever in terms of our membership increases." Medicare Advantage, a private insurance fo rm of Medicare, has been a bigger issue for seniors this… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 21, 2018 Category: Pharmaceuticals Authors: Paul J. Gough Source Type: news

The Nuance of an Insurance Company Denial
(MedPage Today) -- It may be annoying, but it's not evil, says Michael Kirsch, MD (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - November 20, 2018 Category: American Health Source Type: news

Pennsylvania Moves to Cut Administrative Burden on MAT
Pennsylvania and seven major insurers have agreed to end prior authorization for medication-assisted treatment for opioid use disorders. (Source: AAFP News)
Source: AAFP News - November 20, 2018 Category: Primary Care Source Type: news

Walgreens, Humana in talks to take stakes in each other: WSJ
Drugstore owner Walgreens Boots Alliance Inc and health insurer Humana Inc are in preliminary discussions to take equity stakes in each other, the Wall Street Journal reported on Tuesday, citing people familiar with the matter. (Source: Reuters: Health)
Source: Reuters: Health - November 20, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

New York health insurer files preliminary injunction against Florida Blue
A New York-based health insurer has filed a preliminary injunction against Florida Blue a week after suing the company over an alleged broker monopoly in Orlando. "Florida Blue has a company policy — brazenly displayed on its website — that no broker may sell Florida Blue’s individual plans unless that broker agrees to sell only Florida Blue’s individual plans," Oscar Insurance Co. alleged in its lawsuit. "Florida Blue wrongfully uses its monopoly p ower to compel brokers to sell only its… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 20, 2018 Category: Pharmaceuticals Authors: Ryan Lynch Source Type: news

State's biggest insurers post healthy earnings despite market uncertainty
The positive third-quarter results came despite lingering market uncertainty. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 19, 2018 Category: American Health Authors: Jessica Bartlett Source Type: news

Obamacare's Looking So Good Insurers Are Fighting To Sell It
More insurers are participating on Obamacare ’s insurance exchanges with 608 counties “gaining at least one insurer, " the Kaiser Family Foundation says. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 19, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:CNC NYSE:HUM NYSE:ANTM NYSE:AET Source Type: news

As Insurers Offer Discounts For Fitness Trackers, Wearers Should Step With Caution
Millions of Americans use wearable devices to monitor their diet and fitness. Some insurance companies offer incentives to use them, but privacy advocates caution customers not to share too much data.(Image credit: Morgan Walker for NPR) (Source: NPR Health and Science)
Source: NPR Health and Science - November 19, 2018 Category: Consumer Health News Authors: Stephanie O'Neill Source Type: news

Overseas Embryo Adoption Saves Chelmsford Couple Thousands Of Dollars
CHELMSFORD (CBS) – Infertility can be a painful experience for couples trying to start a family. It’s a roller coaster ride of emotion that Shawn and Shannon McNamee know well. For more than a year, Shannon injected herself hundreds of times. They tried several rounds of in vitro fertilization (IVF). Nothing worked. “You would get really hopeful and optimistic, then it would crash. The results came back negative every time,” Shawn told WBZ-TV. The McNamees decided to adopt and now their living room is filled with toys and their hearts with love. Their son Logan is happy and curious and in no way int...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - November 17, 2018 Category: Consumer Health News Authors: Health – CBS Boston Tags: Boston News Health Healthwatch Syndicated Local Dr. Mallika Marshall Embryo Adoption Source Type: news

Coverage for Integrative Pain Therapies on the Horizon Coverage for Integrative Pain Therapies on the Horizon
Healthcare providers, policy makers, insurers, and other stakeholders are making progress in ensuring improved access to integrative pain management therapies such as yoga, acupuncture, and massage.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 16, 2018 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Insurer Faces $25.5m Payout After Denial of Proton Therapy Insurer Faces $25.5m Payout After Denial of Proton Therapy
Health insurer Aetna denied proton therapy because it was'experimental.'This jury verdict raises the possibility that other denial-of-care suits will follow.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 16, 2018 Category: Consumer Health News Tags: Hematology-Oncology News Source Type: news

Justice Department, Atrium Health reach settlement in antitrust lawsuit
Atrium Health and the U.S. Department of Justice have reached a settlement on a lawsuit challenging the Charlotte-based provider's anticompetitive restrictions. Atrium can no longer use steering restrictions in contracts between commercial health insurers and insurance providers in the Charlotte area. Steering refers to a practice where an insurer offers consumers financial incentives to use lower-cost providers. DOJ and the state of North Carolina filed a civil antitrust lawsuit against Atrium… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 16, 2018 Category: American Health Authors: Caroline Hudson Source Type: news

Pulmonx wins Aetna coverage for Zephyr endobronchial valve
Pulmonx said yesterday that it won national coverage through health insurer Aetna for its Zephyr endobronchial valve system intended for treating severe emphysema and chronic obstructive pulmonary disorder. The coverage will make the Zephyr valve available to Aetna’s 22 million members, the Redwood City, Calif.-based company said. Under its new policy, Aetna specifically named the Zephyr as an approved bronchoscopic option for lung volume reduction, considering it medically necessary for the broncoscopic treatment of adult patients with hyperinflation associated with severe emphysema in regions of the lung with littl...
Source: Mass Device - November 15, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Respiratory Pulmonx Source Type: news

Walmart, Home Depot Adopt Health Insurer Tactic in Drug Copay Battle Walmart, Home Depot Adopt Health Insurer Tactic in Drug Copay Battle
Walmart and Home Depot, two of the top 10 U.S. employers, have embraced a health insurance strategy that punishes drugmakers for using discount cards to keep patients from switching or stopping their medications.Reuters Health Information (Source: Medscape Orthopaedics Headlines)
Source: Medscape Orthopaedics Headlines - November 15, 2018 Category: Orthopaedics Tags: Family Medicine/Primary Care News Source Type: news

UnitedHealthcare offers up (nearly) free Apple Watch devices as part of wellness program
A UnitedHealthcare corporate-wellness program will now reward participants who take enough steps daily with a nearly-free Apple Watch, the health insurance giant says. Employees enrolled in the insurer's Motion program must initially pay shipping fees and taxes for the watch, but will get to keep it if they walk 10,000 steps daily. Participants will earn $4 each day they meet activity requirements if they choose the insurer's "Walk it Off" option. That money can go toward the purchase price of the… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 15, 2018 Category: Pharmaceuticals Authors: Katharine Grayson Source Type: news

New York-based health insurer sues Florida Blue over alleged broker monopoly
A New York-based insurance company has filed a lawsuit against Florida Blue over an alleged Orlando-area broker monopoly. "Florida Blue has a company policy — brazenly displayed on its website — that no broker may sell Florida Blue’s individual plans unless that broker agrees to sell only Florida Blue’s individual plans," Oscar Insurance Co. alleges in the legal complaint. "Florida Blue wrongfully uses its mo nopoly power to compel brokers to sell only its plans when industry standards require… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 15, 2018 Category: Pharmaceuticals Authors: Ryan Lynch Source Type: news

UnitedHealthcare offers up (nearly) free Apple Watch devices as part of wellness program
A UnitedHealthcare corporate-wellness program will now reward participants who take enough steps daily with a nearly-free Apple Watch, the health insurance giant said Wednesday. Employees enrolled in the insurer's Motion program must initially pay shipping fees and taxes for the watch, but will get to keep it if they walk 10,000 steps daily. Participants will earn $4 each day they meet activity requirements if they choose the insurer's "Walk it Off" option. That money can go toward the purchase… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 14, 2018 Category: American Health Authors: Katharine Grayson Source Type: news

UnitedHealthcare offers up (nearly) free Apple Watch devices as part of wellness program
A UnitedHealthcare corporate-wellness program will now reward participants who take enough steps daily with a nearly-free Apple Watch, the health insurance giant said Wednesday. Employees enrolled in the insurer's Motion program must initially pay shipping fees and taxes for the watch, but will get to keep it if they walk 10,000 steps daily. Participants will earn $4 each day they meet activity requirements if they choose the insurer's "Walk it Off" option. That money can go toward the purchase… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 14, 2018 Category: Biotechnology Authors: Katharine Grayson Source Type: news

Cigna commercial customers could lose in-network coverage at Brookwood Baptist Health
Cigna commercial customers at Brookwood Baptist Health could lose in-network coverage unless Tenet and the insurer come to an agreement. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - November 14, 2018 Category: Health Management Authors: Tyler Patchen Source Type: news

For some cancer patients, precision medicine offers hope
Medical treatments targeting the DNA in tumor cells are celebrated, but insurers often won't cover the skyrocketing cost. (Source: CNN.com - Health)
Source: CNN.com - Health - November 14, 2018 Category: Consumer Health News Source Type: news

Florida Blue sued by New York-based health insurer over alleged broker monopoly
The company has begun selling insurance in Orlando during the open enrollment period that started Nov. 1. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 13, 2018 Category: Pharmaceuticals Authors: Ryan Lynch Source Type: news

New York-based health insurer sues Florida Blue over alleged Orlando broker monopoly
A New York-based insurance company has filed a lawsuit against Florida Blue over an alleged Orlando-area broker monopoly. "Florida Blue has a company policy — brazenly displayed on its website — that no broker may sell Florida Blue’s individual plans unless that broker agrees to sell only Florida Blue’s individual plans," Oscar Insurance Co. alleges in the legal complaint. "Florida Blue wrongfully uses its mo nopoly power to compel brokers to sell only its plans when industry standards require… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 13, 2018 Category: Pharmaceuticals Authors: Ryan Lynch Source Type: news

Medicare Costs Drop As Humana Shifts Doctors To Value-Based Models
Medical costs were 15.6% lower for seniors enrolled in Humana Medicare Advantage plans that paid physicians via value-based models last year, the insurer said. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 13, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:CNC NYSE:HUM NYSE:ANTM NYSE:CI Source Type: news

Walmart, Home Depot adopt health insurer tactic in drug copay battle
Walmart and Home Depot , two of the top 10 U.S. employers, have embraced a health insurance strategy that punishes drugmakers for using discount cards to keep patients from switching or stopping their medications. (Source: Reuters: Health)
Source: Reuters: Health - November 13, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

Federal Judge Remands LTD Claim To Administrator For New Determination
LITTLE ROCK, Ark. - A disability insurer must reconsider a long-term disability (LTD) claim after reviewing the claimant's Social Security disability benefits records because the insurer represented to the claimant that the Social Security records would be considered as part of the review of the claimant's appeal, an Arkansas federal judge said Oct. 18 in remanding the claim to the administrator (Michael Buquoi v. United States Life Insurance Co., No. 18-093, E.D. Ark., 2018 U.S. Dist. LEXIS 179172). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Issue Of Fact Exists As To Whether Disability Insurer's Determination Was Reasonable
PHOENIX - A disability claimant's bad faith claim and request for punitive damages can proceed because the claimant presented an issue of fact as to whether the insurer's termination of disability benefits was reasonable, an Arizona federal judge said Nov. 1 in denying the insurer's motion for summary judgement (Kelly Ann Tyler v. United States Life Insurance Co., et al., No. 16-939, D. Ariz., 2018 U.S. Dist. LEXIS 187001). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Termination Of Disability Benefits Did Not Amount To Bad Faith, Judge Says
WILLIAMSPORT, Pa. - A Pennsylvania federal judge on Nov. 2 granted a motion for summary judgment filed by the insurers in a disability dispute after determining that the claimant failed to prove that the termination of his benefits was unreasonable and made in bad faith (Dr. Robert Brugler v. Unum Group, et al., No. 15-1031, M.D. Pa., 2018 U.S. Dist. LEXIS 187836). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Disability Insurer Did Not Breach Policy Terms, Judge Says In Dismissing Complaint
UTICA, N.Y. - A disability claimant's breach of contract suit must be dismissed because the disability insurer did not breach the terms of the long-term disability (LTD) policy when it terminated the claimant's benefits at age 65, a New York federal judge said Oct. 30, noting that the insurer paid the maximum period of payment per the terms of the policy (Vincent J. Krocka v. Mutual of New York Insurance Co., No. 18-830, N.D. N.Y., 2018 U.S. Dist. LEXIS 185173). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Magistrate: Termination Of LTD Benefits Was Reasonable Based On Evidence
SALT LAKE CITY - A Utah federal magistrate judge on Oct. 9 denied a disability claimant's motion for summary judgment after determining that the disability insurer's termination of long-term disability (LTD) benefits was reasonable and is supported by substantial evidence (Jon E. Sadler v. United of Omaha Life Insurance Co., No. 17-979, D. Utah, 2018 U.S. Dist. LEXIS 174428). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Medical Evidence Supports Disability Plan's Limitation Of Benefits, Judge Says
WASHINGTON, D.C. - A disability insurer's conclusion that a claimant suffered from chronic fatigue syndrome, which limited long-term disability benefits to 24 months, and not from symptoms of Lyme disease was not unreasonable based on the medical evidence in the administrative record, a District of Columbia federal judge said Nov. 7 (Wesley Loucka v. Lincoln National Life Insurance Co., No. 17-1375, D. D.C., 2018 U.S. Dist. LEXIS 190935). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Federal Judge Grants Disability Insurer's Motion For Judgment On Pleadings
BOSTON - A Massachusetts federal judge on Oct. 16 granted a disability insurer's motion for judgment on the pleadings in a U.S. Army veteran's class action alleging that the insurer wrongfully offset disability benefits payable under its policy by disability benefits received from the U.S. Department of Veterans Affairs after determining that the remaining claims cannot stand based on the court's prior ruling that the offset was permitted under the plan (Marco Martinez v. Sun Life Assurance Company of Canada, No. 16-12154, D. Mass., 2018 U.S. Dist. LEXIS 178188). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Disability Claimant Failed To Prove That Exhaustion Of Remedies Would Be Futile
SIOUX CITY, Iowa - An Iowa federal judge on Oct. 16 granted a disability insurer's motion to dismiss a claim alleging wrongful denial of long-term disability (LTD) benefits because the claimant failed to exhaust all administrative remedies under the LTD policy and failed to prove that exhaustion would be futile (Brandy J. Sievers v. United of Omaha Life Insurance Co., No. 18-3048, N.D. Iowa, 2018 U.S. Dist. LEXIS 177259). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Judge Strikes Claimant's Exhibit, Says Letter Is Not Part Of Administrative Record
CAPE GIRARDEAU, Mo. - A Missouri federal judge on Oct. 24 granted a disability insurer's motion to strike a letter offered as an exhibit to a claimant's complaint after determining that the letter, which states that the claimant's disability was not caused by a pre-existing condition, is not part of the administrative record because the claimant failed to provide the letter to the insurer during the administrative appeal process (Stacey Waite v. Sun Life Assurance Co., No. 18-208, E.D. Mo., 2018 U.S. Dist. LEXIS 182354). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Judge Grants Motion To Exclude Documents Filed After Claimant Initiated Suit
NEW ORLEANS - A Louisiana federal judge on Oct. 31 granted a disability claimant's motion to exclude documents generated after a lawsuit was filed against the disability insurer because the administrative record closed after the claimant filed suit (Anne Wittmann v. Unum Life Insurance Company of America, No. 17-9501, E.D. La., 2018 U.S. Dist. LEXIS 186064). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Disability Insurer Ordered To Produce Information Related To Reviewing Physicians
NEW YORK - A disability insurer must produce the salaries paid to its reviewing physicians in addition to the curriculum vitae for each reviewing physician because the information is relevant to the determination of whether the insurer's denial of a long-term disability claim was reasonable, a New York federal magistrate judge said Nov. 6 (Michele Weinberg v. Unum Life Insurance Company of America, No. 17-8976, S.D. N.Y., 2018 U.S. Dist. LEXIS 189792). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Disability Suit Must Be Transferred From New Jersey To Tennessee Federal Court
NEWARK, N.J. - A disability claimant's suit alleging wrongful denial of long-term disability (LTD) benefits must be transferred from New Jersey federal court to Tennessee federal court because the alleged breach of the terms of the plan occurred in Tennessee and the parties' interests weigh in favor of transfer to Tennessee federal court, a New Jersey federal magistrate judge said Oct. 31 (Wesley Gonce v. Prudential Insurance Company of America, No. 18-8662, D. N.J., 2018 U.S. Dist. LEXIS 186905). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - November 13, 2018 Category: Medical Law Source Type: news

Ping An’s hedge against future risks
The world’s largest insurer, carved out of Chinese state entities, has bet on fintech and AI as the way for it to continue to grow. But will it work? (Source: FT.com - Drugs and Healthcare)
Source: FT.com - Drugs and Healthcare - November 11, 2018 Category: Pharmaceuticals Source Type: news

Aetna ordered to pay $25.5M after denying coverage to woman who died
Jury instructs health insurer to pay an Oklahoma City family $25.5 million for denying a relative's claim for coverage for a type of radiation therapy (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - November 11, 2018 Category: Consumer Health News Source Type: news

New Studies Give Mixed Results About Taking Fish Oil and Vitamin D
(CHICAGO) — Taking fish oil or vitamin D? Big studies give long-awaited answers on who does and does not benefit from these popular nutrients. Fish oil taken by healthy people, at a dose found in many supplements, showed no clear ability to lower heart or cancer risks. Same for vitamin D. But higher amounts of a purified, prescription fish oil slashed heart problems and heart-related deaths among people with high triglycerides, a type of fat in the blood, and other risks for heart disease. Doctors cheered the results and said they could suggest a new treatment option for hundreds of thousands of patients like these. ...
Source: TIME: Health - November 10, 2018 Category: Consumer Health News Authors: MARILYNN MARCHIONE / AP Tags: Uncategorized onetime Supplements Source Type: news

Jury delivers $25.5 million 'statement' to Aetna to change its ways
An Oklahoma jury has awarded $25.5 million to the family of a cancer patient denied coverage by Aetna, with jurors saying that the insurer acted "recklessly" and that the verdict was meant as a message for Aetna to change its ways. (Source: CNN.com - Health)
Source: CNN.com - Health - November 10, 2018 Category: Consumer Health News Source Type: news

Highmark Health's top execs see compensation rise after meeting performance goals
Highmark is one of the top 10 biggest health insurers in the United States with businesses in Pennsylvania, West Virginia and Delaware as well national operations. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 9, 2018 Category: Pharmaceuticals Authors: Paul J. Gough Source Type: news

Highmark Health's top execs see compensation rise after meeting performance goals
Highmark is one of the top 10 biggest health insurers in the United States with businesses in Pennsylvania, West Virginia and Delaware as well national operations. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 9, 2018 Category: Biotechnology Authors: Paul J. Gough Source Type: news

Gateway Health names new CEO
A Blue Cross and Blue Shield of Minnesota executive has been named to lead Pittsburgh-based Gateway Health, the insurer said Thursday. Cain A. Hayes will take over as president and CEO on Nov. 26. He replaces Patti Darnley, who left the managed care insurance company in August after being president and CEO since 2014. Gateway has 500,000 members in six states.  Hayes has been president and COO of the Health Business of Blue Cr oss Blue Shield of Minnesota. He also has been president of national… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 8, 2018 Category: Biotechnology Authors: Paul J. Gough Source Type: news

Blue Cross making changes to opioid policy in 2019
Blue Cross and Blue Shield of Alabama is making changes to the way it handles opioids. Alabama's largest health insurer said it is changing its opioid management strategy for its commercial members in 2019 as part of a larger effort to combat the opioid epidemic. Blue Cross said it will cover Roxybond, the new instant release oxycodone formulation that is considered an “abuse de terrent” by the Food and Drug Administration. Lucemyra, the first non—opioid approved drug to treat the symptoms… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 7, 2018 Category: Pharmaceuticals Authors: Tyler Patchen Source Type: news

10th Circuit Says Air Exclusion Is Ambiguous, Coverage Owed To Insured
DENVER - The 10th Circuit U.S. Court of Appeals on Oct. 16 reversed and remanded a district court's ruling in favor of an insurer after determining that an indoor air exclusion is ambiguous and should be construed in favor of the insured hotel seeking coverage for underlying carbon monoxide poisoning claims (Siloam Springs Hotel LLC v. Century Surety Company, No. 17-6208, 10th Cir., 2018 U.S. App. LEXIS 29013). (Source: LexisNexis® Mealey's™ Emerging Toxic Torts Legal News)
Source: LexisNexis® Mealey's™ Emerging Toxic Torts Legal News - November 7, 2018 Category: Medical Law Source Type: news

Blue Cross making changes to opioid policy in 2019
Blue Cross and Blue Shield of Alabama is making changes to the way it handles opioids. Alabama's largest health insurer said it is changing its opioid management strategy for its commercial members in 2019 as part of a larger effort to combat the opioid epidemic. Blue Cross said it will cover Roxybond, the new instant release oxycodone formulation that is considered an “abuse de terrent” by the Food and Drug Administration. Lucemyra, the first non—opioid approved drug to treat the symptoms… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 7, 2018 Category: Biotechnology Authors: Tyler Patchen Source Type: news

Passport saved millions through partnership with Louisville startup — here's how
In just six months, Passport Health Plan has saved millions of dollars through a partnership with a local data-analytics firm that specializes in preventing preterm births. The firm, a Louisville startup called Lucina Health Inc., said it has helped Passport reduce the number of preterm births of its health plan enrollees by 13.5 percent. Passport is one of five health insurers that partner with Kentucky government to administer its Medicaid program. It's a nonprofi t corporation with about 308,000… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 7, 2018 Category: Pharmaceuticals Authors: Chris Larson Source Type: news

New Medicaid Expansion States Could Boost UnitedHealth, Centene
Votes to expand Medicaid in Nebraska, Idaho and Utah could benefit health insurance companies like Centene and UnitedHealth Group. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 7, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:MOH NYSE:CNC NYSE:ANTM NYSE:AET Source Type: news

Humana earnings top analysts' estimates
Humana Inc. posted higher third-quarter earnings, topping analysts' estimates. Net income for the quarter rose to $901 million, or $4.65 per share, diluted, from $799 million, or $3.44 per share, a year earlier. Excluding non-recurring items, adjusted earnings per share rose to $4.58 from $3.39. The health care and insurance company's revenue for the quarter rose to $14.2 1 billion from $13.28 billion. The average estimate of analysts called for net income of $4.26 per share and revenue of $13.98… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - November 7, 2018 Category: Health Management Authors: Carolyn Tribble Greer Source Type: news

Humana earnings top analysts' estimates
Humana Inc. posted higher third-quarter earnings, topping analysts' estimates. Net income for the quarter rose to $901 million, or $4.65 per share, diluted, from $799 million, or $3.44 per share, a year earlier. Excluding non-recurring items, adjusted earnings per share rose to $4.58 from $3.39. The health care and insurance company's revenue for the quarter rose to $14.2 1 billion from $13.28 billion. The average estimate of analysts called for net income of $4.26 per share and revenue of $13.98… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 7, 2018 Category: Biotechnology Authors: Carolyn Tribble Greer Source Type: news