News for Insurers
Top stories summarized by our editors
7/24/2017

Park City, Utah, is launching the first electric bike-share program in the US, offering 88 pedal-assisted e-bikes at nine charging stations. In addition to offering transportation alternatives, the city's transportation planning manager, Alfred Knotts, said bike-share programs "further our community in a healthy and active way."

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Park City, Utah
7/24/2017

FDA Commissioner Dr. Scott Gottlieb said the FDA should work with pharmacy benefit managers and insurers to more closely align prescriptions of opioids with clinical guidelines.

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Bloomberg
7/24/2017

Voters in Ohio will get a chance to weigh in on whether state programs should be restricted from paying higher prices on drugs than the federal Veterans Affairs Department does.

7/24/2017

Individual drugmakers are increasing donations to senators and representatives amid scrutiny and public outrage over high drug prices.

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Kaiser Health News
7/24/2017

Samsung Bioepis said it is selling a biosimilar version of Johnson & Johnson's rheumatoid arthritis drug Remicade in the US despite J&J unit Janssen Biotech's request for a court injunction blocking the drug.

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Reuters
7/24/2017

The Biotechnology Innovation Organization says the federal government should require short-sellers of company shares to disclose who they are, and some investors and analysts say the industry group is making much ado about nothing.

7/24/2017

Drugmakers charge as high a price as they think the market will bear, and pharmacy benefit managers "are hired by employers, unions and health plans to negotiate lower drug costs for their enrollees," writes pharmacist and attorney John Jones.

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John Jones
7/24/2017

Baylor College of Medicine researchers have created the grant-funded Safer Dx Learning Lab, and will use a Geisinger Health System data warehouse develop a systematic approach to measuring and improving diagnostic performance, as part of a larger effort to improve patients' outcomes and experience with health care. The team will analyze data on missed diagnostic opportunities and evaluate how to collect diagnostic safety concerns directly from clinicians and patients.

7/24/2017

Medical practices striving for recognition as patient-centered medical homes can expect to spend about 240 hours obtaining initial National Committee for Quality Assurance recognition and 110 hours on renewal efforts, costing in the neighborhood of $10,500 and $5,000, respectively, according to a study of Texas medical practices published in the Journal of the American Board of Family Medicine.

7/24/2017

Team Work Ready founder and chief financial officer Pamela Rose and vice president Frankie Sanders were sentenced to 120 months and 300 months in prison and were ordered to pay restitution of $14.5 million and $13.4 million, respectively, in connection with a $9.6 million worker's compensation fraud scheme, according to the US Justice Department. TWR, which operated clinics in five states including Texas, is accused of falsely billing the government for unprovided one-on-one physical therapy services or services rendered by untrained or unlicensed employees.