News for Insurers
Top stories summarized by our editors
4/24/2019

An analysis from IHS Markit suggests the US will experience a shortage of 46,900 to 121,900 doctors by 2032 as growth in demand for physicians, mainly driven by the country's aging and expanding population, continues to outpace growth in supply. The projected shortage will affect primary care and specialty care.

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IHS Markit
4/24/2019

Johnson & Johnson says that raising the discount on Xarelto to 70% for seniors in the Medicare coverage gap drove sales of the drug lower despite a price hike, but J&J pharmaceuticals chief Jennifer Taubert expects sales to rebound with a new indication for patients with coronary or peripheral artery disease.

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BioPharma Dive
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Johnson & Johnson, Xarelto
4/24/2019

Intuit and PayPal work with a California-based company that creates organic gardens for employers, schools and private homes and teaches people how to garden. PayPal employees have 56 plots in their garden, with two employees to each plot, and Julie Vennewitz-Pierce, director of PayPal Gives, said the goal is to provide fresh vegetables, herbs and flowers in a "spirit of environmental sustainability and employee wellness."

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Workforce online
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PayPal, Intuit Inc.
4/24/2019

A study in the Journal of the American College of Cardiology found people who did not exercise and sat for eight hours or more each day had a 52% higher risk of death compared with people who sat for less than four hours per day. Researchers said exercise, even at moderate levels, can help offset some of the risk.

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HealthDay News
4/24/2019

San Jose State University's food pantry provides free food weekly to students with food insecurity who make $33,000 per year or less. The walk-in pantry has helped more than 1,200 students since it opened in March, and its design is similar to a grocery store.

4/24/2019

The CMS has proposed a rule that would raise its maximum "new technology add-on payment" for costly chimeric antigen receptor T-cell therapies for cancer from 50% to 65% of the estimated costs, which would raise reimbursement from $186,500 to $242,450. The agency is also soliciting input on plans to create a new billing code for CAR T-cell treatment procedures, including ways of standardizing payment across geographical areas.

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Reuters
4/24/2019

The CMS has proposed raising the inpatient hospital wage index for low-wage-index hospitals in rural areas while lowering that of high-wage-index urban hospitals starting in October to address payment disparities that the agency said hurts quality at rural hospitals. The plan is part of the Inpatient Prospective Payment System and the Long-Term Care Hospital Prospective Payment System proposed rule for fiscal 2020.

4/24/2019

The FDA has approved AbbVie's injectable drug Skyrizi as a treatment for patients with plaque psoriasis. The decision was supported by the results of a late-stage safety and efficacy study in adults with moderate to severe plaque psoriasis.

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Reuters
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plaque psoriasis, FDA, AbbVie
4/24/2019

Rochester Drug Co-operative agreed to pay $20 million to settle charges that the company ignored warning signs that orders for oxycodone, fentanyl and other controlled substances were improper.

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Reuters
4/24/2019

Roche Holding is launching the VENTANA HER2 Dual ISH DNA Probe Cocktail assay, a companion diagnostic test designed to identify HER2-positive breast or gastric cancer patients who can benefit from Herceptin therapy, in Europe, Africa, Asia Pacific, Middle East and Latin America. The company said it will seek approval for use in the US from the FDA.