News for Insurers
Top stories summarized by our editors
4/21/2017

An amendment to the American Health Care Act proposed by Rep. Tom MacArthur, R-N.J., would retain the Affordable Care Act's essential health benefits at the federal level but allow states to request approval to replace the EHBs with their own list. States could also let insurers charge higher premiums to people with preexisting conditions if they create high-risk pools for those patients, according to the amendment, which has been billed as a tool for resurrecting the legislation for a vote the White House would like to see happen next week.

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White House
4/21/2017

A study in the Journal of the American Geriatrics Society found that bringing informal, unpaid caregivers into the discharge process for elderly patients helped reduce 90-day readmissions by 25% and 180-day readmissions by 24%. Most of the studies included in the paper also found that inclusion of informal caregivers in discharge processes was linked to lower post-discharge care costs, shorter time-to-readmission and shorter rehospitalization periods.

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HealthLeaders Media
4/21/2017

Health insurers have filed for participation in Affordable Care Act exchanges in Virginia and Kentucky, which have some of the first filing deadlines in the US, providing an early indication of what the markets might look like for the 2018 plan year. Even after filing, insurers could still decide against participating in those states, and details such as rates and regions where plans will be offered were not disclosed.

4/21/2017

A RAND study in Health Affairs found the Medicare Access and CHIP Reauthorization Act could save Medicare $35 billion to $106 billion in spending on physician services, and $32 billion to $250 billion through 2030 on hospital services. Researchers said the impact will depend on participation in the Advanced Alternative Payment Models.

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Health Affairs
4/21/2017

What began as a friendly competition between Terryberry and Grand Rapids Label has grown to include more than 50 companies competing in the West Michigan Walking Challenge. Terryberry workers are tracking steps on wearable devices or through apps and the total will be compared against other companies at the end of the challenge.

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Terryberry
4/21/2017

The breast cancer incidence rate is rising among women in six of seven Asian-American ethnic groups studied, according to a study in Breast Cancer Research and Treatment. The finding warrants additional attention and research to identify relevant risk factors for specific breast cancer subtypes, lead researcher Scarlett Lin Gomez said.

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HealthDay News
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breast cancer
4/21/2017

The FDA issued a warning against the use of codeine and tramadol in children younger than 12, in adolescents ages 12 to 18 who are obese or have conditions that cause problems with breathing, such as sleep apnea and lung disease, and breast-feeding mothers, as well as a warning against tramadol use in children ages 18 and younger who underwent tonsil and adenoid removal, after a recent review showed serious breathing difficulties among youths who received the drugs. The FDA is requiring drugmakers to update warning labels on the drugs to reflect the new contraindications.

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tramadol, codeine
4/21/2017

A UK study in Pediatric Obesity found that children's body mass index was linked to their parents' beliefs on what the child's ideal and maximum tolerated food portions would be, but not their own self-reported ideal and maximum tolerated portions. The findings, based on 217 youths ages 5 to 11 and their parents, also showed that parents' estimated portion size was closer to their children's self-selected portions as pediatric BMI increased.

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BMI, body mass index
4/21/2017

Sales increases due to pharmaceutical price hikes in 2016 were roughly equivalent to rising earnings per share for drugmakers, according to a report from Credit Suisse.

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CNBC, FiercePharma
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Credit Suisse
4/21/2017

White House officials are pushing to bring back a bill to repeal and replace the Affordable Care Act during President Donald Trump's first 100 days in office, but the pressure will be mounting next week for Congress to pass a spending bill to avert a federal government shutdown.

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Donald Trump, White House, Congress