News for Insurers
Top stories summarized by our editors
7/19/2018

AHIP said it supports several of the ideas in the Trump administration's blueprint to reduce drug prices and lower out-of-pocket costs, including plans to promote generic competition, foster a competitive market for biosimilars, permit Medicare Part D plans to address high generic-drug prices through changes in formulary or benefit design, and improve drug price transparency. The group, however, expressed concern with certain parts of the blueprint, saying insurers have no interest in high prices.

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Healthcare Finance
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AHIP, Trump administration
7/19/2018

Twenty-three percent of survey respondents from health systems, health insurers and pharmaceutical companies said they track consumer relationship metrics, such as net promoter score, but 52% reported measuring specific experience metrics, such as appointment satisfaction, according to consulting firm Prophet. The report finds that stakeholders have been slow to move from tactical fixes to holistic strategies.

7/19/2018

The FDA has finalized guidance for use of EHR data in pre- and post-approval clinical investigations that are regulated by the agency. The guidance, released in draft form in 2016, outlines what kinds of studies are covered by the guidance; provides recommendations on record retention requirements, record-keeping and inspection; and urges investigators to use interoperable and certified technology, although it includes guidance for using non-certified EHR systems.

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Regulatory Focus
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FDA
7/19/2018

The CMS plans to open a new 30-day federal comment period on Kentucky's plan to impose work requirements on Medicaid beneficiaries after a federal judge blocked the move last month. The judge ruled that officials failed to take into consideration that 95,000 people would lose coverage as a result of the work requirements and argued that HHS had disregarded negative feedback from the initial comment period.

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The Hill, Politico
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HHS
7/19/2018

Tricare dental benefits for military retirees through Delta Dental will terminate Dec. 31. Retirees instead can get coverage through the Federal Employees Dental and Vision Insurance Program, but they must enroll by Dec. 10.

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Military online
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Delta Dental
7/19/2018

UnitedHealthcare and Argus Dental and Vision notified the Florida Agency for Health Care Administration that they intend to challenge the decision to award Medicaid managed dental care contracts to MCNA Dental, DentaQuest and Liberty Dental Plan.

7/19/2018

Clear aligners move teeth horizontally as predicted, but they are less accurate in rotating teeth and moving them vertically, researchers reported in the American Journal of Orthodontics and Dentofacial Orthopedics.

7/19/2018

Dentist Brett Wells began experimenting a few years ago with a direct primary dental care model and subsequently developed a platform, DentalHQ, to support similar dental subscription plans. DentalHQ functions as a provider directory and handles billing, and Wells plans to offer the service to small businesses.

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DentalHQ
7/19/2018

Teens who followed the Mediterranean diet had better scores in core subjects, language skills and verbal ability and higher grade point averages, which were facilitated by improved sleep quality, Spanish researchers reported in Acta Paediatrica. However, the findings showed that while improved academic performance was observed among those with better sleep quality, longer sleep duration was negatively associated with verbal ability.

7/19/2018

San Diego is contracting with Sharp HealthCare, named the city's "Health and Wellness Partner," to provide free classes at libraries and recreation centers. The health system will pay $100,000 to participate in the program, which also will include two classes weekly for city employees.

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Sharp HealthCare