News for Insurers
Top stories summarized by our editors
11/20/2017

The 2017 Financial Mindset study from Alight Solutions found many employees would rather discuss all sorts of controversial and personal topics instead of their financial well-being, with just 26% saying they would be willing to talk about their finances. Employees have a high level of insecurity about money management but just 37% said their company had a financial wellness program beyond retirement benefits.

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BenefitsPro
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Alight Solutions
11/20/2017

Youths with at least four risk factors for obesity, including maternal and paternal overweight or obesity, excessive pregnancy weight gain, increased maternal glucose levels, shorter breast-feeding duration and early solid food introduction, had an 11 times higher likelihood of being overweight or obese, compared with those who didn't have any risk factors, according to a Singaporean study in the International Journal of Obesity. The findings also showed that parental weight was the strongest risk factor, with maternal and paternal weight contributing equally to the risk of childhood obesity.

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CTV.ca (Canada)
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Obesity
11/20/2017

Grandparents who regularly give grandchildren treats or too much food, allow them to avoid physical activity or smoke around them may influence their lifestyle behaviors and increase their risk of cancer, according to a research review published in PLOS ONE. Researchers said such actions may negatively affect weight and dietary patterns in children and expose them to passive smoke or influence their decision on whether to smoke.

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Medical News Today
11/20/2017

Applying discounts and rebates at the point of sale in Medicare Part D would result in higher insurance premiums for beneficiaries while boosting drugmakers' profits, the Pharmaceutical Care Management Association said in response to a proposed CMS rule. Such a requirement "would create a windfall for drugmakers, who would pay up to $29 billion less in donut-hole discounts," the group said.

11/20/2017

With no prior announcement, the FDA started appending meaningless, four-letter suffixes to newly approved biologics' nonproprietary names last week. Adding the suffixes represents an expansion of the FDA's practice of using them for the nonproprietary names of biosimilars.

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Regulatory Focus
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FDA
11/20/2017

Roche is counting on strong sales of multiple sclerosis drug Ocrevus, immunotherapy Tecentriq and hemophilia drug Hemlibra to offset losses on Avastin, Herceptin and Rituxan due to patent expirations.

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Reuters
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Roche, Roche, Tecentriq
11/20/2017

CMS officials decided not to move forward on its Shared Decision Making model after too few accountable care organizations signed up to participate. ACOs in the Medicare Shared Savings Program or Next Generation model would have received incentives to test a four-step clinical decision-making process for certain conditions.

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Health Exec
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CMS
11/20/2017

The Guideline Trustworthiness, Relevance, and Utility Scoring Tool developed at Tufts University School of Medicine can help clinicians identify practice guidelines that are trustworthy, relevant and useful, researchers reported in Annals of Family Medicine.

11/20/2017

Eighty-two percent of long-term and post-acute care organizations responding to a survey said they are struggling to participate in value-based care networks, and only 19% reported that they had at least some EHR capacity by the last quarter of 2017. In addition, 86% of LTC facility administrators said they do not exchange information electronically with referring hospitals and physicians.

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RevCycle Intelligence
11/20/2017

This year's Medicare extenders package includes the Increasing Telehealth Access to Medicare Act, a proposed bill set for passage that aims to expand telehealth coverage under Medicare Advantage plans. The bill calls for reimbursement of telehealth services at rates similar to in-person services starting in 2020 and access parity for such services in Medicare Advantage and Medicare part A and B programs.

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mHealth Intelligence
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Medicare, Bill