News for Insurers
Top stories summarized by our editors
11/20/2018

Long-term-care insurance premiums are considered a medical expense, but the IRS is putting in place new tax deductibility limits. The changes for 2019 are based on the age of the policyholder.

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IRS
11/20/2018

Ruth Jones, a doctor from Bedford, Pa., is scheduled for sentencing in March after entering a guilty plea to health care fraud, distribution of controlled substances and conspiracy to distribute controlled substances. Prosecutors said Jones conspired with another doctor to illegally distribute prescriptions for the opioid addiction drug buprenorphine and then submitted fraudulent claims to Medicare.

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buprenorphine, Medicare
11/20/2018

Barbara Bruce, a doctor from New Orleans, received a 30-month prison term after pleading guilty to conspiring to dispense controlled substances outside the scope of professional practice while she was working at Axcess Medical Clinic in New Orleans. Authorities said Bruce conspired with Axcess owner Kenneth Knight to illegally prescribe hydrocodone, oxycodone and other painkillers to patients without conducting medical evaluations from August 2014 to April 2015.

11/20/2018

Richard Schott, a dentist and owner of Dental Excellence in Murfreesboro, Tenn., was charged with conspiracy to commit health care fraud, and the clinic's administrator, Kendra Glenn, was charged with health care fraud and conspiracy to commit health care fraud for their alleged involvement in a TennCare fraud scheme. Authorities said Schott and Glenn made the clinic's employees falsify records and submit fraudulent dental care claims to TennCare from November 2013 to January 2018.

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TennCare
11/19/2018

A manager's primary purpose is to do everything in his or her power to help employees succeed, says John Baldoni in this blog post and video. Among the multiple options leaders have when faced with dysfunction, finding solutions and actively intervening are the most effective, says Baldoni.

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SmartBrief/Leadership
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John Baldoni
11/19/2018

Novartis' Promacta, or eltrombopag, in combination with standard immunosuppressive therapy, was approved by the FDA as a first-line treatment for patients ages 2 and older who have severe aplastic anemia.

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Seeking Alpha
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Novartis, FDA, aplastic anemia, Promacta
11/19/2018

"Relentless innovation" is critical to creating value, CMS Administrator Seema Verma said at a telehealth policy forum. Verma said telehealth is changing the face of health care, Medicare laws and rules can be barriers to innovation, and the lack of interoperability is one of the most significant obstacles to innovation.

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HealthLeaders Media
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Administrator Seema Verma
11/19/2018

A survey shows 18% of adults older than 60 have skipped necessary health care treatment. The survey, conducted on behalf of Clover Health, found the most common reasons for forgoing care were costs, concerns about a complex diagnosis and lack of a trusted physician.

11/19/2018

A CMS report released to Congress said telehealth laws limit its use and are barriers to expanding telehealth in Medicare. "Emerging evidence indicates that telehealth can be a tool for empowering health care providers and patients to offer the best approaches to care," the CMS said.

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Medicare, Congress
11/19/2018

Employers looking to offer more personalized employee benefits can use student-loan repayment or financial wellness programs for younger workers or elder care benefits for older workers, said Rob Calise of The Hilb Group of New England. Other perks to add to programs include flexible hours, telecommuting, extended paid parental leave, and free snacks or fitness classes.

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