News for Insurers
Top stories summarized by our editors
6/23/2017

Drug distributors AmerisourceBergen, McKesson and Cardinal Health negotiate prices with pharmacies, play a role in setting prices, and issue predictions for drug-price trends.

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MarketWatch
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McKesson, Cardinal Health
6/23/2017

Reps. Diana DeGette, D-Colo., and Tom Reed, R-N.Y., sent letters to companies that make insulin and to insurers and pharmacy benefit managers seeking information on price decisions.

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Tom Reed, Diana DeGette
6/23/2017

A Senate health care bill would phase out Medicaid expansion and limit federal funding for the program, eliminate the Affordable Care Act's health insurance mandate, offer lower tax credits than the ACA, repeal some taxes and retroactively reduce capital gains taxes, among other measures.

6/23/2017

Wayne Williamson, a former physician from Kansas City, Mo., was sentenced to 15 months in prison without parole and was ordered to pay $39,155 in restitution for performing disability examinations without a medical license at the Department of Veterans Affairs at Industrial Medical Center in Independence, Mo. Williamson had surrendered his license and was sentenced to three years in prison in 2010 after admitting guilt to health care fraud and other offenses.

6/23/2017

Cheryl McGrath of Guysville, Ohio, owner and operator of Athens County-based Home Health Care of Southeast Ohio, agreed to pay restitution of more than $2.2 million to Medicaid and almost $367,000 to the IRS after pleading guilty to health care fraud and willful failure to pay over tax. McGrath, who faces up to 15 years in prison, is accused of falsely billing Medicaid for unprovided nursing services between 2009 and 2015, resulting in around $2.2 million worth of improper payments.

6/23/2017

George Compton Jr., a psychologist from Sturgis, Mich., is facing up to 10 years in federal prison and will be ordered to pay restitution after pleading guilty to insurance fraud, which resulted in more than $250,000 worth of improper payments. Compton is accused of falsely billing insurers for unprovided counseling sessions from January 2013 to June 2016.

6/23/2017

Melysa McDaniel, a resident of Whitwell, Tenn., was charged with four counts of TennCare fraud by doctor shopping and faces up to four years in prison. McDaniel is accused of visiting multiple physicians in a short period of time and using her TennCare benefits to obtain the painkiller hydrocodone, prosecutors say.

6/23/2017

A recent survey found a worrisome lack of knowledge about retirement income among pre-retirees, with 74% of respondents failing a 12-question quiz, and only 5% of those who passed scoring 80% or higher. Areas where respondents were relatively proficient included by housing finances, Medicare issues, inflation, the role of taxes in retirement and concepts related to life insurance.

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PlanSponsor online
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Medicare, life insurance
6/22/2017

The years can take the toll on your passion, and taking a break is one way to regain some of that enthusiasm and drive, writes Dan Black. After that, consider focusing on the positive differences you make in your employees' lives and what your purpose is in leadership.

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Dan Black
6/22/2017

A study published in the journal Obesity found children were 33% less likely to be obese at ages 2 to 4 if their fathers frequently helped them with tasks such as brushing their teeth or getting dressed. Researchers said the risk of childhood obesity dropped by 30% for each one-category increase in the frequency that dads took their children out for walks or for play.

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Obesity