News for Insurers
Top stories summarized by our editors
10/20/2017

Trump administration officials are struggling to develop an emergency declaration on the nation's opioid abuse crisis after the president said he would make the declaration next week. Administration officials say agencies were not prepared for President Donald Trump's statement and there is no consensus how the emergency declaration should be implemented.

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Politico
10/20/2017

Imprimis Pharmaceuticals will market a customizable topical formulation of cyclosporine, the active ingredient in Allergan's Restasis dry-eye drug, for $0.99 for the first month's supply with refills priced at least $79 a month.

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Reuters
10/20/2017

Roche Holding's Rituxan, Herceptin and Avastin face competition from biosimilars and newer treatments, with revenue for Rituxan falling 16% in Europe last quarter on top of a 3% decline the previous quarter.

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Roche
10/20/2017

Louisiana Attorney General Jeff Landry announced that eight people were arrested in Louisiana on allegations that they defrauded Medicaid by submitting time sheets and service logs for services they didn't provide. Among those arrested and charged with multiple counts of Medicaid fraud are Alexis Arthur, Derrick Freeman, Latoya Johnson, Casey Joseph, Latanya Joseph, Yolanda Patton, Amanda Porter and Chloe Prier.

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Louisiana, attorney, La.
10/20/2017

Bosede Agbaje, a home health aide from Uniondale, N.Y., is facing up to seven years in prison after being charged with welfare fraud, grand larceny and offering a false instrument for filing over allegations that she submitted fraudulent documents to Social Services and lied about her household income to receive Medicaid and food stamp benefits from January 2012 to June 2014. Authorities said Agbaje received $77,800 worth of benefits to which she was not entitled.

10/20/2017

James Briggs, a chiropractor from Brentwood, Mo., with clinics in Jerseyville and Wood River, Ill., was sentenced to serve six months of home confinement and five years of probation and was ordered to pay $10,000 in fines after pleading guilty to a single count of making false claims against the US government. Briggs admitted to submitting a fraudulent ankle orthotic claim to Medicare in October 2013 and agreed to pay restitution of over $8,000 to Medicare and private insurers for all fraudulent ankle orthotic claims he made, according to authorities.

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Department of Justice
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Medicare, James Briggs, Brentwood, Mo.
10/20/2017

Samantha Rivera is facing up to 16 months in prison after pleading guilty to health care fraud and identity theft for using the identity and license number of a New Mexico nurse with a similar name to get a nursing job with a staffing agency in St. Louis last year. Rivera also faces fraud, forgery and identity theft charges in New Mexico for lying about her nursing credentials and work experience to get a teaching job at Brown Mackie College in Albuquerque, N.M., in 2015.

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Samantha Rivera, Mo, St. Louis
10/20/2017

A survey by TIAA found that 71% of Americans back legislation that would make it easier for retirement plan sponsors to offer annuities and other lifetime income options. Among those responding to the survey, 62% say they would prefer guaranteed lifetime income over a lump-sum distribution.

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BenefitsPro
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TIAA
10/19/2017

A CDC report found 48.3% of US adults with hypertension had it under control in 2015-2016 and high blood pressure was more common among non-Hispanic black adults than other race or ethnic groups. Overall, 29% of adults had high blood pressure and the rate of controlled hypertension increased with age.

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hypertension, blood pressure, CDC
10/19/2017

A bipartisan agreement struck by Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., to stabilize Affordable Care Act markets by funding cost-sharing reduction payments through 2019 experienced major setbacks Wednesday after several key congressional Republicans said they opposed the proposal and President Donald Trump withdrew his support. The future of the deal is now in doubt with only a few senators announcing support for the plan, including Sens. John McCain, R-Ariz., Susan Collins, R-Maine, and Lisa Murkowski, R-Alaska.

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Donald Trump, GOP