Welcome to Capital Health Care, an early-morning email full of scoops and storylines that will surprise a daily review in New York among health-industry insiders and high-information consumers.Sign adult for a morning newsletters here.
HEALTH SCOOP — Xerox, one of dual companies behest for a agreement to run New York State’s $500 million Medicaid government system, has had problems with identical programs it oversees in other states, including claims of mismanagement and cost overruns. On May 9, a Texas Health and Human Services Commission pronounced it would cancel Xerox’s Medicaid claims administration agreement “for cause” given “thousands of requests for braces that weren’t medically necessary” had been approved. Xerox has also had problems in North Dakota, California, Montana and Nevada. The association is competing for New York’s agreement with Hewlett Packard. http://capi.tl/1gXEVlN
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HAPPENING TODAY -– Supporters of medical pot will conduct behind to Albany this morning to disciple for Assembly Health Committee chair Richard Gottfried’s bill. The check is scheduled to be voted on by a whole Assembly. If it passes, it will be a vast win for advocates. But a genuine movement is in a Senate where Diane Savino has upheld her chronicle out of committee, and says she has a votes to pass it in a full Senate. The doubt is: how will she be means to get it to a vote?
NOW WE KNOW–- The emerald charcoal borer (Agrilus plantipenis), a new insect newcomer to North America that hopped a float inside wooden make-up element of alien goods, is projected to means some-more than a billion dollars in indemnification annually over a subsequent decade, according to an letter in Frontiers in Ecology and a Environment. The insect, a internal of Southeast Asia and Eastern Russia, lacks predators in North America and has widespread quickly, murdering millions of charcoal trees given a find nearby Detroit, Mich. http://bit.ly/1oBOCpR
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INTERFAITH UPDATE –- A failure move for Interfaith Medical Center has been deferred until May 30. The Bed-Stuy sanatorium was anticipating to exit failure final Friday yet a parties indispensable some-more time to request allotment agreements that had already been reached with creditors. The sanatorium has already staid a taxation explain with a state and grant issues with a New York State Nurses Association. I’m told Interfaith coronet do not consider there will be any some-more delays.
MISLEADING HEADLINE –- The New York Times was initial to news on new manners from a I.R.S. that demarcate employers regulating pre-tax dollars to assistance employees squeeze skeleton on a exchange. The title for a online version, that was adult many of Monday, review “I.R.S. Bars Employers From Dumping Workers Into Health Exchanges.” That isn’t a case, yet a Obama administration wishes it was. Employers can still exclude to offer word and instead compensate employees an boost in their salary to emporium on a exchange. Those salary would simply be taxed like typical income. http://nyti.ms/1jSJBcM
…Also value a read is a vox.com explainer of a new rule. “This statute from a I.R.S. indeed changes unequivocally little. Employers competence still dump word coverage and approach their employees to a health word exchanges — they only can’t keep claiming a taxation welfare if they do so.” http://vox.com/e/5515777
Just my theory – If a exchanges are successful, employers will demeanour to dump employees. It’s good for a employer and mostly good for a employee. Because of a employer assign penalty, a taxpayer competence even be done whole. For a template, look during how grant skeleton have incited into 401k plans.
HEROIN BUY –- Hoping to fight a heroin entrance into New York and New Jersey, Senator Chuck Schumer wants Congress to suitable $100 million for a sovereign High Intensity Drug Trafficking Areas Program. Schumer argues a increasing appropriation would assistance rise concurrent strategies and information-sharing between a feds, NYPD, internal law enforcement, as good as state and internal open health officials, and would yield additional resources to build improved cases opposite heroin dealers. “Seizures of heroin in New York City in 2014 have already surpassed those of any prior year given 1991, that demonstrates an shocking trend that we contingency passage in a bud,” Schumer pronounced in a press release. “We all remember a horrors caused by a moment widespread when it was left violent by sovereign officials and other law enforcement.”
DAVIS SAYS –- Last week, Ken Davis, C.E.O. during Mount Sinai, wrote an editorial for Forbes where he discusses what a destiny of health caring competence demeanour like. Davis, who engrossed Continuum, and is creation a vast veteran gamble on a ability of integrated services to yield some-more cost-effective care, doesn’t discuss Brooklyn directly yet his letter could positively be review as a oration on because so many hospitals in that precinct are struggling, including LICH and Interfaith. “The series of quadriplegic beds in a sanatorium does not proportion to improved caring in a community. This is an old-fashioned metric, quite in an epoch where countless specialties, including pediatrics and HIV/AIDS, need mostly outpatient treatment.” http://goo.gl/jLbEFf
WHAT WE’RE READING –-Austin Frakt, essay for The Upshot, talks about how a lines between health systems and word companies are blurring. In New York, we need to demeanour no serve than North Shore-LIJ and H.H.C., that are charity skeleton by a state’s exchange. Several experts have told me there will be some-more of these. But a unavoidable competence not be for a best, contend Frakt. “Wary of threats to foe and a effects on consumers and patients, health economists and antitrust regulators are examination these marketplace dynamics with a endangered eye.” Frakt, in his possess study, found that word skeleton offering by hospitals assign aloft premiums. “We also found that such skeleton are rated to have aloft peculiarity by consumers — yet that about 70 percent of a additional reward was not attributable to aloft quality.” http://nyti.ms/1gtl11p
TELL US HOW WE’RE DOING –- NPR interviewed Gary Schwitzer about his new study, “A Guide to Reading Health Care News Stories,” and a impact of bad health reporting. http://bit.ly/1lNKhff
WARNING LABELS FOR SUGAR –- Reuters reported that a California check to need sweetened soothing drinks lift labels warning of obesity, diabetes and tooth spoil modernized in a state legislature on Friday. If a check were to pass, it will be engaging to see if other states, including New York, follow California’s lead. While New York City underneath Mayors Michel Bloomberg and Bill de Blasio, have adored a anathema on vast sweetened drinks, inaugurated leaders in Albany have not been as outspoken on identical issues. The California magnitude upheld on Friday by a 5-2 opinion in a state senate’s appropriations cabinet now heads to a Senate floor. http://reut.rs/1jF92x9
WHAT’S BEHIND THE YIPS -– If, like me, we suspicion Mike Pelfrey was a subsequent vast thing, or never unequivocally accepted what happened to Chuck Knoblauch, review this New Yorker piece on a scholarship behind a yips, once described as a mind spasm. http://goo.gl/308ZFR
CHARITY CARE ON LIFE SUPPORT -– The New York Times reports that a few hospitals “have started scaling behind financial assistance for lower- and middle-income people though health insurance, anticipating to pull them into signing adult for coverage by a new online marketplaces combined underneath a Affordable Care Act.” http://nyti.ms/1guhArm
TODAY’S TIP –- Comes from a Cleveland Clinic, that offers us “8 dishes for head-to-toe beauty:” http://ow.ly/xbHxe
STUDY THIS:
-MICE WITH MOHAWKS – Researchers during NYU Langone Medical Center have been tact mice who have a gene that has suspected ties to Autism Spectrum Disorder. The NYU researchers were looking for mice with sideways, overgroomed hair with a rarely stylized core hairline between their ears and frequency a bunch elsewhere. Overgrooming is a repeated engine behavior, that is symptomatic of autism. If these behaviors can be related to a specific gene, it could lead to new treatments if a gene’s effects infer reversible. The investigate was published in Nature. http://bit.ly/1wavbZB
-GENE THERAPY – Researchers have found a deteriorated gene common to adenosquamous carcinoma (ASC) tumors, according to a investigate in Nature Medicine. This, according to a press release, would be a initial famous singular molecular signature for this rare, yet quite virulent, form of pancreatic cancer. The investigate reports that these forms of tumors have somatic mutations in a UPF1 gene, that is concerned in a rarely withheld RNA plunge pathway called nonsense-mediated RNA spoil or NMD. The detriment or malfunction of NMD competence lead to increasing dungeon growth, that spreads a tumor. http://bit.ly/1lNDxOu
MISSED A ROUNDUP? Get held adult here: 5/23, 5/22, 5/21, 5/20, 5/19
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