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US health insurance giant Aetna to buy Humana for $37 bn

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US health insurance giant Aetna to buy Humana for $37 bn New York (AFP) - US health insurance giant Aetna will buy rival Humana for $37 billion (33.3 billion euros), a statement issued Friday by both companies said, creating a group with estimated annual sales of $115 billion. 

Aetna, the second-largest US health insurance player in market capitalisation terms, said it will pay $230 dollars per Humana share in a cash and stock deal to create a new entity with around 33 million customers.

According to agreements approved by both boards, the transaction will leave Aetna shareholders owning around 74 percent of the new group, and investors with Humana stock with 26 percent.

The Aetna offer was considerably higher than Humana's $187.50 share price at Wall Street's close Thursday.

The move followed frenzied activity in the US health insurance market moving towards consolidation under changes made by President Barack Obama's landmark Affordable Care Act.

At the end of June, Cigna rejected a $54 billion buyout offer by rival Anthem as part of efforts by insurance companies to increase their size as a means of obtaining stronger negotiating positions with health care providers.

Aetna chairman Mark T. Bertolini described the Humana deal as partially reflecting those changes in the sector, but also aiming to provide improved service to clients at affordable prices.

If the deal is completed as expected during the second half of 2016, Aetna says its debt-to-capital ratio will rise to 46 percent -- a level company directors say they will bring down to 40 percent within two years.

 

Join the conversation about this story » Reported by Business Insider 22 hours ago.

The Deadly Cost Of Austerity On Greece's Health Care System

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For over four years, Greece has implemented strict austerity measures as a condition of the major bailout deals keeping the country afloat.

The Greek government is currently locked in a showdown with its international creditors about how much further they will have to tighten budgets in order to receive a next tranche of loans. The austerity program is highly unpopular in Greece, and the ruling Syriza party won elections in January after promising to scale it back.

Despite a raft of austerity measures since 2010, Greece's economy has not lifted out of the recession sparked by the 2008 economic crisis. Greece instead is feeling the dual pain of reduced social services amid a crashing economy. One area with particularly tragic outcomes is the flailing medical system, with disastrous repercussions for public health in Greece.

This is what has happened to the health sector in Greece during the austerity era:
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Healthcare budgets are shrinking
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Government spending on public health care has dropped from 6.8 percent of GDP in 2010 to around 5 percent this year. It is the lowest ratio in the European Union, outside of the eastern European countries that joined the union since 2004.

A nurse at a psychiatric hospital at a protest outside the Health Ministry in Athens on Feb. 11, 2013. (AP Photo/Thanassis Stavrakis)The brunt of Greek spending cuts have been felt in public hospitals, where budgets have been cut in half since the beginning of the year. Doctors have lost their jobs, had salaries slashed and resorted to recycling medical supplies.
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The government hasn’t paid its medical bills
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Among Greece’s many debts is one to pharmaceutical companies it relies on to import drugs and medical supplies. Greece owes international drug companies 1.1 billion euros ($1.2 billion), according to the European Federation of Pharmaceutical Industries and Associations.

Even if the drug companies don’t turn off the tap, medicine could become prohibitively expensive if Greece leaves the euro, The Telegraph explains. Because Greece imports most of its drugs from international currencies, if Greece reverts to its old drachma currency, the price differential would send costs soaring.
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In fact, it’s borrowing funds from the health care system
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Earlier this year, the Greek government asked the state health care service to hand over some of its cash reserves as part of a wider effort to tap into public funds amid looming public debts.
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More are uninsured
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Meanwhile, the government hospitals are flooded with extra patients who lost their health insurance when they lost their jobs. A quarter of Greeks are unemployed, the highest rate in the European Union. Greece’s government said earlier this year that around 2.5 million Greeks now don’t have health insurance.

A nurse arranges newborn's cots at a maternity hospital in Athens on April 12, 2013. (Louisa Gouliamaki/AFP/Getty Images)

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Crucial services have been cut
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Greece cut down its cancer screening program in August 2014, limiting funds and the number of uterus, breast and prostate exams each doctor can perform. Greece was already behind in meeting European cancer screening targets, and concerned medical researchers have warned the cuts would likely increase cancer rates in Greece.
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HIV and tuberculosis have surged
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New HIV infections have exploded in Greece, as heroin use is on the rise, and needle exchanges and condom distribution have been cut back. The number of new HIV infections among injecting drug users grew from 15 in 2009 to 484 in 2012, according to medical journal the Lancet. Cases of tuberculosis among the same group doubled between 2012 and 2013, the journal said.

A drug addict gives a blood sample on Nov. 25, 2013, in Athens. (Aris Messinis/AFP/Getty Images)

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Malaria is back after 40 years
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The last time Greece had a malaria problem, the country was ruled by a military junta -- four decades ago. In 2010, the disease returned, and several dozen cases have been reported since. A key cause, The Atlantic reports, is that municipal governments couldn’t afford to spray the pesticides that stop the spread of mosquitoes.
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The cost of despair
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In Greece, in a pattern seen in similar situations around the world, suicide rates have risen since the beginning of the economic recession and unemployment crisis, especially among men. While some experts caution against directly linking suicide rates to austerity policies rather than the economic downturn more generally, there is a mental health crisis in Greece. Rates of major depression have more than doubled between 2008 and 2011. Among the many cutbacks was a 55 percent drop in mental health funding between 2011 and 2012.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 22 hours ago.

Aetna Buys Humana For $37 Billion

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Aetna Buys Humana For $37 Billion A deal has been finalized by Aetna the health insurance company to buy out its rival company Humana for a whopping price of $37 Billion. Aetna will be acquiring all the shares of Humana in exchange... Reported by I4U News 22 hours ago.

Wellness Incentives Should Apply to Whole Family, Say Consumers in HealthMine Survey

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DALLAS, July 3, 2015 /PRNewswire/ -- According to a HealthMine survey, 43% of 1,200 consumers queried with self- and employer-sponsored health insurance want financial incentives in a wellness program to be offered to their dependents as well as themselves.  However, new... Reported by PR Newswire 21 hours ago.

America's Biggest Health Insurance Providers

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Reported by Forbes.com 21 hours ago.

Is Bernie Sanders Too Radical for America?

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Originally published in The American ProspectNow that Bernie Sanders is rapidly climbing in the polls and attracting huge audiences to his campaign events (including over 10,000 people at a Madison, Wisconsin rally the other day), his opponents are starting to attack him for being too radical. After all, Sanders describes himself as a democratic socialist.

Of course, few Americans know what "socialist" means. Some mistakenly associate it with Communism. In fact, Sanders has often said that he supports the kind of policies favored by the Scandinavian democracies.

Asked about this in May by George Stephanopoulos, host of ABC News' This Week, Sanders said:
In countries in Scandinavia like Denmark, Norway, Sweden, they are very democratic countries. Voter turnout is a lot higher than it is in the United States. In those countries, health care is the right of all people; college education and graduate school is free; retirement benefits, child care are stronger than the United States of America. In those countries by and large government works for ordinary people and the middle class, rather than, as is the case right now in our country, for the billionaire class.
On the campaign trail in Iowa, New Hampshire, Wisconsin, and elsewhere, many voters appear to be willing to look past the labels and listen to what Sanders is actually saying about the issues and the role of government in society. The Vermont Senator with a New York accent has a straight-talking style that resonates with many voters who don't necessarily identify themselves as liberals or progressives, much less as socialists.

For example, at a recent Sanders rally in New Hampshire that attracted an unexpectedly large crowd, Sanders "railed against the 'billionaire class' and pledged to make large corporations pay their fair share of taxes if he becomes president. But much of his message focused on improving the lot of the lower and middle classes--by providing free college; guaranteeing workers vacation time, sick leave and family leave; and raising the minimum wage to $15 an hour," the Washington Post reported.

"I don't believe it is a terribly radical idea to say that someone who works 40 hours a week should not be living in poverty," Sanders told the standing-room-only audience.

The Gallup Poll has regularly asked Americans what types of candidates they would willingly elect. Gallup's question is quite simple: "If your party nominated a generally well-qualified person for president who happened to be _____, would you vote for that person?"

Over the years, Gallup found significant increases in the proportion of Americans who say "yes" to voting for a woman, an African American, a Jew, a Catholic, and a gay or lesbian candidate.

Although socialists have run for president, and been elected to various public offices from city council to Congress since the early 1900s, Gallup didn't add that category of candidate to the list until this June, no doubt in recognition of Sanders' campaign. It found that 47 percent of Americans say they would vote for a socialist for president and 50 percent say they would not. In the poll, 59 percent of Democrats, 49 percent of independents, and, perhaps surprisingly, 26 percent of Republicans report that they'd vote to put a socialist in the White House.

After more than half a century of Cold War hysteria and post-Cold War propaganda against socialism from the business and education establishments, the mainstream media, and both political parties, the fact that almost half of Americans are willing to vote for a socialist for president is quite remarkable.

Not surprisingly, those who came of age in the Cold War era are less likely to consider voting for a socialist candidate. Gallup found that 34 percent of those 65 and older, 37 percent of 50-64 year olds, and 50 percent of 30-49 year olds would vote for a socialist. In contrast, 69 percent of 18-29 year olds indicated that they'd vote for a socialist for the nation's highest office-holder. Chalk that up to either youthful idealism or to a profound shift in the young generation's political outlook that could have a lasting influence as they get older.

Political scientists, pollsters, journalists, and pundits like to identify voters and politicians with labels. But voters care less about labels -- conservative, moderate, liberal, progressive, socialist, or others. They are more interested in what politicians want government to do. Ideas that were once considered radical -- such as the vote for women, Social Security, and the minimum wage -- are today taken for granted as common sense.

So let's look instead at what Americans actually believe and care about.

Polls show that Americans are upset with widening inequality, the political influence of big business, and declining living standards. Public opinion is generally favorable toward greater government activism to address poverty, inequality, opportunity, and climate change.

Most Americans worry that government has been captured by the powerful and wealthy. They want a government that serves the common good. They also want to reform government to make it more responsive and accountable.

On those matters--both broad principles and specific policy prescriptions--Sanders is in sync with the vast majority of Americans.

*Big Business
*· About three-quarters (74 percent) of Americans--including 84 percent of Democrats, 72 percent of independents, and 62 percent of Republicans--believe that corporations have too much influence on American life and politics today, according to a recent New York Times/CBS News poll. In contrast, only 37 percent think that labor unions exercise too much influence.

· The Pew Research Center discovered that 60 percent of Americans--including 75 percent of Democrats--believe that "the economic system in this country unfairly favors the wealthy."
· Fifty-eight percent of Americans say they would support breaking up "big banks like Citigroup," a key plank of Sanders' platform and the goal of a bill that Sanders sponsored in the Senate.
· Seventy-three percent of Americans favor tougher rules for Wall Street financial companies, versus 17 percent who oppose stronger regulation.
· Sixty-four percent of Americans strongly or somewhat favor regulating greenhouse gas emissions from power plants, factories and cars and requiring utilities to generate more power from "clean" low-carbon sources.

*Progressive Taxation
*· More than three-quarters of Americans (79 percent) think that wealthy people don't pay their fair share of taxes, while 82 percent believe that some corporations don't pay their fair share of taxes.
· Sixty-eight percent of Americans favor raising taxes on people earning more than $1 million per year, including 87 percent of Democrats, 65 percent of independents, and 53 percent of Republicans.
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Inequality and Poverty*
· A strong majority (66 percent) say that wealth should be more evenly divided and that it is a problem that should be addressed urgently.
· Ninety-two percent of Americans want a society with far less income disparity than currently exists in the United States. Americans prefer some inequality to perfect equality, according to the professors at the Harvard Business School and Duke University who conducted the survey. But when asked to pick an ideal level of income disparity, Americans prefer the more egalitarian level similar to the one in Sweden (although without identifying the country by name) to that in the U.S. What's more, the rich and the poor, and Democrats and Republicans, are almost equally likely to choose the Swedish model. For example, 93.5 percent of Democrats and 90.2 percent of Republicans preferred the level of income distribution that exists in Sweden.
· Sixty-nine percent of Americans--including 90 percent of Democrats, 69 percent of independents, and 45 percent of Republicans--believe that the government should help reduce the gap between the rich and everyone else. Eighty-two percent of Americans--including 94 percent of Democrats, 83 percent of independents, and 64 percent of Republicans--think the government should help reduce poverty.

*Money in Politics
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· Eighty-four percent of Americans think that money has too much influence in politics. Slightly more Americans (85 percent) want an overhaul of our campaign finance system
· Seventy-eight percent of Americans think that campaign spending by outside groups not affiliated with candidates should be limited by law.
· A majority of Americans (54 percent) believe that money given to political candidates is not a form of free speech protected by the First Amendment. In other words, they disagree with the Supreme Court's Citizens United ruling.

*Minimum Wage and Workers' Rights
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· A recent poll by Hart Research Associates found that 75 percent of Americans (including 53 percent of Republicans) support an increase in the federal minimum wage to $12.50 an hour by 2020. Sixty-three percent of Americans support an even greater increase in the minimum wage to $15 an hour by 2020.
· Eighty percent of Americans favor requiring employers to offer paid leave to parents of new children and employees caring for sick family members. An even larger number (85 percent) favor requiring employers to offer paid leave to employees who are ill.
· A significant majority of Americans support the right of workers to unionize, despite several decades of corporate-sponsored anti-union propaganda. Eighty-two percent believe that factory and manufacturing workers should have the right to unionize. A vast majority also support the right to unionize for transportation workers (74 percent), police and firefighters (72 percent), public school teachers (71 percent), workers in supermarkets and retail sales (68 percent), and fast food workers (62 percent).

*Health Care and Social Security
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· Over 50 percent of Americans (including one-quarter of Republicans and nearly 80 percent of Democrats) say they support a single-payer "Medicare for All" approach to health insurance, something Sanders has long advocated. Only 36 percent oppose the idea. 12 percent are neutral.

· Seventy-one percent Americans support a public option, which would give individuals the choice of buying healthcare through Medicare or private insurers. This was part of Obama's original health care plan in 2010 but the insurance industry lobby killed it, thanks to every Senate Republican and a handful of Senate Democrats, led by former Senator Max Baucus of Montana.
· The Gallup poll found that 67 percent of Americans want to lift the income cap on Social Security to require higher-income workers to pay Social Security taxes on all of their wages. Most people don't realize that workers who earn more than $118,500 a year don't contribute on their full income and that simply removing that tax loophole for high earners would close the lion's share of Social Security's modest long-term funding gap. Legislation introduced by Senator Sanders and Representative Peter DeFazio of Oregon would apply the same payroll tax already paid by more than nine out of 10 Americans to those with incomes over $250,000 a year. Census Bureau data shows that only about 5 percent (1 in 18) of workers would pay more if the cap were scrapped, and only the top 1.4 percent (one in 71 workers) would be affected if the tax were applied to earnings over $250,000.

*Higher Education
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· More than three-quarters (79 percent) of Americans think that education beyond high school is not affordable for everyone in the U.S. who needs it. Seventy-seven percent believe that higher education institutions should reduce tuition and fees, while 59 percent and 55 percent respectively agree that state governments and the federal government should provide more assistance. The average tuition bill for students at a public four-year college has increased by more than 250 percent over the past three decades. More than one-third (35 percent) of 2000-2014 college graduates report graduating with more than $25,000 in undergraduate student loan debt, in inflation-adjusted dollars. The recently graduated college class of 2015 has an average debt burden of $35,051 per student, the highest ever. Sanders introduced legislation to make four-year public colleges and universities tuition-free, paid for through a tax on Wall Street transactions.

*Same-Sex Marriage*
· Today, 60 percent of Americans believe it should be legal for gay and lesbian couples to marry, according to Gallup, a figure that is likely to increase following the Supreme Court ruling legalizing same-sex marriage. But in 1996, only 27 percent felt that way. That year, then-Congressman Sanders was one of only 67 House members to vote against the Defense of Marriage Act, which barred federal recognition of gay marriages.

America seems to be holding its breath, trying to decide what kind of country it wants to be. We seem to be at one of those crossroads moments when attitudes are rapidly shifting and significant reform is possible.

But public opinion, on its own, doesn't translate into public policy. It has to be mobilized. That's what movements do. And that's what elections are for.

*Peter Dreier is the E.P. Clapp Distinguished Professor of Politics and chair of the Urban & Environmental Policy Department at Occidental College. His most recent book is The 100 Greatest Americans of the 20th Century: A Social Justice Hall of Fame, published by Nation Books.*

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 19 hours ago.

Insurer Aetna to Buy Humana in $35 Billion Deal

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Insurer Aetna to Buy Humana in $35 Billion Deal Filed under: Company News, Health Care, Mergers & Acquisitions, Insurance Industry, Health Insurance

*Jessica Hill/AP*

By TOM MURPHY

Aetna (AET) will spend about $35 billion to buy rival Humana (HUM) and become the latest health insurer bulking up on government business as the industry adjusts to the federal health care overhaul.

The proposed cash-and-stock deal, announced early Friday, would make Aetna a sizeable player in the rapidly growing Medicare Advantage business, which offers privately run versions of the federally funded health care program for the elderly and some people with disabilities.

Humana has nearly 3.2 million people enrolled in Medicare Advantage plans, a total that falls just sort of market leader UnitedHealth Group (UNH).

The combination also would bolster Aetna's presence in the state- and federally funded Medicaid program and Tricare coverage for military personnel and their families.

The deal value totals about $37 billion counting debt.

Hartford, Connecticut-based Aetna announced its deal a day after the Medicaid coverage provider Centene said it will spend $6.3 billion to buy fellow insurer Health Net. That deal would help Centene expand in the nation's biggest Medicaid market, California, and give it a Medicare presence in several western states.The federal health care overhaul is expanding Medicaid coverage in several states as it attempts to provide health coverage for millions of uninsured people. Meanwhile, Medicare Advantage has seen its total enrollment triple over the past decade to 16.8 million people.

"Government markets are the most rapidly growing aspect of the system," said Dan Mendelson CEO of the market research firm Avalere Health.

Friday's deal comes two years after Aetna completed another push into government business with the $6.9 billion acquisition of Coventry Health Care, which administers Medicaid coverage and offers Medicare Advantage plans.

Health insurers have been trying to consolidate for weeks in a fresh merger wave. The Blue Cross-Blue Shield carrier Anthem (ANTM) went public late last month with an offer of more than $47 billion for another insurer, Cigna (CI).

Cigna rejected that deal, but The Wall Street Journal, citing anonymous sources, reported Thursday that the companies were still talking.

Health insurers see several advantages to combining. These multibillion-dollar deals offer an infusion of new business at time when growth has slowed in the biggest part of their business, employer-sponsored health coverage. Plus more employers are opting to pay their own insurance claims and hire insurers to administer the coverage. That's a less lucrative line of work for managed care companies.

Big deals also allow companies to quickly diversify their products and cover more territory. They also improve their technology and can ultimately save money by combining the back-office functions of two companies and cutting overlapping jobs.

The impact on consumers can be murky and likely won't be felt for at least a year, because insurers have already finalized most of their plans for coverage that starts in January. A combination may lead to fewer choices and some price changes for consumers, depending on where they live and who already is in their market. A deal also may foster technology improvements that lead to things like better smartphone applications for pricing or finding health care.

Aetna's purchase price for Humana includes a combination of cash and stock worth about $230 a share, based on Thursday's closing price of Aetna's stock. Aetna shareholders would wind up owning about 74 percent of the combined company, and Aetna's leader, Mark Bertolini, would serve as chairman and CEO.

The combined company will cover more than 33 million people. Only UnitedHealth Group Inc. and the Blue Cross-Blue Shield carrier Anthem Inc. cover more. A combined Aetna-Humana would be the second-largest insurer by revenue.

Shares of Aetna and Humana closed at $125.51 and $187.50, respectively, Thursday. Markets were closed Friday for the July Fourth holiday.

The shares of both companies, like several other insurers, have soared to all-time-high prices this year. The price of Humana shares, in particular, bolted past $200 in May after The Wall Street Journal reported that the insurer was a takeover target.

 

Permalink | Email this | Linking Blogs | Comments Reported by DailyFinance 20 hours ago.

Aetna's $37B Humana Deal Expands Role In Medicare's Value-Based Care Push

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Following weeks of speculation, Aetna (AET) made it official this morning, agreeing to buy rival Humana (HUM) for $37 billion as merger-mania sweeps the health insurance industry. For now, the deal appears to put the two insurers into the top three health plans in the U.S. with more than 33 million [...] Reported by Forbes.com 19 hours ago.

Fischer says he's been in regular contact with Humana regarding sale

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The news broke early this morning that Louisville-based health insurance giant Humana Inc. (NYSE: HUM) will be purchased by Aetna Inc. (NYSE: AET) in a $37 billion deal that is expected to close next year. More details on the transaction here. It's a historic day for the company, which is one of Louisville's largest employers with about 12,000 local workers. The company said it plans to maintain a significant corporate presence in the city after the transaction is completed, though we're not yet… Reported by bizjournals 18 hours ago.

Insurer Merger Mania Paints Muddied Picture for Consumers

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Health insurance acquisition spree leaves heaps of uncertainty for consumers Reported by ABCNews.com 16 hours ago.

Insurer merger mania paints muddied picture for consumers

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More than a third of the U.S. population has health coverage through an insurer that either wants to make a huge acquisition or is about to be swallowed up in one. Aetna laid out a plan on Friday to spend around $35 billion to buy the Medicare Advantage provider Humana Inc. That came a day after Centene Corp. and Health Net Inc. announced a smaller deal and a couple of weeks after Anthem Inc. went public with its offer of more than $47 billion for Cigna Corp. The nation's biggest insurer, UnitedHealth Group Inc., also has kicked the tires on making an offer to Aetna Inc., according to The Wall Street Journal. Health insurers routinely detail the earnings and savings they expect from these mega deals, but the impact on the average consumer can't be boiled down to crisp dollars and cents. Health care costs are still growing faster than the broader inflation rate, and the rising price of some prescription drugs is drawing concern. Insurers are racing to develop better apps and other tools to help their customers buy coverage and health care because patients are being exposed more of the cost of care through rising deductibles and other health insurance expenses. Reported by SeattlePI.com 16 hours ago.

Humana sale impact also felt outside of Louisville

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Today's announcement that Humana Inc. has agreed to be acquired by Aetna Inc. isn't just big news in Louisville. One city also paying close attention is Tampa, Fla., where the health insurance giant employs about 4,000 people. That makes the Tampa Bay area Humana's second-largest operations center behind Louisville, according to the Tampa Bay Business Journal. Humana (NYSE: HUM) is Louisville's second-largest private-sector employer, with 12,371 local full-time or full-time-equivalent workers… Reported by bizjournals 14 hours ago.

Barack Obama Tells Another Whopper - He Did Not Create 12.8 Million Jobs

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Barack Obama Tells Another Whopper - He Did Not Create 12.8 Million Jobs Submitted by David Stockman via Contra Corner blog,

*America is better off when President Obama is out on the stump bloviating and boasting rather than in Washington actively doing harm. *But the whoppers he just told the students at the University of Wisconsin are beyond the pale. Said our spinmeister-in-chief:



 And the unemployment rate is now down to 5.3 percent. (Applause.) Keep in mind, when I came into office it was hovering around 10 percent. All told, we’ve now seen 64 straight months of private sector job growth, which is a new record — (applause) — new record — *12.8 million new jobs all told*.



*That’s a pack of context-free factoids. *There is still such a thing as the business cycle, and only economically illiterate hacks—-like those who work on the White House speech writing staff—-would measure anything from the deep V-shaped but momentary bottom that happened to occur during Obama’s second year in office. What counts is not that we’ve had a bounce after a terrible bust, but where we are now on a trend basis.

*The answer is absolutely nowhere!*

We are now 29 quarters from the pre-crisis peak and total non-farm labor hours utilized by the US economy are no higher than they were in Q4 2007. In other words, if you use a common unit of measure—–labor hours rather than job slots which treat coal-miners and part-time pizza delivery boys alike—–there have been no *new* units of employment at all. Our teleprompter reading President is actually tooting his own horn about recycled hours and “born again”  jobs and doesn’t even know it.

And, no, he can’t take credit for digging us out of the hole created by the Great Recession, either. The long, slow climb back to square one shown in the chart above was due to the natural resilience of our capitalist economy—notwithstanding the tax, regulatory and massive debt hurdles that Washington policies have thrown at it.

The truth of the matter is that America’s employment machine has been failing for this entire century. As shown below, the number of non-farm labor hours utilized during the most recent quarter was only 1% higher than in the spring of 2000—-way back when Bill Clinton still had his hands on things in the Oval Office.

*In short, we have gone through two business cycles and have essentially added zero new employment inputs to the US economy.*  And that marks a sharp and devastating reversal of previous trends. In fact, the BLS’ own data convey an out-and-out crisis that the President should have been lamenting, not a cherry-picked simulacrum of growth based on born-again, apples-and-oranges jobs slots.

Thus, during the comparable 29 quarters after the 1990 business cycle peak (Q2 1990 to Q3 1997) non-farm labor hours had increased by *12%* and during the same period of time after the 1981 peak (Q3 1981 to Q4 1988) labor hours expanded by *17* percent.  That’s what employment growth used to look like, and absolutely nothing like that has happened on Obama’s watch.

When you get right down to it, however, even labor hours do not fully capture the actual jobs disaster happening in America. That’s because we keep shedding high productivity hours in the full-time  jobs sector in favor of low-skill, low-pay gigs in bars, restaurants, Wal-Marts and temp agencies.

So notwithstanding another month of 200,000 plus headline job gains, here’s where we actually are. The number of breadwinner jobs—–full-time positions in energy and mining, construction, manufacturing, the white collar professions, business management and services, information technology, transportation/distribution and finance, insurance and real estate—-is still 1.7 million below the level of December 2007; in fact, it is still lower than it was at the turn of the century.

Breadwinner Jobs- Click to enlarge

There is no mystery as to how the White House and Wall Street celebrate year after year of “jobs growth” when the long-term trend of full-time, family-supporting employment levels is heading south. Its called “trickle-down economics”, and not of the good kind, either.

What is happening is that the Keynesian money printers at the Fed are fueling serial financial bubbles. This generates a temporary lift in the discretionary incomes of the top 10% of households, which own 85% of the financial assets, and the next 10-20% which feed off the their winnings. Accordingly, the leisure and hospitality sectors boom, creating a lot of job slots for bar tenders, waiters, bellhops, etc.

I call this the “bread and circuses economy”, but it has two problems. Most of these slots generate only about 26 hours per week and $14 per hour. That’s about $19,000 on an annual basis, and means these slots constitute 40% jobs compared to the breadwinner category at about $50,000 per year. Besides that, a soon as the financial bubble goes bust, these jobs quickly disappear.

Bread and Circuses Jobs – Click to enlarge

This is reason enough for Obama to pipe down on the boasting, but he actually went in the opposite direction claiming a big recovery in manufacturing jobs.



And after a decade of decline, thanks to some of the steps we took…….we’ve added nearly 900,000 new manufacturing jobs. Manufacturing is actually growing faster than the rest of the economy. (Applause.)



But that one is not even a whopper; its a bald-faced lie. There has not been one “new” manufacturing job created during Obama’s term in office; and, in fact, *the 12.3 million manufacturing jobs reported for June was still 10% below the level of December 2007, and nearly 30% lower than the 17.3 million manufacturing jobs reported in January 2000.*

So the actual facts are not evidence of a trend reversal; they’re an exercise in political hogwash.

Indeed, if you take the entire high-productivity, high-pay goods production sector—-energy, mining, manufacturing and construction—the trend is even worse. *As shown below, the 19.6 million goods producing jobs in June was 5 million lower than in January 2000.* Is there any wonder that the median real household income has declined by 7% over the last 15 years?

Goods Producing Jobs – Click to enlarge

Here’s the real truth beneath the bloviation issuing from stumping politicians and Wall Street stock touts alike. The June BLS report showed that the HES Complex (health, education and social services) generated another 48,000 jobs in June. This figure is nearly dead on the 42,000 monthly average for this sector since the turn of the century.

The minor problem with that trend is these jobs pay on average only $35,000 per year—–a level that does not remotely support a middle class standard of living, especially after payroll and income taxes are extracted from this gross pay figure.

The much bigger skunk in the woodpile, however, is that these jobs are almost entirely “fiscally dependent”. Yet the public sector in America is broke, and the total public debt just keeps on climbing higher.

To wit, the 32.2 million jobs in the HES Complex are funded by $1.5 trillion annually of Medicare, Medicaid and other health and social services entitlements. On top of that there is also about $1 trillion of public sector education funding, $200 billion per year of government guaranteed student loans and $250 billion annually in tax subsidies for employer provided and individual health insurance plans and Obamacare tax credits.

HES Complex Jobs – Click to enlarge

In effect, the public sector borrows and taxes to create low productivity jobs within the nation’s highly inefficient, wasteful and monopolistic health and education cartels—- but in the process squeezes everything else. *In fact, there have been virtually no new jobs—even on a headcount basis—–outside of the HES Complex during the entirety of the 21st Century to date!*

Nonfarm Payrolls Less HES Complex Jobs – Click to enlarge

One of these days the public sector is going to exhaust its capacity to tax and borrow, and to thereby finance job growth even in the HES Complex. Needless to say, Washington and Wall Street will be as clueless then as they are now.

*Meanwhile, the White House whoppers will keep on coming.* Reported by Zero Hedge 14 hours ago.

Aetna To Buy Insurance Rival Humana For $37 Billion

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The health insurance company Aetna announced Friday it will buy rival Humana for $37 billion. The merger comes as other health insurers consider consolidating to cut costs. Reported by NPR 13 hours ago.

Aetna To Buy Insurance Rival Humana For $37 Million

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The health insurance company Aetna announced Friday it will buy rival Humana for $37 million. The merger comes as other health insurers consider consolidating to cut costs. Reported by NPR 13 hours ago.

Health Insurance Companies Seek Big Rate Increases for 2016

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The companies say new customers under the Affordable Care Act have been sicker than expected, while federal officials say they want the requests scaled back. Reported by NYTimes.com 8 hours ago.

Insurance Companies Start Noticing The Legal Cannabis Industry

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Can canna-businesses find coverage for their operations? How will legal marijuana usage affect employee health insurance rates? Insurance companies are entering the canna-business coverage market. Reported by Forbes.com 2 days ago.

Europarliament President Threatens Greeks With Armageddon If They Vote No

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Europarliament President Threatens Greeks With Armageddon If They Vote No Submitted by Keep Talking Greece

*EP Schulz threatens Greeks with Armageddon – Can we sue him for “moral damage” &“breach of public office”?*

“Without new money, salaries won’t be paid, the health system will stop functioning, the power network and public transport will break down and they won’t be able to import vital goods because nobody can pay” President of European Parliament *Martin Schulz* warned Greek voters one day before the crucial Referendum on Sunday.

Schulz’s warning targets some 1,500,000 jobless and their families, roughly estimated at least 3.500,000 people, without health insurance, with no money available to buy a ticket fair or pay their electricity bill, who nourish themselves from soup kitchens and charity packages with pasta, rice, canned tomatoes, 1 bottle of oil and maybe a bottle of shampoo. Schulz’s warning targets all these people who already suffer the so-called *austerity-depression and anxiety attack *for the last five years.

Theoretically if not all Greeks, at least these above mentioned could file a lawsuit against the President of the EP for violating his post’s “neutrality”, “for blatant intervention in internal political and fiscal affairs of a sovereign country” – how much more as the EP is not part for the creditors’ three-institutions – and for “causing moral damage and psychological distress” to at least several million Greek citizens.

Not to mention the fact, that these austerity-ridden Greeks used to pay their taxes and fund the salary of Schulz & Schulz.

I suppose inthe free market,  Schulz & Schulz would have been fired for incompetence and for breach of duty and code of conduct in context of his public office.



On Thursday, Schulz told German daily Handelsblatt that the elected Syriza government should be replaced by “technocrat” government until stability is restored.

 

“We should appoint governments of technocrats,” Martin Schulz told Handelsblatt.



*Schulz statement is here:* *EU warns of Armageddon if Greek voters reject terms* Reported by Zero Hedge 2 days ago.

United States: NC Politics In The News - June 29, 2015 - McGuireWoods LLP

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The U.S. Supreme Court declared Thursday that more than 6 million Americans, including almost 459,000 in North Carolina, can keep the federal subsidies that help them pay for health insurance. Reported by Mondaq 2 days ago.

Fit4D and Healthfirst Expand Collaboration

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Improving Outcomes for Type 2 Diabetes Among New York’s High Risk and Underserved Population

New York, NY (PRWEB) July 06, 2015

Fit4D© (http://www.fit4d.com) announced today that it is expanding its collaboration with Healthfirst to deliver its innovative diabetes platform to Healthfirst’s Spanish and English speaking members with poorly controlled diabetes. Fit4D optimizes the mix between technology and diabetes-expert clinicians, also known as Certified Diabetes Educators (CDEs), to improve health measures in an affordable manner. The platform works with intelligent-scripting algorithms that enable diabetes expert clinicians to more than triple their capacity to deliver personalized care.

This landmark initiative is a critical part of addressing the impact of diabetes within New York City where an estimated 2 million people, or 12.3% of the population now have diabetes. According to the American Diabetes Association, 31% of African Americans and almost 28% of Spanish-speaking New Yorkers have diabetes.¹

Healthfirst and Fit4D launched an evidence-based pilot earlier this year, made possible through an innovation award from the New York City Economic Development Corporation (NYCEDC). The pilot focused on reducing the HbA1c values of members at highest risk while increasing member engagement with their personal CDE. Lower A1c levels have been shown to reduce diabetes complication rates (cardiovascular, blindness, neuropathy, etc.) and medical costs. According to Milliman, reducing a Medicare member’s HbA1c by 1 point will result in an annual savings of $1,192.²

Managing diabetes is complicated. Effective diabetes management involves motivating patients to take their prescribed medications, integrating a healthy lifestyle (nutrition, exercise, weight management etc.), coping with the ongoing emotional stresses of the disease, and using measurement tools such as blood glucose meters and lab tests. Achieving positive health outcomes is made more challenging as every patient starts in a different place, continues on their own different journey, responds differently to messaging and has different hurdles. The challenge of providing effective and on-going support is compounded for most healthcare professionals who have limited time during appointments.

Fit4D uses technology and intelligent scripting algorithms to enable Certified Diabetes Educators (CDEs) to deliver personalized care with increased member volumes. By empowering every CDE with a data-driven approach to improving health measures, Fit4D increases each CDE’s patient capacity by over 3x (from 120 to 400!)

The Fit4D platform provides electronic interactions in patient-preferred modalities (e.g. phone, email, text, web, etc.) that address patient-specific issues (e.g. one patient overwhelmed, other is scared of needles, etc.), in the patient’s preferred format (e.g. articles, videos, webinars, etc.).

Fit4D uses claim and pharmacy data, including HbA1c, to guide members along their individual pathway and escalate issues to their Fit4D clinicians. Health metrics are continually captured to populate visually rich dashboards and provide data for performance measures.

“Healthfirst is dedicated to providing its members with the effective tools and support that they need in order to cope with the daily challenges of living life with diabetes,” said Dr. Susan Beane, Healthfirst VP and Medical Director. “Our collaboration with Fit4D enables us to deliver an innovative and scalable program to help our members with diabetes and provide value-based services to our providers.”

“Poorly managed diabetes can also be a costly problem,” said David Weingard, Fit4D Chief Executive Officer. "We are excited to expand this program with Healthfirst, an organization that is committed to helping its members live healthy lives.”

1) Source: American Diabetes Association, http://www.diabetes.org/in-my-community/local-offices/new-york-new-york/
2) Source: Milliman, http://us.milliman.com/uploadedFiles/insight/health-published/cost-quality-gap-diabetes.pdf

About Fit4D
Fit4D delivers scalable and effective patient programs through an optimized mix of its technology platform and human-based touch points. The Fit4D clinical team, comprised of dietitians, exercise physiologists, nurses, and social workers, many of whom are also certified diabetes educators (CDEs), focuses on empowering people with diabetes to live rich, healthy and fulfilling lives. Improving the lives of people with diabetes worldwide is Fit4D’s mission and purpose for being.

Fit4D’s global 500 clients include pharmaceutical, payer and weight management companies. Fit4D has also engaged in numerous joint initiatives with the Juvenile Diabetes Research Foundation, American Diabetes Association, and Diabetes Research Institute.

For more information on Fit4D, please find us on-line at http://www.fit4d.com or join us on Facebook at http://www.facebook.com/fit4dcoaching or email Sherri Isaak at sisaak(at)fit4d(dot)com

About Healthfirst
Healthfirst is a not-for-profit health plan serving more than one million members in downstate New York. Created in 1993 by a consortium of the region’s health systems, Healthfirst’s operating model strives to achieve quality outcomes and member satisfaction through collaboration with its extensive provider network and community organizations.

Healthfirst offers a comprehensive selection of free and low-cost health insurance options for individuals and families at every stage of life, including government-sponsored health plans such as Child Health Plus, Medicaid Managed Care, Medicare Advantage, and Managed Long Term Care, as well as commercial plans such as Healthfirst Leaf Plans. We treat our members with the same care and attention we give our own families.

For more information on Healthfirst, visit http://www.healthfirst.org    

Contact
Bill McCann
212-801-1657
WMcCann(at)healthfirst(dot)org

About NYCEDC
New York City Economic Development Corporation (NYCEDC) is the City’s primary vehicle for promoting economic growth in each of the five boroughs. Pilot Health Tech NYC is a program designed to dramatically increase innovation and collaboration within New York City’s health technology sector. To learn more about NYCEDC projects and initiatives, find us on Facebook or follow us on Twitter, or visit our blog. Reported by PRWeb 1 day ago.
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