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Women in Business Q&A: Cindy Ehnes, Esq. Executive Vice President, COPE Health Solutions

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Cindy Ehnes, Executive Vice President, is an attorney licensed in California and Colorado who served as Gov. Schwarzenegger's Director of the CA Department of Managed Health Care for seven years.

As Director, overseeing health insurance services for 21 million Californians, Cindy regulated the operations, clinical and financial performance for 105 health plans and 220 delegated medical groups. She launched the quality improvement program, the Right Care Initiative, involving 10 health plans and more than 50 delegated medical groups and IPAs, a ten-year program focused on improving HEDIS scores for several million HMO enrollees.

She also provided leadership to the California Quality Care Collaborative, leading initiatives to improve standards of care and EMR adoption for medical groups in the Inland Empire. As a 12-year board member of the Integrated Healthcare Association, Cindy has assisted in developing pay-for-performance programs and total cost of care measurement for California Medicaid managed care organizations.

In her role in consulting, Cindy brings her deep expertise in "what works and what doesn't work" in regulatory, financial, risk contracting and operational mechanics to health plans and delegated providers. Cindy also provides interim health plan CEO capabilities, executive coaching, compliance reviews, as well as strategic consulting for health plans and medical groups.

*How has your life experience made you the leader you are today?*
I became disabled and developed PTSD as a young woman and had to focus relentlessly on overcoming many physical, emotional and financial obstacles to a happy life. I encountered naked discrimination that made me dig deep into my core and hardened my determination to make a difference for others without my blessings. My leadership has focused on exhorting my young team to discover what they are passionate about, and to work from that core as a daily discipline. When you know where you stand, other life and work decisions flow from there more easily.

*How has your previous employment experience aided your tenure at COPE? *
As a long-serving Director of the Department of Managed Health Care for California, I gained a deep understanding of the challenges many lower socio-economic Californians face in accessing convenient, high quality care. Since the mission of COPE Health Solutions originated in serving homeless youth and still focuses on improving care for safety net health systems, It has provided a rich opportunity to work in harmony with my values.

*What have the highlights and challenges been during your tenure at COPE?*
The highlights have included working with an incredibly intelligent team that has each other's backs. What a daily joy to work in that zone of safety as I lead our Health Scholars' programs that create training and mentoring opportunities for young people in their communities' health systems. Challenges include growing these incredible health workforce pipeline programs in health systems throughout the country, to bring rich opportunity to our diverse and disconnected youth.

*What advice can you offer to women who want a career in your industry? *
'Having it all' requires not having everything at the same time. You cannot simultaneously compare yourself to The Most Successful Businessman; The Gorgeous Sex Symbol; The Field Trip, Cookie-Baking Mommy and expect to have a good self-image. 80% in each of these categories as a running average is pretty darn good.

*What is the most important lesson you've learned in your career to date? *
Be nice to people on the way up, because you may be meeting them on the way down.

*How do you maintain a work/life balance? *
I start with the understanding that if I don't rest and recover, my energy and effectiveness starts at a low ebb the next day. I give myself permission to have a life that contains friends, family, love and the outdoors. I try to enforce that with my team, particularly on weekends, so that they aren't experiencing every email as urgent and feel able to unplug.

*What do you think is the biggest issue for women in the workplace? *
Much of the team at COPE Health Solutions consists of high-performing young people who may have unreasonable expectations about how life and career will unfold in harmonic convergence. Success doesn't have to all happen in one year.

*How has mentorship made a difference in your professional and personal life? *
For me, the lack of female mentors in the '80's as I began my career propelled my desire to play that role with intention. I hope that I have been true to that mission for every young person that has crossed my path.

*Which other female leaders do you admire and why? *
I am a major fan of Angela Merkel, Chancellor of Germany, for her intellect, her morality, her fearlessness and her ability to deliver a 45 minute rapid-fire speech without notes. Malala Yousafzai, children's and women rights leader, scarred and marked by the Taliban, lives one of the bravest and deeply moral lives of anyone alive today.

*What do you want COPE to accomplish in the next year? *
COPE Health Solutions is enjoying the mixed blessing of tremendous growth in business and in staff. This next year will require focus on recruiting, training and taking IT and operational systems built for small numbers to a much larger scale. Good strategic planning, resourcing and solid execution are incredibly important cornerstone accomplishments

-- 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 6 hours ago.

co.don Aktiengesellschaft: co.don AG announces results of ordinary shareholders' meeting for 2016

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DGAP-News: co.don Aktiengesellschaft / Key word(s): AGM/EGM

2016-07-19 / 11:00
The issuer is solely responsible for the content of this announcement.
--------------------

*Press release *

*co.don AG announces results of ordinary shareholders' meeting for 2016*

Teltow/Berlin, 19.07.2016 - This year's shareholders' meeting of co.don AG (ISIN DE000A1K0227) was held in Berlin on 14 July 2016. The shareholders attending, who represented 46.5% of the 16.2 million voting shares, approved all the proposals put forward by company management.

Dirk Hessel, CEO of co.don AG, reported on the financial year 2015 and the course of business in the first half of 2016. "2015 was an important year for co.don AG. For one thing it was the most successful year in the company's history to date, and for another, 2015 was the year the transformation of co.don AG began. A biotech company focused on research and development is now becoming a fully integrated, biopharmaceuticals company and part of the Mittelstand. In 2015 the company increased its revenues year on year by 13.6%", said Hessel. "The financial year 2016 also started well for co.don, with rapid revenue growth of 23% in the first quarter compared with the same period a year ago. The ongoing success of the company's restructuring and its preparations for EU market entry mean the company is well on track. The portfolio and market presence of Bauerfeind AG, our new anchor shareholder, also open up new opportunities for the company's international expansion and commercialisation."

The members of the Executive Board and Supervisory Board were exonerated for the financial year 2015. Roever Broenner Susat Mazars GmbH & Co. KG Wirtschaftsprüfungs- und Steuerberatungsgesellschaft, Hamburg, was appointed as auditor for 2016. New Supervisory Board elections were required, since the terms of office of Prof. Dr Barbara Sickmüller and Dr Bernd Wegener ended at the close of the shareholders' meeting on 14 July 2016. Dr Bernd Wegener and Prof. Dr Barbara Sickmüller were re-elected to the Supervisory Board. Mr Pettersen and Mr Talyanskiy resigned their Supervisory Board seats as of 15 August 2016.* *Shareholders approved the proposal by the former major shareholder OSEMIFARO to elect Professor Hans Bauerfeind and Ms Beatrix Bauerfeind-Johnson to the Supervisory Board with effect from 16 August 2016.

*About co.don(R) AG: *Berlin-based co.don AG develops, produces and markets in Germany autologous cell therapies for the minimally invasive repair of cartilage damage to joints following traumatic or degenerative defects. co.don condrosphere(R) is a cell therapy product that uses only the patient's own cartilage cells ("autologous chondrocytes"). co.don condrosphere(R) has been approved by the German federal agency PEI in accordance with Section 4b of the German Pharmaceuticals Act (AMG) and is currently undergoing Phase II and III clinical trials to obtain European marketing authorisation. co.don condrosphere(R) has been used for more than 10 years in over 120 clinics to treat more than 10,000 patients. In Germany the statutory health insurance companies have paid for the treatment of knee and hip joints since 2007 and for the treatment of vertebral joints since 2008. The shares in co.don AG are listed on the Frankfurt Stock Exchange (ISIN: DE000A1K0227). Executive Board: Dirk Hessel (CEO), Ralf M. Jakobs (CFO), Vilma Methner (COO, CSO). More information is available at www.ihre-zellzuechter.de or www.codon.de

*Press contact*

Matthias Meißner, M.A.
Corporate communications / IR / PR
+49 +49 3328 43460
Fax: +49 03328 434643
pr@codon.de

 
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2016-07-19 Dissemination of a Corporate News, transmitted by DGAP - a service of EQS Group AG.
The issuer is solely responsible for the content of this announcement.

The DGAP Distribution Services include Regulatory Announcements, Financial/Corporate News and Press Releases.
Archive at www.dgap.de --------------------

Language: English
Company: co.don Aktiengesellschaft
Warthestraße 21
14513 Teltow
Germany
Phone: 03328 43460
Fax: 03328 434643
E-mail: info@codon.de
Internet: www.codon.de
ISIN: DE000A1K0227
WKN: A1K022
Listed: Regulated Market in Frankfurt (General Standard); Regulated Unofficial Market in Berlin, Dusseldorf, Hamburg, Stuttgart, Tradegate Exchange
End of News DGAP News Service Reported by EQS Group 4 hours ago.

Catalyze Delivers HITRUST CSF Certified Compliant Cloud Solutions for Amazon Web Services Workloads

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Healthcare customers gain compliance and security measurement with extension of HITRUST CSF Certification Workloads on AWS.

MADISON, Wis. (PRWEB) July 19, 2016

Catalyze, a trusted and mature platform for healthcare IT development teams, announced that the company’s compliant cloud platform is now HITRUST CSF Certified for its customers hosting workloads on Amazon Web Services (AWS). Catalyze passed its Common Security Framework (CSF) assessment from the Health Information Trust Alliance (HITRUST) — the industry’s benchmark for measuring compliance and security.

Catalyze, utilizing AWS services and solutions, provides a fully managed Health Insurance Portability and Accountability Act (HIPAA) compliant and HITRUST CSF Certified platform for the healthcare industry that offers development teams fast, flexible, and secure access to the cloud.

"Healthcare is an industry in the midst of transitioning to the cloud, and AWS is strategically positioned to service the healthcare industry's computing needs. AWS’s work with Catalyze, a company that focuses on meeting healthcare’s unique compliance needs through security frameworks like HITRUST, helps position AWS to play a key role in the health industry’s transformation,” said Josh Hofmann, Global Lead, Partner Ecosystem, Amazon Web Services, Inc.

Durham-based iScribes, a Catalyze customer, recognizes the need for such collaboration in securing patient data. “We now process about 36,000 medical charts a month,” said Christopher Kwiatkowski, iScribes Chief Technology Officer. “Without the fast and flexible cloud access from AWS, coupled with Catalyze’s HITRUST CSF Certified compliant layer, our work would be curtailed, significantly more costly, and the patient data we synthesize daily would be at risk.”

Healthcare compliance presents a challenge for development teams. Minneapolis-based Zipnosis has experienced those challenges as it has scaled its virtual care technology. “Healthcare IT developers leverage the collaboration of AWS and its AWS Partner Network (APN) partners like Catalyze, so the unique compliance needs of the industry are addressed and supported,” said Derek Rockwell, Zipnosis’ Director of Engineering. “We have been using AWS for five years, been working with Catalyze for three years, and the relationship has allowed us to further consolidate, secure, and optimize our infrastructure — giving us a significant edge.”

Affirmation of Catalyze’s second HITRUST CSF Certification assessment of its platform, with an extension to AWS workloads provides customers with the following benefits:· Easier management of federal, state, and third-party security regulations
· A simplified method to showcase a company as a trustworthy resource
· Additional assurance that a company meets and exceeds the minimum requirements of Health Insurance Portability and Accountability Act (HIPAA)

The HITRUST Common Security Framework provides an efficient and prescriptive guideline for managing the security requirements found within HIPAA and one for which Catalyze customers have found great value. “The time, effort and expertise required for compliance is often more than our customers want to tackle themselves,” explained Catalyze President Mohan Balachandran. “A majority of our customers already use AWS as their cloud infrastructure of choice, so the extension of our HITRUST CSF Certification to include AWS workloads is beneficial for them."

About Catalyze, Inc.

Catalyze provides an innovative HIPAA compliant, HITRUST CSF Certified platform with a complete set of modules to handle, store and transmit PHI securely in the cloud. Scalable, HIPAA compliant and interoperable infrastructure is powering the future of healthcare, so Catalyze has built the platform upon which development teams can hasten healthcare innovation without the need to become an overnight expert in compliance or integration. For more information, please visit http://www.catalyze.io. Reported by PRWeb 3 hours ago.

Outpatient Detox Model Gaining Popularity In Addiction Treatment

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Dr. Indra Cidambi Explains Why Ambulatory (Outpatient) Detox is More Effective When Treating Substance Abuse

New York, NY (PRWEB) July 19, 2016

The first step on the road to recovery for someone suffering from substance abuse is to safely detox off of alcohol and drugs. Traditionally detoxification was offered only in an inpatient setting, where the patient stayed at the facility up to nine days. However, a new and innovative form of treatment is on the rise in the field of addiction medicine: Medically Monitored Ambulatory (Outpatient) Detox. In this program patients stay at the facility during the day and then return home in the evening.

According to Dr. Indra Cidambi, Medical Director at The Center for Network Therapy, New Jersey’s first state licensed Ambulatory Treatment Facility, while deaths climbed from 6.2% per 100,000 people in 2000 to 13.8% in 2013, the most widespread treatment model, inpatient detoxification, failed to damper the rising overdose trend.

“Due to the inability of Inpatient Detox programs to help with rising addiction rates, several states started licensing Ambulatory Detoxification facilities to provide detoxification from all substances (alcohol, benzodiazepines and opiates) with the hope of adding another weapon to the fight against America’s drug epidemic,” says Dr. Cidambi. She believes the Ambulatory (Outpatient) Detoxification model delivers better results while significantly lowering costs, which will sideline the Inpatient Detoxification model over the next few years.

The Center for Network Therapy is New Jersey’s first facility to implement the Ambulatory Detox model. The Center for Network Therapy conducted a phone survey this year covering 200 former patients. Approximately 55% of patients who received treatment from The Center for Network Therapy’s Ambulatory Detoxification program remained sober between six and 11 months.

Dr. Cidambi explains the five factors that drive better outcomes for Ambulatory Detox, which she believes are reasons why this lesser known detoxification program will displace Inpatient Detox as the standard form of addiction treatment:

1.    Incorporating the client’s living environment into treatment ensures real change
“In the inpatient detoxification model, patients are in a bubble with no ‘real life’ interaction during their stay,” says Dr. Cidambi. “When they return home, patients are often overwhelmed by their real life situation and more likely to relapse in the near-term. In comparison, the outpatient model focuses on helping the patient cope with the home environment and stay sober. This brings about real change that supports long-term sobriety.”

2.    Bringing family into treatment elevates support the patient receives at home
In the inpatient model, patient’s families are not an integral part of treatment, so the family is usually not fully aware of the struggles the patients face, leaving the patients to fight the disease of addiction alone. In contrast, in the Ambulatory Detoxification model, family is brought in for therapy and updated on the patient’s progress and struggles, as well as educated on ways to help. “This encourages the patient to use family as a permanent support system that they can turn to when they feel vulnerable, instead of relapsing,” says Dr. Cidambi.

3.    Longer length of stay leaves patients with lesser cravings
Private health insurance providers usually allow longer stays at the Ambulatory Detoxification level of care due to lower costs. According to Dr. Cidambi, “this allows us to titrate medications more gently during the detoxification process. The patient usually has fewer cravings and less withdrawal symptoms at the end of the detox process compared to Inpatient treatment. This makes it more likely patients will continue with follow-up care.”

4.    Customized medication titration ensures comfort and helps avoid relapse
Since patients go home every day in the Ambulatory Detoxification model, medication used to detox clients is titrated in a highly individualized manner to ensure patient comfort during the night. In contrast, Inpatient Detoxification medication protocols are usually standardized and ignore the individual needs of patients. “This customized medication titration used in the Ambulatory model leaves the patient more comfortable with less cravings and withdrawal symptoms,” said Dr. Cidambi.

5.    Ability to stay in touch with social network, work/school lowers stress
According to Dr. Cidambi, “one of the stressors patients face is the need to be out of touch while in an inpatient setting. This completely disrupts their social life and they need to explain their absence to coworkers and/or their boss. In the Ambulatory Detox model patients get some time during the day to attend to their work needs using a phone or laptop. They also go home every night, lowering the stress associated with being in treatment.”

“It is rare in the medical treatment world when higher efficacy comes with lower costs. Ambulatory Detoxification costs about a third of inpatient detoxification, which usually runs between $1,200 and $2,200 per day,” said Dr. Cidambi. “This cost advantage is an added driver for the acceptance of the Ambulatory Detoxification model and will propel growth and market penetration.”

For more information on substance abuse dependency, addiction and treatment, please go to http://www.recoveryCNT.com.

About Dr. Indra Cidambi
Indra Cidambi, M.D., Medical Director, Center for Network Therapy, is recognized as a leading expert and pioneer in the field of Addiction Medicine. Under her leadership the Center for Network Therapy started New Jersey’s first state licensed Ambulatory (Outpatient) Detoxification program for all substances nearly three years ago. Dr. Cidambi is Board Certified in General Psychiatry and double Board Certified in Addiction Medicine (ABAM, ABPN). She is fluent in five languages, including Russian.

About Center for Network Therapy
Center for Network Therapy (CNT) was the first facility in New Jersey to be licensed to provide Ambulatory (Outpatient) Detoxification Services for all substances of abuse – alcohol, anesthetics, benzodiazepines, opiates and other substances of abuse. Led by a Board Certified Addiction Psychiatrist, Indra Cidambi, M.D., experienced physicians and nurses closely monitor each patient’s progress. With CNT’s superior client care and high quality treatment, Dr. Cidambi and her clinical team have successfully detoxed over 600 patients in nearly three years. Reported by PRWeb 17 minutes ago.

Major Regional Health Plan Switches to InterQual

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Major Regional Health Plan Switches to InterQual NEWTON, Mass.--(BUSINESS WIRE)--#Fortune5--A major regional health plan, the oldest and largest health insurance company in its state, has signed a new multi-year agreement to use InterQual®, replacing a competing solution in the process. Reported by Business Wire 9 minutes ago.

Domestic Job Killers

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There is considerable discussion of outsourcing American jobs to foreign countries, especially Asian nations like China and India, as well as to Mexico. Although it has been a powerful issue for years, there is renewed attention since Donald Trump has made it a major feature of his campaign. In his speech in western Pennsylvania, Trump declared that American companies were "moving our jobs, our wealth and our factories to Mexico and overseas," and unless steps are taken "the inner cities will remain poor, the factories will remain closed." What Trump and other advocates have missed, however, is the extraordinary amount of outsourcing going on within our borders, and its effect on the middle class.

The LA Times brought new light to this situation with a major piece, "Outsourcing Puts Squeeze on Middle Class." In an introductory anecdote, the article described the fortunes of Alfred Molena. Working for Bank of America as an ATM repairman, Molena made $45,000 a year and had health insurance and a 401(k) plan. Though hardly a lavish salary, it was enough to support his wife and two children, and take an occasional vacation. Mr. Molena, an immigrant and without a high school diploma, thus mirrored what Mr. Trump heralds as the golden years for Americans, when a good job in a union shop, in industries like auto and steel, guaranteed a decent wage for the working and middle class.

In 2008, however, B of A subcontracted the work to Diebold, Inc., a domestic firm with its cheaper labor. Molena now drives a long distance truck for $30,000 a year and has no life insurance: "I cannot afford it." He lost his job to domestic, not foreign outsourcing.

The Times reports that this is a common, not extraordinary story: "From human resource workers and customer service reps to cooks, janitors and security guards, many occupations have been farmed out by employers over the years. No one knows their total numbers, but rough estimates based on the growth of temporary-help and other business and professional service payrolls suggest that one in six jobs today are subcontracted, or almost 20 million positions, said Lynn Reaser, economist at Point Loma Nazarene University in San Diego."

These kinds of domestic, not foreign-based cutbacks have always been a part of American business. Andrew Carnegie came to dominate steel production in this country by lowering the production cost, and thus the price of his product. He continually said he wanted to see figures on cost, not on profits, since attention to one would automatically produce the other. I suspect this approach drove his partners crazy.

But research by David Brody, the great labor historian, showed that Carnegie attained his most important results by cutting the cost of labor, an area in which he achieved greater success than any other.

So it was then, so it is now. "If a firm wants to save labor costs, outsourcing is just a way of resetting wages and expectations," said Susan Houseman, a senior economist at the W.E. Upjohn Institute for Employment Research in Kalamazoo, Mich.

As in Carnegie's day, the effect is potent. "Rosemary Batt and other researchers at Cornell University found that large employers at subcontracted call centers, for instance, paid their workers about 40% less than comparable workers employed in-house at large firms, not including the value of health and retirement benefits."

This is not just a concern for unskilled workers. Mr. Molena had a highly skilled trade. Doctors and lawyers now frequently are in part-time, piecework positions. According to Forbes, 51% of faculty in higher education are part-time. This is all domestic outsourcing, hiring part-time workers with lower wages and benefits to replace full time employees.

What can be done to address this situation? For many disposed workers, training is often ineffective. Enrolling someone in a program not linked to industry's needs is a waste of money and the client's time, and produces well-justified frustration. Years ago, however, the City of Big Shoulders ran the Illinois Retail Academy through a community college, targeting welfare recipients. The program was wildly successful moving individuals into jobs with some of the best stores in Chicago. But it had started with major industry buy-in, with the curriculum designed by the Illinois Retail Merchants Association.

The other major effort should be in unionization. As in the glorified-by-conservatives 1950s, when unions achieved the wages and benefits that lifted workers to full citizenship, so they could now fight for part-time workers.

Clearly this will be harder with part-time workers, who do not identify themselves as sharing the fate of the companies that employ them. But there have been successful organizing campaign of graduate assistants, a group that is incredibly temporary and also incredibly vulnerable to pressure.

A better example would be the Pullman car porters. These men were hired on the basis of their ability to be accommodating, to care for the needs of others. If ever there was a group that was not inclined to stand up to management, this was it. Yet A. Phillip Randolph managed to create the successful Brotherhood of Sleeping Car Porters and achieve better conditions.

Domestic, not foreign outsourcing is a major problem for America. The stakes are incredibly high. As the LA Times concludes, "The growth of outsourcing partly explains why so many millions of Americans have tumbled down the economic ladder. As a result, the middle class no longer constitutes a majority."

-- 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 23 hours ago.

REPORT: The government is going to ruin more than $91 billion of healthcare mergers

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REPORT: The government is going to ruin more than $91 billion of healthcare mergers The US government is going to file lawsuits to block the massive mergers of four healthcare giants, according to Bloomberg.

The Department of Justice will attempt to block both the $54 billion deal between Anthem and Cigna, which would create the largest health insurance company based on the number of people covered, and a $37 billion take over of Humana by Aetna.

Both of the deals are being blocked on anti-competitive grounds, Bloomberg said, citing sources within the Justice Department. The number of different health insurers offered in a given area has been directly linked to the price of insurance. Thus, allowing four of the five largest insurers to combine may cause an increase in prices.

According to the report, the lawsuits could come as soon as the end of the week and will be done by the end of July.

The deals had already faced regulatory pushback from Democratic US Senators, who recommended that the DOJ reject the mergers.

Immediately following the report, the stock prices for all four companies fell into negative territory.

More to come...

Join the conversation about this story »

NOW WATCH: An exercise scientist reveals how to get six-pack abs Reported by Business Insider 23 hours ago.

US eyes block of health insurance deals

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Anthem’s $48bn Cigna purchase and Aetna’s $37bn bid for Humana under a cloud Reported by FT.com 17 hours ago.

New York requires more insurance for boxers, mixed martial artists

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New York will require $1 million coverage for life-threatening brain injuries and other new health insurance for both professional boxers and its first group of licensed mixed martial artists under regulations slated to take effect in September. Reported by Denver Post 19 hours ago.

The Health Care Industry May Not Be Able To Wait Until November

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By Jeff Cameron, health care expert, PA Consulting Group 

In the simplest terms, the potential net impact of the November Presidential election on the health care industry can be summed up as such - if Clinton is elected she will look to expand the scope of the Affordable Care Act and if Trump is elected he will look to scale it back. The merits of these approaches and the consequences they might have will undoubtedly be aired in the months ahead, but indications are growing that the health care industry is sick now and what ails it may not be able to wait until a new administration is in place.

While not quite the "death spiral" long predicted by those opposed to the ACA, dark clouds are gathering. Start at what constitutes ground zero for how the ACA is eroding the foundation of the health care and health insurance industry structure with a look at the hospital.  The hospital was the place where the uninsured went for treatment when an emergency or medical issue arose. Whereas hospitals used to on average get a 15% write-off on costs for treating the uninsured, today under the ACA, they are getting next to zero. Because of this, hospitals are seeing a massive influx of cash and posting significant profits as they no longer need to write off patients who could not pay.  

Even with bed utilization on the decline and more workers in hospitals to manage this, for-profit hospital systems are posting some record profits. That is easy to understand since the uninsured are now insured and services are being paid. But at the national level there is a decrease in health care expenditures, which begs the question- who is paying for that national decrease and why?  It is the health plans. But as their pay out goes up, these insurers are not getting increased premiums under the plan in return and are struggling to deal with a toxic patient pool entering the exchanges that generally faces more health issues. 

The risk we run though this imbalance is in bankrupting the system. New insurance entrants are closing their doors because they cannot operate with the type of medical loss ratios they are being forced to support.  Rates are rising, and some of the traditional players - such as UnitedHealth - have gotten out of the game so they don't have these losses in their plans. Health insurers are looking for drastic measures to cut costs or merge due to the increased pressure placed on them by the ACA. 

This is only one of the many changes that government reform has placed on the health care system in the past decade. The one attribute they share is that they increase the cost to administer the system. More than half of the co-ops have folded and are now off the market. As the cost shifts to the insurers, one has to wonder in the government believes a $100 billion dollar tax on insurers is a good idea. Clearly there are disconnects between Congress and what is actually happening with the ACA. 

So what happened here and what needs to be done before the system collapses?

Simply put, the government, in passing the legislation, didn't assess the population. For evidence of that look no further than the insurance coops.  These plans went under first because they didn't have a pre-existing healthy population to absorb the cost of those less healthy that flooded the system under the ACA.  No one looked at how this new population would increase the cost. Theoretically, the next population coming in after this initial surge to insurers should bring better balance.  But if their entrance is delayed, that oft discussed "death spiral" will become real. 

Elections aside and the future of the ACA with it, we need to start taking a holistic view of the impact this legislation is having on the health care industry. And that assessment needs to happen now with attention to some inherent imbalances lest we face a critical care situation even before a new President is sworn in.

-- 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 16 hours ago.

Obamacare: Covered California's health plan prices soar

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Ending two straight years of average 4 percent increases, the state's health insurance exchange on Tuesday stunned consumers by announcing a 13.2 percent statewide average rate increase for those who buy 2017 health care plans through Covered California. Reported by San Jose Mercury News 18 hours ago.

STOCKS GO NOWHERE, DOW TOPS CLOSING HIGH: Here's what you need to know (SPY, SPX, DJI, IXIC, USD, TRY, VZ, YHOO, GS, JNJ, ANTM, CI, HUM, AET)

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STOCKS GO NOWHERE, DOW TOPS CLOSING HIGH: Here's what you need to know (SPY, SPX, DJI, IXIC, USD, TRY, VZ, YHOO, GS, JNJ, ANTM, CI, HUM, AET) Stocks barely moved in either direction on Tuesday, in another session marked by weak trading volume. 

The Dow Jones Industrial Average crossed the all-time closing high it reached on Monday. The index rose for an eighth straight day, the longest rally since March 2013. 

First, the scoreboard:

· *Dow:* 18,559.14, +26.09, (0.14%)
· *S&P 500:* 2,163.80, -3.09, (-0.14%)
· *Nasdaq:* 5,036.37, -19.41, (-0.38%)
· *WTI crude oil:* $44.65, -$0.59, (-1.30%)

1. *In US economic data, housing starts rose more than expected in June*. Starts jumped 4.8% at a seasonally adjusted annual rate of 1.189 million, rebounding from a downwardly-revised 1.7% drop in the May. Economists had forecast that starts rose 0.2% month-on-month in June at a seasonally adjusted annual rate of 1.164 million. Building-permit activity also topped estimates, rising by 1.5% at a rate of 1.153 million. Starts data are usually volatile month-to-month, but June's increase "shows a sturdy demand for new homes as we move into the second half of the year," said Quicken Loans Vice President Bill Banfield.
2. *Goldman Sachs beat expectations for second-quarter profits and revenues*. The firm reported earnings per share of $3.72 on revenue of $7.93 billion ($3.08 per share on $7.55 billion forecast). Fixed income, currencies, and commodities — or FICC — trading revenues were $1.93 billion ($1.80 billion expected), up 20% year-over-year. The bank has lowered its headcount by 5% since the first quarter, to about 34,800 people. 
3. *Johnson & Johnson also beat on earnings, helped by strong sales of new drugs*. The pharmaceutical giant posted revenue of $18.5 billion, up 3.9% year-on-year, and more than analysts' median forecast for $18 billion, according to Bloomberg. Adjusted earnings per share came in at $1.74 ($1.68 expected). Global pharmaceutical sales rose 8.9% to $8.7 billion.
4. *The Turkish lira was the worst performing emerging-market currency*. It tumbled by as much as 2% to 3.0498 per dollar, amid the fallout from Friday's coup attempt. Turkey's education board ordered 1,577 university deans to resign as part of a sweep of dozens of state institutions following the failed coup. A faction within the Turkish armed forces calling itself the "Peace at Home Council" tried to overthrow the government, but was thwarted within a day, after Turkish president Recep Tayyip Erdogan drummed up support.
5. *The US government is planning to file lawsuits to block the massive mergers of four healthcare giants, according to Bloomberg**.* The Department of Justice will try to block both the $54 billion deal between Anthem and Cigna, which would create the largest health insurance company based on the number of people covered, and a $37 billion takeover of Humana by Aetna. Both deals are being blocked on anticompetitive grounds, Bloomberg said, citing sources within the Justice Department. Lawsuits could come by the end of the week, the report said. The deals had already faced regulatory pushback from Democratic US senators.

*Additionally:*

A confidential Brexit briefing shows where Deutsche Bank thinks other banks will go

Verizon is one of the final bidders for Yahoo

Bank of America's big-money clients hate stocks, which is a great sign for the future

We've been blaming America's 'new housing crisis' on the wrong thing all along

The White House suggests student debt is good for the economy

Join the conversation about this story »

NOW WATCH: 9 phrases on your résumé that make hiring managers cringe Reported by Business Insider 17 hours ago.

Group Health ranked top performing health insurance plan in in U.S.

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Group Health was ranked the best performing health plan in the nation in a recent survey by the National Business Coalition on Health. The Washington Health Alliance announced on Tuesday that Group Health received the best overall score in the survey that looked at 30 health care plans around the country. "The outcome of this independent review of our plan reflects the hard work we do every day to ensure our patients have an excellent experience, that our clinicians offer the very best clinical… Reported by bizjournals 17 hours ago.

Land of Lincoln coverage will end Oct. 1 for individual enrollees

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Land of Lincoln Health's insurance coverage for its individual enrollees will end Oct. 1, according to the Illinois Department of Insurance.

The agency posted the news on Land of Lincoln's website. A green banner now greets visitors to the website with the headline, "Important notice to all members"... Reported by ChicagoTribune 1 hour ago.

Covered California Proposes 13 Percent Premium Increase

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Covered California Proposes 13 Percent Premium Increase SACRAMENTO, Calif.—Monthly premiums in California’s health insurance exchange will increase by more than 13 percent on average next year after two major insurers requested large rate increases, officials said Tuesday.

The increases are significantly higher than the 4 percent hikes … Reported by Epoch Times 16 hours ago.

Justice Department to Challenge Two Health-Insurance Mergers

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The U.S. government is close to challenging two proposed mergers between four of the nation’s largest health-insurance companies in what would represent strong pushback against consolidation in the industry. Reported by Wall Street Journal 16 hours ago.

The Wall Street Journal: Feds likely to challenge health-insurance mergers over antitrust concerns

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Reported by MarketWatch 16 hours ago.

What Do Covered California’s Big Rate Hikes Mean For You?

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Covered California, the state’s Obamacare health insurance exchange, said Tuesday that its premiums will balloon by a statewide average of 13. Reported by ajc.com 15 hours ago.

They talk the talk, but don't write the checks: No Trump donors on Republican stage yet

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by Ashley Balcerzak and Alec Goodwin
This party appeared to have all the ingredients for success, as these things go: cool venue, lots of food and drink, and a mix of corporate sponsors and lawmaker guests...

Republicans are denouncing Ohio Gov. John Kasich for ditching his own party's convention held in the state he governs.

Of course, he's not the only nationally known GOP leader to skip the proceedings.

It gets worse, though: None of Monday's or today's prime-time speakers at the Cleveland confab have donated more than $200 to Donald Trump's campaign or the super PACs that support him, according to an analysis by OpenSecrets Blog of FEC filings through May 31. In fact, as far as we can tell, only nine of the 25 speakers (or their spouses)** last night and just seven of the 19 speakers listed for tonight gave money to any federal Republican candidates, PACs, or super PACs during the 2016 cycle -- and that includes the $2,700 that New Jersey Gov. Chris Christie donated to his own presidential campaign. (Donors who have given less than $200 aren't named in FEC reports, so we can't say whether the individuals donated at all to the Trump effort.)

Former New York mayor Rudy Giuliani has given the most to other Republican candidates and committees: $22,434. That went mostly to the National Republican Congressional Committee and establishment Republicans like House Speaker Paul Ryan (Wis.) and Sen. John McCain (Ariz.). Giuliani's wife gave $567 to Trump's primary opponent, Sen. Marco Rubio of Florida.

Coming in at No. 2 is Dana White, president of the Ultimate Fighting Championship and scheduled to speak tonight. White has given a cumulative $16,200 to Chuck Grassley, Joe Heck and the Republican National Senatorial Committee. Also, former Attorney General Michael B. Mukasey gave $5,000 to former Florida Gov. Jeb Bush's leadership PAC, and $1,500 to Sen. Ted Cruz (Texas), another Trump primary rival. And, most surprising for a speaker at the GOP convention, Mukasey has given $400 to Democratic presidential nominee Hillary Clinton.
In addition, so far, the Republican National Convention's stage has been devoid of leadership figures who have endorsed Trump. That changes tonight, when House Speaker Paul Ryan (Wis.) and Senate Majority Leader Mitch McConnell (Ky.) are set to speak.

This is not a pair afraid to ask for funds, nor do they have a hard time corralling them.

The biggest donors to Ryan's campaign committee and leadership PAC since 2000 include employees from Northwestern Mutual (including CEO John Schlifske); Blue Cross/Blue Shield (including former CEO Thomas Hefty); and Koch Industries (with donations from billionaire David Koch). They've given a total of $443,000.
McConnell's top contributors since 1998 to his campaign and leadership PAC, Bluegrass Committee, came from employees of the Blackstone Group (including CEO Stephen Schwarzman), Kindred Healthcare (CEO Paul Diaz, for instance) and health insurance company Humana Inc. (from now-CEO Michael McCallister). Their contributions total $729,577* *over that time period. The Senate leader also is especially popular with retirees and those in the finance and petroleum industries.
Outside groups spent more than $22 million helping McConnell stay in the Senate in 2014, more than double the support his challenger, Alison Grimes, received from outside spending groups. The Kentucky Opportunity Coalition (a dark money outfit that spent $7.5 million against Grimes and received funds from the Property Casualty Insurers Association of America and Crossroads GPS, another dark money group, among others) and super PAC Kentuckians for Strong Leadership (backed by Robert McNair, owner of the Houston Texans football team and Lawrence DeGeorge, CEO of LPL Investment Group) played both defense and offense for McConnell.

Reps for both McConnell and Ryan did not return requests for comment on their party (or any other) schedules at the convention.

We'll continue to keep our eyes peeled. OpenSecrets Blog party-hopped until 1:30 a.m. Monday night, but it was a tad disappointing.
...but things were a little slow.

Corporate sponsors took over the Rock and Roll Hall of Fame for a bash scheduled to last until 2 a.m., studding the museum with five open bars, a DJ booth and dance floor with flashing lights, not to mention tables and tables filled with dinner, dessert and coffee spreads. The companies behind the festivities (AT&T, Blue Cross/Blue Shield, AFLAC, Microsoft and Pepsico) overestimated the attendance numbers, though, giving invitees five floors to roam. When OpenSecrets Blog reporters staked out the party, most areas appeared deserted, with small groups of people clumping around the food tables and bars, the majority of each floor empty.

Unfortunately, the event didn't seem to go as planned in other ways, too. Sens. John Cornyn (R-Texas) and Roger Wicker (R-Miss.) were scheduled to speak, but according to event organizers, both showed up and skipped out a short time later without doing any stage time. The offices of Cornyn and Wicker did not respond to a request for comment.

And while the Hall of Fame overlooks the North Coast Harbor Marina on Lake Erie, the "Rock and Dock" area wasn't hosting any boat-based bashes.

The most raucous gathering OpenSecrets witnessed was one of the pop-up shows by political supergroup Prophets of Rage, which includes members of Rage Against the Machine, Cyprus Hill and Public Enemy. The musicians drew a crowd to the Public Square Park even in the stifling heat, shouting lyrics into megaphones with background music blasting through large speakers.

Today, Alston & Bird, the law and lobbying firm, hosted a birthday celebration for former Sen. Bob Dole's 93rd at Morton's steakhouse. We wanted to join in the fun but were politely asked to buzz off with not even a cupcake; others, however, told us that Gov. Sam Brownback of Kansas and Sens. Pat Roberts (Kan.) and Orrin Hatch (Utah) were inside, which must have been nice for Alston's clients, including Aetna, ConocoPhillips and Nokia. Other promising plans on today's schedule included the Marathon Petroleum kayak race featuring Sen. Rob Portman (R-Ohio) (which was a fundraiser for Wounded Warriors) and a Dentons celebration with Newt Gingrich.

Researcher Robert Maguire contributed reporting. 

-- 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 15 hours ago.

Two major healthcare mergers could be in trouble amid competition concerns

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Two major health insurance deals that would reshape the industry’s landscape — Anthem Inc.’s purchase of Cigna Corp. and Aetna Inc.’s deal to acquire Humana Inc. — appear to be in trouble amid concerns they would reduce competition.

The Justice Department, which has been reviewing both transactions,... Reported by L.A. Times 15 hours ago.
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