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POLITICO New York Health Care: Suing Health Republic; nursing home series

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written by Dan Goldberg

HEALTH REPUBLIC SUIT — Attorneys for Northwell Health would like a court to rule on how much they are owed from Health Republic Insurance of New York, even as they acknowledge they might not be able to collect that sum.

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AND MAKE SURE YOU FOLLOW Josefa Velasquez and me on Twitter @J__Velasquez & @DanCGoldberg. And for all New Jersey health news, check out @katiedjennings

EXAMINATION — City & State published the second part of its series on nursing homes. This one looks at a “long-standing practice of nursing homes placing residents into New York City’s Department of Homeless Services shelter system.

NOW WE KNOW — Entomologists looked at 2,372 New Jersey apartments to study bed bugs, and, according to the Journal of Medical Entomology, 12 percent were infested. Not surprisingly, women were more likely to report bed bug bites and were more concerned about bed bugs than men.

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FINANCES — Montefiore Medical Center would be on the hook for as much as $270 million if Albert Einstein College of Medicine can’t pay its debt to Yeshiva University. That’s in addition to the $80 million Montefiore has agreed to provide Einstein in operating subsidies over the next five years, according to Montefiore’s most recently released financial report, which details the hospital’s obligations to the medical school.

A LOOK AT NEW YORK — A Health Affairs blog post profiles the efforts of New York hospitals working to improve the social determinants of health. “They are defining their target population to include not only their patients but also everyone in their geographic communities, and broadening their scope of action to include impacting non-medical determinants of health.”

MAKING ROUNDS The Niagara Falls Memorial Medical Center board of directors re-elected five incumbent members to three-year terms at its annual meeting on Monday.

Re-appointed as officers were chairman James Roscetti, vice chairwoman Cynthia Bianco, treasurer Charles Rader and secretary Margaret Toohey. Re-elected to three-year board terms were: Robert Bradley Jr., Ronald Campbell, Stephanie Williams Cowart, Harvey Kelley and Don King.

EXPANSION PLANS — Sisters of Charity hospital is doubling the size of its NICU, according to Buffalo Business First.

GRANT LAND — Roswell Park Cancer Institute is expected to receive $17.7 million over nine years as scientific lead of the Population Assessment of Tobacco and Health study funded by the National Institutes of Health and the Food and Drug Administration, according to Buffalo Business First.

ACROSS THE RIVER: Two months ago, Horizon Blue Cross Blue Shield of New Jersey filed a lawsuit against Holy Name Medical Center and The Valley Hospital to halt an advertising campaign opposing the insurer’s OMNIA tiered health plans, which it said included false and misleading statements. On Tuesday, the Bergen County hospitals filed a counterclaim in federal court in Newark accusing Horizon of making false statements in its advertisements of the OMNIA plans. Both hospitals were designated as Tier 2 under the plans. POLITICO New Jersey’s Katie Jennings has more:

-LEAD — Gov. Chris Christie said Tuesday he would allocate $10 million from the general fund for lead paint abatement for low- and moderate-income residents.

PHARMA REPORT: The Wall Street Journal reports: “Pfizer Inc. has decided to kill its planned $150 billion takeover of Allergan PLC, after the Obama administration took aim at a deal that would have moved the biggest drug company in the U.S. to Ireland to lower its taxes, according to people familiar with the matter.”

-APPROVED — The Food and Drug Administration on Tuesday approved its second biosimilar, a copy of a costly drug to treat Crohn's disease and rheumatoid arthritis, according to POLITICO. Celltrion's Inflectra will compete with the Janssen Biotech drug Remicade, which first came to the market in 1998.


-THE NEW ENGLAND PROBLEM — Charles Ornstein examines the scandals surrounding the New England Journal of Medicine, a venerated publication that has lately been accused of being a bit too stodgy, stuck in its ways. So few criticize it because they are afraid they won’t get their papers published.

-FISHY — The Atlantic has a startling story about how viruses threaten the world’s food security. “In 2005, fishermen pulled out 316 tons of tilapia, a tasty freshwater fish, from the Sea of Galilee in Israel. But four years later, the catch had fallen to just 8 tons.”

-HOW THE IRS COULD HELP Kaiser Health News has an interesting idea. What would happen if the IRS, which knows our incomes, prodded low- and moderate-income families to apply for Medicaid or a subsidized insurance plan on the exchange?

TODAY'S TIP — Comes from New York City Health + Hospitals: “Always wash your and your baby's hands after changing a diaper.”


-IN THE BLOOD — Researchers at Memorial Sloan Kettering Cancer Center and the Bellvitge Biomedical Research Institute (IDIBELL) in Barcelona believe they stumbled onto a possible cure for an often incurable condition that can cause painful blood vessel overgrowths inside the skin, according to two papers in Science Translational Medicine.

-INSULIN PRICES INCREASE The price of insulin tripled over the last decade, significantly exceeding the costs of alternative medications, according to a new JAMA study, reported on in POLITICO.

MISSED A ROUNDUP? Get caught up here: 4/5, 4/4, 4/1, 3/31, 3/30

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