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POLITICO New York Health Care: Reorganizing HHC; K2 campaign

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written by Dan Goldberg and Josefa Velasquez

EXCLUSIVE: REORGANIZING HHC — The president of New York City’s public hospital system is changing its corporate structure, betting that ambulatory care and long-term care will help the system grow out of its billion-dollar deficit. Dr. Ram Raju, president and CEO of the Health and Hospitals Corporation, is scrapping the traditional network model that has served HHC for decades and replacing it with three lines of service: in-patient care, long-term/post-acute care and ambulatory care. Each line of service will have an executive vice president. The idea, Raju said Wednesday morning in his office on Worth Street, is to eliminate some bureaucracy so ambulatory and post-acute services can grow quicker over the next five years and have equal weight with the HHC board as in-patient hospital care operators who have traditionally dominated the discussion. Read the full story here:

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HOSPITAL GROWTH — A planned development of a vast medical facility on the Upper East Side of Manhattan is yielding $1.2 billion in private investment—the biggest contributor to the $2 billion the de Blasio administration recognized from private investment in land sales and ground leases in Fiscal Year 2015. The New York City Economic Development Corporation reported the total on Thursday in the Mayor's Management Report, the annual, data-rich document that sheds light on the performance of every city agency throughout the fiscal year. Read more here: [PRO]

NOW WE KNOW — You know that person on Twitter who is always cursing or talking about religion? Researchers from Queen Mary University studied nearly a million tweets from more than 10,000 Republican and Democratic users and found that — based on word usage — conservatives are more likely to talk about religion, positive emotions and the group oriented “us.” Liberals are more likely to use foul language, talk about international news and use “me” a lot.

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SCHOOL RULES — The state Board of Regents Thursday permanently approved regulations allowing school employees to administer opioid overdose treatment. [PRO]

...Students will be required to learn hands-only CPR and how to use automated external defibrillators, according to another regulation approved by the Board of Regents. [PRO]

K2 CAMPAIGN — Mayor Bill de Blasio on Thursday announced a new crackdown designed to "reduce demand and supply” of K2, a deadly synthetic drug. In a statement, the administration rattled off a series of arrests and confiscations, vowing that similar enforcement actions will continue. The crackdown will focus on bodega owners, a main source of distribution, officials said. That portion of the plan is being led by the city's Department of Consumer Affairs. [PRO]

HIRED — Manatt, Phelps & Phillips will be the new lobbying firm for the Associated Medical Schools of New York and its sister organization, the New York State Academic Dental Centers.

Manatt will assist with government relations activities with the State of New York.

NOT GUILTY — A judge in Nassau County acquitted Larry Slatky, head of the Albany County Nursing Home, on two misconduct charges stemming from allegations he steered a laundry contract to a friend’s company while working as the top official at NuHealth, the Nassau Health Care Corp.

CUTTING THE FAT — DNAinfo writes about a new program from Montefiore’s Office of Community and Population Health that is implementing the Shop Healthy NYC program, which encourages local bodegas to start stocking and selling healthier food.

IN CASE YOU MISSED — The Jewish Forward has an excellent story on the Montefiore takeover of Einstein, which shows Yeshiva University is transferring hundreds of millions of dollars in assets, including real estate and a portion of its endowment, to a new entity in which YU is the minority partner. “The documents, which Montefiore submitted to the IRS over the past year seeking charitable status, state that Montefiore will be the dominant partner, with a 51 percent voting interest in the new medical school. They also state that the joint venture will pay YU ‘fair market value’ for the medical school’s buildings. But they do not state whether YU will be reimbursed for the loss of a significant part of its endowment, which last year totaled $1.1 billion.”

PHARMA REPORT — Jardiance, a drug made by Eli Lilly and Boehringer Ingelheim to treat diabetes, has been shown to reduce cardiovascular-related death by 38 percent.

INSURANCE REPORT — Anthem’s CEO says the planned merger with Cigna won’t hurt competition. “It's going to increase choice, not decrease choice. It's going to increase affordability, not decrease affordability," Cordani told Reuters.


-TRACKING ICD-10 — With less than a month to go, the Centers for Medicare & Medicaid Services has taken numerous steps to ensure its systems, as well as health care providers, are ready to start undergoing the rollout for the new coding system Oct. 1, the Government Accountability Office reported.

-OPINION — Eric Topol and Harlan Krumholz, two cardiologists, write in the New York Times that breakthrough research, the kind that forces scientists to halt a trial earlier than expected, should be released quickly to the public, bypassing the traditional peer-review process. “While it is still important to publish the final results in a peer-reviewed journal, the sharing of available results could ease the time delay inherent in our current publication process and be more in keeping with the best interests of patients. Data that was good enough to persuade experts to stop the trial should be good enough to share.”

-BETTER LUCK THIS YEAR — This year's flu vaccine should be better targeted to the circulating strains of the virus, CDC Director Tom Frieden said. This theory is based on the assumption that last year’s substrain will be prevalent again this year.

-CADILLAC TAX — Sen. Dean Heller, a Republican from Nevada, and Sen. Martin Heinrich, a Democrat from New Mexico, introduced legislation to repeal the Affordable Care Act’s so-called Cadillac Tax, a 40-percent excise tax on the portion of most employer-sponsored health coverage that exceeds $10,200 a year for individuals and $27,500 for families. Despite the unlikelihood of passage, the proposed bill showcases the bipartisan frustration with the tax set to take effect in 2018.

-VACCINE PHOBIA — The discussion surrounding vaccines has penetrated the Republican presidential campaign. Several months ago, when New Jersey Gov. Chris Christie said parents should have “a measure of choice” as to whether to vaccinate their kids, he quickly reversed his position after public outcry, POLITICO’s Arthur Allen writes. But during Wednesday night’s debate, when Ben Carson and Sen. Rand Paul, both of whom are doctors, made similar remarks, the “fury rained down from a medical establishment that felt betrayed”

-MERGERS — While the federal government debates whether to allow the big six health insurance companies to become four and healthcare providers continue to consolidate resulting in smaller hospitals either getting swallowed up by larger ones or risk going out of business, the question of the cost of consolidation arises. So what are the consequences of all of these mergers and consolidation ? Short answer: no one knows.

TODAY'S TIP — Comes from the Cleveland Clinic. Want to avoid kidney stones? Drink plenty of water and steer away from sodium.


-PARENTAL GUIDANCE — Researchers at Columbia University Medical Center and the New York State Psychiatric Institute say the more a parent smokes, the more their teenage son or daughter is likely to smoke. Results published in the American Journal of Public Health show this is especially true for daughters whose mothers are addicted to nicotine. The authors found that 13 percent of adolescents whose parent never smoked said they had smoked at least one cigarette, according to a press release from the university. By comparison, 38 percent of teens whose parent was dependent on nicotine had smoked at least one cigarette, the release said. Daughters were almost four times as likely to be dependent on nicotine when their mothers were, but were not affected by their fathers’ nicotine dependence, the study found. Boys’ dependence was not determined by the parent.

-PUPPY LOVE — Researchers in Japan have found that dogs and their owners secrete oxytocin, known as the love hormone, when they interact with one another. According to a study published in the journal Science, dogs who gaze at their human owners the most during their interactions had the biggest rise in the hormone. Same can be said for humans.

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