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2018年3月6日 星期二

Overnight Health Care: Health groups push for ObamaCare funding in omnibus | CDC sees spike in opioid-related ER visits | Sanders sees Dems moving to 'Medicare for all' — Presented by UnitedHealth Group

 
 
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Health groups push for ObamaCare funding in omnibus package

A coalition of health care providers and insurers on Tuesday called on House and Senate leaders to include additional funding for ObamaCare programs in the upcoming omnibus package to fund the government.

"Immediate action is necessary to reduce premiums for individuals and families that purchase coverage on their own," the groups wrote in the letter.

The coalition, which includes America's Health Insurance Plans, the American Hospital Association and the American Medical Association, said Congress should approve multiple years of funding for ObamaCare cost sharing reduction (CSR) payments.

They also called for lawmakers to establish a reinsurance program to bring down premiums and help cover the costs of people with significant health care needs.

"Congress has an important opportunity to act and reduce premiums for consumers for 2019, but time is running short," the groups wrote. "We urge you to take immediate action to advance bipartisan legislation that includes both premium reduction/reinsurance and funding for CSR benefits as part of the March 23rd omnibus appropriations."

Democrats have been pushing for the CSR payments and the reinsurance funding for months. Republican Sens. Lamar Alexander (Tenn.) and Susan Collins (Maine) have also been working to secure funding.

But House conservatives are dead set against anything they consider a "bailout" of health insurance companies.

Read more here.

 
 
 
 
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Sanders sees movement to 'Medicare for all'

Sen. Bernie Sanders (I-Vt.) said Monday that he thinks a new health-care plan from a Democratic think tank shows that the party is moving toward his position on health care.

Asked if he thinks the plan from the Center for American Progress (CAP), which comes very close to Sanders's signature idea of "Medicare for all," shows the Democratic Party is moving his way, Sanders told The Hill, "Yes, I do."

The plan released by CAP, a group with close ties to Sanders's former primary opponent Hillary Clinton, is not quite single-payer in that it still allows for employer-based insurance as an option. But it otherwise provides Medicare for all people, something very close to Sanders's vision and a leftward shift from previous major Democratic plans.

Sanders alluded to the fact that the CAP plan does not go as far as his own, but called it a "step."

He pressed his call for universal coverage.

"I think that the most cost-effective way to do that is by expanding Medicare, eliminating the private insurance companies, and then saving tremendous amounts of money in administrative costs," he said.

"I believe in a Medicare for all, single-payer, but to the degree that people are talking about guaranteeing health care to all people, it's a step."

Read more here.  

 

UnitedHealthcare will pass drug rebates directly to consumers

One of the nation's largest health insurers said Tuesday it will begin passing on the savings it gets from discounted prescription drugs straight to the consumers that buy them.

UnitedHealthcare said it would pass on rebates it gets from drug companies directly to consumers beginning next year.

The move comes as drug companies, insurers and other key players point fingers about who is responsible for high drug prices.  

Drugmakers often give rebates for prescription drugs to insurance companies through a negotiating process, but critics argue those savings aren't passed on to consumers.

Insurers say they spread the savings from discounts to lower overall premiums.

But beginning next year, some people covered by certain employer-sponsored insurance plans can collect the rebates when they fill prescriptions or at the point of sale.

Read more here.

 

Aetna donates $200K to gun protest march

Aetna announced on Tuesday that it will donate $200,000 to the gun reform rally "March for Our Lives."

The health insurer said it wants to support action to stop gun violence, but doesn't oppose responsible gun owners.

"I want to emphasize that our actions are not an indictment of responsible, legal gun owners," Aetna CEO Mark Bertolini said in a statement. "Instead, we are joining others who cannot sit by idly while mass shootings become a part of our everyday life."

The rally was organized by survivors of the Florida high school shooting in February that left 17 people dead and many others wounded.

It is scheduled to be held in Washington, D.C., and a number of other cities on March 24.

Aetna joins a growing list of companies and celebrities that are donating money to the event.

Read more here.

 

CDC sees spike in opioid-related ER visits

Emergency room visits for opioid overdoses increased sharply from 2016 to 2017, according to new data from the Centers for Disease Control and Prevention (CDC).

The CDC report finds that emergency room visits for opioid overdoses increased 30 percent in 45 states from July 2016 to September 2017. 

CDC acting Director Anne Schuchat said the data could be an early warning sign of a worsening crisis.

"Long before we receive data from death certificates, emergency department data can point to alarming increases in opioid overdoses," she said in a statement.

"This fast-moving epidemic affects both men and women, and people of every age. It does not respect state or county lines and is still increasing in every region in the United States."

The report found that the rate of emergency room visits for opioid overdoses increased in every region of the country, including 70 percent in the Midwest, 40 percent in the West, 21 percent in the Northeast, 20 percent in the Southwest and 14 percent in the Southeast.

Overdose rates also increased for men and women and all age groups, the data found.

Read more here.

 

McCaskill accuses generic drugmaker of 'stonewalling'

A Democratic senator on Tuesday accused the world's largest generic drugmaker of "stonewalling" an investigation into the role opioid manufacturers and distributors play in the current drug crisis.

Sen. Claire McCaskill (D-Mo.) said Teva Pharmaceutical Industries has only provided general information in response to repeated inquiries by her office.

In letters released by McCaskill, the manufacturer outlined the systems it has developed and implemented for identifying potentially suspicious opioid orders from customers.

However, McCaskill said the company has not provided her with correspondence between the company and its buyers detailing efforts to combat drug diversion.

Read more here.

 
 
 
 
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United Health Foundation, through America’s Health Rankings® platform, helps the health care community improve well-being and health care at the local, state and national levels. By leveraging the broad suite of America’s Health Rankings® data and insights, communities can craft data-driven solutions to some of the nation’s most pressing health concerns. Learn more at AmericasHealthRankings.org
 
 
 
 

State by state

Dwindling oversight heightens concern over medical, mental health care for inmates (The Connecticut Mirror)

N.H. proposal aims to cut down on surprise hospital bills (Concord Monitor)

States strive to curb costs for a crucial -- but exorbitant -- hemophilia treatment (Kaiser Health News)

 

What we're reading

Why Apple, Amazon, and Google are making big health care moves (Vox)

OMB: Funding insurer subsidies will lower ACA premiums 15-20 percent (Axios)

FDA approves first direct-to-consumer test for breast cancer risk (Stat)

 

From The Hill's opinion pages

Trump's administration tries to block abortions while trying to break up families

 
 

Send tips and comments to Jessie Hellmann, jhellmann@thehill.com; Peter Sullivan, psullivan@thehill.com; Rachel Roubein, rroubein@thehill.com; and Nathaniel Weixel, nweixel@thehill.com.

Follow us on Twitter: @thehill@jessiehellmann@PeterSullivan4@rachel_roubein, and @NateWeixel.

 
 
 
 
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Overnight Cybersecurity: Trump vows strong response to 2018 election meddling | Cyber in spotlight as lawmakers probe 'worldwide threats' | Senate panel approves NSA nominee

 
 
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Welcome to OVERNIGHT CYBERSECURITY, your daily rundown of the biggest news in the world of hacking and data privacy. We're here to connect the dots as leaders in government, policy and industry try to counter the rise in cyber threats. What lies ahead for Congress, the administration and the latest company under siege? Whether you're a consumer, a techie or a D.C. lifer, we're here to give you ...

 

THE BIG STORIES:

--CYBER FRONT AND CENTER AT 'WORLDWIDE THREATS' HEARING: Cybersecurity was a major focus as the Senate Armed Services Committee held a hearing on "worldwide threats" Tuesday morning. Lawmakers and officials delved into the issue of Russian cyber threats to elections, the cyber capabilities of foreign countries like China and Iran, and U.S. policy in cyberspace. In opening written testimony, Lt. Gen. Robert Ashley, the director of the Defense Intelligence Agency, said he expects "global cyberthreats to emanate from a wide array of state and nonstate actors" in the coming year, highlighting threats from mobile devices and the expanding Internet of Things (IoT). "Adversarial cyberoperations range in scope from compromising critical infrastructure and U.S. military technological superiority in fields such as precision guidance and autonomous systems, to the targeting of U.S. military personnel on social media to gain insight into the disposition and movement of our forces," Ashley said. "Our top adversaries are developing and using cyberspace to increase their operational reach into our military and civilian systems, exploiting our vulnerabilities, and compromising our national defense," he added. He highlighted cyber threats from Russia and China as well as those from Iran and North Korea.

--DIRECTOR OF NATIONAL INTELLIGENCE DAN COATS insisted that the White House is aware of and engaged on the issue of Russian threats to this year's midterm elections, amid fierce questioning from Democrats about what the Trump administration is doing to respond to potential threats. "There is obviously concern about this ongoing effort by Russia to interfere in our elections," Coats said in response to Sen. Jeanne Shaheen (D-N.H.). "The White House is well aware of that, as we all are. Agencies have been tasked to address this."  At the same time, he acknowledged the administration has yet to put in place a "coherent strategy" to address Russian interference. Coats's testimony before the Senate Armed Services Committee came one week after Mike Rogers, head of Cyber Command and the National Security Agency (NSA), told the panel that he had not heard specific orders from Trump to disrupt Russian cyberattacks targeting upcoming elections. Coats, like Rogers, pushed back during his testimony on Democrats' assertions that the administration is not taking action on the issue, referencing ongoing work by the Department of Homeland Security to secure election infrastructure. "The White House has been engaged on this," Coats said. He would not go into any detail about potential options being discussed to counter Russian interference threats, telling the lawmakers, "Much of what is being done or is being examined to be done would fall in a classified area." Coats referenced ongoing discussions between the NSA, Homeland Security and the State Department on the issue.

To read more from our piece, click here.

--MEANWHILE, PRESIDENT TRUMP said Tuesday that his administration won't let Russia interfere in the 2018 midterms and will react strongly to attempted meddling. "You don't want your system of votes to be compromised in anyway," Trump said about possible Russian meddling in 2018. "We won't allow that to happen. We will counteract it very strongly." "We're doing a very, very deep study and coming out with very strong suggestions on the 2018 election," he added. Trump also said Russia did not impact the vote totals in the 2016 election while defending his administration's efforts to counter election meddling. "The Russians had no impacts on our votes whatsoever," Trump said during a news conference at the White House. U.S. officials have said Moscow targeted 21 states' election systems not involved in vote tallying ahead of the 2016 election. The Intelligence Community has not weighed in on the impact of Russian interference but the Department of Homeland Security says there is no evidence to suggest that votes or voter rolls were altered. The president acknowledged that "certainly there was some meddling," by Russia in the 2016 election, but he contended "there was meddling from other countries, maybe other individuals as well." The president said the administration is strongly looking at returning to paper ballots so that foreign adversaries would not be able to hack into the computerized systems.

To read the rest of our piece, click here.

--TRUMP NSA PICK RECEIVES UNANIMOUS APPROVAL FROM SENATE PANEL: The Senate Armed Services Committee unanimously approved President Trump's choice to lead the National Security Agency on Tuesday morning. The committee held a brief voice vote on the nomination of Lt. Gen. Paul Nakasone, before holding the hearing on worldwide threats to the United States on Tuesday. If confirmed, Nakasone will helm both the NSA and the Pentagon's growing cyber warfare unit, U.S. Cyber Command. Nakasone currently leads Army Cyber Command, a component of Cyber Command. Nakasone appeared before the committee for his confirmation hearing last week, during which he acknowledged that foreign nations such as Russia do not face sufficient penalties for targeting the U.S. with malicious activity in cyberspace. Nakasone would replace Adm. Michael Rogers, who is expected to retire from his position later this year.

To read more from our piece, click here.

 
 
 
 

A LEGISLATIVE UPDATE: 

HOUSE VOTES TO REAUTHORIZE FCC: The House on Tuesday voted to reauthorize the Federal Communications Commission (FCC), passing bipartisan legislation that includes provisions aimed at boosting the development of 5G networks and new funds for the agency's spectrum incentive auction.

If the bill passes, it will be the first time Congress has approved a reauthorization for the FCC in 28 years. The House approved it by voice vote Tuesday afternoon.

The legislation, called the Ray Baum Act, is named after the late staff director for the House Commerce Committee, who passed away from cancer last month.

It includes language from the Mobile Now Act, which has stalled since passing the Senate in August, that would identify more spectrum airwaves for commercial use towards 5G development.

The package also authorizes funds for radio and television broadcasters affected by the FCC incentive auction.

To read more, click here.

 

A REPORT IN FOCUS: 

Most Americans view North Korea's nuclear program and global cyber terrorism as the top threats to the United States's interests, a poll released Monday found.

A Gallup Poll showed 82 percent of Americans believe North Korea's development of nuclear weapons poses a critical threat over the next 10 years, and 81 percent believe cyber terrorism is a critical threat.

Three-quarters of Americans also see international terrorism as a critical threat, according to the poll.

The poll surveyed 1,044 people from Feb. 1-10, and has a margin of error of plus or minus 4 percentage points.

To read more from the poll, click here.

 

A LIGHTER CLICK: 

flowchart can now advise you who to accept or reject on LinkedIn. (NextGov)

 

WHAT'S IN THE SPOTLIGHT: 

REMOTE-ACCESS SOFTWARE: Sen. Ron Wyden (D-Ore.) on Tuesday questioned a leading voting machine manufacturer on whether it sells products with remote-access software, raising concerns about the machines' potential vulnerability to hacking.

Wyden, in a letter to Election Systems & Software (ES&S), cautioned that malicious hackers could seek to exploit such software if it is built into the machines or other election-management products.

"The American public has been repeatedly assured that voting machines are not connected to the internet, and thus, cannot be remotely compromised by hackers," Wyden wrote in the letter.

His letter comes amid concerns that Russia or other nation states may seek to interfere in future U.S. elections, including this year's midterms.

U.S. officials say that Russian hackers targeted election infrastructure in 21 states ahead of the 2016 presidential election and, in a small number of cases, were successful. While the systems targeted ahead of 2016 were not involved in vote tallying, the revelation has nevertheless spurred concerns about vulnerabilities in U.S. voting infrastructure, including voter databases and voting machines.  

"Given the real threat that our democracy now faces from hostile foreign governments it is of paramount ignorance that our election infrastructure be secure against cyberattacks," he wrote.

His letter referenced a report last month in The New York Times Magazine detailing how machines produced by ES&S had pre-installed remote-access software so technicians could access the election systems from afar. Voting machines are typically not connected to the internet, but Wyden raised concerns that the software could expose the machines to compromise.

"Election systems sold by your company frequently include pre-installed remote access software, which exposes election systems to remote attack and compromise," Wyden wrote, citing the New York Times Magazine piece.

"The default installation or subsequent use of remote-access software on sensitive election systems runs contrary to cybersecurity best practices and needlessly exposes our election infrastructure to cyberattacks," he continued.

To read more from our piece, click here.

 

IN CASE YOU MISSED IT:

Links from our blog, The Hill, and around the Web.

Trump: Russia did not affect votes in 2016. (The Hill)

Feds warn Broadcom takeover of Qualcomm could threaten national security. (The Hill)

Former Trump aide Nunberg reverses on Russia investigation. (The Hill)

House Intel Republicans appear close to ending Russia probe. (The Hill)

OP-ED: License to hack: State-sponsored hackers are upping the ante. (The Hill)

How the man behind MalwareTech stopped WannaCry attack before facing FBI arrest. (New York Magazine)

FBI Director Christopher Wray will speak on cybersecurity at Boston College on Wednesday. (MassLive)

Arbor Networks confirms second recent record-breaking DDoS attack. (Blog Post)

Ethereum's blockchain-powered computer have many vulnerabilities. (Technology Review)

Lockheed unveils new cyber dashboard tool to Pentagon. (NextGov)

Google, Pentagon partner to develop AI for drones. (Gizmodo)

A new cybersecurity conference has been convened to feature more female speakers. (Reuters)

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Join The Hill on Wednesday, March 21, for Leadership in Action: The Hill's Newsmaker Series featuring Sen. Lamar Alexander (R-Tenn.) and Reps. Nanette Barragán (D-Calif.), and Joe Crowley (D-N.Y.). RSVP Here

 
 
 
 
 
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Breaking News: Cohn resigns from White House

 
 
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Cohn resigns from White House
Gary Cohn, President Trump's top economic adviser, is reportedly stepping down over Trump's proposed tariffs on steel and aluminum imports.

Trump said Cohn "did a superb job" in his position. 

“Gary has been my chief economic adviser and did a superb job in driving our agenda, helping to deliver historic tax cuts and reforms and unleashing the American economy once again,” Trump said. “He is a rare talent, and I thank him for his dedicated service to the American people.”
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