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A sign is pictured outside an Eli Lilly and Company pharmaceutical manufacturing plant at 50 ImClone Drive in Branchburg, New Jersey, March 5, 2021. Incretins are peptide-based drugs such as Mounjaro that mimic gut hormones to suppress appetite and stimulate insulin secretion. Lilly said it had announced investments of more than $11 billion in global manufacturing in the past three years. Major production sites that Lilly runs outside of its U.S. home market are in Ireland, France, Spain, Italy and China. The new Alzey site will employ up to 1,000 highly skilled workers such as engineers, technicians and scientists, said Lilly.

Persons: Eli Lilly, Mike Segar, Lilly, Karl Lauterbach, Lauterbach, generics, Patrick Wingrove, Matthias Williams, Jason Neely, David Evans Organizations: Company, REUTERS, Rights, Reuters, U.S ., Novo Nordisk, European Union, pharma, The U.S ., Thomson Locations: Branchburg , New Jersey, Germany, Alzey, U.S, United States, Danish, Berlin, Fegersheim, France, European, Indiana , North Carolina, Limerick, Ireland, Spain, Italy, China, The U.S

An Eli Lilly and Company pharmaceutical manufacturing plant is pictured at 50 ImClone Drive in Branchburg, New Jersey, March 5, 2021. The company declined to comment on the plans but news conferences are planned in Alzey, where sources say the plant will be built, and Berlin on Friday. Other people familiar with the plans told Reuters that at least 1,000 jobs would be created. Eli Lilly said it would unveil "far-reaching investment plans" at Friday's news conference, which will be attended by Germany's economy and health ministers. Mounjaro's success helped Lilly post a 37% gain in third-quarter revenues to $9.5 billion, topping Wall Street estimates.

Persons: Eli Lilly, Mike Segar, Mounjaro, TSMC, Lilly's, Lilly, Rene Wagner, Klaus Lauer, Andreas Rinke, Ludwig Burger, Thomas Escritt, Madeline Chambers, Miranda Murray, Christina Fincher Organizations: Company, REUTERS, Basf, Reuters, BASF, U.S ., U.S, Intel, European Union, Novo Nordisk, U.S . Food, Drug Administration, Thomson Locations: Branchburg , New Jersey, BERLIN, Germany, Alzey, Berlin, U.S, Ukraine, European, Indianapolis, Danish, Eisai

An Eli Lilly and Company pharmaceutical manufacturing plant is pictured at 50 ImClone Drive in Branchburg, New Jersey, March 5, 2021. REUTERS/Mike Segar/File Photo Acquire Licensing RightsBERLIN, Nov 15 (Reuters) - U.S. pharma company Eli Lilly (LLY.N) plans an investment in the single-digit billion dollar range in a new plant in western Germany, people familiar with the matter told Reuters after the company called a news conference for Friday. Eli Lilly said it would unveil "far-reaching investment plans" at Friday's news conference, which will be attended by Germany's economy and health ministers. Mounjaro's success helped Lilly post a 37% gain in third-quarter revenues to $9.5 billion, topping Wall Street estimates. The group's market value has ballooned to around $580 billion, up more than 65% so far this year.

Persons: Eli Lilly, Mike Segar, Mounjaro, TSMC, Lilly's, Lilly, Rene Wagner, Klaus Lauer, Ludwig Burger, Thomas Escritt, Chizu Nomiyama, Jane Merriman Organizations: Company, REUTERS, Rights, . pharma, Reuters, U.S ., U.S, Intel, European Union, Novo Nordisk, U.S . Food, Drug Administration, Thomson Locations: Branchburg , New Jersey, Germany, Rhineland, Palatinate, U.S, Ukraine, European, Indianapolis, Danish, Eisai

☆ California healthcare provider's move shows pitfalls of Medicare Advantage
▼ + stars: | 2023-11-02 | by ( Mark Miller | ) www.reuters.com time to read: +6 min

But Part D prescription drug or Medicare Advantage coverage should be reviewed. Medicare Advantage enrollment has grown quickly over the past decade, partly due to its all-in-one features and lower upfront costs. Medicare Advantage plans can drop healthcare providers from their networks - and that happens when providers and insurers cannot agree on contract terms. The Scripps decision marks a new twist: healthcare systems deciding to drop out of Medicare Advantage. During the annual enrollment period, it is possible to drop Medicare Advantage in favor of traditional, fee-for-service Medicare.

Persons: Scripps, Chris Van Gorder, ”, “, Sophie Exdell, Medigap, Exdell, Mark Miller, Matthew Lewis Organizations: Scripps Health, Diego, Medicare, Scripps, Health Insurance, Program, Reuters, Thomson Locations: San Diego , California, Southern California, San Diego, Connecticut, Maine , Massachusetts, New York, In California

ATLANTA (AP) — The state of Georgia will start paying for gender-affirming health care for state employees, public school teachers and former employees covered by a state health insurance plan, settling another in a string of lawsuits against Georgia agencies aiming to force them to pay for gender-confirmation surgery and other procedures. The December lawsuit argued the insurance plan illegally discriminated by refusing to pay for gender-affirming care. But Brown said Thursday's settlement requires the health plan to pay for care deemed medically necessary for spouses and dependents as well as employees. That means the health plan could be required to pay for care for minors outside the state even though it's prohibited in Georgia. “The plan can’t treat the care any differently from other care that’s not available in the state,” Brown said.

Persons: “, ” David Brown, Micha Rich, Benjamin Johnson, Brown, it's, ” Brown, John Doe, ” Rich, Jeff Amy Organizations: ATLANTA, State, of Community Health, Civil, University, Georgia, University of Georgia, Department of Community Health, Circuit, Appeals, Georgia Department, School District, Family, Children Services, U.S, Opportunity Commission Locations: Georgia, Atlanta, Clayton County, Houston, Houston County, U.S, Bibb, Macon ., Paulding County, North Carolina, Wisconsin, West Virginia, Iowa, Florida, Arizona

Andreswd | E+ | Getty ImagesMedicare beneficiaries have until Dec. 7 to change their Medicare health and prescription drug coverage for the coming year through open annual enrollment. Starting in 2024, people who face high prescription drug costs will not have to pay anything out of pocket once they hit the catastrophic phase of their benefits, she noted, thanks to new prescription drug legislation. Notably, Medicare beneficiaries who take insulin currently do not have to pay more than $35 per month for covered prescriptions. There are other reasons why Medicare beneficiaries should pay attention to the annual enrollment period this year. Medicare open enrollment is when beneficiaries can shop around for health plans or prescription drug coverage that better meet their needs.

Persons: Meena Seshamani, Seshamani, Darren Hotton, Hotton, that's, Catherine, There's Organizations: Getty, Center, Medicare, Centers, Services, National Council, Aging, Insurance, State Health Insurance Locations: Catherine Falls, Medicare.gov, ShipHelp.org, Utah

Medicaid, the federal and state health insurance program for the poor, requires states to provide dental coverage for children but not adults. While dental care often is seen as routine, the poor often go without any care for years or even decades. In New Hampshire, the state is spending $33.4 million over 12 months to provide dental care to its 88,000 Medicaid recipients. Andy Beshear pressed ahead with emergency regulations ensuring that about 900,000 Kentuckians would continue having access to dental care after the Republican-led legislature rejected his proposal. A mother of five, she figured dental care would take away from spending on her children.

Persons: Carlton Clemons, ”, Cindy, Victor Wu, don’t, Rhonda Switzer, ” Switzer, Nadasdi, Joe Schapiro, can’t, Andy Beshear, Heather Taylor, Richard M, “, Ryan O’Neill, ” O'Neill, Danielle Wilkes, Renee Pentecost, Wilkes, I’m, Jasmine Webb, Pentecost, “ I’m, Bruce Schreiner, Robert Wood Johnson Organizations: Social Security, Meharry Medical College School of Dentistry, M University, for Disease Control, Interfaith Dental, CareQuest Institute, Oral Health, New Hampshire Democratic, Democratic, Republican, Rhode, American Dental Association . Illinois, Fairbanks School of Public Health, Indiana University, Tennessee Family Dental, Medicaid, ”, Associated Press, Associated Press Health, Science Department, Robert Wood Johnson Foundation, AP Locations: Tenn, Nashville , Tennessee, Tennessee, Texas, United States, Nashville, Murfreesboro , Tennessee, Hawaii , Tennessee , Kentucky, Michigan, Maryland, New Hampshire, Kentucky, Virginia, Kansas, Texas , Alabama , Mississippi , Utah, Louisiana, New Jersey, American Dental Association . Illinois , New York , Ohio, Oregon, Alaska, North Dakota, Delaware, Ashland , Tennessee, Frankfort , Kentucky

Circuit Court of Appeals heard oral arguments in cases Thursday involving the coverage of gender-affirming care by North Carolina’s state employee health plan and the coverage of gender-affirming surgery by West Virginia Medicaid. During the proceedings, at least two judges said it’s likely the case will eventually reach the U.S. Supreme Court. Both states appealed separate lower court rulings that found the denial of gender-affirming care to be discriminatory and unconstitutional. “West Virginia is entitled to deference where they're going to take their limited resources," he said. Chambers certified the lawsuit as a class action, covering all transgender West Virginians who participate in Medicaid.

Persons: it’s, Tara Borelli, —, Borelli, John Knepper, Knepper, “, Caleb David, Virginia's, ”, Chuck Chambers, Huntington, Chambers, Patrick Morrisey Organizations: —, Circuit, Virginia Medicaid, U.S, Supreme, Lambda, Constitution, World Professional Association for Transgender Health, West, U.S . Centers, Medicare, Services, District, Affordable, West Virginians, West Virginia Inc, Public Employees Insurance Agency, West Virginia Republican, “ Locations: CHARLESTON, W.Va, North Carolina, West Virginia, Richmond, North Carolina’s, Virginia, U.S, “ West Virginia

Fewer than half of rural hospitals now have maternity units, prompting government officials and families to scramble for answers. The closures have worsened so-called “maternity care deserts" — counties with no hospitals or birth centers that offer obstetric care and no OB providers. Ultimately, doctors and researchers say, having fewer hospital maternity units makes having babies less safe. “It feels like you’re held in a way.”Some states and communities are taking steps to create more freestanding birth centers. It was a novel and “innovative” idea to request federal nurses to boost staffing at a rural maternity unit, Wyden’s office said.

Persons: Alisha Alderson, ”, Alderson, “, Eric Scott Palmer, It’s, —, Peiyin Hung, Saint Alphonsus, Odette Bolano, Dina Ellwanger, John Tucker, Tucker, we’ve, ’, Lacy Kee, she’ll, She’s, Kee, Henry, Pamela Evans, Evans, she’s, Katie O’Brien, Paris, Bennett —, O’Brien, Corina Fitch, Fitch, Betsy Baarspul, you’re, Ned Lamont, Alecia McGregor, ” McGregor, Tina Kotek, Sen, Ron Wyden, Shane Alderson, Alisha's, ” ___ Rush, Kuna , Idaho . Ungar, Robert Wood Johnson Organizations: OB, Henry County Medical Center, American Hospital Association, University of South, University of South Carolina’s Rural, Minority Health Research Center, Saint, Henry County Medical, Associated Press, Medicaid, Midwifery, Connecticut Gov, Harvard, of Public Health, National Academies of Sciences, Engineering, Medicine, AP, Oregon Gov, U.S . Public Health Service, Corps, Associated Press Health, Science Department, Howard Hughes Medical Institute’s Science, Educational Media Group, Robert Wood Johnson Foundation Locations: Oregon, Boise , Idaho, U.S, Tennessee, University of South Carolina’s, Baker City, Paris , Tennessee, Kentucky, Henry County, Summertown , Tennessee, Connecticut, Chan, “, Baker, Baker City , Oregon, Kuna , Idaho

☆ After End of Pandemic Coverage Guarantee, Texas Is Epicenter of Medicaid Losses
▼ + stars: | 2023-08-13 | by ( Noah Weiland | More About Noah Weiland | ) www.nytimes.com time to read: +1 min

Ms. Vasquez said that she needed to stay healthy while breastfeeding and be able to see a doctor if she falls ill. “When you are taking care of someone else, it’s very different,” she said of needing health insurance as a new parent. Enrollment in Medicaid, a joint federal-state health insurance program for low-income people, soared to record levels while the pandemic-era policy was in place, and the nation’s uninsured rate fell to a record low early this year. But since the so-called unwinding began, states have reported dropping more than 4.5 million people from Medicaid, according to KFF. The Congressional Budget Office has estimated that more than 15 million people will be dropped from Medicaid over a year and a half and that more than six million of them will end up uninsured. Under the health law, states can expand their Medicaid programs to cover adults who earn up to 138 percent of the federal poverty level, or about $41,000 for a family of four.

Persons: Vasquez, ”, unwinding Organizations: Congressional, Republicans Locations: Texas

☆ Insurers Deny Medical Care for the Poor at High Rates, Report Says
▼ + stars: | 2023-07-19 | by ( Reed Abelson | More About Reed Abelson | ) www.nytimes.com time to read: +1 min

Private health insurance companies paid by Medicaid denied millions of requests for care for low-income Americans with little oversight from federal and state authorities, according to a new report by U.S. investigators published Wednesday. Medicaid, the federal-state health insurance program for the poor that covers nearly 87 million people, contracts with companies to reimburse hospitals and doctors for treatment and to manage an individual’s medical care. About three-quarters of people enrolled in Medicaid receive health services through private companies, which are typically paid a fixed amount per patient rather than for each procedure or visit. The report by the inspector general’s office of the U.S. Department of Health and Human Services details how often private insurance plans refused to approve treatment and how states handled the denials. Doctors and hospitals have increasingly complained about what they consider to be endless paperwork and unjustified refusals of care by the insurers when they fail to authorize costly procedures or medicines.

Organizations: Medicaid, U.S, U.S . Department of Health, Services

☆ As retirement confidence drops, experts say focusing on these 4 factors can help
▼ + stars: | 2023-05-31 | by ( Lorie Konish | ) www.cnbc.com time to read: +5 min

Decide where you will live in retirement— Key deadline to watch: The sooner, the better. While you may start your Social Security retirement benefits as early as age 62, eligibility for Medicare generally does not start until age 65. Choose when to claim Social Security benefits— Key deadline to watch: By age 60, you should go to the Social Security Administration website and review your statement, recommends Copeland. When to claim Social Security retirement benefits is one of the big questions retirees face. "The later you can file for Social Security, the better it is as far as the amount you're going to get," John said.

Persons: Craig Copeland, Copeland, Dann Tardif, Susan Reinhard, It's, Reinhard, Jane Sung, Sung, Rupp, John Organizations: AARP, Institute, Social, Medicare, Security, State Health Insurance, Social Security, Social Security Administration, Sporrer, Getty

☆ Heading into retirement? Here are 4 key tips for mapping out a game plan
▼ + stars: | 2023-04-28 | by ( Lorie Konish | ) www.cnbc.com time to read: +6 min

Claiming Social Security benefits• Key deadline to watch: By age 60, you should go to the Social Security Administration website and review your statement, recommends Craig Copeland, director of wealth benefits research at EBRI. When to claim Social Security retirement benefits is one of the big questions retirees face. At full retirement age — 66 or 67, depending on your date of birth — you will receive 100% of the benefits you earned. "The later you can file for Social Security, the better it is as far as the amount you're going to get," John said. While you may start your Social Security retirement benefits at age 62, eligibility for Medicare generally does not start until age 65.

☆ The parents of an 8-year-old trans girl say they're moving from Florida to Minnesota, fearing an anti-trans law that could threaten the custody of their daughter
▼ + stars: | 2023-04-07 | by ( Leo Aquino | Lloyd Lee | ) www.businessinsider.com time to read: +8 min

The bill would restrict funding and protections for healthcare providers that offer gender-affirming care to trans patients. "I thought the worst they would do is restrict gender-affirming care," Amanda said. This would prohibit universities or health insurance plans for government workers from using public funds to provide gender-affirming care. In February, the Board of Medicine expanded on the restrictions and banned gender-affirming care for minors, including in clinical trials. In a previous story about SB 254, representatives for DeSantis declined to comment on SB 254 until it makes its way to the Governor's desk.

On TikTok, trans adults and supportive parents of trans youth have spoken emotionally about the heartbreaking decision to move. I moved to 3 major cities, each time with $400 or less in my pocketIn 2010, I moved to Chicago for college at 19 years old. Five years later, in 2015, I moved to New York City with no job, housing plans, or savings. Call LGBTQ organizations in your desired state to find housing supportMany LGBTQ organizations across the country, like the Los Angeles LGBT Center, offer social services and housing for people experiencing homelessness or housing instability due to these anti-trans bills. When you arrive to your destination, connect with local LGBTQ organizations or organizations that help the unhoused in that city.

☆ South Korean court recognises spousal coverage of state insurance for same-sex couple -Yonhap
▼ + stars: | 2023-02-21 | by ( ) www.reuters.com time to read: +1 min

SEOUL, Feb 21 (Reuters) - A South Korean court on Tuesday recognised spousal coverage of state health insurance for a same-sex couple in a landmark verdict, overturning a lower court's ruling that said the union cannot be considered a common law couple under current law, South Korea's Yonhap news agency reported. The plaintiff, So Sung-wook, filed a suit against the National Health Insurance Service in 2021 after the state health insurer denied his rights to receive spousal coverage despite granting such rights to other common law couples. But the appellate court said the spousal coverage system under the state health insurance scheme is not just for families as defined by law, and not granting the rights to same-sex couples was discrimination, Yonhap reported. Protecting the rights of minorities is the "biggest responsibility" of the court as the "last bastion" of human rights, the court added. Telephone calls by Reuters to the National Health Insurance Service seeking comment went unanswered.

☆ Explainer: What we know about China's medical reform protests
▼ + stars: | 2023-02-16 | by ( Laurie Chen | ) www.reuters.com time to read: +5 min

WHAT ARE THE MEDICAL INSURANCE REFORMS? Beginning Feb. 1, personal medical insurance benefits for Wuhan retirees were slashed from about 5% of the average basic pension to 2.5%, or 83 yuan ($12) per month, according to the Wuhan Healthcare Security Administration. In an essay published Thursday that did not refer to the protests, Finance Minister Liu Kun vowed to "deepen the reform of medical insurance payment methods". Following initial protests in Wuhan last week, the hashtag "Major adjustment in Wuhan medical reform" was viewed over 100 million times before being blocked. Since January, similar insurance reforms have been rolled out in provinces and regions including Jiangxi, Gansu，Shanxi, Qinghai, Sichuan and Guangxi.

"I Will Teach You To Be Rich" author Ramit Sethi just released a new journal to use alongside his bestselling book. Understanding what I want for my 'rich life' motivated me to save moreBecause I spent my childhood moving around between different cities and countries, I used to think of buying a home as a major life goal. In the journal, Sethi writes, "One of my favorite invisible scripts is that you 'must' own a house. I combed through my budget and found an extra $100 in savingsIn the past, I've made the mistake of trying to make too big of a change in my budget to start saving. The journal helped me understand that it's definitely not too late to start saving for my "rich life" — and I don't have to wait to start living my "rich life" either.

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