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Trump administration proposes altering rule on drug rebates

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(Reuters) – The Trump administration has proposed a rule that would scale back protections currently in place that allow rebates between drug manufacturers and insurers and pharmacy benefits managers, according to the Office of Management and Budget (OMB) website.

Bloomberg first reported the existence of the proposed rule, which comes as the administration works to implement a wide-ranging plan to lower prescription medicine prices. The U.S. Department of Health and Human Services on Wednesday night sent the proposed rule to the OMB.

Details of the proposed rule have not yet been made public, but its title on the OMB site refers to removing the safe harbor protection for rebates from the anti-kickback law.

The move is the first concrete sign that the Trump administration has started to review the legal status of these rebates since Food and Drug Administration Commissioner Scott Gottlieb raised the idea early this year that they should not be exempted from anti-kickback law.

The anti-kickback law makes it illegal to pay an incentive for drugs or services that Medicare, Medicaid or other federal healthcare programs cover.

Shares of drug wholesalers such as AmerisourceBergen Corp and McKesson Corp , and pharmacy benefit managers, including CVS Health Corp and Express Scripts , fell slightly on Thursday on the move.

The administration has placed blame on “middlemen” such as pharmacy benefits managers – which administer drug benefits for employers and health plans – and health insurers for driving up drug prices by demanding hefty rebates in exchange for the broadest access to patients. Health and Human Services Secretary Alex Azar and Gottlieb have questioned whether rebates provided by drug manufacturers should remain protected by federal law.

Health and Human Services and OMB did not immediately respond to requests for comment.

U.S. President Donald Trump made lowering prescription drug prices a top priority during his 2016 presidential campaign. In May, his administration unveiled a drug pricing blueprint that included broad proposals for lowering prices that largely spared pharmaceutical manufacturers and instead went after pharmacy benefits managers. Pharmaceutical stocks rose after the blueprint’s release.

JP Morgan analyst Lisa Gill said Wall Street overreacted to the proposal submitted on Wednesday because rebates are only one component of pharmacy benefits managers’ profit streams.

“If there are any changes around rebates they can adjust other aspects of the pricing model to ensure they are being paid fairly for the value they are adding,” Gill wrote.

 

This article was from Reuters

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Legendary singer Aretha Franklin dies at age 76

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Legendary singer Aretha Franklin has died.

The 76-year-old Queen of Soul was said to be “surrounded” by her closest friends and family in recent days, after battling extensive health problems in recent years.

The legendary singer was diagnosed with cancer in 2010, and delivered her most recent performance at the Elton John AIDS Foundation party in New York last November.

This is a Breaking News Story.

Timeline:
1954 – Sings her first solo at the New Bethel Baptist Church in Detroit.

1956 – Along with her two sisters, performs backup on her father’s gospel recording for Gotham Records.

1960 – Leaves Detroit for New York, signs with Columbia Records and releases first album, “The Great Aretha Franklin.”

1967 – Leaves Columbia Records after an unsuccessful attempt at developing a jazz style; signs with Atlantic Records; wins Grammy Award Best R&B Recording for “Respect.”

1967-1974 – Wins a total of ten Grammy Awards.

April 9, 1968 – Sings “Precious Lord, Take My Hand” at the funeral of Dr. Martin Luther King Jr.

January 20, 1977 – Performs “God Bless America” at the inauguration gala of President Jimmy Carter.

1980 – Appears in the movie “The Blues Brothers” and performs the song “Think”; leaves Atlantic Records for Arista Records.

1981 – Wins Grammy Award for Best R&B Vocal Performance, Female for “Hold On I’m Comin’.”

1985 – Wins Grammy Award for Best R&B Vocal Performance, Female for “Freeway Of Love.”

January 3, 1987 – Is the first woman inducted into the Rock and Roll Hall of Fame.

1987 – Wins two Grammy Awards for Best R&B Vocal Performance, Female for “Aretha” and Best R&B Performance by a Duo, with George Michael, “I Knew You Were Waiting (For Me).”

1988 – Wins Grammy Award for Best Soul Gospel Performance, Female for “One Lord, One Faith, One Baptism.”

1991 – Receives the Grammy Legend Award.

January 20, 1993 – Performs “I Dreamed a Dream” at the inauguration ball of President Bill Clinton.

1994 – Receives the Grammy Lifetime Achievement Award. She is the youngest recipient of a Kennedy Center Honor at that time.

1997 – Performs an aria from Puccini’s La Boheme at the wedding of Vice-President Al Gore’s daughter, Karenna.

February 6, 1998 – Reprises her roll of Mrs. Murphy from “The Blues Brothers” in the sequel “The Blues Brothers 2000.”

February 25, 1998 – Substitutes for an ailing Luciano Pavarotti at the Grammy Awards performing “Nessun Dorma” by Puccini, unrehearsed.

September 1, 1999 – Publishes an autobiography “Aretha: From These Roots,” where she discusses her private and personal life for the first time.

September 22, 1999 – Is named a winner of the National Medal of Arts by the National Endowment for the Arts.

2003 – Wins Grammy Award for Best Traditional R&B Vocal Performance for “Wonderful.”

March 2004 – Is hospitalized and released for allergic reaction to antibiotics.

2004 – Starts her own record label, Aretha’s Records.

2005 – Wins Grammy Award for Best Traditional R&B Vocal Performance for “A House Is Not A Home.”

November 5, 2005 – Is awarded the Presidential Medal of Freedom by President George W. Bush.

2006 – After Franklin points out that no Motown talent was appearing in the Detroit Super Bowl halftime show, the NFL asks her to sing the national anthem along with Aaron Neville prior to the game.

2007 – Wins Grammy Award for Best Gospel Performance for “Never Gonna Break My Faith,” shared with Mary J. Blige.

February 10, 2008 – Is Grammy’s 2008 MusiCares Person of the Year.

February 14, 2008 – Receives the NAACP Vanguard Award at the annual Image Awards ceremony.

January 20, 2009 – Performs “My Country ‘Tis of Thee” at the inauguration of President Barack Obama.

February 2010 – A Snickers commercial starring Franklin and Liza Minnelli airs for the first time.

July 27, 2010 – Appears on stage with former Secretary of State Condoleezza Rice on piano, in Philadelphia, to raise money for charity. Rice is a classical pianist. They perform individually and together, classical, pop and patriotic selections.

August 1, 2010 – Falls in her home, breaking two ribs. The incident forces her to cancel concert appearances for August.

February 25, 2011 – During an interview with Wendy Williams, Franklin reveals a loss of 85 lbs. The ailment that resulted in surgery in December remains undisclosed and a topic of conversation she dismisses with the comment, “I’ve left that behind, I’m feeling wonderful.”

May 3, 2011 – Releases new album, “Aretha: A Woman Falling Out of Love.”

October 8, 2014  Achieves a milestone in music history by becoming the first female to earn her 100th hit on Billboard’s Hot R&B song chart with “Rolling in the Deep (The Aretha Version).”

October 21, 2014 – Releases a new album, “Aretha Franklin Sings the Great Diva Classics.”

March 5, 2015 – Performs live on the Motown themed episode of American Idol in Detroit.

September 26, 2015 – Franklin sings “Amazing Grace” at the Festival of Families, one of the events sponsored by the Vatican for Pope Francis‘ visit to Philadelphia.

February 7, 2017 – Franklin announces she will retire from performing in concert after the release of one more album. “I am retiring this year, she told a local television station in Detroit. “I will be recording, but this will be my last year in concert.”

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Car crashes into security barriers outside Houses Of Parliament

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 Armed police surround driver after car smashes into Parliament security barriers

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Kremlin “pleased” with Helsinki summit, US and Western intelligence assesses

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CNN Reports:

Russian officials were “pleased” with the Helsinki summit between Presidents Donald Trump and Vladimir Putin, US and Western intelligence agencies have found, according to two intelligence sources with knowledge of the assessments.

The assessments, based on a broad range of intelligence, indicate that the Kremlin believes the July 16 summit delivered a better outcome than it had expected, but that Moscow is perplexed that Trump is not delivering more Russia-friendly policies in its aftermath.

The intelligence sources say the Russians were particularly satisfied with the press conference the two leaders gave in Helsinki after Trump and Putin met for about two hours without staff and accompanied only by translators. In the 45-minute press conference, Trump discredited US intelligence and American policies more broadly, saying “the United States has been foolish” about ties with Russia, a country that has engaged in ongoing attacks on US democracy.

A spokesperson for the Office of Director of National Intelligence declined to comment, and the White House did not respond to request for comment.

The administration’s decision last week to impose sanctions on Russia for the poisoning of former Russian spy Sergei Skripal and his daughter left Russian officials puzzled that the President is not delivering more favorable policies.

Trump has repeatedly called for warmer relations with Moscow, but the Kremlin is neglecting to factor in the considerable role that Congress and others play in US policy-making, a Western intelligence official said.

Putin spokesperson Dmitry Peskov’s comments last week reflected the deflated Russian hopes for improved ties with Washington or at least less punitive US policies.

“President Putin said in Helsinki that Russia still has hopes for the creation of a constructive relationship with Washington…We are sorry that often we are not met with cooperation on this account,” Peskov said Aug. 9 in a regular press call with reporters.

Peskov’s comments contrasted sharply with the evaluation Russian Foreign Minister Sergei Lavrov offered immediately after the summit, when he said that the talks had been “better than super.”

Trump’s performance in Helsinki sparked unusually public criticism, even from within his own party.

The administration’s decision to impose the sanctions followed a July 26 letter from GOP Congressman Ed Royce, the Chairman of the House Committee on Foreign Affairs, urging the White House to comply with a law requiring the US to levy sanctions against countries that violate the 1991 Chemical and Biological Weapons and Warfare Elimination Act.

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