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Sunday, November 3, 2019

China gives conditional OK to its first self-developed Alzheimer’s drug

China has granted conditional approval to its first self-developed treatment for Alzheimer’s disease, a move that may point to revived opportunities in a therapeutic area where drugmakers have burned billions of dollars without yielding a validated new drug.
Oligomannate, which uses extract from marine brown algae as raw material, received a conditional green light to treat mild-to-moderate level AD, the National Medical Products Administration (NMPA) said in a statement on its website late on Saturday.
An effective treatment for Alzheimer’s, which is estimated in 60%-70% of around 50 million dementia cases worldwide, could become one of the best-selling drugs globally.
“Trial results demonstrated that Oligomannate statistically improved cognitive function in mild-to-moderate AD patients as early as week 4 and the benefit was sustained at each follow-up assessment visit,” Shanghai Green Valley Pharmaceuticals, which developed the drug along with two academic institutions in China, said in a statement.
The outlook for a cure is clouded with theoretical uncertainties and high-profile failures. Pharmaceutical giants including Johnson & Johnson, Merck and Pfizer have ditched their projects on unsatisfactory data.

Biogen last month revived its plans to seek U.S. approval for its aducanumab treatment after announcing in March that it would terminate two large clinical trials for the drug. But some analysts believed FDA approval is highly unlikely.
China is fast-tracking approval for innovative drugs at home in a bid to offer more and cheaper options to patients, as many in the rapidly aging country struggle to find alternatives to costly treatments sold by multinational pharmaceutical firms for chronic diseases.

In an August overhaul to its drug administration law, Beijing said conditional approval could be granted to some still-under-research medicines of “predictable” clinical value for life-threatening diseases for which effective treatment is not immediately available.
Further research on Oligomannate’s pharmacological mechanism and long-term safety and effectiveness is required, according to the NMPA statement.
Green Valley said it would launch the drug “very soon” in China. The company also aims to roll out a phase-3 clinical trial with sites in the United States, Europe and Asia in early 2020 to facilitate global regulatory approval of the drug.

Warren’s Medicare for All plan attacked, parodied by GOP, Dems, SNL

U.S. presidential contender Elizabeth Warren’s $20.5 trillion plan to provide healthcare for all Americans was attacked on the weekend by Republicans and fellow Democrats and parodied on “Saturday Night Live,” the long-running network television comedy show.
The “Medicare for All” proposal, which Warren’s 2020 presidential campaign released on Friday, calls for cuts in defense spending and passing immigration reform to increase tax revenue from newly legal immigrants, two steps that would face an uphill battle in Congress.
It would also be funded by cost-cutting, business contributions and new taxes on Wall Street, big businesses and wealthy individuals, all of which carry their own challenges.
Warren, a U.S. senator from Massachusetts, has emerged as a front-runner along with former Vice President Joe Biden in the race for the Democratic nomination to face Republican President Donald Trump in the November 2020 election.
Warren, a former law professor, has become known for a bevy of detailed policy proposals. But she had faced criticism for not detailing how she would pay for the Medicare for All plan. The proposal was introduced in the U.S. Senate by rival Democratic candidate Bernie Sanders of Vermont.
Her healthcare overhaul would replace private health insurance, including employer-sponsored plans, with full government-sponsored coverage, and individuals would no longer have to pay premiums, deductibles, co-pays or other out-of-pocket costs.
It would extend Medicare, the U.S. government’s health insurance program for people 65 years and older and the disabled, to cover all Americans.
Warren has said it would provide healthcare coverage for some 27 million Americans who are currently uninsured and that the taxes would not affect the middle class, while saving American households $11 trillion in out-of-pocket healthcare spending over the next decade.
She released letters from experts including Mark Zandi, the chief economist at Moody’s Analytics, supporting her calculations.

Biden took issue with Warren’s explanation of who would pay for her proposal.
“Her plan would create a new tax on employers of almost $9 trillion that would come out of workers’ pockets, a new financial transaction tax that would impact investments held by middle class Americans, and a new capital gains tax that would affect far more people than she stated tonight,” Biden said in a statement on Saturday.
Another Democratic presidential contender, South Bend, Indiana, Mayor Pete Buttigieg, said the plan’s elimination of private insurance was too inflexible. “This my way or the highway idea, that either you’re for kicking everybody off their private plans in four years or you’re for business as usual, it’s just not true,” Buttigieg said on ABC’s “This Week” on Sunday.
Sanders told ABC News his Medicare for All approach “will be much more progressive in terms of protecting the financial well-being of middle income families.” Sanders’ campaign has not yet released a detailed plan explaining how he would fund the proposal.

‘NOT GOING TO HAPPEN’

Rahm Emanuel, who was chief of staff for former Democratic President Barack Obama and previously called Medicare for All a “pipe dream,” said Warren’s campaign would be forever associated with the idea in the future, to its detriment.
“This was Bernie’s idea, and now she owns the idea,” he said. “This issue is not going to happen, and it is not the way you argue healthcare.”
The Republican National Committee called the price tag of Warren’s approach to healthcare “staggering” on Twitter on Sunday.
“Elizabeth Warren’s policies are so radical, the math doesn’t even come close,” Steve Bannon, former adviser to Trump, said on Fox News on Sunday morning.

Warren’s plan was the focus of a nearly eight-minute long opening skit on NBC’s “Saturday Night Live” that was widely circulated on social media afterward.
“When Bernie was talking Medicare for All, everybody was like ‘Oh cool’ and then they turned to me and they said ‘Fix it, Mom,” said Kate McKinnon, who plays Warren as a lusty policy wonk on the show. “I’ll do it because that’s what Moms do.”
To fund the plan, “we’re going to cut military spending, so … immediately dead in the water,” the actor said. The plan also requires that the United States tax billionaires like Jeff Bezos and big banks, she added. “All we have to do is convince J.P. Morgan to operate like a non-profit,” McKinnon said.

Hospital for Special Surgery Expands Far West Side Center

The Hospital for Special Surgery Sports Medicine Institute inked a deal to add another 18,622 square feet to its recently-opened outpost at the Durst Organization’s Frank 57 West, Commercial Observer has learned.
The hospital added the entire fourth floor to its 21-year lease signed in 2016 at the mixed-use building at 600 West 58th Street between 11th and 12th Avenues, bringing its presence in the property to 84,121 square feet, according to the landlord. Asking rent was $70 per square foot.
HSS currently has the basement through third floors of Frank 57 West, where it opened a sports medicine-focused outpost last month with physician offices, exam rooms, an ambulatory surgery center and a sports rehabilitation and performance facility, according to Durst and HSS. The center’s main campus, which focuses on musculoskeletal conditions, is located on the Upper East Side.
“We are thrilled HSS Sports Medicine Institute has expanded at Frank,” Jonathan “Jody” Durst, the president of the Durst Organization, said in a statement. “Having a renowned facility like HSS as part of the 57 West campus brings best-in-class services to this thriving neighborhood.”
The 10-story Frank 57 West is the smallest of Durst’s three Far West Side buildings that include Via 57 West and Helena 57 West. HSS’ deal brings the entire commercial space in all properties to 100 percent leased, according to the landlord.
“It is also personally thrilling to see the final piece of this development puzzle fall into place,” Durst said in a statement. “With the residential portions of Via, Frank and Helena stabilized and all the office and retail space leased, our vision for the block we acquired 20 years ago is completely realized.”
The Durst Organization was represented in-house by Ashley Mays while HSS’s Steven Westort and Michael Calabrese handled the deal.
“After seeing strong initial success at the newest location of our HSS Sports Medicine Institute, located at Frank 57 West, we’ve had the opportunity to become the sole tenant of the commercial space,” a spokeswoman for HSS said in a statement. “We look forward to expanding our facility to continue to offer comprehensive care to the community.”

White House delays hospital transparency rule

Citing its intent to expand its plan to include health insurers, the Trump administration is delaying the implementation of a rule requiring hospitals to disclose heretofore confidential rates for services. U.S. Centers for Medicare and Medicaid Services (CMS) chief Seema Verma says the administration prefers a less disjointed approach and will proceed expeditiously to release a combined plan this quarter.
The delay, even if short, is a reprieve for hospital operators since they consider negotiated rates as contractual trade secrets. They have stated publicly that they will sue to block the rule.
The White House has made price disclosure a cornerstone of its strategy to rein in ever-increasing healthcare costs.
Opinions vary on the rule’s potential impact. Supporters claim that price transparency will drive down prices but a 2016 survey of 31 health plans (covering 140M members) that provided tools to access transparency information showed that only 19% of plans that evaluated the tools found that consumers switched to lower-cost providers based on enhanced disclosure (the modest impact could be result of the user-friendliness of the tools, however). Industry authorities counter that costs could rise if certain hospitals or doctors discover that competitors are getting better deals and demand the same, adding that consumers are focused on out-of-pocket costs and won’t benefit from full disclosure of negotiated prices.
Selected tickers: Humana (NYSE:HUM), Universal Health Services (NYSE:UHS), Tenet Healthcare (NYSE:THC), HCA Healthcare (NYSE:HCA), Community Health Systems (NYSE:CYH), UnitedHealth Group (NYSE:UNH), WellCare Health Plans (NYSE:WCG), Molina Healthcare (NYSE:MOH), Cigna (NYSE:CI), Centene (NYSE:CNC), Anthem (NYSE:ANTM)

Earnings after Monday’s close

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Earnings before Monday’s open

Bausch Health Companies Q3 2019 Earnings Preview

Bausch Health Companies (NYSE:BHC) is scheduled to announce Q3 earnings results on Monday, November 4th, before market open.
The consensus EPS Estimate is $1.09 (-3.5% Y/Y) and the consensus Revenue Estimate is $2.16B (+0.9% Y/Y).
Over the last 2 years, bhc has beaten EPS estimates 75% of the time and has beaten revenue estimates 50% of the time.
Over the last 3 months, EPS estimates have seen 8 upward revisions and 4 downward. Revenue estimates have seen 8 upward revisions and 2 downward.