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Wednesday, January 15, 2020

#JPM: Microbot Med unveils disposable device for remote catheter procedures



Microbot’s Liberty system works with off-the-shelf catheters and guidewires from other manufacturers. (Conor Hale)

UnitedHealth EPS beats by $0.12, misses on revenue

UnitedHealth (NYSE:UNH): Q4 Non-GAAP EPS of $3.90 beats by $0.12; GAAP EPS of $3.68 beats by $0.10.
Revenue of $60.9B (+4.2% Y/Y) misses by $270M.

U.S. Curbing Early Press Access to Sensitive Econ Data

The Trump administration plans to restrict the news media’s ability to prepare advance stories on market-moving economic data, according to people familiar with the matter, in a move that could create a logjam in accessing figures such as the monthly jobs report.
Currently, the Labor Department in Washington hosts “lockups” for major reports lasting 30 to 60 minutes, where journalists receive the data in a secure room, write stories on computers disconnected from the internet, and transmit them when connections are restored at the release time.
The department is looking at changes such as removal of computers from that room, and an announcement could come as soon as this week, said the people, who spoke on condition they not be identified. While the rationale was unclear, the government has cited security risks and unfair advantages for news media in prior changes to lockup procedures.
Lockups, which are permitted but not required by government regulations, have been a mainstay for U.S. media for almost four decades. They have been designed to give reporters time to digest figures on market-moving data and make sure they are accurate before distributed en masse to the public. Statistics agencies and central banks in the U.K. and Canada use similar lockup procedures.
The U.S. move would upend decades of practice, and media organizations including Bloomberg News and Reuters have challenged prior changes to procedures. The shift could also spur an arms race among high-speed traders to get the numbers first and profit off the data, raising questions about fairness in multitrillion-dollar financial markets.
Michael Trupo, a spokesman for the Labor Department, didn’t respond to multiple requests for comment. The Commerce Department — which provides advance access to its reports such as gross domestic product and retail sales at the Labor-hosted lockups — referred questions on the matter to Labor.
Without news services transmitting their reports at the release time and allowing additional access points, the government may have to prepare its websites to handle potentially heavier loads under the new system, which could mean adding security measures or increasing the traffic capacity.
“Obviously some firms are bigger than others, some have more resources than others, and some will make a choice in the environment that might ensue to dedicate more resources to this, so I do think the playing field at the margin would be less level,” said Stephen Stanley, chief economist at Amherst Pierpont Securities.

Previous Plan

In 2012, the Labor Department under the Obama administration sought to alter lockups to require journalists to use government-owned computers to write their stories. Officials at the time framed the change as addressing security risks.
After protests from Bloomberg News and other news organizations, and a congressional hearing in which editors testified, the department agreed to allow the media to continue using their own equipment and data lines. Reporters are required to leave mobile phones and other electronic devices in lockers outside of the lockup room, along with personal effects such as umbrellas and purses.
The Labor Department move would follow a similar decision by the U.S. Department of Agriculture in 2018 to scale back lockups covering farm products, particularly the closely-watched monthly crop forecasts that typically move markets in soybeans, corn and wheat.

Agriculture Secretary Sonny Perdue said at the time that because of technological changes, journalists can now get information to their readers faster than the USDA can put it on its website, creating an unfair advantage.
The USDA’s releases since the change haven’t been without hiccups: In November, for about six minutes after the release time, the website produced an error message.
The Federal Reserve separately hosts its own media lockups where journalists get advance access to interest-rate decisions, meeting minutes and industrial-production data, and write their stories on computers in a secure room.
“The in-depth media analysis is sought to further understand the details, get a trusted interpretation and also make sense of a market move that does not match your own expectation,” said Delores Rubin, a senior equity trader at Deutsche Bank Wealth Management. “It is hard to say if the impact will create more volatility on economic data releases or a pause as traders wade through the details of the data or await the media analysis.”

Government Burden

Without news services like Bloomberg News and Reuters transmitting their reports at the precise release time and allowing additional access points, the lockup changes put the burden on the government to ensure that its website remains accessible while being bombarded by everyone from algorithmic traders to the general public.
U.S. government websites aren’t immune from attack or technical issues that could limit public access. In 2013, the Obamacare website crashed when millions tried to access it and register under the then-new health care program, preventing Americans from enrolling in coverage until months later, after a frantic repair effort.
Earlier this month, a pro-Iran group hacked a U.S. government website — the Federal Depository Library Program — and posted messages related to the U.S. killing of a top Iranian commander.
The Obama administration’s Labor Department said in its November 2016 transition document that it took “costly security measures” including a technology upgrade to protect the data, and “significant personnel and financial resources are also required to host each lockup.”

India’s Sun Pharma in Licensing Pact With Rockwell on Iron Replacement Drug

India’s Sun Pharmaceutical Industries has entered into an exclusive licensing and supply agreement with Rockwell Medical to sell the U.S. company’s iron replacement drug in India.
Under the agreement, the India-listed company will have exclusive development and commercial rights for Triferic, subject to approval in India, Sun Pharmaceutical said in a filing to the Bombay Stock Exchange on Wednesday.
Financial terms of the agreement weren’t disclosed.
Rockwell will be eligible for upfront and milestone payments as well as royalty on net sales under to the licensing agreement, according to the statement.
Triferic is a iron replacement and haemoglobin maintenance drug used for treating anaemia in hemodialysis patients.

Repo interventions to stay at elevated levels

Although the year-end cash squeeze passed without any jump in borrowing costs, the New York Fed plans to maintain its interventions in short-term funding markets at an elevated level.
On Tuesday, banks gobbled up $82B in temporary liquidity in the form of overnight and two-week repo loans.
“History has shown us that whenever these sorts of programs are introduced, they tend to last longer than what the Fed expects,” said Nick Maroutsos, co-head of global bonds at Janus Henderson, comparing the case to the unwinding of QE.

Tuesday, January 14, 2020

FDA Warning: Weight Loss Drug Belviq May Increase Cancer Risk

A recent clinical trial assessing the safety of weight-loss drugs Belviq and Belviq XR (lorcaserin) has led to the FDA issuing a public alert, warning that the drug may contribute to cancer risk.
“At this time, the cause of the cancer is uncertain, and we cannot conclude that lorcaserin contributes to the cancer risk,” reads the statement. “However, we wanted to make the public aware of this potential risk.”
Lorcaserin was approved by the FDA in 2012 for assisting weight-loss in combination with a reduced-calorie diet and increased physical activity in obese or overweight adults. The drug works by increasing feelings of fullness to reduce the amount of food eaten and is available in two tablet-based forms, Belviq and Belviq XR.
In one academic study from 2011, the drug did show the propensity to cause several different types of cancer in rat models, albeit at doses larger than the recommended clinical dose in humans. The FDA originally rejected the approval of the drug in 2010 based on these results, but later concluded that the development of these tumors were rodent-specific and unlikely to happen in humans.
“We are continuing to evaluate the clinical trial results and will communicate our final conclusions and recommendations when we have completed our review,” reads the statement.
There are currently 49 clinical trials listed on clinicaltrials.gov involving lorcaserin for a number of indications and 9 are currently recruiting participants or will start shortly. It is currently unknown whether the new findings will affect any of these trials as well as the recommended prescription of the drug for weight-loss.
The FDA statement urges healthcare professionals to “consider if the benefits of taking lorcaserin are likely to exceed the potential risks when deciding whether to prescribe or continue patients on lorcaserin.”
Patients are urged to talk to their healthcare professionals about the potential increased risk of cancer associated with using the drug.

CVS: Low Cost Care Coming For Aetna Members In 2020

CVS Health’s top executive said its stores are focused on offering “80% of what a primary care physician can treat” as it rolls out its new HealthHub format and “zero” and “low copays” for certain Aetna health plan members using CVS services.
Speaking at the JPMorgan Chase Healthcare conference Tuesday, CVS chief executive Larry Merlo said the company remains on track to have 1,500 HealthHUBs operating by the end of 2021. This comes after the first 50 HealthHubs opened last year in four markets: Houston, Atlanta, Tampa and the market that includes Philadelphia and southern New Jersey.
“We now have about 600 HealthHUBs scheduled for this year, 1500 by the end of 2021,” Merlo told JPMorgan analyst Lisa Gill in an interview webcast from the bank’s annual healthcare meeting in San Francisco.
“We are confident we are on the right path to creating the most consumer-centric healthcare company,” Merlo said. “We have completed a tremendous amount of work over the last 13 months.”
CVS in December of 2018 closed on its acquisition of Aetna, the nation’s third-largest health insurer with more than 20 million customers. As a larger healthcare company that is benefitting from Aetna health plan members, CVS is dedicating more than 20% of its stores to health services that include new durable medical equipment, supplies and various new product and service combinations.
CVS executives say the HealthHubs will tend to be rolled out where there are a large concentration of Aetna members. “There is a direct link between the ZIP codes associated with Aetna membership and the locations of these HealthHUBs,” Merlo said.
CVS is rolling out new health plans this year that feature “zero” and “low copayments” for Aetna members who use CVS HealthHubs and the drugstore services, CVS executives on the JPMorgan panel with Merlo said Tuesday.
Though not all of CVS’ more than 9,800 retail locations will convert to HealthHub locations, Merlo said CVS is adding new healthcare services and new personal care items at all of its stores as well as additional services at its MinuteClinics.
The move to add new healthcare services comes as rival retailers in the healthcare space like Walgreens Boots Alliance and Walmart look to fill the emptying space in their brick and mortar stores in the face of changing consumer shopping habits driven by online retail giant Amazon and others.
But Merlo told JPMorgan’s Gill “there is a physical role for bricks and mortar.” As new healthcare services and personal items have been added to the HealthHubs, CVS is seeing more foot traffic and more purchases. “We see the HealthHubs has an evolution of the drugstore,” Merlo said. “We talk about the need to make healthcare local.”