中山肛痿(中山便血不疼是怎么回事) (今日更新中)

Cigna wants to buy Express Scripts for billion.Cigna is one of the country's largest health insurers, and Express Scripts is one of America's biggest pharmacy benefits managers, which administer drug plans for more than 266 million Americans with employer and government health insurance.If the deal clears regulators, it would be the latest merger to disrupt the health care industry, which has been under heavy pressure in recent years as the federal government, employers and others attempt to control soaring health care costs. Drug prices, in particular, are a target, and pharmacy benefits managers are key players in that arena since they negotiate rebates from drug manufacturers and discounts from drugstores.The merger could give Cigna more control over drug prices, which is a major issue for insurers. Rival insurer Anthem said last year that it would partner with CVS to start its own prescription drug plan manager. And UnitedHealth already has its own drug benefits manager, OptumRX.Related: UnitedHealthcare will pass along drug discounts to some customersLast December, CVS agreed to buy health insurer Aetna for billion. Albertsons announced plans last month to scoop up what's left of Rite Aid. Walgreens bought the other half of Rite Aid last year for .4 billion.Cigna has been trying to strike a major deal for several years. It called off a billion merger with Anthem last year after a federal judge blocked the deal on antitrust grounds.A federal judge also put a stop last year to Aetna and Humana merging in a billion transaction last year. The Justice Department sued to block both deals.Other players are also looking to enter the health care sector in an effort to rein in costs. In January, Amazon announced it is partnering with Warren Buffett's Berkshire Hathaway and JPMorgan Chase to form a company aimed at saving themselves and their workers money on health insurance.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 2025

CHULA VISTA, Calif. (KGTV) – The Chula Vista Elementary School District’s administration team held a virtual meeting Friday morning that provided families with details on the district’s potential reopening plan.District officials said their plan is to ease students back in and give families the option to continue to learn virtually, on campus, or through a hybrid program.The first four weeks of the 2020-21 school year, scheduled to begin Aug. 31, will be online. After that period of distance learning, the district will assess the situation; allowing for a possible return to in-class instruction will depend on the level of active coronavirus cases in San Diego County.Superintendent Dr. Francisco Escobedo said a lot of prep work and planning has gone into the district's plan to reopen.During Friday’s meeting, he said, “We want our children to come back because we want in-person instruction. We believe it’s the best type of instruction there is, but we need to come back in a safe manner.”When students do make their return to school, campuses will look very different. The district spent millions of dollars on safety measures, including large sensors that take temperature and dispense sanitizer, large signs, personal protective equipment, and plexiglass dividers."We’ll have signage throughout the school depicting the type of behaviors we expect,” Escobedo added.According to Escobedo, the district has partnered with local company Kahala Bioscience to help conduct routine COVID-19 testing and identify ways to mitigate the spread of the virus.Escobedo said students will return when the county is at a low to medium risk for COVID-19, and when they do, only half of the students will be allowed back on campus with priority for those in K-3 grades.While digital learning is in place for the first few weeks of the school year, campuses will be used for child care through the YMCA, so teachers can utilize that service while in class.In preparation for digital learning, the district is still offering laptops to those who need them. The district has also worked with the city to disperse over 400 internet hotspots throughout Chula Vista.The district also wants parents to provide feedback during the digital learning period so they can access what's working and not working and relay that information to families. 2341

CHULA VISTA, Calif. (KGTV) -- The man suspected of robbing a South Bay credit union was arrested following a crash Wednesday afternoon. According to Chula Vista Police, a man entered the Cal Coast Credit Union on the 300 block of East H Street around 2 p.m. Wednesday. Police say the man approached the teller window with his hand in his pocket simulating a weapon and demanded cash from the employee. After receiving the cash, the suspect left the credit union, getting into a getaway vehicle. Police were able to locate suspect based on vehicle information provided by a customer at the credit union. Officers spotted the vehicle going eastbound on H Street and tried to pull the suspect over, but he didn’t stop instead leading police on a chase. At some point during the chase, police say the man ran a red light on Otay Lakes Road, slamming into another vehicle. Both the suspect and victim in the crash were taken to the hospital with non-life threatening injuries. Police haven’t yet released the name of the suspect but say he is under arrest for the bank robbery and felony evasion. 1100

CHULA VISTA, Calif. (KGTV) -- As a plume of smoke from a 350-acre blaze spiraled over the South Bay on Thursday night, Chula Vista’s City Council leaders met to review a report that signals a potentially dark cloud in its future.Members of the city’s Growth Management Oversight Commission presented its 2018 compliance scorecard that assesses how well Chula Vista is prepared to face the anticipated rapid growth trend across the county's second-largest city.According to the GMOC’s report for 2018, four service topics are considered “not in compliance” with the city’s threshold and at risk of continuing to be non-compliant in the future: Libraries, Police [Priority 1], Police [Priority 2], and Traffic.GMOC chair Duaine Hooker emphasized that police staffing levels is a major concern.The report shows there is not enough police staffing to adequately respond to both emergency calls and urgent calls, as well as the volume of calls, thus leading to slower response times.“It’s been twenty-two years in a row,” Hooker said about the police department’s failure to meet the threshold. Hooker also warned that he isn’t very optimistic about its 5- to 12-year plan.“They [police staff] did not think they could [accommodate] the growth of the city, it’s not there yet," Hooker said. Hooker and members of the GMOC toured the police department and surveyed officers.Councilmember Stephen C. Padilla, representing District 3, offered the most critical commentary on the rapid growth issues the city is facing."We know we're going to grow, and we know that we're constrained financially," said Padilla."We also know a scary statistic, and that is even with all the money from Measure A and even with reasonable growth we are a long ways off from getting even close to staffing up our public safety to the level, particularly on the police side, that it's going to make an impact," said Padilla."I just think we need to acknowledge that out loud," he added. Measure A is the half-cent tax approved by voters in 2018 to secure funding for additional officers and firefighters, provide faster responses to 9-1-1 emergency calls, and increase police patrols. A plan is in place to hire 43 officers over the next 10 years. So far, nine officers have been sworn in this year. 12 more "sworn and civilian staff" are budgeted in 2020. The current pace falls short of the GMOC's threshold and is way off of the county average. To get to the county average of 1.29 police officers per 1,000 residents by 2023, Chula Vista will have to hire 148 more officers.Padilla recommended to adopt a qualitative method of measuring the city's progress alongside the current GMOC standards.Mayor Mary Casillas Salas followed up Padilla's comments by highlighting Chula Vista's public safety record -- Chula Vista is listed among the safest cities in the state."A look back at the way we have been measuring things, I think an important component of that is outcomes, not just throwing numbers out there but the actual outcomes and what it means to the quality of life for our community," Salas said.The city's "rate of growth is projected to continue or increase over the next five years," the GMOC reported, citing Chula Vista’s 2018 Residential Growth Forecast. TRAFFIC ALSO A PROBLEM ON THE WESTSIDEChula Vista's growth and congestion issues don't only affect the sprawling Eastlake and Otay Ranch areas. Councilmember Jill Galvez, representing District 2, used her time at the special meeting to push for a revitalization on the west side of town."Can we start to look at focusing on improving the infrastructure in northwest Chula Vista to make it safer and more attractive so that we can enjoy the experience of our city," Galvez said. "Our neighbors to our east are enjoying their fields and you don't see them walking around because they have trails set far back from where you typically drive.""Here, we're all kind of using the pavement and even the streets to ride our bikes," Galvez said.Councilmember Mike Diaz, representing District 4, sided with a recommendation made earlier in the meeting that the GMOC report should be heard before the city's budget review process."I'm not sure how much it's going to move the needle one way or the other, but I think we at least need to hear this before budget.""It's going to be many many months before we start talking about [the GMOC report] again, and maybe we forget about those, so I certainly like to see that."Watch the meeting 4480

CHICO, Calif. (AP) — Another person killed in the deadliest wildfire in California history has been identified.The Butte County Sheriff's office said Friday it positively identified the remains of 68-year-old Judith Sipher of Paradise.That brings the total number of named dead to 81. Three people whose remains were recovered after the wildfire are tentatively identified but have not yet been named by the sheriff's office. Two of the 86 victims remain unknown.The fire in November last year destroyed nearly 15,000 homes in Paradise and surrounding towns. In the aftermath of the catastrophe, authorities used DNA testing to identify bone fragments and other remains of the victims. In some cases, it took months to positively identify the victims and notify their next of kin. 788

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