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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 (KGTV) -- In an email to Rancho Del Rey Middle School families, the Sweetwater school district announced Monday they will be cutting after school programs and its 2019 summer school session while it scrambles to fix a  million mistake.Budget reductions were expected but there was no indication when and what would be impacted by the district's effort to solve its financial challenges."Due to a district-wide budget shortfall, we are experiencing cutbacks that may affect some parents as they plan for their students outside of school schedules," the letter said.The after school programs will cease to be offered Tuesday.San Diego County’s second largest district said in September they found a shortfall in their budget from last year.REPORT: Sweetwater district scrambling to fix million budget mistakeThe district has faced years of scrutiny, battling lawsuits for bribery and sexual harassment scandals.In a meeting on September 24, district officials revealed its 2018-2019 school year budget shortfall citing other expenses from staff raises, including costs of substitute teachers, and an unexpected million expense for utilities.According to a report by The Voice of San Diego, the shortfall is more than million, mostly from staff raises unaccounted for.REPORT:?Developers to add more apartments in Otay Ranch projectAt an October 8 board meeting, SUHSD staff offered suggestions such as energy cost savings, freezing unfilled positions, and reduction in the work year for all Management."Throughout this budget challenge, we believe that we have remained pragmatic, honest, and transparent in our efforts. This process has also enabled us to implement new practices and protocols that will help prevent this situation in the future," the district said on its website.REPORT:?Spike in Chula Vista sideshows prompt demands for police action from residentsIt's unclear how the other schools in the district would be impacted and calls to district offices went unanswered Monday afternoon.Below is the letter Rancho Del Rey families received Monday: 2136

Cigarette use among American adults is at the lowest it's been since the Centers for Disease Control and Prevention started collecting data on the issue in 1965, according to a report released Thursday."The good news is that cigarette smoking has reached unprecedented lows, which is a tremendous public health win, down to 14 percent from over 40 percent in the mid-1960s," said Brian King, senior author of the report and deputy director for research translation at the CDC's Office on Smoking and Health. About 47.4 million Americans, or 19.3%, used any tobacco product in 2017, the report says.He believes that the decline is due to proven interventions, such as smoke-free policies and rises in the price of tobacco products.As stated in the report, the data is from the National Health Interview Survey, "an annual, nationally representative, in-person survey of the noninstitutionalized U.S. civilian population." The 2017 sample included 26,742 adults and had a response rate of 53%.Researchers assessed the use of five types of tobacco products: cigarettes, cigars, pipes (including water pipes and hookahs), e-cigarettes and smokeless tobacco (such as snuff or dip)."During 2016-2017 declines occurred in current use of any tobacco product; any combustible tobacco product, [two or more] tobacco products; cigarettes; and smokeless tobacco," the report says.King added, "on balance, we still have some public health hurdles in that there is still 47 million Americans that are using some form of tobacco products, and we still have significant disparities among the groups in the country in terms of tobacco product use."So, who is still using these products, and what are they using?Beyond the 14% of Americans smoking cigarettes, 3.8% are smoking cigars, 2.8% are using e-cigarettes or vaping, 2.1% use smokeless tobacco products, and 1% are using pipes.Males (24.8%) were more likely to be smoking than females (14.2%). The highest age group for smoking was among those between 25 to 44 (22.5%); those 65 and older smoked the least (11%). Southerners and Midwesterners (20.8% and 23.5%, respectively) smoked more than those in the Northeast (15.6%) and the West (15.9%)The researchers also looked at race, education level, income level, sexuality, insurance provider and marital status to determine smoking rates.Although cigarettes are the leading cause of tobacco-related deaths and diseases in the country, according to King, he also believes other tobacco products, such as e-cigarettes, need to be considered to continue declining rates of overall tobacco product use."It's critical that we not only modernize our strategies in terms of population but also modernize our interventions to be sure that we are capturing the full diversity of tobacco products that the American public are using," King said. 2850

CHULA VISTA, Calif. (KGTV) -- A pedestrian died Friday night following a crash along Main Street in Chula Vista, police say. According to police, the incident happened near the intersection of Main Street and Del Monte Avenue around 9:30 p.m.After arriving on scene, officers found the injured man in the eastbound lane of Main Street. He was taken to the hospital where he later died.At this time, the circumstances of the crash are under investigation, but the department says the driver stayed on scene and cooperated.Alcohol isn’t believed to be a factor in the crash, police say. Anyone with information is asked to call the CVPD Traffic Unit. 656

CHULA VISTA, Calif. (KGTV) — Police are searching for an 81-year-old man who was last seen in the Otay Ranch Mall area.Chula Vista Police says Donald Mooring was last seen around 3 p.m. near the Otay Ranch Mall on Thursday. Police add that Mooring may be suffering from the effects of dementia.Mooring is described as a black man, 5-foot 9-inches tall, and weighing about 230 pounds. He may be driving a white 2010 Dodge Caravan with California plates "7CHU230".He is believed to be wearing a green plaid shirt, khaki pants, and black tennis shoes.Anyone with information on Mooring's whereabouts is asked to call CVPD at 619-691-5151. 643