Daily Archives: September 21, 2019

With a pending sale due for approval any day, Daly Citys hospital that largely serves low-income patients and seniors is no longer in immediate danger. But the instability still has staff and patients anxious about its long-term future after all, it was in the same position just four years ago.

The owner of Seton Medical Center, Verity Health, declared bankruptcy in August 2018, setting off a panic about what would happen to the safety-net hospital that roughly 27,000 people in southern San Francisco and northern San Mateo County rely on for emergency services. About 80 percent of those are MediCal and Medicare patients, who would have to travel farther for care even in life-or-death emergencies. Its also the largest employer in Daly City.

By January, Strategic Global Management, a subsidiary of KPC Group of Companies, emerged as the sole bidder, offering $610 million for Veritys four hospitals: Seton in Daly City, another Seton in Moss Beach, and two in Southern California. The California Attorney Generals Office held a public meeting in August and is expected to lay out its final sale conditions this fall, according to San Mateo County Supervisor David Canepas office. A judge approved the bid earlier this year.

We were pleased to participate in four separate public meetings in the communities surrounding all four hospitals being acquired by SGM, said spokesperson Jeff Corless in a statement. The meetings had broad employee, physician, elected official and community stakeholder participation. The consistent theme was, save our community hospital. That remains our top priority.

When Verity bought the hospital system from Daughters of Charity in 2015, the Attorney General imposed conditions which were designed to keep the hospital operating for at least 10 years. Just three years later, however, the hospital declared bankruptcy. Phoebe Minkler, a Seton nurse of 9 years, says colleagues are wearier this time around and less willing to stick around which makes it harder to train staff for the long haul.

A lot of people are scared about the future, says Minkler, whos represented by the California Nurses Association. We just heard this a few years ago its more promises. Were left in a kind of lurch again.

Minkler and her coworkers would like SGM to commit to investments like reopening labor delivery and establishing the cancer unit that Verity promised. But theyre also just hoping the hospital doesnt lose services at this point, and for the new company to commit to the seismic retrofits needed through 2030 that would signal a long-term investment running the property as a hospital.

Though the City Council of Daly City approved a resolution in 2018 to keep the land zoned for hospital use, fears remain that developers are eyeing the 32-acre site for lucrative housing. Extending the sale conditions another five years and following through on the retrofit would better ease those fears, says the National Union of Healthcare Workers, which represents about half of Seton workers.

The top priority for Seton workers is keeping the hospitals open with no decrease in medical services for the surrounding communities, said NUHW Research Director Fred Seavey in a statement. Were ready to work with the prospective owner to make that a reality, but its hard not to have concerns when the company has not committed to keeping the hospitals open long-term or seismically retrofitting Seton Medical Center.

Minkler and another Seton staffer, Rosalie Zamora, say patients have asked if the hospital is closing. Keeping Seton running at full speed is a matter of life or death to many, including longtime Daly City resident Elaine Villasper. Her family has gone to Seton for services since the 1990s but it became a lifeline for Villasper when she went into septic shock days after developing an infection during childbirth. She spent a week in the ICU recovering from organ failure and a stroke and was told that if they went to a hospital farther away, she may not have survived.

The doctors, nurses, and other medical staff provided great care to me and my family and I owe my life to them, says Villasper, who supports NUHW demands. A hospital is a key part of any community, and it would be detrimental not only to the workers, but to our city if the hospital was not able to provide its services.

Even with Setons future more secure than it was a year ago, Canepa feels a long-term fix is needed to the inequities of hospital services in San Mateo County. Hes starting to look at surcharges on for-profit hospitals concentrated in the southern, wealthier parts of the county to prevent financial strain on safety-net hospitals like Seton or the public San Mateo Medical Center.

Whats really fascinating to me is the schism between the haves and the have-nots, Canepa says. Daly City is really the symbol for that. We have a lot of MediCal and Medicare [patients], where are they going to go?

See the rest here:

Daly City Hospital Survives Bankruptcy Again, But For How Long? - SF Weekly

Insys Therapeutics has been given the green light to sell its Subsys opioid product the focus of racketeering charges that forced the company to file for bankruptcy to BTcP Pharma.

Back in June, Insys became the first company to file for bankruptcy in connection with the US opioid epidemic, shortly after agreeing a $225m payment to settle charges it bribed doctors to prescribe Subsys.

Since then, Purdue Pharma has also filed for Chapter 11 protection as it tries to secure agreement for a massive $10bn-$12bn settlement relating to its alleged role in the opioid crisis, while Mallinckrodt has also been reported to be at risk as it tries to pursue its own settlement deals.

Subsys is a sublingual spray formulation of fentanyl, a highly-potent opioid analgesic that is approved to treat end-stage cancer pain, and is being sold to try to raise cash to satisfy creditors and provide funds for settlement of thousands more outstanding lawsuits.

Earlier this year, five former Insys executives including founder and chairman John Kapoor were convicted of racketeering conspiracy after being found guilty of encouraging widespread, off-label use of the product by providing inducements to doctors.

Wyoming-based BTcP Pharma, which is part of the MMB Healthcare network of pharmaceutical companies, has agreed to take over the sale and distribution of the drug and pledged to only market the drug for use in its approved indication.

It will also take on limited debts related to the Subsys product, but wont assume liability for fines, judgments, settlements or other liabilities owed to the Department of Justice or other governmental entity in other words the $225m federal settlement.

Insys will receive a 45% royalty rate on profits from Subsys, which it estimates could reach around $20m only a fraction of the amount being sought by claimants that also include states, municipalities and Native American tribes, as well as to insurers and hospitals affected by the racketeering.

The company estimates that its potential liabilities could be as high as $4bn, far in excess of any amount raised during its liquidation.

Other assets held by the company include Syndros, a liquid dronabinol product approved for chemotherapy-induced nausea and vomiting in patients who dont respond to other drugs, as well as a naloxone nasal spray formulation and a sublingual spray formulation of buprenorphine in development. The buprenorphine spray product was however rejected by the FDA last year.

Link:

Insys gets bankruptcy court okay for Subsys sale - PMLiVE