Kansas City Chiefs linebacker kills girlfriend, self

Chiefs Player Involved in Murder-Suicide (Posted Dec. 1st, 2012)

Minutes after fatally shooting his girlfriend Saturday morning in the home they shared, Kansas City Chiefs linebacker Jovan Belcher drove five miles to the team's practice facility and parked out front.

The 25-year-old player got out of his car, and, while holding a gun to his head, spoke briefly with Chiefs coach Romeo Crennel and General Manager Scott Pioli, who had come outside to meet him. He thanked them for the opportunity to play in the NFL.

When police arrived on the scene, Belcher turned, walked about 30 feet west toward an empty parking lot, pulled the trigger and took his life.

Around the same time, Belcher's girlfriend, Kasandra Perkins, 22, was being taken to the hospital. She died about 30 minutes after she was shot. The couple had a 3-month-old daughter who was in the house at the time of the shooting but was in another room. It was Belcher's mother, who had recently moved into the home from New York, who called police.

“Think about your worst nightmare and multiply it by five,” Kansas City Mayor Sly James told the Kansas City Star after meeting with Pioli at the stadium. “Put somebody you know and love into that situation, and give them a gun, and stand three feet away from them and watch them kill themselves … . It's unfathomable.”

The Chiefs, who play host today to the Carolina Panthers, had scheduled a team meeting for 9:30 a.m. — about 11/2 hours before Belcher pulled into the parking lot — so there were about 20 people at the facility when he shot himself.

“The entire Chiefs family is deeply saddened by [Saturday's] events, and our collective hearts are heavy with sympathy, thoughts and prayers for the families and friends affected by this unthinkable tragedy,” Chiefs owner Clark Hunt said in a statement released by the team.

The horrific murder-suicide reverberated through the NFL on what is typically a quiet day of preparation for games.

“He was a great kid, one of my favorites,” said former Chiefs coach Todd Haley, now offensive coordinator for the Pittsburgh Steelers. “He hugged me after the game when we played them a couple weeks ago and was bragging about his new daughter.

“ ... It's crazy. In season, nothing like has ever happened, nothing of this magnitude that I can remember.”

Belcher and Perkins reportedly had a tumultuous relationship and, police said, had been fighting in the hour leading up to the shooting. Perkins had been out late Friday night, attending a Trey Songz concert. Haley said Belcher and Perkins had met through another Chiefs player.

On her Facebook page, Perkins, who is from Dallas, posted several pictures of the couple and their daughter, including one of Belcher gently cradling the baby. That photo's caption reads “My loves.”

Another picture features Belcher leaping over a player to get to Arizona's quarterback and is captioned “In LOVE with SUPERMAN.”

Among the “likes” on Belcher's Facebook page was one for “Male Athletes Against Violence,” a project founded at his alma mater, the University of Maine, aimed at raising awareness about the problem of male violence against women.

Belcher grew up in Long Island, N.Y., and was an outstanding wrestler. Maine was the only school that offered him a football scholarship. From there, he made the improbable rise from undrafted free agent in 2009 to starting inside linebacker for Kansas City.

“Coming from a small high school, a small college, you're looked down upon like you can't do some of the things that other kids are doing who went to bigger schools,” Belcher told the Star in 1999. “In my position, I've always been the underdog.”

He was second on the team with 87 tackles last season, and had 38 in 11 games for the 1-10 Chiefs this season.

“I am devastated and heartbroken,” Chiefs offensive lineman Jeff Allen wrote on Twitter. “I'm sending prayers out to everyone involved. Always show love and never be afraid to talk.”

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Zynga stock falls after Facebook terms change

NEW YORK (AP) — Shares of Zynga slumped Friday after it disclosed with its partner Facebook that they have loosened their close ties to one another.

THE SPARK: The companies said in regulatory filings Thursday that they have amended their 2010 contract to say Zynga will no longer have to display Facebook ads or use Facebook payments on its own properties, such as Zynga.com.

In addition, Zynga, which makes the games “FarmVille” and “CityVille,” will no longer be required to use Facebook as the exclusive social site for its games, or to grant Facebook exclusive games. Any social game Zynga launches will also be available on Facebook either at the same time or shortly after it launches elsewhere.

Facebook, meanwhile, will be able to develop its own games after the end of March, though it said it has no plans to do so. Its deal with Zynga previously prohibited Facebook from developing games.

THE BIG PICTURE: While it’s not exactly splitsville, the original 2010 contract gave Zynga special status among Facebook game developers. Zynga relies on Facebook for most of the revenue it generates even as it works to establish its independence.

Facebook also makes money from Zynga, though the portion of its revenue that the game maker accounts for has declined. In the third quarter, Facebook said that 7 percent of its total revenue came from Zynga, down from 12 percent in the third quarter of 2011.

ANALYSIS: Wedbush analyst Michael Pachter said while Zynga investors reacted badly to the news, he sees the changes as a long-term positive for both companies.

“Zynga now has an incentive to expand the reach of its most popular social games beyond Facebook and Zynga.com and be able to offer additional payment options, likely resulting in additional payers who are not Facebook users,” the analyst wrote in a note to investors.

Pachter rates Zynga “Outperform” with a target price of $ 4.

STOCK ACTION: Shares of San Francisco’S Zynga Inc. fell 19 cents, or 7.3 percent, to $ 2.43 in afternoon trading. Zynga went public in December 2011 at a price of $ 10 per share but its stock have fallen sharply amid concerns about its ability to keep growing quickly.

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Strauss-Kahn in preliminary deal to settle case with maid

NEW YORK/PARIS (Reuters) – Former IMF head Dominique Strauss-Kahn has reached a preliminary agreement to settle a civil lawsuit brought against him by a hotel maid who accused him of sexual assault last year, sources familiar with the case said.

U.S. and France-based lawyers for Strauss-Kahn, who was once tipped to become French president, on Friday acknowledged a deal was under discussion, but said it had not yet been finalized.

They also denied as “flatly false” and “fanciful” a report that he agreed on a $ 6 million settlement.

“The parties have discussed a resolution but there has been no settlement. Mr. Strauss-Kahn will continue to defend the charges if no resolution can be reached,” Strauss-Kahn’s U.S. lawyers, William Taylor and Amit Mehta, said in a statement.

“Media reports that Dominique Strauss-Kahn has agreed to pay six million dollars to settle the civil case are flatly false.”

French daily Le Monde, citing people close to Strauss-Kahn, said he and the maid Nafissatou Diallo would meet a judge in New York on December 7 to sign a $ 6 million settlement and close an affair that ended the Frenchman’s International Monetary Fund career and wrecked his presidential ambitions.

“The discussions have been going on for weeks, months. The agreement should be confirmed at the start of next week,” Michele Saban, a friend of Strauss-Kahn who saw him recently, told Reuters in Paris. She could not confirm the sum involved.

“We are moving towards the end of a tragedy,” she said, adding that Diallo had always been open to negotiating a settlement despite reticence from her lawyers.

Le Monde said 63-year-old Strauss-Kahn planned to take out a bank loan for $ 3 million and would be lent the other $ 3 million by his wife Anne Sinclair, despite the fact the couple separated in the summer and now live on different sides of Paris.

Strauss-Kahn’s Paris-based legal team declined to comment on whether a deal had been reached with Diallo, but denied Le Monde’s report of the sum involved.

“Neither Dominique Strauss-Kahn nor his lawyers will comment on proceedings in the United States. That said, however, they strenuously deny the erroneous and fanciful information relayed by Le Monde,” said a statement from the Paris lawyers.

The New York Times, which first reported the development, also said the pair would appear before a judge in New York next week. It said the settlement sum could not be determined.

END OF THE AFFAIR

News of the U.S. deal comes as Strauss-Kahn is awaiting a decision by a French court on December 19 on whether to call off a sex offence inquiry involving parties in Lille attended by prostitutes, where he risks trial on a charge of “aggravated pimping”.

If that case is dropped and Diallo ends her civil case, Strauss-Kahn would have a freer rein to pursue his consultancy work and could even consider a tentative return to public life in France, where he has been shunned since the Diallo scandal.

Images of the then IMF chief paraded before TV cameras in handcuffs before being charged with attempted rape shocked the world and led to French media raking over smutty details of the former finance minister’s private life.

“That’s the end, not only of this affair, but of any potential affair because one of the reasons for signing this kind of agreement is that both parties agree that they will never again bring a lawsuit,” Christopher Mesnooh, a U.S. lawyer who practices in France, said of the Diallo agreement.

“There will always be people who wonder about what happened in New York and in Lille, but from a legal standpoint if he gets all this behind him, he’s a free man,” he added.

Diallo alleged that Strauss-Kahn forced her to perform oral sex on May 14, 2011, in his suite at the Manhattan Sofitel.

The criminal prosecution fell apart after doubts emerged concerning Diallo’s credibility as a witness and the attempted rape charges against Strauss-Kahn were eventually dropped.

Strauss-Kahn, who in May 2011 was days from entering this year’s French presidential election, has maintained that the sexual encounter was consensual, although he said in a TV interview after his return to France that he regretted his “moral error”.

He filed his own countersuit against the maid earlier this year, claiming that Diallo’s accusations had destroyed his career and harmed his reputation.

In recent months, Strauss-Kahn has been making a comeback under-the-radar with a handful of speaking engagements at private conferences and by setting up a business consultancy firm in Paris.

(Reporting by Noeleen Walder in New York and Emmanuel Jarry, Johnny Cotton and Thierry Leveque in Paris; Writing by Catherine Bremer and Brian Love; Editing by Jon Hemming)

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Opinion: A Health Insurance Detective Story

I’VE had a long career as a business journalist, beginning at Forbes and including eight years as the editor of Money, a personal finance magazine. But I’ve never faced a more confounding reporting challenge than the one I’m engaged in now: What will I pay next year for the pill that controls my blood cancer?

After making more than 70 phone calls to 16 organizations over the past few weeks, I’m still not totally sure what I will owe for my Revlimid, a derivative of thalidomide that is keeping my multiple myeloma in check. The drug is extremely expensive — about $11,000 retail for a four-week supply, $132,000 a year, $524 a pill. Time Warner, my former employer, has covered me for years under its Supplementary Medicare Program, a plan for retirees that included a special Writers Guild benefit capping my out-of-pocket prescription costs at $1,000 a year. That out-of-pocket limit is scheduled to expire on Jan. 1. So what will my Revlimid cost me next year?

The answers I got ranged from $20 a month to $17,000 a year. One of the first people I phoned said that no matter what I heard, I wouldn’t know the cost until I filed a claim in January. Seventy phone calls later, that may still be the most reliable thing anyone has told me.

Like around 47 million other Medicare beneficiaries, I have until this Friday, Dec. 7, when open enrollment ends, to choose my 2013 Medicare coverage, either through traditional Medicare or a private insurer, as well as my drug coverage — or I will risk all sorts of complications and potential late penalties.

But if a seasoned personal-finance journalist can’t get a straight answer to a simple question, what chance do most people have of picking the right health insurance option?

A study published in the journal Health Affairs in October estimated that a mere 5.2 percent of Medicare Part D beneficiaries chose the cheapest coverage that met their needs. All in all, consumers appear to be wasting roughly $11 billion a year on their Part D coverage, partly, I think, because they don’t get reliable answers to straightforward questions.

Here’s a snapshot of my surreal experience:

NOV. 7 A packet from Time Warner informs me that the company’s new 2013 Retiree Health Care Plan has “no out-of-pocket limit on your expenses.” But Erin, the person who answers at the company’s Benefits Service Center, tells me that the new plan will have “no practical effect” on me. What about the $1,000-a-year cap on drug costs? Is that really being eliminated? “Yes,” she says, “there’s no limit on out-of-pocket expenses in 2013.” I tell her I think that could have a major effect on me.

Next I talk to David at CVS/Caremark, Time Warner’s new drug insurance provider. He thinks my out-of-pocket cost for Revlimid next year will be $6,900. He says, “I know I’m scaring you.”

I call back Erin at Time Warner. She mentions something about $10,000 and says she’ll get an estimate for me in two business days.

NOV. 8 I phone Medicare. Jay says that if I switch to Medicare’s Part D prescription coverage, with a new provider, Revlimid’s cost will drive me into Medicare’s “catastrophic coverage.” I’d pay $2,819 the first month, and 5 percent of the cost of the drug thereafter — $563 a month or maybe $561. Anyway, roughly $9,000 for the year. Jay says AARP’s Part D plan may be a good option.

NOV. 9 Erin at Time Warner tells me that the company’s policy bundles United Healthcare medical coverage with CVS/Caremark’s drug coverage. I can’t accept the medical plan and cherry-pick prescription coverage elsewhere. It’s take it or leave it. Then she puts CVS’s Michele on the line to get me a Revlimid quote. Michele says Time Warner hasn’t transferred my insurance information. She can’t give me a quote without it. Erin says she will not call me with an update. I’ll have to call her.

My oncologist’s assistant steers me to Celgene, Revlimid’s manufacturer. Jennifer in “patient support” says premium assistance grants can cut the cost of Revlimid to $20 or $30 a month. She says, “You’re going to be O.K.” If my income is low enough to qualify for assistance.

NOV. 12 I try CVS again. Christine says my insurance records still have not been transferred, but she thinks my Revlimid might cost $17,000 a year.

Adriana at Medicare warns me that AARP and other Part D providers will require “prior authorization” to cover my Revlimid, so it’s probably best to stick with Time Warner no matter what the cost.

But Brooke at AARP insists that I don’t need prior authorization for my Revlimid, and so does her supervisor Brian — until he spots a footnote. Then he assures me that it will be easy to get prior authorization. All I need is a doctor’s note. My out-of-pocket cost for 2013: roughly $7,000.

NOV. 13 Linda at CVS says her company still doesn’t have my file, but from what she can see about Time Warner’s insurance plans my cost will be $60 a month — $720 for the year.

CVS assigns my case to Rebecca. She says she’s “sure all will be fine.” Well, “pretty sure.” She’s excited. She’s been with the company only a few months. This will be her first quote.

NOV. 14 Giddens at Time Warner puts in an “emergency update request” to get my files transferred to CVS.

Frank Lalli is an editorial consultant on retirement issues and a former senior executive editor at Time Warner’s Time Inc.

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After a billion, what next for Facebook?

MENLO PARK — In just eight years, Facebook signed up more than half the world's Internet population.

Now it's going after the rest.

Facebook wants to reach every single person on the Internet whether they are logging on from a laptop in Santa Monica, an iPhone in Tokyo or a low-tech phone with a tiny screen in Nairobi.

It's parachuting into market after market to take on homegrown social networks by currying favor with the locals and venturing where many people have spotty — if any — access to the Internet.

In Japan, it lets users list their blood types, which the Japanese believe — like astrological signs in the Western world — give insight into personality and temperament. In Africa, Facebook markets a stripped-down, text-only version of its service that works on low-tech mobile phones.

International growth is crucial to maintain its dominance as the world's largest social network. The company's scorching pace of growth has cooled especially in the United States. Facebook must coax users to sign up — and make sure it remains popular with the users it already has — or risk being knocked from its lofty perch.

"We're not a company that is just trying to add more people," said Chris Cox, Facebook's vice president of product. "What we are trying to do is build a service that everyone in the world can use."

But overseas growth that once seemed to come so easily is slower now. Facebook has already saturated most major markets around the globe. Eight out of 10 Facebook users are outside of the U.S.

"I don't think that Facebook has a chance of attracting another billion users," Wedbush Securities analyst Michael Pachter said.

Inside Facebook's Menlo Park, Calif., headquarters is a small army out to prove naysayers wrong. Above their desks they have hung flags from around the world that represent their nationalities. They obsessively scan screens that track user growth around the world.

They cheered and popped open champagne in September when the number of active Facebook users crossed 1 billion. But the moment of jubilation quickly passed as they redoubled their efforts to spread Facebook around the globe.

Naomi Gleit is the soft-spoken, headstrong 29-year-old product manager in charge of growth at Facebook. She says Facebook's future is on mobile devices, the medium by which most people will experience the Web in coming years. Facebook now works on more than 2,500 different phones, helping it gain a foothold in emerging markets. And it is forging relationships with mobile phone operators around the world.

Gleit's 150-member team has boots on the ground in far-flung places armed with low-tech phones and cheap data plans. Even team members here carry Nokia phones alongside their iPhones to update their status or check their News Feed.

"We originally built a product for ourselves," Gleit said. "This is different. Now we need to understand the experience of users who are not like us."

Analysts say Facebook already has established an impressive track record of uprooting entrenched competitors. In Britain, it displaced the dominant social network Bebo, forcing AOL to sell it at a huge loss. In Germany, Facebook overtook the homegrown StudiVZ. Facebook even broke Google social network Orkut's stranglehold on Brazil and India.

In 2009, it launched a clever tool to help Facebook users find their Orkut friends on Facebook and instantly send them friend requests. Two years later it swiped Google's top executive in Latin America, Alexandre Hohagen. Facebook sprinted ahead of Orkut one year ago, and now has 61 million active users in Latin America's largest country.

Facebook is treating India as a test lab for how it can spread in other emerging markets such as Indonesia. Facebook, which has offices in Hyderabad, India, has grown from 8 million users in 2010 to 65 million users today. It is aggressively targeting India's youth. A few hundred young Indian programmers recently jammed a Facebook hackathon at a Bangalore convention center to chug chai and brainstorm new apps that would appeal to their friends.

But Facebook has its eyes on a much bigger prize beyond the country's 100 million Internet users: the 900 million-plus Indians on mobile phones. Some analysts predict India will have more Facebook users than any other country including the United States by 2015.

The company also faces significant challenges in India. It must make the service captivating on low-tech mobile phones with unreliable Internet connections and it must gingerly navigate demands from the Indian government to remove objectionable content without alienating users.

Facebook is making some of its biggest moves in Russia, South Korea and Japan, the only major markets where it operates but has penetration of less than 50%, according to research firm ComScore.

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6 shot, 1 fatally, on S. Side

Six people were shot on the South Side of Chicago. Police investigate one of the crime scenes in the 4200 block of S. Wells St. (Chris Sweda/Chicago Tribune)

A total of six people were shot, one fatally, in two shootings on the South Side, officials said.

In the first shooting, two 19-year-old men were reported shot on the 1100 block of West 51st Street, police said. The shooting was reported at 6:11 p.m., said Chicago Fire Department Chief Joseph Roccasalva.

The men were both taken in serious-to-critical condition to John H. Stroger, Jr. Hospital of Cook County.

One of the men was reportedly shot in the back and the second man was shot in the hand, leg, side and buttocks, said Chicago Police News Affairs Officer VeeJay Zala.

Minutes after that shooting, four people were shot on the 4200 block of South Wells Street at 6:21 p.m., said Roccasalva.

A 30-year-old man sustained a gunshot wound to the head and a 38-year-old man was shot in the neck, both were taken to John H. Stroger, Jr. Hospital of Cook County. The younger man  reportedly died, officials said.

A 32-year-old man sustained a gunshot wound to the stomach. A 27-year-old man was shot in the leg and taken to Mercy Hospital, where his condition was stabilized.

Two of the victims were taken in serious-to-critical condition to Stroger Hospital, one person was taken to Mercy Hospital in fair-to-serious condition and one person was reported dead on the scene, said Roccasalva.

The four victims were shot inside and outside of a home in the 4200 block of South Wells Street, police said.

The man who was killed, 30-year-old William Martin, was shot in the head inside the home, according to police and the victim's family.

Martin was the second child Thelma Smith lost to gunfire this year, she said. Another son, Samuel Clay, was shot and killed in April near 45th Street and Saint Lawrence Avenue, she said.

"I don't know what this world is coming to, with all this shooting," Martin's mother, Smith, 48, said through tears from the porch of her mother's home on the next block.

She said Martin was in the home, where a friend of his lived, when the bullets pierced through the window and struck Martin and at least one other victim.

Smith, who has four other children, said Martin was studying to become a Jehovah's Witness. She said he had six children and got married last year. 

"Oh my God! I can't believe this! Another one of my kids is getting buried. I have to bury another one of my kids," said Smith.

Police said the gunshots may have come from an alley west of the home, across the street. No one is in custody.

Police couldn't say what led to the shooting, but the block is in the middle of an area where two gangs are in conflict with one another.

There's no indication the shooting is related to the other one at 51st and Wells Streets, police said.

About 20 onlookers gathered on sidewalks and stoops in the 4200 block of South Wells Street where beat cops and detectives were going door to door scouring for witnesses.

A female voice could be heard screaming down the block. Two others were consoling each other with tears in their eyes in the middle of the street.

One officer approached a group of people outside the yellow tape and asked loudly, "Did anybody see anything?"

Nobody said anything back to the officer as she walked away from them.

Rolita Lofton, 34, stood crying at the edge of the police tape Friday night near the shooting site on Wells Street.

"They hit my brother in the chest," Lofton said.

Lofton said her brother, Orivell Chester, 32, was one of the four shot Friday night.

Lofton said she was told her brother was in surgery but did not know the hospital. She said Chester worked at McCormick Place and recently got off work.

Marcus Keene, 38, said he heard the shooters came through the gangway on Wells Street and just started shooting at a group of men gathered on the porch.

He said two of the men shot were on the porch while the other two shot were sitting on the couch inside the next house over. Keene said he believes one of the men who was struck while inside the house had already died.

Keene, who works as a CTA bus driver, expressed frustration.

"Why? Who knows. Is this sad? Yes. The powers at be aren't doing what they should do and neither are the people here," Keene said.

Several police vehicles and an ambulance were also stationed on the block full of two-story apartment houses.

Linda McCullough was watching television at her home when she heard about five gunshots. She then went outside to see what was going on.

She says the neighborhood is usually quiet.

"We have some trouble maybe every four years," she said. "People start acting crazy."

In addition to those shootings, a man was found dead of apparent gunshot wounds on the 8200 block of South Dobson, police said.

The victim may have been dead for a few weeks, a police source said, citing preliminary information. The man sustained several gunshot wounds, police said.

chicagobreaking@tribune.com

Twitter: @ChicagoBreaking

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Average wireless bill increased 7% in 2012 , 70% of subscribers now own smartphones

We all love our smartphones, but they are a costly addiction to support. According to Consumer Reports, American wireless subscribers saw their wireless bills increase by 7% between 2011 and 2012, and the big culprit is the continued proliferation of smartphones. Overall, 70% of wireless subscribers who took part in Consumer Reports’ survey owned smartphones this year, up from 50% in 2011. As the publication notes, “upgrading from a plain cell phone at a major carrier isn’t cheap” since “you have to buy the smart phone itself (usually $ 100 to $ 400 when signing a two-year contract) and fork over $ 70 to $ 110 a month for a plan with data service… a lot more than a basic phone plan, which generally costs $ 40 to $ 70 a month.”

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Putin aide denies Russian president has health problems

TOKYO/MOSCOW (Reuters) – Vladimir Putin is in good health, his chief of staff said on Friday after Japanese media said Prime Minister Yoshihiko Noda had postponed a visit to Moscow next month because the Russian president had a health problem.

A former KGB officer who enjoys vast authority in Russia, Putin has long cultivated a tough-guy image, and health issues could damage that. His condition though has been questioned in some media since he was seen limping at a summit in September.

Three Russian government sources told Reuters late in October that Putin, who began a six-year term in May and turned 60 last month, was suffering from back trouble, but the Kremlin has dismissed talk that he had a serious back problem.

Putin’s health troubles stem from a recent judo bout, Belarussian President Alexander Lukashenko said this week.

Then on Friday Japanese news agencies Kyodo and Jiji reported that Prime Minister Noda talked about the delay of a visit planned for December in a meeting with municipal officials on the northern island of Hokkaido.

“It’s about (President Putin’s) health problem. This is not something that can easily be made public,” Jiji cited one of the officials as quoting Noda as saying.

But Putin’s chief of staff Sergei Ivanov denied there was any problem.

“Please don’t worry, don’t be concerned. Everything is in order with his health,” Putin’s said in Vienna, according to state-run Russian news agency RIA.

In an interview published on Friday in the popular Russian tabloid Komsomolskaya Pravda, Putin’s spokesman Dmitry Peskov said rumors about a spine problem were “strongly exaggerated”.

“He is working as he has before and intends to continue working at the same pace,” Peskov said.

“He also does not plan to give up his sports activities and for this reason, like any athlete, his back, his arm, his leg might sometimes hurt a little – this has never gotten in the way of his ability to work.”

Putin had been expected to make several foreign trips in late October or November, but they did not take place.

Putin is however due to visit Turkey on Monday and Turkmenistan on Wednesday.

Putin’s foreign policy adviser, Yuri Ushakov, made amply clear the Kremlin was displeased by the public discussion of scheduling by Japanese officials and denied that Noda’s visit had been postponed, saying no date had been set.

“It is just unethical to name the dates that were discussed. There were several: at first it was October, November, December, January … then we even shifted to February,” Ushakov said, adding that the sides eventually agreed tentatively on January.

He said the diplomatic process of agreeing dates for the visit should have been “hermetically sealed”.

Putin’s image as a fit, healthy man helped bring him popularity when he rose to power 13 years ago because of the stark contrast with his predecessor Boris Yeltsin, who was sometimes drunk in public and had heart surgery when president.

He has used activities like scuba diving and horseback riding to maintain that image.

On Friday, Putin met leaders of parliamentary factions in his Novo-Ogaryovo residence outside Moscow. He appeared in good health and was walking without any sign of a limp.

Likely to be on the agenda in talks between Russian and Japanese officials are energy cooperation and a decades-old dispute over islands north of Hokkaido known as the Southern Kurils in Russia and the Northern Territories in Japan.

(Additional reporting by Darya Korsunskaya; Writing by Tomasz Janowski and Steve Gutterman; Editing by Nick Macfie and Jon Hemming)

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Doctors Who Work for Hospitals Face a New Bottom Line

For decades, doctors in picturesque Boise, Idaho, were part of a tight-knit community, freely referring patients to the specialists or hospitals of their choice and exchanging information about the latest medical treatments.

But that began to change a few years ago, when the city’s largest hospital, St. Luke’s Health System, began rapidly buying physician practices all over town, from general practitioners to cardiologists to orthopedic surgeons.

Today, Boise is a medical battleground.

A little over half of the 1,400 doctors in southwestern Idaho are employed by St. Luke’s or its smaller competitor, St. Alphonsus Regional Medical Center.

Many of the independent doctors complain that both hospitals, but especially St. Luke’s, have too much power over every aspect of the medical pipeline, dictating which tests and procedures to perform, how much to charge and which patients to admit.

In interviews, they said their referrals from doctors now employed by St. Luke’s had dropped sharply, while patients, in many cases, were paying more there for the same level of treatment.

Boise’s experience reflects a growing national trend toward consolidation. Across the country, doctors who sold their practices and signed on as employees have similar criticisms. In lawsuits and interviews, they describe growing pressure to meet the financial goals of their new employers — often by performing unnecessary tests and procedures or by admitting patients who do not need a hospital stay.

In Boise, just a few weeks ago, even the hospitals were at war. St. Alphonsus went to court seeking an injunction to stop St. Luke’s from buying another physician practice group, arguing that the hospital’s dominance in the market was enabling it to drive up prices and to demand exclusive or preferential agreements with insurers. The price of a colonoscopy has quadrupled in some instances, and in other cases St. Luke’s charges nearly three times as much for laboratory work as nearby facilities, according to the St. Alphonsus complaint.

Federal and state officials have also joined the fray. In one of a handful of similar cases, the Federal Trade Commission and the Idaho attorney general are investigating whether St. Luke’s has become too powerful in Boise, using its newfound leverage to stifle competition.

Dr. David C. Pate, chief executive of St. Luke’s, denied the assertions by St. Alphonsus that the hospital’s acquisitions had limited patient choice or always resulted in higher prices. In some cases, Dr. Pate said, services that had been underpriced were raised to reflect market value. St. Luke’s, he argued, is simply embracing the new model of health care, which he predicted would lead over the long term to lower overall costs as fewer unnecessary tests and procedures were performed.

Regulators expressed some skepticism about the results, for patients, of rapid consolidation, although the trend is still too new to know for sure. “We’re seeing a lot more consolidation than we did 10 years ago,” said Jeffrey Perry, an assistant director in the F.T.C.’s Bureau of Competition. “Historically, what we’ve seen with the consolidation in the health care industry is that prices go up, but quality does not improve.”

A Drive to Consolidate

An array of new economic realities, from reduced Medicare reimbursements to higher technology costs, is driving consolidation in health care and transforming the practice of medicine in Boise and other communities large and small. In one manifestation of the trend, hospitals, private equity firms and even health insurance companies are acquiring physician practices at a rapid rate.

Today, about 39 percent of doctors nationwide are independent, down from 57 percent in 2000, according to estimates by Accenture, a consulting firm.

Many policy experts praise the shift away from independent practices as a way of making health care less fragmented and expensive. Systems that employ doctors, modeled after well-known organizations like Kaiser Permanente, are better able to coordinate patient care and to find ways to deliver improved services at lower costs, these advocates say. Indeed, consolidation is encouraged by some aspects of the Obama administration’s health care law.

“If you’re going to be paid for value, for performance, you’ve got to perform together,” said Dr. Ricardo Martinez, chief medical officer for North Highland, an Atlanta-based consultant that works with hospitals.

The recent trend is reminiscent of the consolidation that swept the industry in the 1990s in response to the creation of health maintenance organizations, or H.M.O.’s — but there is one major difference. Then, hospitals had difficulty managing the practices, contending that doctors did not work as hard when they were employees as they had as private operators. Now, hospitals are writing contracts more in their own favor.

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Jewel parent says sale talks proceeding

Exterior of Jewel-Osco's first "Green Store" located at 370 N. Desplaines in Chicago. (Antonio Perez / November 29, 2012)

By Emily Bryson York




Chicago Tribune reporter

6:51 a.m. CST, November 30, 2012

Supervalu, the Minneapolis-based parent of Jewel-Osco said sale talks are proceeding after stock closed down more than 18 percent Thursday, to $2.28.

The beleaguered grocery chain was likely moving to combat reports that sale talks with suitor Cerberus Capital Management had stalled over funding.

"The company continues to be in active discussion with several parties," according to the statement. "There can be no assurance that this process will result in any transaction or any change in the Company's overall structure or its business model."

Supervalu, the third-largest U.S. grocery chain, has acknowledged sale talks since the spring. The company has been closing stores and cutting jobs as it has underperformed competitors like Dominick's parent Safeway and Kroger.

If Supervalu does not sell to Cerberus, it may have to restructure on its own or sell off individual assets, which could have big tax consequences, Bloomberg said.

Reuters reported last month that buyout firm Cerberus was preparing a takeover bid for Supervalu, the third-largest U.S. supermarket chain.

Cerberus officials could not be reached immediately for comment.

-- Reuters contributed to this report

In addition to Jewel, Supervalu owns Albertsons, Cub and other regional grocery chains.

SVU data by YCharts

SVU data by YCharts

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