Demi Moore and Bruce Willis’ Daughter Tallulah enters rehab

Tep Mayo – Fourth Estate Cooperative Contributor

Hollywood, CA, United States (4E) – Tallulah Willis, 20-year-old daughter of former Hollywood couple Bruce Willis and Demi Moore, is finally getting treatment in a rehab facility to deal with alcohol and substance abuse. She finally gave in after her family threatened her with an ultimatum to get better or “her parents are going to take away everything from her,” a source shared.

It seems Tallulah, the green-haired fashion blogger, has been struggling with her own demons for years since the break-up of her famous parents in 2000. Adding to this was Moore’s own hospitalization and rehab in 2012. A family friend quotes Tallulah, “Of course I have issues too, look at my mom.”

A family insider who spoke in anonymity says, “The situation had been building for a while, she’s been dealing with some unhappiness, and everything sort of came to a head.”

Tallulah has appeared in her parents’ films “The Whole Ten Yards,” “Bandits,” and “The Scarlet Letter.” Earlier this month, she made headlines when she appeared in her underwear in a video to raise awareness about body dysmorphia, which she was diagnosed with when she was 13, at that time starving herself down to 95 lbs. She says, “I struggled a lot when I was younger.”

Bruce and Demi married in 1987 and divorced after 11 years. They had three daughters together, Rumer, Scout and Tallulah.

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Kim Kardashian, Kanye West’s daughter North gets first modeling gig

Paula David – Fourth Estate Cooperative Reporter

Los Angeles, CA, United States (4E) – She is only over a year old, but Kim Kardashian and Kanye West’s daughter North is already a model, landing her very first gig for the CR Fashion Book’s fifth issue.

A preview for the issue shows a black and white photo of North, wearing a cashmere sweater paired with a Chanel brooch and bag, and Lorriaine Schwartz diamond studs.

The photo, titled “North West: The Future,” was shot by Michael Avedon and styled by the Fashion Book’s founder and editor-in-chief Carine Roitfeld. It bears a quote from famed designer Karl Lagerfeld saying, “It’s never too early to care about fashion!”

The 13-minth-old celebrity is said to be the youngest subject in the book’s story titled “Legends,” which “celebrates the unconventional side of fashion icon status.”

According to the preview, the “already famed” tot holds “a bright fashion future,” given her parent’s star celebrity status. Mom Kim is a past cover star for the book.

The CR Fashion Book featuring North West will be out in the fall.

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Cara Delevingne stars solo in Topshop’s newest campaign

Paula David – Fourth Estate Cooperative Reporter

London, England, United Kingdom (4E) – Model Cara Delevingne is the sole star of Topshop’s newest campaign for its 2014 autumn/winter collections to be out in August.

The 22-year-old model, in a series of 12 campaign photos taken by photographer Alasdair McLellan, can be seen wearing the collection’s key items such as a fur-trimmed parka, biker jacket, feather cocktail dress and leopard print skirt.

Topshop’s creative director Kate Phelan, who also styled the photo shoot, said, “Cara is a true Topshop girl. Her style is confident and playful and she can be sophisticated and chic as easily as she can be cool and casual. Putting her spin on everything she makes the Topshop collection her own. Her uninhibited natural energy is intoxicating, she is free spirited and fun.”

Multiple sources assert that this is the first time that the British high street brand featured only one model for an entire campaign.

Meanwhile, this is Delevngne’s second time to model for Topshop. In 2010, she appeared in a campaign video with supermodel Kate Moss and walked three shows during the Topshop Unique London Fashion Week for two years.

Delevingne has previously modeled for Victoria’s Secret, Mulberry, Chanel and Burberry. She joins the ranks of past Topshop models such as Rosie Huntington-Whiteley, Jordan Dunn and Karlie Kloss.

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Saints’ Jimmy Graham penalized for his traditional touchdown ‘dunk’

Nikko Villanueva – 4E Sports Contributor

White Sulphur Springs, WV, United States (4E Sports) – NFL officials flagged Jimmy Graham in a New Orleans Saints scrimmage after doing his infamous TD dunk celebration.

The 27-year-old received a pass from quarterback Luke McCown to score the touchdown.

In Graham fashion, he dunked on the goalpost and was flagged for it, as the fans reacted negatively.

The NFL is serious towards banning Graham’s form of celebration next season.

Graham later tweeted a photo of the goalpost dunk with the caption “@nfl #HaterNation.”

NFL referee Gene Steratore and his crew were in New Orleans to explain and help implement the new set of rules.

Although there are still unclear regulations for finger rolls or dunks where the goalpost isn’t touched, Steratore just said they need to draw the line.

In previous statements, Graham said he needs to think of alternative ways to celebrate.

“I am going to listen to the rules and I understand the consequences,” he added.

Graham left no statement about getting flagged for the TD dunk.

The tight end performed well Saturday and Steratore even joked Graham after the dunk.

The NFL referee said that one day the rule could go down in history as the “Jimmy Graham rule.”

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Olivia Wilde covers Glamour magazine, says breastfeeding the “most natural thing”

Paula David – Fourth Estate Cooperative Reporter

Los Angeles, CA, United States (4E) – Olivia Wilde is on the cover of Glamour magazine’s September issue, and, in the interview talked about how she restructured her career when she turned 30, and also posed breastfeeding her son Otis, saying it’s “the most natural thing in the world.”

After making big life changes during her twenties (like her divorce with filmmaker Tao Ruspoli and having posed for men’s magazines and done racy roles for film), Wilde said she had been “put into a category that I didn’t belong in.”

She said about getting older, “I think turning 30 allowed me to feel that I could have whatever career I wanted, regardless of what I’d done so far. I could have an intimate relationship, regardless of relationships I’ve had. There was really no reason that I shouldn’t achieve all the things that I had dreamed.… In Hollywood, in this industry, you think, I am this person to the public, and maybe they won’t accept me in another way. [But] you have to allow yourself to keep evolving.”

She also said, “The biggest thing I did to change my career was to act on the confidence that I had built and to say, ‘No, I don’t need to work to stay relevant. I’m just going to work on the things that are interesting.’ I developed the confidence to speak up in meetings with Martin Scorsese, fighting for a character that I believe in.” Wilde is working on an upcoming HBO series with the famed director.

In one of the photos for the issue, a dolled-up Wilde donning a Roberto Cavalli dress and Prada heels is shown sitting in a diner and breastfeeding her son Otis, now almost five months.

“Being shot with Otis is so perfect because any portrait of me right now isn’t complete without my identity as a mother being a part of that,” she said. “Breastfeeding is the most natural thing.”

Meanwhile, the __ actress said that her breastfeeding shot may have been a bit too high-fashion as she said, “I certainly don’t really look like that when I’m [typically] breastfeeding. And there’s usually a diaper involved.”

Wilde, who is engaged to actor and former SNL star Jason Sudeikis, have yet to plan for their wedding. ” In many ways, a child is more of a commitment,” she said. “We are fully committed and really happy as a family.”

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Venus stuns Serena, books Rogers Cup finals berth

Fitzgerald Cecilio – 4E Sports Reporter

Montreal, QC, Canada (4E Sports) – Venus Williams pulled off a shocker as she dismissed younger sister and world No. 1 Serena Williams, 6-7 (2-7), 6-2, 6-3, in two hours and three minutes to reach the Rogers Cup final Saturday.

The win was Venus’ first over Serena since 2009 and her first over a reigning world No. 1 since beating Dinara Safina in the Wimbledon semifinals also that year. The younger Williams still owns a 14-11 edge overall.

“The level of game we played was pretty high,” Venus said. “We’re both serving well, returning well, moving well – everything is happening so well that all of our matches seem to be very competitive.”

“She was really opening the court well,” said Serena, who hit 19 aces, but committed nine double faults and was broken four times. “She’s such a good mover. She moves really well. I think her serve was way more consistent than mine. I had more aces, but she served better.”

Venus, who had never even won a match in Canada before this week, advanced to her 74th WTA final. She has a 45-28 record in her first 73 championship appearances.

She will be going for her second WTA title of the year against the winner of the other semifinal between third-seeded Pole Agnieszka Radwanska and Russian Ekaterina Makarova.

On the men’s side, 13th seed Jo-Wilfried Tsonga defeated Grigor Dimitrov, 6-4, 6-3, to claim a spot in the Rogers Cup title match in Toronto.

The Frenchman reached his third ATP World Tour Masters 1000 final and first in three years, having finished runner-up at the 2011 BNP Paribas Masters after winning the Paris title in 2008. He will contest his 20th tour-level final, seeking an 11th crown.

Tsonga won the first set in impressive fashion, saving four break points while serving for the opener at 5-4, all with service winners.

The former world No. 5 will face the winner of the second semifinal between two-time champion Roger Federer and Feliciano Lopez.

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Old-Fashioned Company With New-Fangled Problem: Obamacare

Cleveland, OH, United States (KaiserHealth) – AmeriMark Direct started its mail order catalog business here in the’60s, and for decades, everyone assumed that health insurance came with the job.

These days, the 700-employee company doesn’t assume anything.

The old-fashioned mail-order catalog company specializes in kitsch, selling products like magnetic fashion bracelets, patio dresses, “sexual health aides” and religious-themed blankets.

The business model depends on folks like associate Kathy Miller closing a sale, without taking a breath, from the company’s call center: “You get a free gift today it’s a pair of knee highs and your total includes the merchandise, postage and handling and the replacement fee so it will come to $37.97 and I completed your order so you’re all set.”

Rising health care costs could put a damper on her cheery, Midwest tone. AmeriMark’s HR Director Greg Lyons believes the Affordable Care Act is adding to the company’s costs. “It probably affects our premiums in the neighborhood of 8 percent,” he says.

Listen to this story Click below to listen to the accompanying NPR story: Obamacare Prompts Firm To Consider Dropping Its Health Plan

Among the things that go into that 8 percent are a handful of fees and taxes that help pay for the health law. In exchange, consumers gain benefits like certain guaranteed benefits and improved coverage.

AmeriMark, like most businesses, has been coping with rising health insurance premiums for years. This year, the company’s initial estimate from a broker was a 30 percent increase in premium prices if they stayed with the same insurance provider. Lyons said they shopped around, chose a new company and altered benefits, including increasing the deductibles and co-pays. Such changes in plans have become increasingly common nationally as annual increases in health care premiums have become normal.

For many medium-sized companies, like AmeriMark, the new costs of the Affordable Care Act are an added burden on top of the health insurance premiums that have been rising for years. The largest of the new Obamacare costs, is the health insurance provider tax (HIT). It’s a tax that the federal government charges insurance companies and the size of the fee depends on how many people are being covered.

Kathy Miller takes calls for orders in AmeriMark’s order processing unit. (Photo by Sarah Jane Tribble / WCPN)

Then, insurers pass the cost on to employers. And employers, in turn, pass some or all of the cost on to employees.

It’s a kind of trickle-down sales tax, according to Clare Krusing, a spokesperson for America’s Health Insurance Plans, an industry trade group. “So like any sales tax on anything you buy it does raise the cost of that particular service,” she says. “So we are seeing that consumers are paying more in the form of higher premiums as the result of this tax.”

And as part of the Affordable Care Act, the fees help cover others.

Related Story: Brew Pub Owner Frustrated That Health Plan Prices Still Jumping

“The expansion of Medicaid and providing subsidies for low and middle income people to help them pay for health insurance and Congress needed to find some way to cover these costs,” according to Larry Levitt Senior V.P. of the Kaiser Family Foundation. (Kaiser Health News is an editorially independent program of the foundation.)

Hoping to control costs, AmeriMark’s president Louis Giesler, says there will be a full-court press on promoting health and wellness. Employees will have their blood pressure, weight and cholesterol checked annually, and they’ll be doing “biometric screenings” for their workers to “make them aware of some health-related challenges that they may not know about. And if those challenges exist we’ll try to put tools in their hands or on their computer screens or in their mailboxes to help them better understand their situations and manage it.”

AmeriMark President Louis Giesler talks with employee Debbie Maag about the company’s new program to help employees track their activity.(Photo by Sarah Jane Tribble / WCPN)

For example, some employees may have not seen a doctor recently for a wellness check. So, some workers may not realize their blood pressure is high. If a biometric screening reveals that, then Giesler the employee will take action, visiting a doctor and getting educated about the condition.

Amerimark’s workers will also be offered programs to help them quit smoking and incentives to lose weight. And, finally, AmeriMark will be asking its employees to share in paying some of these new costs.

Giesler says the company debated dropping health insurance for its employees, which would likely result in an expensive penalty, starting in 2015.

In the end, the company decided to keep providing insurance. But that may change in the future, if costs continue to climb.

This story is part of a reporting partnership with NPR, WCPN/Ideastream and Kaiser Health News.

– Provided by Kaiser Health News.

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NJ celebrated state’s 350th anniversary with history fair

Windsor Genova – Fourth Estate Cooperative Contributor

Trenton, NJ, United States (4E) – New Jersey celebrated its 350th founding anniversary on May 10 by holding the 10th “Spirit of the Jerseys” State History Fair at Washington Crossing State Park in Hopewell Township.

The fair showcased many contributions the Garden State has made to the country and world since New Jersey’s founding in 1664. A 5k Trail Run and Walk kicked off the event and a free concert by the New Jersey 63rd Army Band at 5:30 p.m. concluded the celebrations.

More than 200 historical, government and nonprofit entities and organizations partnered with the Department of Environmental Protection at the Spirit of the Jerseys Fair. Representatives of the state’s 21 counties as well as exhibitors from Delaware, Connecticut, Pennsylvania and New York were at the fair.

Fairgoers were taken to New Jersey’s past by interacting with exhibitors that provided insights into the state’s long history. An interactive show allowed people to step back in time and invent with Thomas Edison, learn how to pound corn into flour, play historical games and see a historical fashion show. There was a tour at the New Jersey Hall of Fame mobile museum

Other shows were a vintage baseball game, a Revolutionary and Civil War re-enactment, a family tree workshop, a flying flea circus, storytelling, cooking, horse-plowing, 19th-century photography demonstrations, period music, petticoat and wig displays, lectures and poetry readings.

The Spirit of the Jerseys Fair was first held in 2004 to celebrate the 100th anniversary of New Jersey’s State-owned Historic Sites – a system that began in 1903 with the state’s purchase of the Indian King Tavern in Haddonfield. The goal of the fair is to engage the public in discovering the state’s history in a fun and enjoyable manner.

Food were provided by food trucks. About 20 trucks offered a variety of refreshments, snacks and meals – everything from pastries to empanadas. Among them were The Original Soupman soup truck, Cupcake Carnivale, Empanada Guy, Surf and Turf, Morris Grilled Cheese and Mary Queen of Pork.

The Soupman truck parked in front of the ShopRite plaza at 2350 Route 9 South in Old Bridge Township in Middlesex County is owned by Marcus Crawford, the first franchisee of the soup truck in the state. Soupman, Inc. (OTCQX: SOUP), owner and distributor of The Original Soupman brand of soups, is the franchiser.

Crawford also served piping hot staple soups such as chicken vegetable and other varities to attendees of the Six Flags Fast Tracks and Food Trucks Festival in Jackson last week.

The company headquartered in Staten Island, New York has several mobile soup trucks in select states. It launched the soup mobile last year at the 22nd International Franchise Expo in New York.

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Iran frees six jailed for singing, dancing to ‘Happy’

Windsor Genova – Fourth Estate Cooperative Contributor

Tehran, Iran (4E) – Six Iranians were freed Wednesday, a day after Iran’s morality police arrested them for appearing in a viral online video singing the hit song “Happy” and dancing to the tune in streets and rooftops in Tehran.

One of those arrested, fashion photographer Reihane Taravati, confirmed their release by posting her photo on Instagram with the message, “Hi, I’m back.”

The International Campaign for Human Rights in Iran (ICHRI) also reported the release of the “Happy” dancers and singers.

Tavarati, two other women and three men were arrested for alleged indecency as they appeared together in their MTV version of the William Pharrell hit song and without wearing hijab. The video was posted on YouTube in March and the police tracked them down.

Under Iran’s Islamic law, women must cover their hair and wear loose-fitting clothing meant to preserve their modesty. Men and women should also not be seen together unless they are a married couple.

The dancers claimed they were filmed for an audition and did not know that the video will be released online. The director of the video remains in jail.

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Medicare Records Provide Tantalizing New Details Of Payments To Doctors

Washington, DC, United States (KaiserHealth) – Medicare’s release Wednesday of millions of records of payments made to the nation’s doctors comes as the government is looking to find more cost-efficient ways to pay physicians, particularly specialists.

The federal government published data tracing the $77 billion that Medicare paid to physicians, drug testing companies and other medical practitioners throughout 2012, and what services they were being reimbursed for.

The data cover 888,000 different practitioners. More than 6,000 procedures are included, and the full database is so large that it requires statistical software to analyze it. While the database provides tantalizing details, showing for instance the huge amount ophthalmologists are paid to treat a common eye disorder, experts cautioned that the data can be easily misunderstood and could lead to some doctors’ incomes being unfairly pilloried.

The release comes 35 years after a court-issued gag order that prevented anyone from revealing Medicare Part B payments to individual doctors, and advocates for more transparency in health care payments heralded the release as a leap forward. “Taxpayers have the right to understand what is being paid for and how it is being paid for,” said Jonathan Blum, principal deputy administrator for the Centers for Medicare & Medicare Services.

He asked for the public to comb through the information to help find waste and fraud and also encouraged researchers to use it to try to determine why spending on health care for the elderly varies so much in different parts of the country. This could replicate on the physician level what the Dartmouth Atlas of Health Care has been doing for decades in showing variances in Medicare’s hospital spending.

“The uses of this data can and will go significantly beyond the identification of fraud, waste and abuse,” said Niall Brennan, the Medicare official who oversaw the development of the database.

The release also comes at a propitious time for the government’s effort to refashion the way America’s health care system is financed. Earlier this year Medicare invited advice on how it should devise new ways of paying specialists to replace the current system, in which doctors are paid a set fee for each visit or procedure. The goal of these approaches is to remove the financial incentive for practitioners to do more services.

Under the authority of the federal health care law, the Obama administration has already launched experimental programs aimed mostly at hospitals and large medical groups. There are hundreds of trial efforts under way to pay medical practitioners a set fee to treat a defined ailment, such as replacing a knee, with the fee covering all aspects of the care from before the operation through the recovery and any setbacks.

Medicare is in the midst of creating a similar program for cancer specialists. In February, the government’s Center for Medicare & Medicaid Innovation invited suggestions on how it should fashion new payment programs that “would be designed to improve the effectiveness and efficiency of specialty care, in part by clarifying the specialist practitioner’s clinical role.” The deadline for ideas and suggestions is Thursday.

Dr. Kavita Patel, a former White House health care expert and a researcher at the Brookings Institution, a Washington-based think tank, said the administration’s timing was not coincidental. “They are building the case for doing targeted specialty payment models,” she said. “The administration is trying to get at the delivery system from all angles.”

Unsurprisingly, medical specialties that rely on expensive drugs, such as oncologists and ophthalmologists, appeared at the top of the list of biggest reimbursements. That’s because in 2012 Medicare pays doctors for the market cost of drugs they use plus 6 percent, Blum said. (That amount has been lowered by the spending cuts imposed by Congress, known as the sequester.)

What’s Missing

Despite their size, the Medicare records omit as much important information as they include. The records do not include any treatments doctors do on non-Medicare patients, such as people on private insurance, Medicaid and those who pay cash. The records also lack any information about roughly a quarter of Medicare beneficiaries who have coverage through Medicare Advantage private insurance plans, and for various experimental payment reforms the government has initiated. The payments for some doctors may be larger than it appears in the data because they also could have billed Medicare through a combined medical practice or other medical organization.

Fred Trotter, a heath care data expert pre-emptively warned reporters and analysts that: “We should be very careful to not draw any conclusions at the low end of the spectrum. That doctor who ‘only’ performed procedure X eleven times? That probably means nothing. What the doctor is actually doing with his/her patients is just not showing up at all.”

Procedures billed to one doctor may actually have been performed by a number of workers in one practice such as medical residents, nurses and physician assistants. A Los Angeles rheumatologist who Medicare paid $5.4 million in 2012 told The Washington Post that about $5 million of that paid for very expensive drugs and the billings also helped cover his staff of 40 people. CMS’ Brennan said that one goal of the release was to encourage each individual medical practitioner to bill Medicare directly, so that the government could get a better handle on spending.

In a note published on the website of the Association of Health Care Journalists, Charles Ornstein, a senior reporter at the investigative nonprofit Pro Publica, cautioned reporters to be careful in interpretation, writing: “Don’t just assume that because a number is large, a doctor has done something wrong.”

In addition, there’s no information about the quality of the care provided, and no information about how sick the patients were or why a particular procedure was performed. In fact, to ensure that the identity of any patient could not be known, Medicare has only included procedures that each doctor performed at least 11 times.

Large numbers of procedures performed by a doctor may be a good sign. Someone billing a lot might well be a very talented practitioner, since research has found that medical skill tends to improve the more times a physician performs the same operation.

In fact, health care experts often encourage patients to choose a doctor based on the volume of cases the physician has done. Alternatively, in some cases—probably a small number—a doctor with lots of billing could be ripping off the system. Several doctors with the biggest Medicare payments are already under investigation for potential fraud, such a Dr. Salomon Melgen, a Florida ophthamologist who The New York Times said was paid $21 million in 2012. His lawyer said Melgen has followed all Medicare rules.

The back story of the gag order on this data stretches back to’79, when a Florida court issued a permanent injunction barring the government from releasing information about Medicare payments to individual physicians in any manner that would allow the doctor to be identified. In 2011, the parent company of The Wall Street Journal successfully sued to overturn the injunction as the paper prepared a detailed look at Medicare spending.

The American Medical Association complained that physicians were not allowed to review the data for inaccuracies. However, Medicare’s previous release of similar information about hospital payments did not result in reports of any major errors. Brennan pointed out that the data is based on claims medical providers billed to Medicare and were reimbursed for. “We are quite confident this data is accurate,” Brennan said.

Where Can I Find The Data?

If you just want to look up a specific doctors or a few dozen in an area, both the Wall Street Journal and The New York Times have handy interactive look-up tools.

Medicare has published the data files here. Medicare has also put out a technical overview of its methods.

– Provided by Kaiser Health News.

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