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Raelene Castle announces she will step down as Rugby Australia chief executive

Raelene Castle says "the sport is bigger than any one individual", resigning after the Rugby Australia board told her it wanted "clear air" without her as chief executive.




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The hard-won liberation of Hayley Williams: 'It wasn't beautiful. It was painful'

After 16 years as the frontwoman for Paramore, and following a broken marriage and a lot of therapy, Hayley Williams is releasing her first solo album.




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ABC will air some of your favorite Disney movies this summer

ABC's "The Wonderful World of Disney" summer movie programming includes "Moana," "Thor: The Dark World," "Up" and "Big Hero 6."




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Review: The world of Netflix's 'The Eddy' will haunt you. The story, not so much

In Netflix's "The Eddy," "La La Land" director Damien Chazelle returns to the musical — this one starring Andre Holland and Amandla Stenberg.




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Coronavirus: What shape will a recession and recovery take?

Monica Miller explains the alphabet soup of possible recession shapes for the coronavirus-hit global economy.




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Serkis: ‘Hobbit reading will take you on an adventure’

Gollum actor Andy Serkis is doing a continuous live reading of The Hobbit for charity.




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Daymond John Says COVID Worst Than '08 Crash, Recovery Will Take Years

Daymond John hates to be the bearer of bad news, but he thinks all signs point to our economic recovery being kinda like watching paint dry -- slow and painful. The "Shark Tank" star was on "TMZ Live" Friday to talk about the unique economic…




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2020 National Xconomy Awards Finalists Will Be Announced on June 22

Xconomy is excited to announce we’ve had an overwhelming amount of interest in the inaugural National Xconomy Awards. The hundreds of outstanding nominations highlight the groundbreaking, inspiring companies and individuals we look to honor. Stay tuned for when we reveal the finalists on Monday, June 22. Due to COVID-19 we have postponed the planned June […]




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The Latest CMS Outlook for Drug Spending—And How COVID-19 Will Change It

ICYMI, the boffins at the Centers for Medicare & Medicaid Services (CMS) recently released their new projections for U.S. National Health Expenditures (NHE). Unfortunately, the coronavirus almost immediately made these predictions obsolete.

It’s still useful to analyze these forecasts for a pre-pandemic examination of U.S. healthcare spending. A few highlights of the 2024 outlook:
  • Total U.S. spending on healthcare was projected to grow, from $3.6 trillion in 2018 to $5.0 trillion in 2024.
  • Spending on hospitals and professional services was expected to grow by a combined $800 billion—more than 60% of CMS’s projected $1.4 trillion increase in U.S. healthcare spending. That’s consistent with historical trends.
  • Net spending on outpatient prescription drugs in 2024 was projected to shrink to less than 9% of total U.S. spending. That would be its lowest level since 2000.
As usual, the actual facts run counter to the popular narrative that drug spending is skyrocketing relative to any other aspect of U.S. healthcare. Of course, the coronavirus will alter these projections. Below, I speculate how COVID-19 and its aftermath will affect healthcare and prescription drug spending.

Prediction is very difficult, especially if it's about the future. Feel free to add your own outlook in the comment section below.
Read more »
        




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Four Unexpected Ways that the COVID-19 Medicaid Boom Will Affect PBM and Pharmacy Profits

The U.S. economy is in a medically-induced coma. Unemployment is soaring. Companies are teetering on the brink of bankruptcy. It is unclear when our lives will return to their pre-pandemic state.

One thing seems apparent: As people lose jobs and health insurance, Medicaid enrollment will jump, perhaps by as much as 20% to 30%. This will have profound implications for the drug channel.

Today, I focus on how this increase will affect retail pharmacies and pharmacy benefit managers (PBMs). Below, I review Medicaid enrollment trends, how states manage prescriptions, and the factors driving the coming boom in Medicaid enrollment.

As I explain, many (but not all) retail pharmacies will benefit from Medicaid growth. PBMs, however, will not fare as well. Read on and see if you agree.

In early May, Drug Channels Institute will host two live video webinars: Industry Update and COVID-19 Impact: Retail & Specialty Pharmacies (May 1) and Industry Update and COVID-19 Impact: PBMs & Payers (May 8). CLICK HERE TO LEARN MORE AND SIGN UP. DCI will donate 20% of all profits from these events to The Center for Disaster Philanthropy’s COVID-19 Response Fund.

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Insurers + PBMs + Specialty Pharmacies + Providers: Will Vertical Consolidation Disrupt Drug Channels in 2020? (rerun)

This week, I’m rerunning some popular posts while I prepare for this Friday’s video webinar: Industry Update and COVID-19 Impact: PBMs & Payers.

Life was very different when I originally published today’s article. 2020 is not turning out to be quite what any of us expected. However, the pandemic has exposed some intriguing pros and cons of vertical consolidation. Click here to see the original post and comments from December 2019.


The largest insurers, PBMs, and specialty pharmacies have now combined into vertically-integrated organizations. As I explain below, these companies have also been rapidly integrating with healthcare providers.

I also provide an updated look at these companies and highlight strategies that they are using—or could use—to control the channel. I believe that these insurer / PBM / specialty pharmacy / provider organizations are poised to restructure U.S. drug channels by exerting greater control over patient access, sites of care/dispensing, and pricing.

If they can effectively coordinate their sprawling business operations, they will pose a substantial threat of disruption to the existing commercial strategies of pharma companies.

Will they succeed by better managing care and costs, or merely by extracting higher profits from our convoluted system?
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We'll find a treatment for coronavirus – but drug companies will decide who gets it

Pharmaceutical giants will bury treatments in a thicket of patents, making them unaffordable to the world’s poorest

How will the Covid-19 pandemic end? According to conventional wisdom, the crisis may ease in a few months, when some of the antiviral medicines on trial succeed. In a few years’ time, when a vaccine becomes available, we may eradicate the virus altogether.

Yet it’s unlikely that this is how the pandemic will actually play out. Although there is every indication that treatments for coronavirus may soon emerge, the mere fact of their existence is no guarantee that people will be able to access them. In fact, Covid-19 is more likely to end in the same way that every pandemic ends: treatments and vaccines will be buried in a thicket of patents – and pharmaceutical companies will ultimately make the decisions about who lives and who dies.

Related: The race to find a coronavirus treatment has one major obstacle: big pharma | Ara Darzi

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The world needs a coronavirus vaccine. But it will take time | Patrick Vallance

Any vaccine has to work, but it also has to be safe. Making it happen is one of the government’s biggest priorities

• Patrick Vallance is the UK government chief scientific adviser

Covid-19 has made fundamental and long-lasting changes to the way we live our lives, not just in the UK, but across the world.

As we continue with social-distancing measures and deal with the most immediate issue of reducing the number of cases to protect the NHS and save lives, and keeping R, which is the average infection rate per person, below one, we also need to progress ways to tackle the disease in the longer term.

The vaccines taskforce will be working in lockstep with the public and private sector

Related: New UK taskforce to help develop and roll out coronavirus vaccine

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The promise of an Oxford vaccine reveals how a new Britain could thrive | Will Hutton

The partnership between AstraZeneca and the Jenner Institute should jolt our industry and banks


There was some good news last week. Oxford University’s Jenner Institute announced it was teaming up with AstraZeneca to take a promising prototype of coronavirus vaccine into volume production by the autumn. Of course there are caveats – the institute’s confidence in its vaccine may not be validated by the trials that began last week.

Still it was heartening, after so much tragic incompetence, that a British university and a British company could forge a relationship of such potential national importance.

The piping through which emergency credit must flow is atrophied and weak

Continue reading...




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More than half of US states will relax lockdowns by the end of the week

Nearly half of US states will have their ‘stay-at-home’ orders expire this week, paving the way for much of the US to relax its lockdowns.




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Half of Spaniards will see lockdown eased from Monday as death toll falls

Spain's daily death toll from the coronavirus fell to its second lowest since mid-March on Saturday, as half the country prepared to move to the next phase of an exit from one of Europe's strictest lockdowns.




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Western Energy Company Will Pay $12.2 Million to U.S. & Montana to Settle Coal Royalties Dispute

Western Energy Company, the operator of the Rosebud Mine on federal coal leases outside of Billings, Mont., has paid the United States more than $12 million in mineral royalties and accrued interest as the result of a settlement agreement. Under the agreement that was filed in U.S. District Court for the District of Columbia, Western Energy has agreed to pay $12,239,538 in additional royalties and interest, 49 percent of which will be shared with the state of Montana because the production occurred on federal lands in that state.



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Former Congressman William J. Jefferson Convicted of Bribery, Racketeering, Money Laundering and Other Related Charges

A federal jury today convicted former United States Congressman William J. Jefferson, 62, of New Orleans, La., of using his office to corruptly solicit bribes.



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Department of Justice Will Not Challenge Hospitals’ Joint Purchasing Agreement

The Department will not challenge a proposal by Memorial Health Inc. (Memorial), and St. Joseph’s/Candler Health System (St. Joseph’s/Candler) to enter an exclusive joint purchasing agreement with respect to the purchase of certain medical and surgical supplies.



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Department of Justice Will Not Challenge Proposed Conduct of Less-Than-Truckload Freight Transportation Joint Venture

The Department will not challenge a proposal by seven regional less-than-truckload (LTL) freight transportation companies to bid jointly and engage in other collaborative activity as part of their nationwide LTL truck transportation services joint venture.



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Justice Department Settlement Will Ensure Accessibility of Donna's Restaurant in Baltimore

The Department announced a settlement agreement to make Donna’s, a café and restaurant located in the Mt. Vernon neighborhood of Baltimore accessible to people with disabilities.



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Formosa Plastics Corp., Texas, and Formosa Plastics Corp., Louisiana, will spend more than $10 million on pollution controls to address air, water, and hazardous waste violations at two petrochemical plants in Point Comfort, Texas, and Baton Rouge, La.

Formosa Plastics Corp., Texas, and Formosa Plastics Corp., Louisiana, will spend more than $10 million on pollution controls to address air, water, and hazardous waste violations at two petrochemical plants in Point Comfort, Texas, and Baton Rouge, La.



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Attorney General Eric Holder at the University of Maine's William S. Cohen Lecture Series

"As Americans, we all bear a special responsibility to both uphold and promote the rule of law."




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Former Willbros International Consultant Pleads Guilty to $6 Million Foreign Bribery Scheme

A former consultant for Willbros International Inc. (WII), a subsidiary of Houston-based Willbros Group Inc. (Willbros), pleaded guilty today to engaging in a conspiracy to pay more than $6 million in bribes to government officials of the Federal Republic of Nigeria and officials from a Nigerian political party.



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Former Congressman William J. Jefferson Sentenced to 13 Years in Prison for Bribery and Other Charges

Former U.S. Congressman William J. Jefferson, 62, of New Orleans, La., was sentenced today to 13 years in prison, followed by three years of supervised release, for using his office to corruptly solicit bribes.



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Largest Environmental Bankruptcy in U.S. History Will Result in Payment of $1.79 Billion Towards Environmental Cleanup & Restoration

As a result of the largest environmental bankruptcy in U.S. history, $1.79 billion has been paid to fund environmental cleanup and restoration under a bankruptcy reorganization of American Smelting and Refining Company LLC (ASARCO).



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Justice Department Settlement with Nashville, Tennessee, Public Schools Will Improve Security on School Buses for Students with Disabilities

The Department has entered into a settlement agreement with the Metropolitan Government of Nashville, Tenn., and Davidson County, Tenn., to enhance the security of students with disabilities on public school buses.



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Former Willbros International Executives Sentenced to Prison for Their Roles in $6 Million Foreign Bribery Scheme

Two former executives of Willbros International Inc. (WII), a subsidiary of Houston-based Willbros Group Inc. (Willbros), were sentenced today for their roles in a conspiracy to pay more than $6 million in bribes to government officials of the Federal Republic of Nigeria and officials from a Nigerian political party.



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Department of Justice Will Not Challenge Proposed Online Subscription News Service

Based on representations made by MyWire Inc., the department said that the formation and operation of the news service is not likely to reduce competition among Internet publishers and could provide procompetitive benefits to both publishers and consumers.



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Justice Department Will Not Challenge Cisco’s Acquisition of Tandberg

“This investigation was a model of international cooperation between the United States and the European Commission,” said Christine Varney, Assistant Attorney General in charge of the Department’s Antitrust Division.



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Department of Justice Will Not Challenge Hospital Cost Information Exchange Program in California

The department said the proposed information exchange may reduce health care costs by improving competition among hundreds of hospitals in California and facilitating more informed purchasing decisions by group purchasers of health care services.



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Williamsport, Pennsylvania, Sanitary Authority Agrees to Clean up Sewage Discharges to the Susquehanna River

The Williamsport, Pa., Sanitary Authority (WSA) has agreed to make significant improvements to its combined sewer system at an estimated cost of approximately $10 million, in order to resolve long-standing problems with combined sewer overflows to the Susquehanna River, which flows to the Chesapeake Bay.



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Agreement Will Ensure the Start of Cleanup of Former Landfill Near South Lake Tahoe, California

A settlement with El Dorado County, Calif., will ensure the beginning of the cleanup, at an estimated cost of approximately $7 million, of the Meyers Landfill Site, located outside of the city of South Lake Tahoe, Calif.



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Settlement Agreement Will Ensure Greater Accessibility at First President George Washington’s Estate

The Justice Department announced today a settlement agreement with the Mount Vernon Ladies Association of the Union (MVLA), which owns and maintains Mount Vernon Estate &s first president, George Washington.



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Louisiana Vessel Company Pleads Guilty to Dumping Oil on High Seas, Will Pay $2.1 Million in Penalties

Offshore Vessels LLC has entered a plea of guilty to knowingly discharging waste oil from one of its vessels, in violation of the Act to Prevent Pollution from Ships.



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ABB Ltd and Two Subsidiaries Resolve Foreign Corrupt Practices Act Investigation and Will Pay $19 Million in Criminal Penalties

ABB Ltd’s U.S. subsidiary, ABB Inc., pleaded guilty to one count of violating the anti-bribery provisions of the FCPA and one count of conspiracy to violating these provisions of the FCPA. The court imposed a sentence that included a criminal fine of $17.1 million.



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Clean Water Act Settlement with Indianapolis Will Reduce Pollution at Lower Costs

The Department of Justice, the Environmental Protection Agency (EPA), and the state of Indiana have reached an agreement with the city of Indianapolis on important modifications to a 2006 consent decree that will make Indianapolis’ sewer system more efficient, leading to major reductions in sewage contaminated water at a savings to the city of approximately $444 million.



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Health Care Fraud Prevention and Enforcement Efforts Recover Record $4 Billion; New Affordable Care Act Tools Will Help Fight Fraud

Associate Attorney General Tom Perrelli and Department of Health and Human Services Secretary Kathleen Sebelius today released a new report showing that the government’s health care fraud prevention and enforcement efforts recovered more than $4 billion in taxpayer dollars in Fiscal Year 2010.



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Texas Egg Producer Will Pay $1.9 Million Penalty to Resolve Clean Water Act Violations

Mahard Egg Farm Inc., a Texas corporation operating in both Texas and Oklahoma, has agreed to pay a $1.9 million penalty to resolve claims that the company failed to comply with the Clean Water Act at its egg production facilities.



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Attorney General Eric Holder Speaks at the Dedication of the William H. Neukom Building at Stanford Law School

"Generations of young people have graduated from this law school - not only with a first-rate education, but also with a deeply-ingrained passion to right wrongs, to improve lives, and to protect and empower our nation's most vulnerable citizens. Public service is not only a key part of Stanford's curriculum - it is a central component of this law school's culture, its DNA. And we can all be encouraged that, today, this tradition is stronger than ever."




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Justice Department Sues James J. Williams Bulk Service Transport in Washington to Protect Employment Rights of Air Force Reservist

The Department of Justice today filed a lawsuit on behalf of Dave Axtell, a U.S. Air Force reservist, against James J. Williams Bulk Service Transport Inc., its parent company Trans-System Inc., and another Trans-System subsidiary, System TWT Transportation Inc.



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Former Willacy Detention Center Contract Security Officer Pleads Guilty to Sexual Abuse of a Female Detainee in Texas

The Justice Department announced today that former Contract Security Officer Edwin Rodriguez, 30, pleaded guilty to engaging in sexual abuse of a female detainee under his supervision and control.



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The City of Newport, R.I., Will Upgrade Facilities and Pay Fine to Settle Clean Water Violations

Under the terms of a settlement filed today in federal court, the city of Newport has agreed to eliminate illegal discharges of sewage into Narragansett Bay from its wastewater treatment plant and wastewater collection system.



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Settlement Will Resolve Clean Air Act Penalties and Repay Portion of Clean up Costs from Danvers, Mass. Explosion in 2006

The United States has reached agreement with the owners and a former operator of an inks and paint products manufacturing facility in Danvers, Mass., that exploded and burned in 2006 the day before Thanksgiving.



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Department of Justice Will Not Challenge the Producers Guild of America's Proposed Use of Certification Mark

The Department of Justice announced today that it will not challenge the Producers Guild of America’s proposed use of a voluntary certification system for film producers.



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Justice Department Reaches Agreement with the City of Williamsburg, Virginia, on Bailout Under the Voting Rights Act

The Justice Department filed a consent decree today in the U.S. District Court for the District of Columbia after reaching an agreement with the city of Williamsburg, Va., that will allow for the city’s bailout from its status as a “covered jurisdiction” under the special provisions of Voting Rights Act.



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Justice Department Will Not Challenge Worker Rights Consortium's Designated Suppliers Program for Collegiate Apparel

Based on the representations made by the Worker Rights Consortium, the department said that the proposal is unlikely to lessen competition in the collegiate apparel sector.



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South San Francisco Food Processing Factory Will Pay Nearly $700,000 in Penalties, Spend $6 Million to Update Refrigeration System Safety

Columbus Manufacturing Inc., a wholly owned subsidiary of Columbus Foods LLC, has agreed to pay a penalty and make significant upgrades to settle Clean Air Act violations.



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Justice Department Reaches Agreement with Prince William County, Virginia, on Bailout Under the Voting Rights Act

The Justice Department filed a consent decree today in the U.S. District Court for the District of Columbia after reaching an agreement with Prince William County, Va., that will allow for the county’s bailout from its status as a “covered jurisdiction” under the special provisions of the Voting Rights Act.



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Freeport-McMoRan Corp. and Freeport-McMoRan Morenci Inc. Will Pay $6.8 Million in Damages for Injuries to Natural Resources from the Morenci Copper Mine in Arizona

The Department of Justice and the Department of the Interior announced today that Freeport-McMoRan Corporation and Freeport-McMoRan Morenci Inc. have agreed to pay $6.8 million to settle federal and state natural resource damages claims related to the Morenci copper mine in southeastern Arizona.



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