delivery Remarks as Prepared for Delivery by Attorney General Holder at a “Just the Beginning” Foundation Event By www.justice.gov Published On :: Mon, 4 Oct 2010 09:48:17 EDT It is a privilege to be part of this year’s conference and to join you all in discussing the responsibilities that we share – responsibilities to ourselves and our society; to our profession and our predecessors; to America’s next generation of law students, attorneys, and jurists. Full Article OPA Press Releases
delivery Houston Medical Equipment Company Manager Sentenced to 120 Months in Prison and Delivery Driver Sentenced to 41 Months in Prison for Roles in Medicare Fraud Scheme By www.justice.gov Published On :: Tue, 30 Nov 2010 16:05:05 EST Houston-area residents Oliver Nkuku and Callistus Edozie were sentenced to 120 months in prison and 41 months in prison, respectively, for their roles in a durable medical equipment (DME) Medicare fraud scheme. Full Article OPA Press Releases
delivery Remarks as Prepared for Delivery by Assistant Attorney General Ignacia Moreno on 2011 Priorities for the Environment and Natural Resources Division By www.justice.gov Published On :: Fri, 14 Jan 2011 19:18:16 EST It is always a pleasure for me to see my long-time friends at the D.C. Bar. I have been a D.C. Bar member since 1991 – that is 20 years – and have served on various Bar committees and participated in pro bono activities sponsored by the Bar. Full Article Speech
delivery Remarks as Prepared for Delivery by Attorney General Eric Holder at the “Progress Through Prosperity” Dinner with President Leonel Fernandez By www.justice.gov Published On :: Mon, 14 Nov 2011 18:14:14 EST "It is in this spirit of friendship that I have traveled to your beautiful country. And I am grateful, on a very personal level, for this opportunity to help build upon the progress that our nations – and America’s allies throughout the Caribbean region – have made together over the years," said Attorney General Holder. Full Article Speech
delivery Remarks as Prepared for Delivery by Assistant Attorney General for the Office of Justice Programs Laurie Robinson at the Animal Welfare Institute Albert Schweitzer Awards Ceremony By www.justice.gov Published On :: Tue, 15 Nov 2011 12:34:15 EST "The Albert Schweitzer Awards are given in honor of one of the world’s great humanitarians, a man who defined “good” as the preservation and enhancement of life in all its forms. The work that these recipients have done embodies the soul of Schweitzer’s philosophy," said Assistant Attorney General Robinson. Full Article Speech
delivery Remarks as Prepared for Delivery by Assistant Attorney General Lanny A. Breuer at Public Hearing on Potential Regulation to Strengthen Anti-Money Laundering Safeguards By www.justice.gov Published On :: Tue, 31 Jul 2012 13:29:49 EDT "This rulemaking presents an important opportunity to close a gap in our financial regulations that makes it easier for criminals to move illicit proceeds through the United States financial system," said Assistant Attorney General Breuer. Full Article Speech
delivery Remarks as Prepared for Delivery by Attorney General Eric Holder at the Distressed Homeowner Initiative Press Conference By www.justice.gov Published On :: Tue, 9 Oct 2012 11:04:05 EDT "Put simply, these comprehensive efforts represent an historic, government-wide commitment to eradicating mortgage fraud and related offenses across the country," said Attorney General Holder. Full Article Speech
delivery United States Sues Jacintoport International for False Claims in Connection with the Delivery of Humanitarian Food Aid By www.justice.gov Published On :: Fri, 19 Oct 2012 17:06:59 EDT The United States has filed a complaint against Jacintoport International LLC under the False Claims Act in connection with a warehousing and logistics contract for the storage and redelivery of humanitarian food aid, the Justice Department announced today. Jacintoport is a cargo handling and stevedoring firm headquartered in Houston. Full Article OPA Press Releases
delivery Remarks as Prepared for Delivery by Assistant Attorney General Bill Baer at the Conference Call Regarding the Justice Department’s Lawsuit Challenging Us Airways’ Proposed Merger with American Airlines By www.justice.gov Published On :: Tue, 13 Aug 2013 11:42:25 EDT Consumers will also pay more on routes where US Airways and American today offer competing nonstop service. We know from prior mergers that elimination of head-to-head competition on nonstop routes results in substantial price increases for consumers. Full Article Speech
delivery Remarks as Prepared for Delivery by Acting Assistant Attorney General Mythili Raman at Libor Manipulation Press Briefing By www.justice.gov Published On :: Fri, 27 Sep 2013 11:09:29 EDT Good morning everyone, and thank you for being here today as we announce the latest law enforcement action in our ongoing, criminal investigation of the manipulation of LIBOR, a critical benchmark interest rate used by banks around the world. I am joined here today by our close partners – David Meister, the head of enforcement for the Commodity Futures Trading Commission, and Timothy Gallagher, the Special Agent in Charge of the FBI Washington Field Office’s Criminal Division. Full Article Speech
delivery Remarks as Prepared for Delivery by Attorney General Eric Holder at Auto Parts Press Conference By www.justice.gov Published On :: Thu, 26 Sep 2013 11:23:04 EDT Today, we are announcing that nine Japan-based companies and two executives have agreed to plead guilty – and to pay a total of more than $740 million in criminal fines – for their roles in separate conspiracies to fix the prices of more than 30 different products sold to U.S. car manufacturers and installed in cars sold in the United States and elsewhere. Full Article Speech
delivery Remarks as Prepared for Delivery by Attorney General Eric Holder on the Lawsuit Against the State of North Carolina By www.justice.gov Published On :: Mon, 30 Sep 2013 12:09:46 EDT We are here to announce that the Justice Department will file suit today against the State of North Carolina to challenge portions of the State’s highly restrictive new voting law. Full Article Speech
delivery Remarks as Prepared for Delivery by Acting Assistant Attorney General Mythili Raman for the Convergex Resolution Press Call By www.justice.gov Published On :: Wed, 18 Dec 2013 16:12:33 EST Today, we announce significant developments in a securities fraud investigation involving the large-scale theft of client funds by a global brokerage and trading firm. Full Article OPA Press Releases
delivery Remarks as Prepared for Delivery by Associate Attorney General Tony West at the Martin Luther King Jr. Day Celebration Hosted by the Union League of Chicago By www.justice.gov Published On :: Thu, 23 Jan 2014 10:42:10 EST Remarks as Prepared for Delivery by Associate Attorney General Tony West at the Martin Luther King Jr. Day Celebration Hosted by the Union League of Chicago Full Article Speech
delivery Remarks as Prepared for Delivery by Acting Assistant Attorney General Mythili Raman at the State of the Net Conference By www.justice.gov Published On :: Tue, 28 Jan 2014 10:38:49 EST The recent revelations about the massive thefts of financial information from large retail stores have served as a stark reminder to all of us about how vulnerable we are to cyber criminals who are determined to steal our personal information. Full Article Speech
delivery Remarks as Prepared for Delivery by Deputy Attorney General James Cole at the New York State Bar Association Annual Meeting By www.justice.gov Published On :: Thu, 30 Jan 2014 13:42:47 EST "I want to talk with you today about the crisis we have in our criminal justice system. A crisis that is fundamental and has the potential to continue to swallow important efforts in the fight against crime. This crisis is the crushing prison population." Full Article Speech
delivery Testimony as Prepared for Delivery by Acting Assistant Attorney General for the Criminal Division Mythili Raman Before the U.S. Senate Committee on the Judiciary on the Topic, “Privacy in the Digital Age” By www.justice.gov Published On :: Tue, 4 Feb 2014 16:28:52 EST At the Department of Justice, we are devoting significant resources and energy to fighting computer hacking and other types of cybercrime. The recent revelations about the massive thefts of financial information from large retail stores have served as a stark reminder to all of us about how vulnerable we are to cyber criminals who are determined to steal our personal information. The Justice Department is more committed than ever to ensuring that the full range of government enforcement tools is brought to bear in the fight against cybercrime. Full Article Speech
delivery Remarks as Prepared for Delivery by Acting Assistant Attorney General for the Civil Rights Division Jocelyn Samuels at the U.S. Attorney’s Office for the Southern District of Indiana’s 2014 Civil Rights Symposium By www.justice.gov Published On :: Tue, 4 Mar 2014 13:41:38 EST "The unfinished struggle for equal opportunity and justice is one in which we all have a part. This year, as we mark the 50th anniversary of the Civil Rights Act of 1964, the Civil Rights Division remains committed to combating discrimination in all its forms." Full Article Speech
delivery Remarks as Prepared for Delivery by Attorney General Eric Holder at the Press Conference Announcing Criminal Charge and Deferred Prosecution Agreement with Toyota Motor Corporation By www.justice.gov Published On :: Wed, 19 Mar 2014 08:36:04 EDT Today’s announcement underscores the fact that the Departments of Justice and Transportation remain firmly committed to protecting consumers, ensuring the safety of the American people, and combating fraud in all its forms. Full Article Speech
delivery Remarks as Prepared for Delivery by Acting Assistant Attorney General Jocelyn Samuels at Press Conference Regarding Employment Services for Rhode Islanders with Disabilities By www.justice.gov Published On :: Tue, 8 Apr 2014 09:34:05 EDT "Unnecessary segregation of people with disabilities is harmful to people with disabilities and to our communities. We cannot wait another day to change. And we won’t. Because today, the Justice Department, the state of Rhode Island and the business community, together, embrace real integration of people with disabilities – committing to make Rhode Island a model for other states to follow." Full Article Speech
delivery Remarks as Prepared for Delivery by Associate Attorney General Tony West at the National Crime Victims’ Service Award Ceremony By www.justice.gov Published On :: Wed, 9 Apr 2014 14:43:33 EDT "You are helping to realize the promise of our justice system by working to give every victim a voice and the help they need and deserve." Full Article Speech
delivery Remarks as Prepared for Delivery by Acting Assistant Attorney General Jocelyn Samuels at the Press Conference to Announce the Albuquerque Police Department Investigative Findings By www.justice.gov Published On :: Thu, 10 Apr 2014 12:25:05 EDT "This investigation was not an easy task, but through all of these efforts, we made certain to gather the facts and apply the law to the facts to reach our conclusions." Full Article Speech
delivery Remarks as Prepared for Delivery by Deputy Attorney General James M. Cole at the Pen and Pad Briefing on the Justice Department and Federal Trade Commission Joint Antitrust Policy Statement on Sharing of Cybersecurity Information By www.justice.gov Published On :: Thu, 10 Apr 2014 13:30:31 EDT "This joint guidance is an important step in making clear that legitimate cyber threat sharing can help secure the nation’s networks and that it can occur without raising antitrust liability issues." Full Article Speech
delivery Remarks as Prepared for Delivery by Deputy Attorney General James M. Cole at the Environment and Natural Resources Division Event Commemorating Earth Day 2014 By www.justice.gov Published On :: Tue, 22 Apr 2014 09:20:27 EDT "Earth Day is another reminder to me of that commitment, a commitment that the Department of Justice is dedicated not only to protecting the people of our country, but also to protecting its natural resources." Full Article Speech
delivery Remarks as Prepared for Delivery by Deputy Attorney General James M. Cole at the Press Conference Announcing the Clemency Initiative By www.justice.gov Published On :: Wed, 23 Apr 2014 10:10:24 EDT We are launching this clemency initiative in order to quickly and effectively identify appropriate candidates, candidates who have a clean prison record, do not present a threat to public safety, and were sentenced under out-of-date laws that have since been changed, and are no longer seen as appropriate. Full Article Speech
delivery Remarks as Prepared for Delivery by Attorney General Holder at the Community Relations Service 50th Anniversary of the Civil Rights Act of 1964 Ceremony By www.justice.gov Published On :: Mon, 14 Jul 2014 15:44:04 EDT "We must recommit ourselves to the legacies of visionary leaders and courageous citizens who made the passage of the Civil Rights Act, and the creation of this agency, possible. And we must resolve to keep moving forward together – as one nation and one people – driven by the needs that remain unfulfilled, determined to transcend the barriers that still divide us, and dedicated to the enduring promise of equal justice under law." Full Article Speech
delivery S Korea’s grocery delivery startup Kurly nets $160m in Series E round By www.dealstreetasia.com Published On :: Fri, 08 May 2020 09:07:24 +0000 Kurly has to date raised a total of 420 billion won ($328 million). The post S Korea’s grocery delivery startup Kurly nets $160m in Series E round appeared first on DealStreetAsia. Full Article DST Global. Hillhouse Capital Kurly Sequoia Capital
delivery Natural polyphenol assisted delivery of single-strand oligonucleotides by cationic polymers By feeds.nature.com Published On :: 2020-05-04 Full Article
delivery Tumor-selective delivery of antisense oligomers (antimiRs) against oncogenic microRNAs By feeds.nature.com Published On :: 2014-12-18 miRNA-targeted antimiRs conjugated to a peptide with a low pH–induced transmembrane structure (pHLIP) could help treat solid tumors. Full Article
delivery Remaking urban transportation and service delivery By webfeeds.brookings.edu Published On :: Wed, 18 Dec 2019 05:01:29 +0000 Major changes are taking place in urban transportation and service delivery. There are shifts in car ownership, the development of ride-sharing services, investments in autonomous vehicles, the use of remote sensors for mobile applications, and changes in package and service delivery. New tools are being deployed to transport people, deliver products, and respond to a… Full Article
delivery Examining the financing and delivery of long-term care in the US By webfeeds.brookings.edu Published On :: Tue, 01 Mar 2016 10:15:00 -0500 Editor's note: On March 1, Alice Rivlin testified before the U.S. House of Representatives Committee on Energy and Commerce Subcommittee on Health on the financing and delivery of long-term care in the US. Chairman Pitts, Ranking Member Green: I am happy to be back before this Subcommittee, which is never afraid to take on complex issues of great importance to millions of Americans. I have worked on long-term services and supports (LTSS) for a long time and have recently had the privilege of co-chairing the Long-Term Care Initiative at the Bipartisan Policy Center (along with former Senators Bill Frist and Tom Daschle and former Governor and Secretary of Health and Human Services, Tommy Thompson). Our February 2016 report, Initial Recommendations to Improve the Financing of Long-Term Care, appended to my testimony, outlines a set of doable, practical changes in both public and private programs that could improve the availability and affordability of long-term services and supports. I don’t need to remind this committee that Americans are living longer, and many of us will need help with the ordinary activities of daily living and suffer cognitive impairments that make it dangerous for us to cope alone. The number of people needing LTSS is rising and expected to double in the next 35 years or so. Responsibility for LTSS is shared among seniors and people with disabilities themselves, family, friends, and volunteer care-givers; communities, state, and federal government. This shared-responsibility system is severely stressed, and will become increasingly unable to cope as the numbers needing care increase. Growing burdens fall on families, often daughters and daughters-in-law, who must manage daily conflicts between earning a living, caring for children, and meeting the needs of elderly or disabled relatives. Growth in Medicaid, the largest payer of long-term services and supports at about $123 billion per year, stresses state and federal budgets as spending for older Americans and individuals with disabilities competes with budgets for education and other investments in young people. Many efforts to find a comprehensive solution to long-term care financing have failed—evidenced by passage and subsequent repeal of the Community Living Assistance Services and Supports (CLASS) Act and failure of the federal Long-term Care Commission to reach consensus on financing recommendations. Recently, however, a growing consensus has emerged around a set of incremental steps, which, if taken together could greatly improve the availability and affordability of long-term services and supports to America’s most vulnerable populations and take some of the burden off families and Medicaid in a fiscally responsible way. In recent weeks, The Bipartisan Policy Center and The Long-term Care Collaborative have offered similar sets of recommendations, as has LeadingAge, a key provider association. While policymakers failed to agree on big legislative solutions, amazing progress has been made at the community level in finding new ways of keeping older Americans and people with disabilities out of institutions and in the community where they are happier and less isolated and can be served more effectively and cheaper. There has been an explosion of assisted living facilities, continuing care communities, senior villages, senior centers, senior daycare, and use of home health aides of various sorts. Growth in home and community-based services (HCBS) has been rapid, while the population served by traditional nursing homes has been virtually flat. Medicaid, with the support of both parties in Congress, has moved to increase the availability of home and community-based services. The group working on the Bipartisan Policy Center’s Long-Term Care Initiative addressed the question: Is there a set of practical policies that could command bipartisan support that would improve the care of older Americans with disabilities, take significant pressure off families and Medicaid, and not break the bank? We came up with four proposals. Make private long-term care insurance more affordable and available. Long term care ought to be an insurable risk. If more people bought Long-Term Care Insurance (LTCI) in their earning years, there would be less pressure on their savings and family resources and Medicaid when they became disabled. But both demand and supply of LTCI are weak and falling. Potential customers are reluctant to buy because it is costly and the need seems remote and hard to think about. Carriers find it difficult to price a product that will be used far in the future and fear losing money if customers live and use services for a long time. Many insurance companies have stopped offering LTCI. Our report recommends developing a new type of private insurance product: “retirement long-term care insurance,” which would cover long-term care for a limited period (2-4 years) after a substantial deductible or waiting period and would have coinsurance. The insurance would provide inflation protection, which helps to ensure benefits keep pace with the rising costs of care, and a non-forfeiture benefit, which allows lapsed policyholders to access a limited benefit. Employers would be encouraged to offer such policies as a default option as part of a retirement plan. These policies, if offered through employers and public and private insurance exchanges, could cut premiums in half according estimates done by Milliman, LLC, for the Bipartisan Policy Center and other organizations. Penalty-free withdrawals would be allowed from retirement plans, such as 401(k) plans and IRAs, beginning at age 45, exclusively for the purchase of retirement LTCI. Design a federal long-term care insurance option for those with catastrophic costs. Part of the reluctance of carriers to offer LTCI relates to the difficulty of predicting costs far in the future and the fact that a few policy holders may have extremely high costs for a very long time. A public program, covering truly catastrophic long-term care spending, could overcome this reluctance and reduce the cost of private LTCI. Catastrophic insurance, combined with retirement LTCI from the private market, could substantially relieve families and Medicaid. The cost of this program should be fully offset so as not to add to the deficit. Streamline Medicaid home and community-based care options to encourage more effective care in lower-cost settings. While Congress has been proactive in encouraging state Medicaid programs to shift care settings from institutions to home and community-based care, states continue to face a daunting federal waiver process and multiple state options. Securing waivers requires complex negotiations between states and the federal government, and each of the existing state options have disincentives. Home and community-based options should be simplified into a single streamlined state plan amendment process. Ensure that working people with disabilities in need of long-term services and supports do not lose access to their long-term services and supports as earnings increase. Individuals with modest employment incomes risk losing access to services that permit them to remain on the job. Existing Medicaid “buy-in” programs are often costly. Building on the “Achieving a Better Life Experience,” or “ABLE” Act, states could be given the option to offer a lower-cost, Medicaid buy-in for long-term services and supports designed to “wrap around” private health insurance or Medicare. Under this option, working individuals with disabilities would pay an income-related, sliding-scale premium. Mr. Chairman and members of the Committee, thank you again for the opportunity to share my thoughts on this issue. It is one of America’s big challenges, but it’s an even bigger opportunity for a constructive bipartisan policy process. I look forward to continued dialogue and will keep you apprised of forthcoming recommendations by BPC’s Long-Term Care Initiative in 2016 and 2017. Downloads Download Alice M. Rivlin's full testimony Authors Alice M. Rivlin Publication: U.S. House of Representatives Committee on Energy and Commerce Image Source: Kevin Lamarque Full Article
delivery Payment and Delivery Reform Case Study: Cancer Care By webfeeds.brookings.edu Published On :: Mon, 07 Jul 2014 09:52:00 -0400 Editor’s note: This post is adapted from a forthcoming full-length case study; the second in a series from the Engelberg Center’s Merkin Initiative on Physician Payment Reform and Clinical Leadership designed to support clinician leadership of health care delivery, payment, and financing reform. The case study will be presented during the Merkin Initiative’s “MEDTalk” event on July 9 from 10:30 AM to 12:30 PM EDT, featuring live story-telling and knowledge-sharing from patients, providers, and policymakers. Oncology practices and hospitals across the nation struggle with providing sustainable, comprehensive, and coordinated cancer care. Clinical leaders with strategies and models to improve the quality and value of health care often don’t know how to navigate the landscape of payment and delivery reform options to sustain their innovations. We use a case study approach to investigate and tell the story of the New Mexico Cancer Center (NMCC), an independent cancer center that is experimenting with innovative ways to improve patient-centered oncology care. We identify challenges for creating sustainable and supportive payments models, and we share the broader strategic and policy lessons for adopting alternative payment models. The Clinical Scenario: Living With Cancer Vicky Bolton, a 58-year-old full-time medical legal coordinator from Albuquerque, has stage 4 adenocarcinoma lung cancer. She started chemotherapy in 2003 and has consistently received treatments over the last 11 years. Vicky is one of 13 million Americans currently living with cancer, with more than 1.6 million new diagnoses added each year. Although Vicky’s condition is currently stable, she is at high risk for venous thrombosis (blood clots), life-threatening infections, and other complications, which put her at high risk for repeated hospitalizations. In the past six months, she has taken advantage of “after hours” care on three occasions as an outpatient at NMCC. Fortunately, each of her providers and services — oncology, radiation therapy, labs, x-rays, and internal medicine — are centralized in a single location at NMCC, reducing the need for emergency room (ER) visits or hospitalizations for these episodes. The Challenge: Controlling Spending While Improving Patient-Centered Care Cancer is the second leading cause of death in the U.S. Forty-one percent of Americans will be diagnosed with cancer during their lives. Cancer care is also expensive, accounting for $125 billion of total health care spending annually. In 2011, Medicare alone spent nearly $35 billion in fee-for-service (FFS) payments for cancer care, representing 9 percent of all Medicare FFS payments. The high costs of cancer care are driven by issues that plague the entire health system: uncoordinated care delivery, duplication of services, fragmentation, and volume-based payments. A common impact of these drivers in oncology is the use of the ER to relieve symptoms associated with adverse effects of chemotherapy or other treatments that can also result in hospitalization. For example, research shows that the most common reasons for cancer patient ER admissions are pain, respiratory distress, nausea, and vomiting. More than half of the ER visits occurred on weekends or in the evening, and over 60 percent resulted in hospital admission. This suggests that if a patient’s symptoms could be managed at home or in the community, costly hospital admissions could be avoided. ER visits, where patients are exposed to germs and infections as they wait — often hours — to be admitted, can have catastrophic outcomes for patients that are actively in treatment since they have weakened immune systems and are more prone to infections. In addition to the inherent issues with fee-for-service (FFS) payments — with payments incentivizing volume of procedures rather than the value of care delivered — the current payment system further exacerbates problems: If a practice provides higher-value care to patients at a lower cost to the overall system (that is, they perform fewer services and have lower revenue), the financial winner is the payer who reimburses fewer services, not the practice (which merely has less revenue). This combination of the misaligned incentives of FFS and the lack of financial benefit for improving care while reducing costs means that many practices simply cannot afford to make the transformations needed without other funding mechanisms. The Real World: How Has An Independent Cancer Center Responded To These Challenges? NMCC delivers care to roughly 2,700 patients and provides care to one in three New Mexicans with cancer. The changes that the center has made have focused on reducing the impact of fragmentation of care on their patients (Table 1). A key innovation was enhancing comprehensive after-hours and weekend care on site and creating a telephone and urgent care triage program to avoid expensive emergency room and inpatient care, which NMCC termed the COME HOME model. As part of its redesign process in 2012, NMCC – along with six community oncology practices — secured a $20 million Center for Medicare and Medicaid Innovation (CMMI) Health Care Innovation Award (HCIA), for a three-year period. The award has an explicit aim of reducing ER visits by 50 percent and hospitalizations by 20 percent to justify the program costs. Table 1: Care Redesign Elements Undertaken by NMCC The Key Levers: How Can COME HOME Be Sustained? On the heels of the Affordable Care Act (ACA) and numerous quality and payment focused initiatives in the private sector, health care organizations need to enhance the competitiveness and efficiency of their systems in the marketplace. Alternative payment models (APMs) such as Accountable Care Organizations (ACOs), bundled payments, and patient-centered oncology medical homes (PCOMH) are just a few of the initiatives supported by public and private payers to align care redesign and payment reform and encourage continuous improvement. (Clinical pathways, a strategy recently embraced by WellPoint, offer PCOMH-like incentives to encourage adherence to practice guidelines, a strategy primarily geared to encourage higher-value chemotherapy practice.) Broader or larger case-based payments may also provide stronger incentives to limit costs, to help assure that promising delivery reforms actually lead to cost reduction, but this exposes oncologists to greater levels of financial risk, as shown in Table 2. Consequently, implementing payment reforms that are viewed as feasible and desirable by both providers and payers is difficult. Table 2: Comparison of Alternative Payment Models for Oncology The Path Ahead: How Can These Models Assist NMCC? NMCC currently receives approximately $70,000 per month from the CMMI grant and has not yet identified a clear strategy to sustain the delivery reforms in the COME HOME care model past the end of the grant (July 2015). As for payment reform options, NMCC has been unable to contract as part of a comprehensive ACO due to local health care market conditions. Clinical pathways are geared primarily to guidelines and chemotherapy adherence, and are not designed to provide funding for after-hours care or triage programs that are intended to achieve offsetting savings through avoiding costly complications. Possible remaining options include: PCOMH: Using the data it gathers, NMCC intends to quantify the additional costs the COME HOME model requires, and the savings that it achieves. Based on that estimate, NMCC could suggest a per-member per-month (PMPM) payment from a private insurer to cover the costs of providing higher quality care. To encourage participation, NMCC could also enter into a risk-sharing agreement, in which overall costs of inpatient care and ER visits would be compared against a target. The PMPM payment could be at-risk if the targets are not achieved after a certain period of time. Bundled Payments: NMCC could potentially use the medical home approach with risk sharing (described above) as a first, interim step toward a bundled payment system, NMCC’s long-term preferred model. Computing actuarially sound expected costs for the bundled payments would require merging claims data with clinical data (for example, ICD-9 codes fail to distinguish between subtypes of breast cancer that have radically different treatments). A bundled payment pilot might be performed for high volume cancers, such as breast and lung. Lessons Learned The experience of innovative pioneers like NMCC can shed some light on potential barriers to conceptualizing and implementing sustainable clinical redesign. The lessons learned have been sorted into three main categories: relationships with payers and networks, payment model selection, and data collection and quality improvement considerations. Relationships with payers and networks. Though counterintuitive, merely demonstrating significant value from care design, perhaps from lower utilization of inpatient and emergency department utilization, does not automatically create a financial pathway for sustainable delivery reform. To do so, innovative providers should consider involving lead payer partners early on to help identify end-points of interest to payers and potential payment strategies that may emerge later. Providing support for health care delivery reforms requires new activities by payers towards aligning their payments with value, rather than volume and intensity of services. However, fragmented health care markets face the challenge of the “free rider” problem: payers may be unwilling to shoulder delivery transformation costs that may benefit other payers’ clients while they wait for CMS or others to make the financial investment, pay for the program evaluation, and enact policy change). Other challenges include payer inertia and long lag times between care redesign and subsequent data demonstrating results. Large ACOs and other integrated payer-provider plans, including those large enough to form Medicare Advantage plans, are moving forward on negotiating payment and delivery reforms. This may be more difficult for innovative, smaller practices, even if they can provide higher-value clinical services. In turn, this may have anti-competitive consequences, such as discouraging delivery innovation that leads to “demand destruction” of high-cost hospital-based services. Private and public payers should be particularly interested in developing models that enable smaller, specialized providers like oncology practices to undertake key delivery reforms. Sustainable Payment Model Selection. While substantial attention has been paid to primary care focused APMs, specialty-focused APMs are needed for practices like NMCC. Their development should be a high priority for public and private payers. Clinical transformation grants, such as those offered by CMMI, should include clear pathways for transitioning to APMs if initial cost savings targets or projections are met. Otherwise, delivery system innovations are at high risk of failure despite evidence of improved value. Data Collection and Quality Improvement Considerations. Timely sharing of actionable information from claims and other administrative data remains a major challenge, with complex and varied procedures for obtaining claims from payers; smaller practices are particularly challenged in interpreting the claims data. Some states, such as Maryland, Massachusetts, Vermont, and Colorado (among others) are proceeding with creating all-payer claims databases. (Maryland, for example, offers almost instantaneous provider feedback from claims through their CRISP database.) Others, such as Minnesota, are using “distributed” approaches in which multiple payers and systems produce measures in consistent ways. As NMCC’s early efforts illustrate, practices can produce more clinically sophisticated performance measures. Strategies to achieve consistent methods for sharing key data on cost and quality need to be expanded to encourage quality improvement and payment reform. Authors Mark B. McClellanDarshak SanghaviKavita PatelKate Samuels Publication: Health Affairs Blog Image Source: © Jim Young / Reuters Full Article
delivery Remaking urban transportation and service delivery By webfeeds.brookings.edu Published On :: Wed, 18 Dec 2019 05:01:29 +0000 Major changes are taking place in urban transportation and service delivery. There are shifts in car ownership, the development of ride-sharing services, investments in autonomous vehicles, the use of remote sensors for mobile applications, and changes in package and service delivery. New tools are being deployed to transport people, deliver products, and respond to a… Full Article
delivery FedEx to test Nissan's electric e-NV200 delivery van in Washington DC area By www.treehugger.com Published On :: Thu, 23 Jan 2014 16:10:53 -0500 After pilot programs in international markets like Japan, Singapore, the United Kingdom and Brazil, FedEx will deploy a fleet of electric delivery vans in Washington DC. Full Article Transportation
delivery Will autonomous delivery robots soon be pushing pedestrians off the sidewalks? By www.treehugger.com Published On :: Thu, 07 Jul 2016 12:06:02 -0400 Nobody is actually asking the question, because pedestrians don't matter, do they? Full Article Transportation
delivery Johns Hopkins sets record for drone blood delivery flight By www.treehugger.com Published On :: Wed, 13 Sep 2017 10:54:43 -0400 The new study shows that drones can handle longer aid delivery trips than previously thought. Full Article Technology
delivery San Francisco may ban delivery robots. Good for them. By www.treehugger.com Published On :: Thu, 01 Jun 2017 14:55:14 -0400 Pick up your Marbles and go home Full Article Technology
delivery Take-out delivery giant trials sauce sachets made from seaweed By www.treehugger.com Published On :: Fri, 02 Mar 2018 06:48:31 -0500 Perhaps more importantly, it's also giving customers the option of refusing such sachets in the first place. Full Article Business
delivery Concentrix Launches Flagship Global Delivery Center in Tempe, Ariz. - Video One By feedproxy.google.com Published On :: 26 Sep 2014 16:04:00 EDT Video One Full Article Banking Financial Services Computer Electronics Consumer Electronics Healthcare Hospitals Insurance New Products Services Broadcast Feed Announcements MultiVu Video Corporate Expansion
delivery Volvo Cars Pioneers Two-hour In-car Delivery Service With Swedish Start-up urb-it - Volvo Cars pioneers two-hour in-car delivery service with Swedish start-up urb-it By feedproxy.google.com Published On :: 11 May 2016 11:15:00 EDT Volvo Cars pioneers two-hour in-car delivery service with Swedish start-up urb-it Full Article Auto Computer Electronics Internet Technology Transportation Trucking Railroad Wireless Communications Joint Ventures New Products Services MultiVu Video
delivery Target in talks to boost its same-day delivery ambitions by buying pieces of startup Deliv By www.cnbc.com Published On :: Thu, 07 May 2020 16:23:35 GMT The aspect of the technology that interests Target is its ability to pool multiple orders and route them to a similar place, NBC News reports. Full Article
delivery We call this decade 'the age of delivery': Domino's CEO By www.cnbc.com Published On :: Wed, 06 May 2020 02:30:49 GMT Don Meij , CEO Of Domino's Pizza Enterprises gives an update on the pizza business during the international pandemic, and how Domino's is keeping up with demand. Full Article
delivery Coronavirus: Pint delivery service to challenge Belfast ban By www.bbc.co.uk Published On :: Sun, 26 Apr 2020 23:11:06 GMT A pub delivering Guinness to people's homes during lockdown says it was operating within the law. Full Article
delivery Mumbai Food Review: This delivery service offers burgers that will make you fit! By www.mid-day.com Published On :: 07 Sep 2017 08:03:46 GMT Crispy Eggplant Burger IfâÂÂyou're vegan, you can probably count on one hand the number of eateries in the city that cater to your needs while also serving delicious grub. Narrow down the search to just vegan burgers, and you arrive at another figure — nil. But, if you live around Bandra, you're in luck, thanks to a new delivery service called Vegan Burger Kitchen. Asian-style Sweet Potato and Peanut Burger The menu currently offers nine burgers, each different from the next, and all made using locally sourced, organic produce. Being day one of operations, when we call, we're informed that the BBQâÂÂPulled Jackfruit Burger and the Cauliflower and Red Lentil Burger aren't available. On sensing the disappointment in our voice, however, we are promised that it will be available soon enough. Among the burgers we try, we find two favourites. The first is the Asian-style Sweet Potato and Peanut Burger (Rs 329), where the sweet potato patty pairs beautifully with the creamy soy milk-based Sriracha mayo and Asian slaw. The Crispy Eggplant Burger (Rs 299) is best eaten fresh. The fun lies in biting into the crunchy exterior of the patty — robed in a vegan Thousand Island dressing and pickles — to get to the mushy eggplant that sits inside. Smoked Black Beans, Mushrooms and Beet Burger We also enjoy the Smoked Black Beans, Mushrooms and Beet Burger (Rs 299). The patty gets its form and flavour predominantly from the black beans, so if you don't enjoy them, avoid this one. The Unmeat Burger (Rs 329), meanwhile, is an acquired taste. The texture of the wheat protein that makes up the patty is odd and unfamiliar, and the grainy flavour seeps through, despite a generous use of punchy condiments in the burger. Bounty Pudding In addition to the burgers, the menu also lists beverages like iced tea and cold brews, as well as two desserts. Pop the Vegan Chocolate Brownie (Rs 129) into the microwave oven for a few seconds before digging in, and you won't be disappointed. The Bounty Pudding (Rs 129) is a riff on the coconut-filled chocolate bar. Here, however, the desiccated coconut is replaced by coconut milk, giving you a chocolate dessert that feels like velvet on the tongue. We hear that the menu is going to be expanded to include more burgers, and meals. Until then, we're content to binge on another Crispy Eggplant Burger. TIME: 12 pm to 11 am (closed Tuesdays) delivers to Bandra West, Khar West, Santacruz WestLOG ON TO: Vegan Burger Kitchen on FacebookCALL: 879296027Also try these out Full Article
delivery Mumbai Food: New delivery joint will satiate your sushi craving in Andheri By www.mid-day.com Published On :: 13 Sep 2017 08:52:16 GMT Crazy Salmon Roll, Veg California Roll and Crabmeat Gunkan. Pic/Nimesh Dave We are quite chuffed with the thought of ordering sushi for lunch on a busy day in the newsroom. Sushi and More, a delivery-only enterprise, has been fulfilling Japanese sushi cravings for residents of SoBo and Prabhadevi since 2009, and has now launched in Andheri. The menu for the suburbs is a slimmer version of the original, but it doesn’t disappoint (there are Jain options as well). They offer nigiri, uramaki and hosomaki style rolls in addition to a few appetisers such as Chicken Yakitori and Rock Corn Tempura. We pick three sushi options, Veg California Roll (Rs 400, eight pieces), Crazy Salmon Roll (Rs 950, eight pieces) and Crabmeat Gunkan (RS 400, six pieces). They cover Andheri to Juhu via direct orders, so we get a partner delivery company to deliver to Bandra East and as a result, are unable to test their delivery time. But they earn full marks for packaging. The pieces sit firmly in boxes with transparent covers. Separate sections for gari and wasabi (and a pair of wooden chopsticks) ensure that they don’t meddle with the mild flavours of the dishes. We dig into the Veg California Roll first, as the avocado it comes stuffed with has already turned brown. We feel the rice could be of a better variety. The roll is a downer, with no standout flavours to savour. Next, we try Crabmeat Gunkan, our favourite from the list. The delicate flavour of the meat goes well with the sticky rice it comes topped on, unlike the California Roll, where the rice tasted flat. The Crazy Salmon Roll has fish on the outside and the inside. The amount of meat is worth the money, but the spicy salmon in the centre doesn’t taste very different. Sushi and More is priced well compared to other restaurants offering the fare, but slight creases need to be ironed out for a silken smooth sushi experience. ReviewFood Mixedverdict JCOST Competent Full Article
delivery COVID-19: Pizza delivery boy tests positive, 72 families home-quarantined in Delhi By www.mid-day.com Published On :: 16 Apr 2020 07:03:33 GMT People living in around 72 houses have been asked to stay in quarantine after a pizza delivery boy, who had delivered food in Malviya Nagar area, tested positive for coronavirus on Wednesday, according to District Magistrate, South Delhi. Delhi Health Minister Satyendra Jain said that 17 other delivery boys linked with the infected man have also been placed under institutional quarantine. "A pizza delivery boy has been detected with COVID-19 here. 17 other delivery boys linked with him have been placed under institutional quarantine and 72 people have been placed under home quarantine," Jain told ANI. Food delivery app Zomato said that the staff of infected person's restaurant has delivered some orders which were placed on its platform. "We've been made aware today that a restaurant's employee, who has been recently tested positive for COVID-19, had delivered food in the past to a few customers in the Malviya Nagar area in Delhi. All these customers have already been contacted by the govt authorities... We are not sure whether the rider was infected at the time of delivery," the company said in a statement. Zomato also claimed that colleagues of the delivery boy have tested negative for COVID-19. "This restaurant had instructed their riders to wear masks and follow strict hygiene to keep customers safe from any unintended mishap. All co-workers of the said rider have been tested negative. And as a precaution, the restaurant where this rider worked has suspended operations," read the statement. Catch up on all the latest Crime, National, International and Hatke news here. Also download the new mid-day Android and iOS apps to get latest updates. Mid-Day is now on Telegram. Click here to join our channel (@middayinfomedialtd) and stay updated with the latest news Full Article
delivery Coronavirus outbreak: Punjab Excise Dept issues new guidelines for home delivery of liquor By www.mid-day.com Published On :: 6 May 2020 09:28:26 GMT The Excise Department of Punjab on Tuesday released new guidelines for home delivery of liquor in a bid to ensure that social distancing norms are not violated amid curfew and COVID-19 lockdown. Now, only two people in a group with an official pass are allowed to make home delivery of liquor. One household will not receive more than two litres of booze. The delivery person is restricted to visit in the vehicle authorised by the department. Moreover, social distancing norms should be followed at liquor shops and not more than five people are allowed to gather outside the shops. Proper sanitisation will be done at liquor stores, which are allowed to open only if relaxation is given by the district administration in their area. Catch up on all the latest Crime, National, International and Hatke news here. Also download the new mid-day Android and iOS apps to get latest updates. Mid-Day is now on Telegram. Click here to join our channel (@middayinfomedialtd) and stay updated with the latest news This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever Full Article
delivery Coronavirus outbreak: Online booking, home delivery of liquor to begin in West Bengal amid lockdown By www.mid-day.com Published On :: 7 May 2020 10:03:00 GMT To avoid crowding and minimise footfall at liquor stores, the West Bengal State Beverages Corporation (WBSBCL) has launched an eRetail portal for online booking and home delivery. According to the website of the WBSBCL, any person, who is older or of 21 years of age, can register as a buyer on the portal for getting home delivery of liquor. "For ensuring social distancing and minimising footfall at retail outlets, WBSBCL has launched eRetail for online booking and home delivery of liquor," notification on the website read. The interested persons can fill in their details, full name, mobile number, address, email, among others to register as a buyer and get liquor delivered at their doorsteps. Prior to this, the Chhattisgarh and Punjab governments too had allowed home delivery of liquor in their respective states with certain conditions. Liquor stores around the country have been allowed to reopen by the Centre during phase three of the coronavirus-induced lockdown. Long queues, with people flouting social distancing norms, were seen on liquor stores around the country as enthusiasts lined up to get their hands on their favourite drink. With people at these outlets failing to follow social distancing norms, apprehensions were expressed regarding the spread of COVID-19. Catch up on all the latest Crime, National, International and Hatke news here. Also download the new mid-day Android and iOS apps to get latest updates. Mid-Day is now on Telegram. Click here to join our channel (@middayinfomedialtd) and stay updated with the latest news This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever Full Article
delivery Supreme court: States could consider online sale or home delivery of liquor By www.mid-day.com Published On :: 9 May 2020 05:17:31 GMT The Supreme Court on Friday observed that the state governments should consider online sale or home delivery of liquor during the nationwide lockdown that's in place to fight the coronavirus pandemic. The remarks came from a bench comprising Justices Ashok Bhushan, Sanjay Kishan Kaul and B.R. Gavai during the hearing of a PIL through video conferencing. The PIL complained of indiscriminate flouting of all social distancing norms at the liquor vends after they were reopned on May 4. The top court observed that it is not feasible to pass orders on the PIL filed under Article 32 and instead asked the state governments to consider selling liquor through other viable options, keeping in place social distancing norms. The court said, "We will not pass any order. States should consider indirect sale or home delivery of liquor to maintain social distancing." Advocate Sai Deepak, representing the petitioner, submitted that the opening of liquor shops should not meddle with the lives of the common people. The petition under Article 32 of the Constitution sought direction from the apex court to the Centre in order to declare the new Covid-19 guidelines issued by the Union of India, which permit the sale of liquors at liquor vends through direct contact sales during the lockdown period "as unconstitutional, null and void". The petition argued that prohibition of sale of liquor for human consumption at liquor vends through direct contact sales during the lockdown period would eventually contribute to containing the spread of Covid-19 in India, until the National Disaster Management Authority or the Centre declares India to be Covid-19 free. Serpentine queues were reported across Delhi and many other parts of the country after the liquor vends opened in the third phase of the lockdown. At many liquor vends in Delhi-NCR, people disregarded social distancing norms while queuing up to purchase liquor. Liquor shops had been shut down across India after the nationwide lockdown was announced on March 24 midnight. They reopened on May 4. Catch up on all the latest Crime, National, International and Hatke news here. Also download the new mid-day Android and iOS apps to get latest updates. Mid-Day is now on Telegram. Click here to join our channel (@middayinfomedialtd) and stay updated with the latest news This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever Full Article
delivery Software Predicts Likelihood of Normal Delivery By www.medindia.net Published On :: French scientists have developed a software program called Predibirth' that can identify potential problems with delivery of the baby in high-risk pregnancies. Full Article