mira

When Unbelief Investigates a Miracle




mira

Ariana Grande expresses admiration for 'amazing' beau Ethan Slater

Ariana Grande praises her ‘adorable’ beau Ethan SlaterAriana Grande has recently expressed her admiration for beau and adorable Wicked co-star Ethan Slater.Speaking to Entertainment Tonight at Wicked press tour in Los Angeles over the weekend, the pop star praised Ethan for his...





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Export Growth and Industrial Policy: Lessons from the East Asian Miracle Experience

This paper examines the causes of export success in East and South East Asia and assesses the role of industrial policy.



  • Publications/Papers and Briefs

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Why PBMs and Payers Are Embracing Insulin Biosimilars with Higher Prices—And What That Means for Humira (rerun with an FTC update)

This week, I’m rerunning some popular posts while we put the finishing touches on DCI’s new 2024-25 Economic Report on Pharmaceutical Wholesalers and Specialty Distributors.

Last week, the Federal Trade Commission (FTC) released the redacted version of administrative complaint against the three largest pharmacy benefit managers (PBMs). The FTC rightly calls out how the gross-to-net bubble can raise patients’ out-of-pocket costs, while also acknowledging how rebates can reduce a plan's (but not the patient’s) costs. Apparently, the FTC believes that PBMs’ customers are pretty dumb, because PBMs are able to prevent plans from “appreciating” such healthcare financing dynamics.

Section V.E. of the complaint (starting on page 23) focuses on the PBMs’ alleged unlawful conduct related to preferring high-list/high-rebate insulin products over versions with lower list prices. I thought it would therefore be fun to take the Wayback Machine to November 2021, when I wrote about this specific topic.

Below, you can review my commentary about the warped incentives behind Viatris’ dual-pricing strategy for its interchangeable biosimilar of Lantus. Much of the FTC’s description of the drug channel aligns with my commentary. But before you fist pump too hard for Ms. Khan’s FTC, you should pause to reflect on the agency’s legal theories in light of plans’ revealed preferences.



The Food & Drug Administration (FDA) recently approved the first interchangeable biosimilar insulin product: the insulin glargine-yfgn injection from Viatris. Read the FDA’s press release.

Alas, I’m sad to report that the warped incentives baked into the U.S. drug channel will limit the impact of this impressive breakthrough.

Viatris is being forced to launch both a high-priced and a low-priced version of the biosimilar. However, only the high-list/high-rebate, branded version will be available on Express Scripts’ largest commercial formulary. Express Scripts will block both the branded reference product and the lower-priced, unbranded—but also interchangeable—version. Meanwhile, Prime Therapeutics will place both versions on its formularies, leaving the choice up to its plan sponsor clients.

Consequently, many commercial payers will adopt the more expensive product instead of the identical—but cheaper—version. As usual, patients will be the ultimate victims of our current drug pricing system.

Below, I explain the weird economics behind this decision, highlight the negative impact on patients, and speculate on what this all could mean for biosimilars’ future. Until plan sponsors break their addiction to rebates, today’s U.S. drug channel problems will remain.
Read more »
       




mira

Drug Channels News Roundup, October 2024: Humira Price War Update, PA vs. Providers, IRA vs. Physicians, My AI Podcast, New DCI Jobs, and Dr. G on Copayments

Eeek! It's time for Drug Channels’ Halloween roundup of terrifying tales to share with your ghoulish fiends. This month’s tricks and treats:
  • Spooky! Blue Shield of California frightens away the gross-to-net bubble with its Humira biosimilar strategy
  • Vampiric! Prior authorization sinks its fangs into providers’ time
  • Wicked! How the IRA will put a stake through specialty physician practices
  • Eerie! Google’s monstrous AI podcasts leave me petrified
  • Zoinks! Join the vampire hunters at Drug Channels Institute
Plus, Dr. Glaucomflecken tells us a frightening tale of copayments.

P.S. Stretch out your arms and join the ever-growing zombie horde who shamble after me on LinkedIn. You’ll find my ghostly rantings along with commentary from the undead hordes in the DCI community.
Read more »
       




mira

North Africa's Hydrogen Mirage

Amid the global energy transition, investors are anxious to pour billions of dollars into many of these countries to turn the new fossil fuel finds into hydrogen. The element is the key feedstock for fuel cells, which use chemical reactions to generate electricity cleanly, with water as the main byproduct. Notwithstanding the considerable technological challenges ahead, demand for the gas in Europe and elsewhere is widely expected to surge as vehicles, factories, and other energy users seek to reduce greenhouse gas emissions.

For Southern Rim nations, however, this tantalizing opportunity for economic development risks turning into just another Sahara mirage. That’s because the hype surrounding hydrogen may continue to distract the regions’ leaders from addressing the tough domestic social issues that are behind the migration crisis. If the technology does become viable, revenue from hydrogen exports to Europe could just perpetuate rent-seeking behavior by political and economic elites at the expense of their own citizens.




mira

Witchy Precure!!: MIRAI DAYS Anime's Trailer Previews Opening Song, Saori Hayami's 2nd Role

Saori Hayami plays mysterious girl Hisui, performs ending song 'Kisekiralink' with Rie Takahashi, Yui Horie




mira

Anti-Fibrotic Data from Amira Pharmaceuticals' LPA1 Receptor Antagonist Program Published in the British Journal of Pharmacology

Anti-Fibrotic Data from Amira Pharmaceuticals' LPA1 Receptor Antagonist Program Published in the British Journal of Phar




mira

Sathya Sai Baba Dies of Multi-Organ Failure - No Miracle Happened as the End Came in ICU

The world-famous god man and Spiritual leader Sri Sathya Sai Baba passed away at his Sathya Sai super specialty hospita




mira

IoT.Linux.MIRAI.VWISI

Threat type: Backdoor

Aliases:

Platforms: Unix

Overall Risk Rating: Low

Damage Potential: High

Distribution Potential: Low

Reported Infection: Low

Information Exposure: Low

Overview:

This new Mirai variant exploits CVE-2020-10173, a vulnerability in Comtrend VR-3033 routers. Similar to earlier variants, this Mirai variant uses telnet and SSH brute-forcing techniques to attack vulnerable devices.

This Backdoor arrives on a system as a file dropped by other malware or as a file downloaded unknowingly by users when visiting malicious sites.




mira

Former OpenAI CTO Mira Murati is reportedly fundraising for a new AI startup

Mira Murati, the OpenAI CTO who announced her departure last month, is raising VC funding for a new AI startup, according to Reuters. This startup will reportedly focus on building AI products based on proprietary models and could raise more than $100 million in this round. When she left, Murati wrote on X that OpenAI […]

© 2024 TechCrunch. All rights reserved. For personal use only.




mira

A Miyazaki miracle in Rajasthan

They are his most precious treasure at the moment. Award winning cultivator Shreekishan Suman on growing the world’s most expensive mango variety in the Indian desert state




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Men’s hockey: Sreejesh’s saves were nothing short of miracle, we can win gold at Paris Olympics, says Dhanraj Pillay

As soon as Rajkumar Pal scored the winning goal in the shoot-off, an emotional Dhanraj, glued to the TV at home, jumped in joy.




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365 : how to count a year / Miranda Paul + Julien Chung

Paul, Miranda, author




mira

Nauatokaixtomilistli ika kaxtiltekatlajtolli huaxtekatl uan ika huaxtekatlajtolli kaxtilan = Vocabulario nauatl-español, y español-nauatl de la Huasteca / Julio Miranda San Román, Marcos de la Cruz Reyes, Filogonio Cifuentes Ruiz, Eustaquio

Pátzcuarao, Michoacán : Programa de Etnolingüística : SEP : CIESAS : INI, 1981.




mira

Nikolaĭ Ilʹin : "U men︠i︡a estʹ koe-kakie mysli otnositelʹno nabornoĭ oblozhki" / kniga Vladimira Krichevskogo o graficheskom oformlenii nizhegorodskoĭ pechati 20-x godov (XX veka) i vkrat︠t︡ce o tom, chto bylo potom.

Moskva : Samolet, 2000.




mira

Autocomplete Interview - Miranda Cosgrove Answers The Web's Most Searched Questions

Miranda Cosgrove visits WIRED to answer her most searched questions from Google. When did Miranda start acting? Does she sing the 'iCarly' theme? How old was Miranda Cosgrove when she made the film 'School of Rock?' Miranda answers these questions and plenty more for the WIRED Autocomplete Interview.DESPICABLE ME 4 is in theaters July 3, 2024 https://www.despicable.me/Director: Kristen DeVoreEditor: Louville MooreTalent: Miranda CosgroveCreative Producer: Justin WolfsonLine Producer: Joseph BuscemiAssociate Producer: Paul GulyasProduction Manager: Peter BrunetteTalent Booker: Meredith JudkinsProduction Assistant: Lauren BoucherPost Production Supervisor: Christian OlguinPost Production Coordinator: Scout AlterSupervising Editor: Erica DeLeoAssistant Editor: Justin SymondsSpecial Thanks: Glass Engine




mira

Journalist Anil Majumdar was Killed By Former DGP of Assam | ULFA : The Mirage of Dawn

In a shocking revelation, senior journalist Rajeev Bhattacharyya’s latest book ‘ULFA : The Mirage of Dawn‘s page no 280 reads that “A former Director General of Assam police hired a surrendered ULFA (SULFA) activist to assassinate editor Anil Mazumdar in Guwahati on 24 March 2009.” The same also added “After two weeks, the police chief […]

The post Journalist Anil Majumdar was Killed By Former DGP of Assam | ULFA : The Mirage of Dawn appeared first on TIMES OF ASSAM by Dhruba Jyoti Deka.




mira

What hides behind the German labor market miracle? Unemployment insurance reforms and labor market dynamics [electronic journal].




mira

Should you invest in the Mirae Asset’s new mid and small cap factor ETF

Mirae Asset Nifty MidSmallcap400 Momentum Quality 100 ETF offers a blend of passive and smart-beta investing




mira

Not devoid of stock ideas, though markets aren’t cheap: Neelesh Surana, CIO, Mirae Asset Mutual Fund

Open to spinning off passive fund business under MF Lite, says Swarup Mohanty, Vice-Chairman and CEO, Mirae Asset Investment Managers




mira

Mirae Asset Large Cap Fund: Should you invest?

Large-caps offer relative safety from froth and Mirae Asset Large Cap Fund performed well in the class




mira

King’s Battalion, Still I Rise, Charukala and Admiral Shaw please




mira

Miracle herbs in your garden

It takes very little effort to plant your own little herb garden at home




mira

The Miranda Brothers Review

The Miranda Brothers is short on humour, romance and real drama, observes Deepa Gahlot.




mira

Miracles de Nostre Dame / collected by Jean Mielot secretary to Philip the Good, Duke of Burgundy ; reproduced in facsimile from Douce Manuscript 374 in the Bodleian Library for John Malcolm of Poltalloch ; with text, introduction, and annotated analysis

Westminster : Nichols and Sons, 25 Parliament Street, MDCCCLXXXV [1885]




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Two HC judges inspect Tamirabharani river in Tirunelveli




mira

Melodies in the making: How Miraj’s sitarmakers keep Indian classical music alive




mira

TikTok Star Nagma Mirajkar Slays It In Her Fashionable Outfits And We’re Impressed!

TikTok star Nagma Mirajkar has been doing rounds on the internet by coming up with many superb videos each day. From comedy to serious, the pretty lady has not an area left, where she can't entertain people with her talent




mira

IPL 2020 in UAE? Emirates Cricket Board offers to host suspended edition

After Sri Lanka Cricket (SLC), the Emirates Cricket Board has offered to host the Indian Premier League (IPL) 2020 in the United Arab Emirates (UAE).




mira

Emirates to raise debt as it braces for most difficult months ever

The state-owned airline, which suspended regular passenger flights in March reported a 21% rise in profit for its financial year that ended on March 31




mira

Mieliemeel miracle

God unexpectedly provides just what a family needs.




mira

Miraculous healing in Mozambique

Limardes Domingo, an OM worker in Mecula, Mozambique, has seen church growth over two years through God's faithful answers to prayer.




mira

Being someone's miracle

“What a feeling it is to know you can be someone’s miracle…” shares a short-term worker after outreach with the OM Transit team in Romania.




mira

The miracle of sight

Rachel's personal transformation through Jesus inspires her to serve the women in her community.




mira

Emirates predicts 18-month lull in air demand

Gulf aviation giant Emirates said Sunday it would take at least 18 months for travel demand to return to "a semblance of normality", despite reporting bumper pre-pandemic profits.




mira

Ugandan Shilling(UGX)/United Arab Emirates Dirham(AED)

1 Ugandan Shilling = 0.001 United Arab Emirates Dirham




mira

Salvadoran Colon(SVC)/United Arab Emirates Dirham(AED)

1 Salvadoran Colon = 0.4197 United Arab Emirates Dirham




mira

Romanian Leu(RON)/United Arab Emirates Dirham(AED)

1 Romanian Leu = 0.8248 United Arab Emirates Dirham




mira

Ukrainian Hryvnia(UAH)/United Arab Emirates Dirham(AED)

1 Ukrainian Hryvnia = 0.1369 United Arab Emirates Dirham




mira

Tanzanian Shilling(TZS)/United Arab Emirates Dirham(AED)

1 Tanzanian Shilling = 0.0016 United Arab Emirates Dirham




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Venezuelan Bolivar Fuerte(VEF)/United Arab Emirates Dirham(AED)

1 Venezuelan Bolivar Fuerte = 0.3678 United Arab Emirates Dirham



  • Venezuelan Bolivar Fuerte

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Yemeni Rial(YER)/United Arab Emirates Dirham(AED)

1 Yemeni Rial = 0.0147 United Arab Emirates Dirham




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Paraguayan Guarani(PYG)/United Arab Emirates Dirham(AED)

1 Paraguayan Guarani = 0.0006 United Arab Emirates Dirham




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Hong Kong Dollar(HKD)/United Arab Emirates Dirham(AED)

1 Hong Kong Dollar = 0.4729 United Arab Emirates Dirham



  • Hong Kong Dollar

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Kuwaiti Dinar(KWD)/United Arab Emirates Dirham(AED)

1 Kuwaiti Dinar = 11.8737 United Arab Emirates Dirham




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Saudi Riyal(SAR)/United Arab Emirates Dirham(AED)

1 Saudi Riyal = 0.9779 United Arab Emirates Dirham




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Tunisian Dinar(TND)/United Arab Emirates Dirham(AED)

1 Tunisian Dinar = 1.2612 United Arab Emirates Dirham




mira

South African Rand(ZAR)/United Arab Emirates Dirham(AED)

1 South African Rand = 0.2002 United Arab Emirates Dirham



  • South African Rand