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.

Part D reform has faded from the policy debate. This rerun explains why it is still needed. FYI, this is my favorite article from 2020 (so far).

Click here to see the original post and comments from January 2020.

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Our high-list-price/high-rebate system remains a fundamental source of warped incentives and cascading problems within the Medicare Part D program.

For proof, check out the previously unpublished data below on market share for products that treat hepatitis C. Despite manufacturers offering products with lower list prices, Medicare Part D plans have rejected the therapeutically identical but lower-priced versions of these drugs.

List prices significantly affect seniors’ out of-pocket costs, so Part D plans are needlessly costing many of them thousands of dollars. The federal government's Medicare spending is also unnecessarily higher.

Anyone concerned about drug prices should pay close attention to this situation. Part D plans and seniors who don’t need specialty medications are benefiting, while seniors who need treatment with specialty medications are ripped off. Just another day inside the gross-to-net bubble!
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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.

Today's rerun highlights one of the most effective tactics that PBMs have developed to extract deeper discounts from brand-name drug makers. COVID-19 seems likely shift the U.S. payer mix away from commercial health plans. Expect even tighter formulary management and more restrictions as PBMs work even harder to cut costs for their plan sponsor clients.

Click here to see the original post and comments from January 2020.

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For 2020, the two largest pharmacy benefit managers (PBMs)—Express Scripts and the Caremark business of CVS Health—have again increased the number of drugs they have excluded from their standard formularies. The 2020 formulary exclusion lists are available below for your downloading pleasure.

Below, I highlight my key takeaways from the 2020 lists:

• The number of exclusions

• Management of specialty drugs

• Indication-based formularies

• The slow adoption of biosimilars

• The PBMs’ patient-unfriendly exclusions in the hepatitis C category

Formulary exclusions have emerged as a powerful tool for PBMs to gain additional negotiating leverage against manufacturers. The prospect of exclusion leads manufacturers to offer deeper rebates to avoid being cut from the formulary. Exclusions are therefore a key factor behind falling brand-name net drug prices.

Read on for a look at this year’s exclusions along with some closing thoughts on what exclusions mean for patients.
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This week, I’m rerunning some popular posts while I prepare for today’s video webinar: Industry Update and COVID-19 Impact: PBMs & Payers.

Click here to see the original post and comments from January 2020.

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Manufacturers recently announced list price increases for many brand-name drugs. The typical increase was about 5%. Judging by recent history, these moderately higher list prices will translate into another year of falling brand-name drug prices in 2020.

This surprising conclusion comes from our analysis of SSR Health data on prices for more than 1,000 drugs. Details below.

SSR Health data reveal that list prices for brand-name drugs rose by about 5% in 2019. However, net prices (after rebates and discounts) decreased by -3.1%. Drug makers discounted their brand-name drug list prices by an average of 45%.

Too many journalists and politicians remain committed to the false narrative of “skyrocketing drug prices.” In 2020, Congress may again take up drug price legislation. Let’s all hope that our country builds its public policies based upon accurate facts and reliable data. Hope has to triumph over experience eventually.
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A Rosemount, Minn., man has pleaded guilty in connection with running a Ponzi scheme involving commodity pools. Charles “Chuck” E. Hays, 56, pleaded guilty before U.S District Court Judge Donovan Frank on April 14, 2009, in St. Paul, Minn., to one count of mail fraud, one count of wire fraud, and one count of structuring transactions to avoid financial reporting requirements.

Deputy Attorney General David W. Ogden and Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) Acting Director Kenneth E. Melson today announced the results of ATF’s Gun Runner Impact Team (GRIT) initiative, a 120-day deployment of ATF resources to the Houston Field Division to disrupt illegal firearms trafficking by Mexican drug cartels

A Rosemount, Minn., man was sentenced today to 117 months in prison for his role in running a Ponzi scheme involving commodity pools.

A federal court of appeals has, for the second time, rejected an alleged abusive tax shelter engineered by a subsidiary of General Electric Capital Corporation, the Justice Department announced today.

UBS Securities Japan Co. Ltd. (UBS Japan), an investment bank, financial advisory securities firm and wholly-owned subsidiary of UBS AG, has agreed to plead guilty to felony wire fraud and admit its role in manipulating the London Interbank Offered Rate (LIBOR), a leading benchmark used in financial products and transactions around the world.

RBS Securities Japan Limited, a wholly owned subsidiary of The Royal Bank of Scotland plc (RBS), has agreed to plead guilty to felony wire fraud and admit its role in manipulating the Japanese Yen London Interbank Offered Rate (LIBOR), a leading benchmark used in financial products and transactions around the world.

Antoinette Djonret was sentenced today to 144 months in prison for her involvement in two separate tax fraud schemes.

Liberty Reserve, a company that operated one of the world’s most widely used digital currency services, and seven of its principals and employees were charged with money laundering and operating an unlicensed money transmitting business.

UBS Securities Japan Co. Ltd. (UBS Securities Japan), an investment bank, financial advisory securities firm and wholly-owned subsidiary of UBS AG, was sentenced today for its role in manipulating the London Interbank Offered Rate (LIBOR), a leading benchmark used in financial products and transactions around the world.

Two former derivatives brokers and a former cash broker employed by London-based brokerage firm ICAP were charged as part of the ongoing criminal investigation into the manipulation of the London Interbank Offered Rate (LIBOR), the Justice Department announced today.

A former mayor of South Pittsburg, Tenn., and an associate were sentenced today in Chattanooga, Tenn., for managing an illegal gambling business.

The Boeing Company, General Dynamics Corporation, and the United States have formally asked the United States Court of Federal Claims to dismiss, as part of a settlement, their 23-year old dispute involving the Department of the Navy's 1991 default termination of a $4.8 billion contract awarded to Boeing's predecessor, McDonnell Douglas Corporation, and General Dynamics, to develop the A-12 carrier-based stealth aircraft.

Sixteen current and former Puerto Rico police officers have been indicted for their alleged participation in a criminal organization, run out of the police department, that used their affiliation with law enforcement to make money through robbery, extortion, manipulating court records and selling illegal narcotics.

Sixteen former Puerto Rico police officers have pleaded guilty for their roles in a criminal organization run out of the police department. The officers used their affiliation with law enforcement to commit robbery and extortion, to manipulate court records in exchange for bribes, and to sell illegal narcotics

DB Group Services (UK) Limited, a wholly owned subsidiary of Deutsche Bank AG (Deutsche Bank), has agreed to plead guilty to wire fraud for its role in manipulating the London Interbank Offered Rate (LIBOR), a leading benchmark interest rate used in financial products and transactions around the world

Two former Deutsche Bank AG (Deutsche Bank) traders—the bank’s supervisor of the Pool Trading Desk in New York and a derivatives trader in London—were indicted for their alleged roles in a scheme to manipulate the U

This blog was written by Andrea DiMella, VP and Head of Talent at Atlas Venture, as part of the From The Trenches feature of LifeSciVC. What a difference a little time makes. When Bruce originally encouraged me to be a

The post Running Rehab: Managing Talent In A Pandemic appeared first on LifeSciVC.

Supplies of certain drugs used when intubating patients with COVID-19 will run out “over the coming days”, the government has warned.

To read the whole article click on the headline

Oct 28, 2019

In post-conflict societies, divisions can emerge between returnee and nonmigrant groups, which can in turn lead to violence and destabilization when government institutions favor one group over another.

Environmentalists feel that carbon emissions may have reduced drastically but are likely to go back to the pre-corona levels in a few weeks' time, once the virus threat mitigates.

Arun Jaitely, senior BJP politician and leader of the opposition in the Rajya Sabha will be our guest at Idea Exchange. Send us your questions.

The Adobe Edge Animate Runtime API is a companion to Adobe Edge Animate. Bind code to document, timeline and element, and execute your code at a specific position.

Oct 28, 2019

In post-conflict societies, divisions can emerge between returnee and nonmigrant groups, which can in turn lead to violence and destabilization when government institutions favor one group over another.

TL;DR: I built a CSS-only (~ish) solution for multiline truncated text with read more button. The other day, truncated text came up during a discussion in the office, and I since wondered if CSS has come far enough to be able to do truncated text right, that is, supporting the following: Multiple lines “Show more” […]

The post Multiline truncated text with “show more” button (with just CSS) appeared first on Paul Bakaus' blog.

Oct 28, 2019

In post-conflict societies, divisions can emerge between returnee and nonmigrant groups, which can in turn lead to violence and destabilization when government institutions favor one group over another.

Oct 28, 2019

In post-conflict societies, divisions can emerge between returnee and nonmigrant groups, which can in turn lead to violence and destabilization when government institutions favor one group over another.

Honda is running its engines on "very conservative" settings at the first race of the season in Australia for fear of damaging one of its four power units per car

Stefan GP has made one final plea to be accepted into the world championship, after it emerged that merger talks with US F1 had fallen through

A quick look at what happened to who during the Spanish Grand Prix

Oct 28, 2019

In post-conflict societies, divisions can emerge between returnee and nonmigrant groups, which can in turn lead to violence and destabilization when government institutions favor one group over another.

Security and youth top agenda during US Assistant Secretary of State Nagy’s visit to Africa On January 15, U.S. Assistant Secretary of State for African Affairs Tibor Nagy headed to Africa for a six-nation tour that included stops in the Central African Republic, Ethiopia, Kenya, South Sudan, Sudan, and Somalia. Security was on the top of the agenda…

Luis Razia will drive for Lotus in Friday's first free practice session ahead of the Brazilian Grand Prix

Security and youth top agenda during US Assistant Secretary of State Nagy’s visit to Africa On January 15, U.S. Assistant Secretary of State for African Affairs Tibor Nagy headed to Africa for a six-nation tour that included stops in the Central African Republic, Ethiopia, Kenya, South Sudan, Sudan, and Somalia. Security was on the top of the agenda…

Cyber risks to financial stability have received significant attention from policy makers. These risks are worsened by the increasing diversity of perpetrators—including state and non-state actors, cyber terrorists, and “hacktivists”—who are not necessarily motivated by financial gain. In fact, for some actors, the potential of exploiting a cyber event to inject systemic risk into our…

https://www.youtube.com/watch?v=u6-PSpx4dqU India’s electricity grid’s most complex and perhaps most critical layer is the distribution companies (Discoms) that retail electricity to consumers. They have historically faced numerous challenges of high losses, both financial and operational. COVID-19 has imposed new challenges on the entire sector, but Discoms are the lynchpin of the system.  In a panel discussion…

In the midst of an unprecedented crisis, it can be hard to see more than a few days into the future. It’s as if we were wandering around in a dense (and deadly) fog. Some commentators are predicting that this will change the way we live; one even predicts that it will “change us as…

Scanning the departures and arrivals board on the way home from launching metro Atlanta’s new foreign direct investment strategy under the Global Cities Initiative, it was easy to understand why local leaders remain focused on finding strategies to better leverage their airport as a unique infrastructure asset for global economic opportunities.

https://www.youtube.com/watch?v=u6-PSpx4dqU India’s electricity grid’s most complex and perhaps most critical layer is the distribution companies (Discoms) that retail electricity to consumers. They have historically faced numerous challenges of high losses, both financial and operational. COVID-19 has imposed new challenges on the entire sector, but Discoms are the lynchpin of the system.  In a panel discussion…

The economic crisis and pandemic have made it patently clear that US capitalism is not at all exceptional. Like everything else in the universe, American capital’s political system is subject to sharp and sudden changes. After Bernie Sanders handily won the first few contests of the 2020 race for the Democratic nomination, he was seen as an unstoppable threat—prompting every other candidate to immediately fold up their campaigns and close ranks against him. After months of panicking over Bernie’s momentum, the ruling class finally managed to reverse the course of the electoral race—and they did it with unprecedented speed. Now, after an electrifying rollercoaster ride, Bernie Sanders’s campaign for the American presidency is over, and a balance sheet is needed.

Idaho is working hard to create an official dark sky reserve, which would make it the first in the US and the 12th in the world.