text:
Washington, DC. May 25, 2016—Medicare Rights Center President Joe Baker testified in support of the Centers for Medicare & Medicaid Services (CMS) proposal to test new ways to pay for prescription drugs covered under Medicare Part B, at a hearing held by the Subcommittee on Health of the U.S. House Committee on Energy and Commerce."Calls to withdraw the Part B Drug Payment Model fail to acknowledge the very real and unrelenting beneficiary access challenges that exist under the current payment system—not merely hypothetical ones. We applaud CMS for proposing to test solutions that have the potential to alleviate calamitous cost burdens, which cause too many older adults and people with disabilities to forgo necessary care," said Joe Baker in his testimony.
"We urge members of Congress to support and strengthen the proposal by recommending improvements that put patients at the center of the payment model."
The Medicare Rights Center's support for the CMS proposal is informed by the organization's experience working with people with Medicare and their families for more than two decades.
Medicare Rights answers nearly 17,000 questions on its national helpline and provides educational tools and resources to over two million beneficiaries, family caregivers, and professionals annually. Challenges affording needed health care are a common theme heard on the helpline, affecting nearly one in five callers.
Sky-high cost sharing for Part B prescription drugs is a notable concern, most often for cancer and immunosuppressant medications.
"People with Medicare and taxpayers deserve a Medicare program that pays for high-value, innovative health care. The Part B Drug Payment Model presents an important opportunity to ensure that the Medicare program meets this high bar," said Baker.The Medicare Rights Center also submitted comments in support of the CMS proposed Part B Drug Payment Model during the public comment period that ended on May 9.
To read Joe Baker's testimony from the hearing, visit the Medicare Rights Center's website.
Making the case for personal importation of safe, affordable prescription medicines from licensed, registered pharmacies in Tier One Countries. Rx for American Health is published by Daniel Hines, an international award-winning communicator with five decades of experience, and the publisher of www.TodaysSeniorsNetwork.com and www.BoomersNewsOnline.com. He also works with progressive senior advocacy groups across the nation to promote the health and well-being of America's aging population.
Wednesday, May 25, 2016
Medicare Rights President Joe Baker Testifies at Congressional Hearing in Support of Part B Drug Payment Model
Promise of Nearly a Year of Life on Targeted Drug Not Reality for All Liver Cancer Patients, Study Finds
Drug can have serious side effects and significant out-of-pocket costs for advanced liver cancer patients
The researchers pointed to issues of cost – both financial and in terms of side effects – as factors that patients and doctors should consider when deciding on a course of treatment.
In previous studies, researchers have found that the median monthly price for the drug across all available Medicare part D plans in 2014 was $10,811 per month, said study co-author Stacie Dusetzina, PhD, a UNC Lineberger member and assistant professor in the UNC Eshelman School of Pharmacy and UNC Gillings School of Global Public Health.
Newswise , May 25, 2016- For advanced liver cancer, there's a single approved drug shown to offer patients a chance at longer life.
But a new study by University of North Carolina Lineberger Comprehensive Cancer Center researchers found that this drug was notably less effective in a group of Medicare patients who likely had more extensive cancer and serious liver disease than patients included in clinical trials.
In the journal The Oncologist, researchers report today that the median survival for a group of Medicare patients on the drug sorafenib was three months, which was significantly lower than the median survival of nearly 11 months for patients treated with the drug during a phase III clinical trial.
As the drug comes with significant side effects and a cost to patients and insurers of more than $10,000 a month, researchers are questioning the value of the drug for all patients.
"No drug that results in a three-month survival can be thought to be offering a meaningful life expectancy," said Hanna K. Sanoff, MD, MPH, a UNC Lineberger member and an associate professor and section chief of the UNC School of Medicine Gastrointestinal Medical Oncology Program.
"This doesn't mean that we shouldn't prescribe it, but we should be mindful that the broader population of liver cancer patients is sicker than the patients in the landmark trial. Our patients deserve to know that the promise of nearly a year of life may not be their reality."
The U.S. Food and Drug Administration approved sorafenib -- known commercially as Nexavar – for the treatment of advanced hepatocellular carcinoma in 2007. In a phase III clinical trial, patients with advanced liver cancer had a median survival of 10.7 months on the drug, which was 2.8 months more than patients who didn't get the treatment.
But patients in that study also were in good physical condition and their level of cirrhosis, which nearly universally accompanies liver cancer, was well controlled, Sanoff said.
"This drug was tested in a clinical trial with patients with mild cirrhosis who were pretty fit," Sanoff said.
"Because of concurrent cirrhosis, it may be that the gap between the trial population and the average liver cancer patient may be greater than in some other cancers."
In the new study, the researchers analyzed survival data for a group of patients insured by Medicare, a government health insurance program for people aged 65 years and older or with disabilities, and who were diagnosed between 2008 and 2011.
Of the 27 percent of 1,532 patients given sorafenib, median survival from the first prescription was three months, which was not statistically longer than survival of untreated patients.
They concluded that lower survival in the Medicare population was likely due to a generally sicker population. Further analysis suggested that patients in the study with earlier stage disease might be more likely to benefit from taking the drug.
The researchers pointed to issues of cost – both financial and in terms of side effects – as factors that patients and doctors should consider when deciding on a course of treatment.
"We need to question who we prescribe this to, not only because of the cost of the drugs from a side effect perspective, but also the actual financial cost," Sanoff said.
In previous studies, researchers have found that the median monthly price for the drug across all available Medicare part D plans in 2014 was $10,811 per month, said study co-author Stacie Dusetzina, PhD, a UNC Lineberger member and assistant professor in the UNC Eshelman School of Pharmacy and UNC Gillings School of Global Public Health.
That price tag can mean thousands of dollars in out-of-pocket costs for patients, Dusetzina said, as most plans require cost sharing of at least 25 percent when filling the drug's prescription.
Even for patients who have reached the catastrophic spending level in Medicare Part D – when the amount they are expected to pay out-of-pocket decreases - they would still pay $540 per prescription fill each month.
"This is obviously going to present financial challenges for many patients," Dusetzina said.
"This underscores the fact that establishing effectiveness of therapies outside of trial settings is complicated but important, if we want to really understand the value of cancer therapies. Translating the benefits of treatments into a 'real world' setting isn't always easy."
Patient data was drawn from the National Cancer Institute's Surveillance, Epidemiology and End Results Program Medicare linkage.
This work was supported by grants from the National Cancer Institute, NIH Building Interdisciplinary Research Careers in Women's Health K12 Program, and the North Carolina Translational and Clinical Sciences Institute.
Additional support was provided by the Integrated Cancer Information and Surveillance System (ICISS), and from the UNC Lineberger Comprehensive Cancer Center with funding provided by the University Cancer Research Fund.
Conflicts of interest: Sanoff has received research grant funding from Bayer and Novartis. Another co-author Bert H. O'Neil of the Indiana University Simon Cancer Center has consulted for Bayer.
In addition to Dusetzina, O'Neil and Sanoff, other authors include YunKyung Chang, PhD, of UNC Lineberger; and Jennifer L. Lund, PhD, of UNC Lineberger and the UNC Gillings School of Global Public Health Department of Epidemiology.
Monday, May 16, 2016
Election 2016 offers once-in-lifetime opportunity to elect Congress to support comprehensive legislation to lower prices
Daniel Hines, publisher of the TodaysSeniorsNetwork group of blogs, and Rx for American Health, says the new site is directly aimed at "making a difference" in the 2016 Elections.
"The 'Articles' of the Rx Bill of Rights include proposals that can make an immediate impact upon the health and well-being of millions of Americans by ensuring that they are able to afford their vital medicines," he explains.
"The elections of 2016 offer what may a once-in-a-lifetime opportunity to ensure that millions of Americans are no longer denied the health benefits made possible by access to vital medicines simply because of the predatory pricing practices of Pharma," he continues. " Simply put, a medicine that is unaffordable is, in and of itself unavailable, thereby putting the health and well-being of Americans at risk, contributing to rising health costs caused by complications that could have likely been avoided by access to safe, affordable medicines."
The Articles of the American Rx Bill of Rights are: Article One—A Basic Right to Good Health; Article Two--An Unaffordable Medicine is Unavailable; Article Three--Citizens as Stakeholders in Rx Policy Development; Article Four—Due Process to Protect Unfair Confiscation of Authentic Medicines
Article Five—The Public Interest of an Rx Bill of Rights; Article Six—Reciprocity Agreements to Facilitate Personal Importation of and Access to Safe, Valid Medications
An explanation of the Articles follows:
Article One (A Basic Right to Good Health): The impact of millions of Americans being denied the health benefits of access to a regimen of safe, affordable medicines because of cost is a national health issue that has yet-to-be-recognized consequences. That is why the ability of American Citizens to make health care decisions in concert with their physicians such as the purchase of personally imported safe, affordable prescription medicines should not be hampered by any actions by government or private entities as a policy to restrict Americans' access to authentic medicines.
Article Two (An Unaffordable Medicine is Unavailable): A prescription medicine that is unaffordable is unavailable, thereby meeting the 'rules' of the FDA that such a medicine that is otherwise unavailable is indeed eligible to be personally imported by an American patient, Arbitrary denial by the FDA to such access is detrimental to the health of the patient by denying him or her access to vital maintenance medicines. This is a violation of the purpose of the FDA which is ostensibly designed to protect the health and well-being of American citizens.
Article Three (Citizens as Stakeholders): The relationship between the FDA, elected officials, and Pharma has led to numerous abuses, access by Pharma to legislators and other elected officials based on the contribution of millions of dollars, favored status for Pharma representatives and their front groups as the primary representative at public hearings to determine the health care policy for Federal, State and Local Governments, thereby skewering the decision-making process. That why it is incumbent upon Congress that it acts to ensure that ordinary American citizens whose health and finances are adversely affected by Pharma pricing practices, advocacy groups other than those of Pharma, are given a 'stakeholder' status equal to that of Pharma.
Article Four (Due Process): Americans who purchase safe, affordable brand-name medicines from licensed, registered pharmacies in Tier One Countries whose standards meet or exceed those of the U.S., are the legitimate owners of their authentic medicines and are entitled to exercise their due process rights to have their personal property free from undue and unjustified seizure oar destruction by any governmental agency unless the seizing authority can demonstrate via established judicial processes and to courts that such seizures are of bogus, counterfeit or unsafe prescription medicines.
Article Five (Public Interest): Americans are significant contributors to the development of research and development costs of new medicines through their tax dollars in support of grants to the National Institutes of Health (NIH), and, as such, should be protected from unfair or questionable patent protection granted to Pharma that fails to recognize the rights of American citizens. Abuses in pricing, illegal business activities, or undue influence upon policy-making by the FDA or elected officials should result in a reduction of the patent protection afforded Pharma to the detriment of untold numbers of Americans who must be able to pay what Pharma believes the traffic will bear.
Article Six (Reciprocity): The FDA should extend reciprocity to other Tier One countries in the interests of the health of American citizens. The majority of brand name prescription medicines sold to Americans is manufactured at plants outside the U.S., under FDA supervision, or at plants licensed by Pharma members to produce medicines under a license granted by a particular company, a validation that medicines produced outside the U.S. and sold in this country are indeed capable of being safe. Also, the FDA has entered into agreements with regulatory agencies in many countries to assume the task of overseeing ingredients manufacture of ingredients for brand name medicines. Added to that is that many countries (excluding the U.S and the FDA) have reciprocal agreements (Memorandums of Understanding) that one country will accept the medications produced in another country as safe and authentic.
Wednesday, April 13, 2016
Overpriced drugs hurting seniors
by Sen. Al Franken, D-Minnesota
April 12, 2016--Many budget-strapped seniors are being forced to choose between buying doctor-prescribed medications and paying for other basic necessities
- Companies should not be allowed to delay generic drugs from hitting market
At a recent meeting in St. Cloud, some older Minnesotans shared stories that they should never have to tell.
Like millions of other Americans, these seniors feel powerless as their health and financial well-being is often jeopardized by ever-rising prescription drug prices. Recent double-digit increases – far beyond the U.S. inflation rate – are putting essential, even life-saving, medicines out of reach for too many people.
In short, many budget-strapped seniors are being forced to choose between buying doctor-prescribed medications and paying for other basic necessities like food, rent or gas. For some, it means cutting their pills in half to make them last longer, or even taking the risk of forgoing medications altogether.
At the St. Cloud meeting, a local woman shared the price of just one of her husband's many medications has increased by $100 per month since January.
Now, to save money, he no longer takes it each day as recommended by his doctor, but is spreading each dose over two or three days.
Her story was gathered as part a "Prescription Drug Cost Listening Tour" my office conducted throughout the state to hear about the impact of skyrocketing drug prices.
As a member of the Senate Health Committee, I plan to share stories like hers with my congressional colleagues so they can hear firsthand about the urgent need to address this problem.
Real problem
Rising prescription drug costs are a very real and growing problem for many nationwide. Lack of competition has allowed drug companies to hike prices exorbitantly – even on generics.
And a number of new specialty drugs come with staggering prices that are being passed on from insurers to everyone else.
Last fall, Americans were enraged when Turing Pharmaceuticals hiked the price of one life-saving drug by more than 5,500 percent – from $13.50 to $750 per pill.
The company was able to game the system because there is little or no competition. As outrageous and excessive as this was, it's not the only example of an exorbitant price increase. In short, it showed millions of Americans – especially vulnerable seniors – can be devastated by sudden spikes in drug prices.
And with Americans spending hundreds of billions each year on prescription drugs, the problem of isn't going away soon. Since January, Pfizer raised the prices of 60 brand name drugs by an average of 10 percent.
Eight of those drugs went up by at least 20 percent. With treatments for some diseases like cancer costing more than $100,000 annually, out-of-pocket costs can quickly cripple the financial well-being of elderly Americans, even those with comprehensive insurance. Such increases are also driving up insurance premiums for everyone else.
Top of Form
Bottom of Form
My solutions
We have to fight back. That's why I'm taking several steps to slow the advance of drug costs.
First, I am pressing legislation to "pay-for-delay," where brand-name drug manufacturers pay generic drug makers to delay bringing cheaper, generic alternatives to market.
By eliminating generic-drug competitors, big drug companies can reap large profits by keeping brand-name prices high. My bill would help millions of Americans by stopping these deals and bringing affordable medications to the market sooner.
I also plan to re-introduce a measure to cut drug prices and save taxpayers up to $24 billion by allowing the federal Medicare program to negotiate lower prices for drugs used by older Americans.
Unlike other federal health programs like Medicaid and those run by the Veterans Administration, Medicare officials are banned by law from negotiating lower prices with drug manufacturers.
Most industrialized countries use their buying power to negotiate lower prices for their citizens. In fact, many drugs developed and manufactured in the United States cost much less in other countries.
That's why we need to lower barriers to importing lower-cost drugs from countries like Canada, so seniors can save money and import their medications safely and legally.
In March, I introduced a measure to end a tax break that allows drug companies to write off the billions of dollars they spend on television, magazine and Internet advertisements to sell more expensive brand-name drugs, even when cheaper, equally effective drugs are on the market.
The United States is one of only two countries that allows these "direct-to-consumer" ads, which ultimately drive up health care costs. American taxpayers spend too much to fund this tax break – that's money that can be put to better use.
We have to do more to bring down prescription drug prices that disproportionately hit seniors.
That's why I'm working in Washington to enact common sense measures to cut the cost of the prescriptions that Minnesotans need. And it's why I've been listening to them in communities across Minnesota and sharing their stories in Washington.
Thursday, April 7, 2016
Sugar Shock: Insulin Costs Tripled in 10 Years, Study Finds
Both yearly spending by people with diabetes, and cost per milliliter, up sharply – outpacing costs for other blood sugar medications
Newswise, April 7, 2016 — People with diabetes who rely on insulin have seen the cost of that drug triple in just a decade -- even as doctors have prescribed higher doses to drive down their blood sugar levels.
Meanwhile, the cost of other diabetes drugs has stayed about the same or even gone down.
The rise in insulin costs was so large that since 2010, the per-person spending on insulin has been higher than per-person spending on all other diabetes drugs combined.
Published today in the Journal of the American Medical Association, the findings estimate in constant dollars what patients and their insurance plans paid from 2002 to 2013 for all antihyperglycemics, or medicines that reduce blood sugar levels.
The authors of the study say the rise in insulin compared with other therapies means it's time to look again at the effect, and the cost-effectiveness, of non-insulin therapies.
They also note that the price of insulin is not likely to drop because of competition from generic forms, because of the way it is regulated.
The research was done by a team from the University of Melbourne in Australia and the University of Michigan, using data from the federal Medical Expenditure Panel Survey that asks patients and insurers about care and costs.
"In the United States, the more than 3-fold increase in the cost of insulin over the past decade is alarming. It is a burden to both patients and payers and may deny some people access to a lifesaving therapy," says William Herman, M.D., MPH, the Michigan co-author and a longtime diabetes care researcher.
"Although the newer, more expensive insulin analogs appear to have incremental benefits compared to older, less expensive insulin preparations, their premium price requires us to ask whether they are really necessary, and if so, for whom?"
Herman, a professor of internal medicine at the Medical School and of epidemiology at the School of Public Health, is a member of the U-M Institute for Healthcare Policy and Innovation.
"What our study shows is how quickly things can change and why there is a need to focus on the costs as well as the benefits when deciding treatment options for people with diabetes," says Philip Clarke, Ph.D., the study's senior author and a professor in Melbourne's School of Population and Global Health and Centre for Health Policy.
Rising prices & doses
Rising prices & doses
Insulin injections keep people with Type 1 diabetes alive, and they take multiple daily injections often starting in childhood.
In adults with advanced Type 2 diabetes, doctors prescribe it to control blood sugar and stave off devastating damage throughout the body – usually after diet and exercise, and other medications, have failed to reduce blood sugar levels enough.
In the time period studied, the total cost of insulin more than tripled, from $231 a year to $736 a year for each patient, in 2013 dollars. The cost per milliliter of insulin nearly tripled in that same time, from $4.34 to $12.92.
And in the same period, the average annual usage went from 171 mL to 206 mL, as prescribed doses went up. This likely happened due to increasing overweight and obesity, which increase the amount of insulin needed by a person, as well as new national recommendations that stress lower sugar levels for all people with diabetes.
Meanwhile, the per-person spending on all other blood sugar medications was $502 in 2013, down from about $600 in 2002 in constant dollars. The cost of these medications combined dropped over the first nine years, bottomed out in 2011 and rose slightly since then.
The cost of metformin, which is available as a generic drug, plummeted from $1.24 per tablet in 2002 to just 31 cents in 2013. Even the newer class of drugs known as DPP4 inhibitors only got 34 percent more expensive since they hit the market in 2006.
The researchers analyzed data from nearly 28,000 people who received treatment for diabetes in the 11-year period, a time when diabetes was rising steadily. The average age was around 60.
About one in four of the participants used insulin to control their blood sugar, and two-thirds were taking an oral medication. In the latter part of the study period, a small percentage began taking new injectable drugs designed to complement oral drug use.
More study needed
The researchers could not separate out users of synthetic human insulin, the least expensive form currently available, from those who use the more recently introduced "analog" forms that act more slowly or quickly in the body depending on the desired effect.
They also didn't have data on what insulin users spent on the needles and other devices used to inject insulin, except when that cost was included in drug costs, such as for pre-filled insulin pens.
And, they didn't have information on which oral medication users took generic forms, which are less expensive.
But they note that prices of oral medications are likely to drop over time as generics become available, while the fact that insulin is regulated as a biologic medication by the Food and Drug Administration means that prices won't likely drop as generic competitors enter the market and encounter the strict rules governing biologics.
Further research using data that includes these details could further enhance understanding of how costs have changed for people with diabetes over the years.
In addition to Clarke and Herman, the research team included three Melbourne researchers: first author Xinyang Hua, M.Sc., Natalie Carvalho, PhD, and Michelle Tew, MPH; and Elbert S. Huang, MD of the University of Chicago. The study was supported by grants from the U.S. National Institutes of Health (DK090435) and the Australian National Health and Medical Research Council (1028335 and 1079621). Reference: JAMA, doi:10.1001/jama.2016.0126
Tuesday, April 5, 2016
Big Pharma Settlements Highlight the Need for Tougher Enforcement
Public Citizen Report Catalogues 25 Years of Pharmaceutical Industry Lawbreaking; Sharp Decline in Settlements, Penalties in 2014-2015
WASHINGTON, April 5, 2016 - Stronger enforcement is needed to deter pharmaceutical manufacturers from continuing to break the law and defraud federal and state health programs, according to a Public Citizen report released today.
The report – an update to a previous study released in 2012 with additional data through 2015 – catalogues all major financial settlements and court judgments between pharmaceutical companies and federal and state governments from 1991 through 2015, which totaled $35.7 billion.
Of the 373 settlements over those 25 years, 140 were federal settlements totaling $31.9 billion, and 233 were state settlements totaling $3.8 billion. GlaxoSmithKline and Pfizer reached the most settlements and paid the most in financial penalties – $7.9 billion and $3.9 billion, respectively.
From 1991 through 2015, 31 companies entered into repeat settlements with the federal government. The violation resulting in the most federal penalties was unlawful promotion, usually off-label marketing.
Twenty-nine states and the District of Columbia reached at least one single-state settlement with a pharmaceutical company during the 25-year period studied. The most common violation was drug-pricing fraud against state Medicaid programs.
Twenty-nine states and the District of Columbia reached at least one single-state settlement with a pharmaceutical company during the 25-year period studied. The most common violation was drug-pricing fraud against state Medicaid programs.
Hawaii recovered the most money as a proportion of Medicaid drug expenditures; South Carolina recuperated the most money per enforcement dollar spent; Louisiana claimed the most single-state settlements; and Texas finalized by far the most whistleblower-initiated settlements.
Another key finding is that both the number and size of settlements decreased significantly in 2014 and 2015. Just $2.4 billion in federal financial penalties were recovered in 2014-2015, less than one-third of the $8.7 billion in 2012-2013 and the lowest two-year total since 2004-2005.
Another key finding is that both the number and size of settlements decreased significantly in 2014 and 2015. Just $2.4 billion in federal financial penalties were recovered in 2014-2015, less than one-third of the $8.7 billion in 2012-2013 and the lowest two-year total since 2004-2005.
Moreover, there were just 20 state settlements in 2014-2015, the lowest two-year total since 2006-2007. This reflected a dramatic decrease in federal financial penalties for unlawful drug promotion and a similarly sharp decline in the number of single-state settlements stemming from overcharging government health programs.
The report explores several possible reasons for this drop in settlement activity. The possibilities include a decline in federal enforcement; a shift in the focus of federal prosecutions away from off-label marketing and toward other forms of illegal activity, asalluded to (PDF) by U.S. Department of Justice officials in 2012; changes in state Medicaid pharmaceutical reimbursement strategies; and shifts in industry marketing strategies.
"We don't yet know why there were fewer and smaller settlements in the 2014 to 2015 period," said Dr. Sammy Almashat, researcher with Public Citizen's Health Research Group and lead author of the report.
The report explores several possible reasons for this drop in settlement activity. The possibilities include a decline in federal enforcement; a shift in the focus of federal prosecutions away from off-label marketing and toward other forms of illegal activity, asalluded to (PDF) by U.S. Department of Justice officials in 2012; changes in state Medicaid pharmaceutical reimbursement strategies; and shifts in industry marketing strategies.
"We don't yet know why there were fewer and smaller settlements in the 2014 to 2015 period," said Dr. Sammy Almashat, researcher with Public Citizen's Health Research Group and lead author of the report.
"But we do know that, in addition to the rarity of executive accountability, previous penalties never have been large enough to deter the most common types of pharmaceutical fraud. So it would be surprising if the industry suddenly decided, of its own accord, to comply with laws it has routinely violated for decades."
The pharmaceutical industry's $711 billion in global net profits from just one decade (2003-2012) dwarf the $35.7 billion in penalties recovered over the last quarter century.
The pharmaceutical industry's $711 billion in global net profits from just one decade (2003-2012) dwarf the $35.7 billion in penalties recovered over the last quarter century.
The largest settlement announced since Public Citizen's last report – and the third-largest health fraud settlement in history – demonstrates the stark imbalance between the penalties for and the profits made on implicated products.
In 2013, Johnson & Johnson paid $2 billion after pleading guilty to off-label promotion of its antipsychotic Risperdal for use in elderly patients with dementia.
Risperdal brought in $11.7 billion in sales for the company in just the first 12 years after its approval (1994-2005), nearly six times the total settlement amount.
"Breaking the law shouldn't be profitable, especially not when patients' health and lives are on the line," said Dr. Sidney Wolfe, founder and senior adviser to Public Citizen's Health Research Group.
"Breaking the law shouldn't be profitable, especially not when patients' health and lives are on the line," said Dr. Sidney Wolfe, founder and senior adviser to Public Citizen's Health Research Group.
"The recently reduced settlement activity is still indicative of ongoing, systematic wrongdoing, which is costing American consumers and taxpayers enormous sums and endangering patients. Larger financial penalties, especially for repeat offenders, and jail time for executives implicated in criminal activity might actually change the calculus, so that the consequences of lawbreaking are no longer just a cost of doing business for Big Pharma."
The report's authors conclude that federal and state governments need to ramp up enforcement and discuss several more effective strategies to deter future fraud.
The report's authors conclude that federal and state governments need to ramp up enforcement and discuss several more effective strategies to deter future fraud.
Legislation introduced by U.S. Sen. Bernie Sanders (I-Vt.) and U.S. Rep. Elijah Cummings(D-Md.) in September 2015 would terminate any remaining marketing exclusivities, granted by the U.S. Food and Drug Administration, for drugs implicated in illegal activity.
"Time and time again, drug companies defraud American taxpayers while making billions off government-granted monopolies," Sanders said in response to Public Citizen's report.
"Time and time again, drug companies defraud American taxpayers while making billions off government-granted monopolies," Sanders said in response to Public Citizen's report.
"Enough is enough. The greed of the pharmaceutical industry must end. I urge my colleagues to stand up to the pharmaceutical industry and pass legislation to send a clear message that crime will no longer pay."
Thursday, March 31, 2016
HHS and NIH must act to define standards for 'march-in' implementation to help lower drug prices as part of comprehensive national policy
The publisher of RxforAmericanHealth says that the Department of Human and Health Services (HHS) and National Institute of Health (NIH) must act to define standards for implementation of 'march-in' rights to help lower prescription medicine prices.
In an open letter to Secretary Sylvia Burwell posted on RxforAmericanHealth, Daniel Hines says such action coupled with other initiatives including price negotiation for medicines, reciprocal Memorandums of Understanding between regulatory agencies of Tier One Countries as validation of the safety and efficacy of the oversight of personally imported medicines from those countries, criminal penalties for abuse of pricing practices based on a 'what the traffic will bear' philosophy, greater transparency in Pharma pricing practices, and an end to direct-to- consumer advertising for prescription medicines, will ensure a 'stakeholder' role for the American public that supports so much of Pharma R&D, by an increased presence of consumers, advocates and private citizens in policy development and hearings.
He notes that HHS Secretary Burwell recently denied a request from 50 members of Congress to implement march-in provisions leading to a number of Senators joining in support of the request aimed at cost increases of the Cancer drug Xtandi.
"While this issue has surfaced again as a request for similar action from even more Congressmen and advocacy groups regarding the Xtandi patent, it is the failure of HHS and NIH to face up to their responsibilities to take action in the public interest that is the greater concern," Hines explains.
He says the "requests themselves are an exercise of the authority of Congress, as they are based upon long-standing (30 years) existing legislation that makes it evident that it is incumbent upon the agencies to take action when Congress believes it is appropriate."
He cites a number of reasons in support of his contention:
· The function of the Health and Human Services is to ostensibly protect the health and well-being of Americans, while the National Institute of Health is the primary agency of the United States government responsible for biomedical and health-related research.
· A major responsibility of each is that is must address not only the safety and efficacy of medicines, but their availability as well since if a medicine is unavailable for any reason it creates a health care crisis for those patients who are derived of the potential benefit of the denied medicine;
· As the Congressional letter notes: 'march-in rights' should be asserted under 35 U.S.C. § (203) (a)(2) "when action is necessary to alleviate health and safety needs are not being reasonably satisfied" or "benefits of a patented product are not available to the public on reasonable terms";
· The current pricing crisis of vital medicines clearly not only do not 'reasonably' alleviate health and safety needs of Americans, but are actually contributing to endangering the health of patients who are denied the benefits of access to the benefits to be derived from a regimen of vital medicines;
· Likewise, this means that the "benefits" of a patented medicine are not available to the public since a product that is unaffordable is, in and of itself, unavailable and is "not available to the public on reasonable terms";
· The linchpin for implementation of 'march in' action is the definition of 'extraordinary circumstances'. Webster's defines extraordinary as unusual or different from the usual. We can only hope that so many Americans being denied access to unaffordable medicines, the disastrous burden upon individual health, outrageous price increases over the past few years, and Direct-to-Consumer advertising of medicines that exceeds pharmaceutical industry research and development, are not considered to be usual, and that, instead, an 'extraordinary' situation does indeed exist.
"This places the responsibility upon HHS and NIH not to decide whether a circumstance is 'extraordinary' based upon personal whim and observation, devoid of any factual studies that represent standards," Hines says.
"With that in mind, we urge steps be taken to clearly define standards that would constitute an 'extraordinary' situation, not only for higher-priced specialty medicines but for vital lower-priced maintenance prescriptions that have been priced beyond the reach of untold numbers of Americans leading to adverse health complications."
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Junior Prom's New Music Video Is One Heck Of A Sweaty Dance Party
"Guys in their early twenties are f*cking insane. Guys in their mid-twenties are f*cking insane, and guys in their thirties are f*cking insane. Guys in their forties are insane." That, right there, is the basic gist of Junior Prom's music video for "Sheila Put The Knife Down," the lead single off its self-titled debut EP.
"We shot this video in L.A. and had a blast — the space was like a sauna and everyone was drenched in sweat," Junior Prom's Erik Ratensperger told Refinery29. "It was amazing to have all these extras dancing for ten hours straight without complaining once. The free beer probably helped with that." Indeed, sweat and dancing abound in the gritty, disposable camera-hued video. Mini-interviews with gals on the set paint an eclectic portrait of dating in your twenties. Some men want sex, some want to cuddle, Russians apparently want relationships, and some, as mentioned before, are just "insane."
The song itself is pretty freakin' rad. Junior Prom hails from Brooklyn and know a thing-or-two about making a solid pop-rock tune. "Sheila Put The Knife Down" reads like an artist statement for the band: It's an upbeat dance tune that dirties up the glittery surface of pop. Enjoy.
- Entertainment |
- Music |
- Prom |
- Best Music Videos | Junior Prom Sheila Put The Knife Down New Music Video
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World Bulletin/News Desk
Turkish Minister of Finance Mehmet Simsek on Saturday said that they would not conduct election economics so that the upcoming local elections in Turkey reflects as little as possible on the Turkish business world.
Speaking to reporters in the Turkish capital of Ankara, Mehmet Simsek stressed that the 2013 budget and medium-range economic program were being prepared without any connection to the elections.
"We need to make sure the elections do have impact on the Turkish business world as minimum as possible. We will not conduct election economics. Such approaches in the past were not beneficial for Turkey," Simsek also said.
Mevlut Cavusoglu says all Syrian ethnicities should have a part in future 'pluralist, libertarian' country
Jets bomb positions in Iraq's Sinat-Haftanin region and Turkey's Mardin province, destroying four targets
Turkish Airlines to provide aviation training and tech support to 56 of the Islamic Development Bank's member countries
Turkish FM Cavusoglu writes Turkey is 'ardent supporter' of African solutions for African issues
'Turkey has achieved great success in humanitarian assistance in recent years,' says the UN's Pierre Krahenbuhl in Istanbul
Turkish president wants one of the priorities of the government to be implementing constitutional changes to create a presidential system
Turkish dailies on Wednesday covered composition of new government and opposition MHP's decision to hold extraordinary congress next month
A new constitution and shifting to a presidential system will be top priorities, says PM Binali Yildirim
EU-Turkey refugee deal could collapse unless the bloc allows Turks visa freedom, says Turkish President Recep Tayyip Erdogan
Binali Yildirim says ruling party's most important task is to usher in presidential system
Fiirst-ever World Humanitarian Summit organized by the United Nations in Istanbul dominated Tuesday's headlines
Binali Yildirim meets Turkish President Erdogan to submit the new government list
Foreign minister and European Commission VP exchange views over the phone on visa-free travel for Turkish citizens in Schengen
'Turkey is one of the countries - with its open-door policy - from which Europe should take lessons,' says Guy Ryder
'We must do everything that we can to continue to discuss as it is likely that by July 1 certain things will not be put in place, in other words the visa exemption (will not be granted) as some conditions will not have been fulfilled,' German chancellor says
In air operation in northern Iraq early Monday, Turkish Air Forces destroy weapon caches, shelters, camps


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Close call with cow
A farmer is thanking his lucky stars after a cattle truck rolled in the King Country.
A dry day out at the races
Not a drop of alcohol will be served at Wellington's next big race day after organisers fail an underage booze sting.
Unmarried? You're to blame
Conservative lobby group's research says marriage is the best protection against child poverty.
Liquor thief arrested
Police say two men threatened staff and make off with two bottles of spirits from a Hastings liquor store.
Critical injuries in crash
6:23 AM Speed may have been the cause of a crash that left two with life-threatening injuries.
Concern over mining interest
An investigation into possible mineral deposits at Kawhia has upset a local environmentalist.
Missing man found
A man with Alzheimer's reported missing in Christchurch has been located.
'Fox in the henhouse' claim rejected
Government labels fishing claims a "Greenpeace beat-up".
State house transfer costs slammed
Government's plan to offload state houses has been slammed after cost was revealed at nearly $30 million.
Great time for a special group
Action-packed weekend for children with life-threatening illnesses in Central Otago.
Protesters attend National event
Protesters were outside the National Party's Lower North Island Conference in Palmerston North.
More Panama Papers revelations due
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Cold cases: holding on to hope
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Smoking era's legacy of shame
Pauline Mohi remembers smoking with her doctor, the habit was so acceptable.
Zuri the giraffe hits the road
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More Panama Papers revelations due
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Police find stolen horse float
An eight-tonne horse truck stolen in Hawke's Bay is being forensically testing to discover the culprit.
Bare minimum budget for kids
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The hidden Budget transcripts
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Innuendo in pre-Budget tango
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Housing issues 'council's fault'
Finance Minister Bill English blames the Auckland City Council for the housing crisis.
Schools struggle to fill boards
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Want teachers? Buy houses
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Kids shifting to six schools a year
Some homeless children are being pulled from class altogether as parents flee rising rents.
Officer 'was too close'
Tragic teacher-student case raises concerns about policeman's undue influence, says MP.
Smoking era's legacy of shame
Pauline Mohi remembers smoking with her doctor, the habit was so acceptable.
Nurse fined over relationship
A nurse formed an "inappropriate relationship" with a prison inmate, and invited him to live with her.
Burwood opens to public
About 15,000 filled the halls of Canterbury's newest hospital.
Tobacco tax hike welcomed
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Being a woman in a man's world
Girls in low-decile schools lack the role models to inspire them to success, says the award-winning business leader.
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If the friendly rural bank manager is replaced by a suited stranger, it's time to worry.
Dairy farm sales dry up
Only 52 dairy farms have been sold so far this year, compared to 97 during the same period last year.
Protecting fund bargains hard
Over the last 25 years, the Nature Heritage Fund (NHF) has protected 341,881 hectares of conservation land, or 1.3 per cent of New Zealand's land area.
Farmers give Budget thumbs up
Federated Farmers say science and innovation funding positive for future.
Short-staffed KFC workers under pressure but it's 'hard to get a job there'
Richie McCaw digs for business experience at quarry
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Booze ban for Trentham Racecourse after minors were served alcohol at Wellington Cup Day
Ardie Savea's 'heart of a lion' sees him achieve his All Blacks dream
Johnny Depp's exes, daughter defend him amid allegations of domestic violence
Mahe Drysdale scores big win at World Cup as Kiwis lead medal tally in Lucerne


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List all words ending with fiends
2 words found.
List all words ending with fiends, sorted by length or by how common the words are.
Some random words: sferics vocable iamb gybe ouph ne bro
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New, unboxed, shelved, displayed and handled. The unit is unstained from use, has dust and other open air residue. Should be cleaned before use as with any other food/drink utensil.1 month ago on ebay.com
Used in great condition 2003 Starbucks Batista French coffee press travel mug. No dents or blemishes. Feel free to ask questions prior to purchase: ) Thank you!!1 month ago on ebay.com
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Starbucks French Press Travel Tumbler. Made in Switzerland exclusively for Starbucks by bodum.Features penguins vacationing on a beach. Excellent condition. Shows very little to no use.1 month ago on ebay.com
A distinctly functional insulated travel mug with French press for brewing delicious coffee or loose leaf tea. Stainless steel, insulated, lovely purple color. This mug and its freshly brewed contents will bring a smile1 month ago on ebay.com
Travel coffee mug (aka, tumbler) that is also a French press. From World Market. Never used. Non-smoking, pet-free home.1 month ago on ebay.com
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Bodum Insulated Stainless-Steel Travel French Press Coffee and Tea Mug, 0.45-Liter, 15-Ounce, Black Brew coffee or tea on the go and drink from same container when ready Made of vacuum-sealed, double-wall stainless1 month ago on ebay.com


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July 10-24, 2016
If you would like to be a VAF participant,
please download the application form that you will find at the link below:
Vocal Arts Festival 2016 Application FINAL
Opera Theatre of the Rockies is excited to announce its 15th Summer Vocal Arts Festival and Young Artists Intensive Training Program to be held on the Colorado College campus from July 10-24. The Summer Season opens with a family-oriented benefit event sponsored by the Pikes Peak Opera League. Details can be found by visiting the League's web site at www.pikespeakoperaleague.org.
Opera Theatre's 2016 Vocal Arts Festival and Yong Artists Intensive Training Program will feature young singers from middle school age through post-college/young professionals who gather from across the U.S. to participate in intensive voice, acting, movement, dance and auditioning classes along with individualized vocal coaching sessions. There will be Scenes Concerts presented for the public's enjoyment with Festival singers along with guest artists in costumed and fully-staged scenes from opera and musical theater. These performances have been most popular with audiences from around the Region. Tickets will go on sale in late spring, so please visit Opera Theatre's web site for more information about exact dates, times, locations and ticket pricing. Later in the spring, sometime after June 1 you may call our ticket line at 646-3127 to order tickets.
This beloved community Vocal Arts Festival and Intensive Training Program enhances Colorado Springs' summer music scene, while underlining the company's mission to provide training to young singers developing a career path. Opera Theatre of the Rockies is proud to announce its upcoming full two-week schedule with group participant classes open to the public for audit, like last year. These talented young artists not only represent our community's best vocal arts students but also hail from across the country, sharing wonderful feedback about the benefits of gaining such valuable stage experience and coaching by expert faculty who are masters in their fields, while being able to network with young professionals as well. Please join our audiences for this wonderful Festival and Program.
Ticket Line: 719-646-3127 • Phone Number: 719-570-1950
Praise for Opera Theatre of the Rockies' production of Cosi fan tutte
"A musical spell was cast last night at First Christian Church in downtown Colorado Springs. For those who were enchanted by it, it is unlikely that its musical beauty and theatrical magic will release them anytime soon… the ebullience and engagement of "Women are Like That," Cosi's English title, was finely wrought." David Sckolnik, Gazette


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Most Recent Articles In Fashion Scoops
Latest Fashion Scoops Articles
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POSEN'S PLEDGE: Zac Posen pulled up a chair to talk about his 11-year career with Ruth Finley at Thursday's FNW/Trends luncheon at the National Arts Club in New York. Energized as he is by his burgeoning e-commerce and increasingly international wholesale business, the designer sounded true blue. "We've had sort of an explosion of extra casual dressing. It's important for Americans to put more effort into what they wear. A lot of young people and adults are talking a lot about what they believe in now. It's important to dress as you believe and to enjoy fashion too," Posen said. "So many people are following fashion now. It's become fashion-tainment. People should dress [well] again especially for all the great American designers there are. This is a place to dress."
As for his own attire, Posen said he designs what he wears and recently had a few of his pieces re-created while traveling in Asia. "That would be interesting to take one jacket and have it made in 19 countries. It sounds like a Prada conceptual art project," he said.
This story first appeared in the June 15, 2012 issue of WWD. Subscribe Today.
Known to tweet photos of his travels, art finds and home cooked creations, Posen said he is always at the elbow of the staffer who types his tweets. "I tell her exactly what to say — every word," Posen said.


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COMMENT: Horse meat raises supply chain concerns
Some serious questions over the reliability of the supply chain were raised last week, when Irish food safety authorities detected the presence of undeclared horse and pig meat in burgers and ready meals.
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Engineering students have discovered a way to reflect Wi-Fi packets instead of broadcasting them.
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Via Robin Good
Robin Good's curator insight, October 17, 2013 1:52 PM
Prijector is a new hardware device that eliminates issues arising when different people, who have different computers and setups need to connect to a projector.
You know how the story goes. One guy forgets his VGA adapter cable. One another doesn't have a HDMI out plug. And so on.
Prijector solves the issue by acting as an intermediary between any computer wanting to present and the projector itself. You connect via WiFi to this device and that's it, you don't have to worry anymore about cables and plugs.
Therefore even if you have a conference with multiple presenters, each one of them only needs to connect to the Prijector WiFi access point to be connected to the projector.
Key advantages I see:
I haven't tried one but it looks useful.
Pre-launch pricing: $119 (later $199)
Find out more: http://prijector.com/
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Apex, N.C. - Viewed from the street, the single-family home at the entrance to Lennar's Traditions at Bella Casa community looks just like any of the homebuilder's other models.
Until you spot the second door.
From the home's porch, visitors have the choice of entering into the main home or a side door that leads to a 500-square-foot suite. The suite, which has all the amenities of a second private residence, is the latest and most emphatic attempt by a Triangle homebuilder to appeal to a growing demographic of buyers: those with multiple generations of family members living under one roof.
Lennar calls this its "Next Gen" house. The Miami-based builder is offering the model at subdivisions in Apex and Clayton, N.C., after having success selling it in western states such as California, Arizona and Texas.
"We market it as two homes, one payment," says Trish Hanchette, Lennar's Raleigh division president.
The idea of designing a home to appeal to a larger, multigenerational family is not a new one. But in the past, the plans were designed more to appeal to buyers from cultures where having multiple generations living together was expected.
The market for such homes has expanded in recent years as economic factors and demographic shifts have reshaped the nuclear family and altered its housing needs.
The severity and length of the economic downturn has created a need for what the housing industry calls "bounce back" rooms, meaning space for adult children struggling to make it on their own.
"The number of 22- to 30-year-olds that are still living at home is at a record high right now," said Hampton Pitts, an executive vice president with Ashton Woods Homes, an Atlanta-based builder that is active in eight North Carolina communities. "So you have that college graduate that's back at home looking for a job and maybe got their first job but not ready to be in an ownership or rent situation."
Meanwhile, the country's baby boomer generation is entering old age - and living longer - just as the cost of health care is skyrocketing.
"Assisted living is very expensive, and it cuts into any savings that folks have," Hanchette said.
That Lennar has decided to offer its Next Gen model in North Carolina is a sign that the homebuilder doesn't believe the move toward multigenerational housing will slow once the economy picks up. The region is an attractive place for such a product in part because it is so appealing to retirees - in many cases, a young family will move to the state and be followed several years later by parents eager to be close to their grandchildren. Terri Aves, a real estate agent with Allen Tate in Cary, N.C., recently represented a buyer who bought a new home in Bella Casa, though not a Next Gen model. The owners moved here from the Northeast and specifically wanted a plan that had a first floor guest room that could be used when their aging parents came to visit.
"Over the years, I've had a few clients, but I'm seeing it increase," Aves said of such requests.
Like most housing trends, the move to more multigenerational floor plans started at the very the upper end of the market.
"In the higher-end homes, probably starting four years or maybe five years ago, you really improved your ability to sell that home with a first floor bedroom," said Rich Van Tassel of the Raleigh-based Royal Oaks Building Group. "Now every home we build that's over $500,000 is going to have a first floor bedroom and full bath, in addition to a study."
Royal Oaks went so far as to offer some models with two master suites - one downstairs and one upstairs - but Van Tassel said they didn't sell well.
"Whenever we did that, we found we really narrowed down our buying pool," he said.
Now the company focuses on offering space that can be used in multiple ways - as a nursery, an extra bedroom or a home office.
Will Dittman is a leader with a passion for art, the environment
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Claudia Poccia is leaving Avon Products Inc. to become president and chief executive officer of Gurwitch Products, parent company of the Laura Mercier and RéVive brands. She replaces Sharon Collier, who has left the company.
This story first appeared in the January 27, 2011 issue of WWD. Subscribe Today.
Poccia's appointment is effective Feb. 21, and she will report to the Gurwitch board. The board stated that Poccia will be charged with leadership responsibility for the Mercier and RéVive brands, as well as with expanding the Gurwitch Products portfolio.
"What attracted me was the opportunity to lead two brands with incredible equity into the future, and the opportunity to develop and grow a whole portfolio of prestige brands," Poccia told WWD Tuesday afternoon from Houston, where she was greeting her new team.
"Claudia has an impressive track record in the global beauty industry," stated James Weaver, chairman of the Gurwitch board. "She brings to our company great expertise, extraordinary vision and genuine passion for our customers. Gurwitch Products is uniquely positioned for significant gains in both revenue and market share and, with Claudia at the helm, we expect to achieve ambitious global growth."
Poccia was most recently global president of Avon's Mark business. Before joining Mark in 2005, she spent 11 years at the Estée Lauder Cos. Inc., where she held a series of roles, including senior vice president and general manager of Stila, where she developed and led the company's long-term distribution and marketing strategies. In that role, she doubled the brand's sales volume in two years.
In her role at Mark, Poccia launched a Facebook widget in 2010 which turned the social media site into a sales platform: the application allows Mark's 50,000 representatives to put together customized product assortments and market them to friends in their news feeds. Interested parties can then browse and buy those products without leaving Facebook. Poccia also led a number of strategic brand alliances for the company while at Avon, including signing Patrick Dempsey, Jillian Dempsey, Derek Jeter and Jennifer Hudson for Avon, and Ashley Greene, Lauren Conrad and Jordin Sparks for Mark.
Gurwitch Products was founded in 1995 by Janet Gurwitch and Gary Kusin, in partnership with Neiman Marcus, as a response to the increasing number of niche brands entering the prestige beauty market. The company is now wholly owned by Alticor, a privately owned consumer products firm, which specializes in niche and developing brands.


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LLHV VersaBay LED High Bay from Columbia Lighting
Available in three lumen packages, this low profile fixture is suited to provide illumination in warehouses, manufacturing facilities, gymnasiums, and convention centers.
NEW PRODUCT FLASH: LLHV VersaBay LED High Bay from Columbia Lighting
Columbia Lighting, a Hubbell Lighting brand, recently introduced its LLHV VersaBay LED High Bay. These are an option for "one for one" replacements of metal halide and fluorescent high bays, and they are designed to use 48% less energy than comparable high intensity discharge (HID) and are estimated to deliver a payback period of less than two years, when replacing 400 watt metal halides.
Available in three lumen packages for a variety of mounting heights, the low profile LLHV can provide uniform illumination in warehouses, manufacturing facilities, gymnasiums, convention centers, and other large, open spaces. The LLHV provides consistent and quality light over a life of 60,000 (at L80) hours with a projected life of 100,000 hours.
The LLHV is offered with the three popular color temperatures for the locations in which it is installed: 3500K, 4000K, and 5000K. It is available in narrow distributions for racks, and wide distributions for open areas. For installation, the hanging system selections include chain, tong, or aircraft cable mounting. A factory installed acrylic or polycarbonate clear or frosted lens and wire guard protects the fixtures from being struck by objects.
With a CRI of 83+, the LLHV provides uniform color rendering that ensures facility signs are highlighted, labels are clear, sports uniforms are brighter, and materials are easy to differentiate. Three lumen packages include: 12,000 lumens at 109W (110 LPW with configurations up to 119 LPW) for low mounts that range from 12′ to 20′; 18,000 lumens at 155W (116 LPW) for medium heights of 15′ to 30′; and 24,000 lumens at 236W (102 LPW) for high applications up to 40′.
The LLHV is DLC qualified for utility rebates; meanwhile, Hubbell Lighting's Cash Flow Positive program can provide funding opportunities for relighting projects. The products carry a five year warranty.
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The Patricia Hotel closes its doors
Published Tuesday, January 8, 2013 6:11PM CST
Last Updated Wednesday, January 9, 2013 4:46PM CST
A historic Saskatoon hotel is closing its doors.
The Patricia Hotel, known to most as "The Pat", has been sold to an ownership group from British Columbia.
One manager said the property had been on the market for quite some time. All the staff have been laid off, but they're receiving at least 4 weeks' severance pay.
The hotel and bar stood as a pillar in downtown for just over 100 years. The building went up in 1912 as the annex for the King George Hotel to handle its overflow. In 1920, the name was changed to honour Princess Patricia, the daughter of the governor general.
The Pat is the second oldest hotel still operating in Saskatoon, coming second to the Hotel Senator that was built in 1908.
As a small tribute to its history, the Pat night club and Joe's Bar will be open tonight for one last time before closing the door permanently.
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Another trip to Dolgellau this autumn meant another trip to the beautiful Mawddach restaurant. Actually, two. It was as brilliant as ever - superb food by chef/owner Ifan Dunn; & excellently run by manager/owner Will Dunn and his lovely colleague Jen (who greets you each by name before you're even through the door, and who with her smile and good... More
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10 Steps to Pick the Right Doctor
Whether you need a primary care doctor or a specialist, these 10 steps will ensure you find the right doctor for you. View Slideshow
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Home > Terms > English (EN) > diagnosis related group (DRG)
diagnosis related group (DRG)
DRGs form the cornerstone of the prospective payment system. A DRG is a cluster of diagnoses that are expected to require comparable hospital resources and lengths of stay.
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British snowboarder Billy Morgan has landed the sport's first ever 1800 quadruple cork. The rider, who represented Great Britain at the 2014 Winter Olympics in Sochi, was in Livigno, Italy, when he achieved the manoeuvre. It involves flipping four times, while the body also spins five complete rotations on a sideways or downward-facing axis. The trick had ...
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Marzieh Afkham, who is the country's first foreign ministry spokeswoman, will head a mission in east Asia, the state news agency reported. It is not clear to which country she will be posted as her appointment has yet to be announced officially. Afkham will only be the second female ambassador Iran has had. Under the last shah's rule, Mehrangiz Dolatshahi, a ...
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Weekly Packet or "Paquete Semanal" as it is known in Cuba is a term used by Cubans to describe the information that is gathered from the internet outside of Cuba and saved onto hard drives to be transported into Cuba itself. Weekly Packets are then sold to Cuban's without internet access, allowing them to obtain information just days - and sometimes hours - after it ...
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Discussion Topics
Last Post
36 min layover.. WILL I MAKE IT?Jan 1, 20151first time going from LaGuardia (LGA) through Philadelphia (PHL) to LA (LAX). my flight is on Jan 4th and connection time at PHL is 36 min. WILL I MAKE IT?!?!***Fri, Jan 1
Distance between terminalsDec 31, 20152I am flying from Seattle to London via Philadelphia. I'll be issued boarding pass till London from Seattle. Do I have to go through the immigration in Philadelphia and if yes how much time it will take as the connecting flight is within 90 mins.AssadThu, Dec 31There is no US immigration when leaving the US. All you have to do in Philadelphia is walk from your arrival gate to your departure gate. You should have plenty of time.ZapThu, Dec 31
immigration proceduresDec 30, 20152Arriving from Manchester UK in March at terminal A and leaving from terminal 0 which does not appear on the airport terminal map. We have 1hour 50mins before the flight to DCA. Is there enough time for immigration, security and transfer between terminals?bernardcamWed, Dec 30There is no Terminal 0. What airline are you flying on your second flight? If it's AA then you will depart from A, B, C, or F. You should have enough time.ZapWed, Dec 30
International arrival/Connectiing FlightDec 29, 20151Hi. We are arriving from Manchester (UK) on American Airlines at 13,45pm. Our connecting flight to Miami is at 15.54pm.also with American Airlines. I understand we will clear customs on arrival at Philadelphia will we have to change terminals once cleared? Thank youSusieTue, Dec 29
Terminal "F"Dec 25, 20150
Is There a Drop-off point at Terminal "F"Dec 24, 20151I'll be dropped-off and flying out of Terminal "F" in the morning, on AA. It doesn't appear that there is a drop-off point at Terminal "F". Will I have to be dropped off at Terminal "E" and walk to Terminal "F"?EBThu, Dec 24
35min connection christmas day!Dec 24, 20151I will be arriving at terminal F from newark at 6:51 am and my flight to miami leaves from terminal C at 7:35 am... Really scared i will miss my flight is this doable ????? Wouldnt the gates close earlier ? Help!! Leaving tomorrow which is christmas day!!!JungleThu, Dec 24
OK to leave PHL during a long layoverDec 23, 20152Hi, we fly from Lax to PHL next Sat and then get a connecting flight (7hrs later) to Dublin. Is it possible to leave the airport in that time? GO out and come back through security for the Dublin flight? I'm presuming our bags will be checked through to Dublin, so we won't have those with us, but not sure. Tks!ekcTue, Dec 22Yes, you can leave the airport and go back through security if you bring your Dublin boarding pass with you.ZAPTue, Dec 22
American Airlines from Fort Lauderdale -PHL to London connectionDec 23, 20152Hello - just had a cancelled flight and BA has put on a connection with 80 minutes between Fort Lauderdale Amercian Airlines Flight and PHL to London BA flight. Does anyone know which terminals these flights come into and out of and if this is enough time? thanksJWTue, Dec 22You will arrive in Terminal A, B or C and depart from Terminal A All you have to do in PHL is walk from your arrival gate to your departure gate. You have enough time.ZAPTue, Dec 22
RIC to PHL to PWMDec 21, 20151We have a flight the day after Christmas from RIC to PHL with the end destination of Portland,Maine. The layover is 59 mins. Is that enough time?SESun, Dec 20
Just curiousDec 20, 20151I have flown through Philadelphia in the past, but this time I am going to be making a connection at 10 p.m. Does anyone know, do the terminal shuttles run that late at night? I really don't want to try to get from Terminal F to Terminal A and go back through security that late at night.GinevaroseSun, Dec 20
Connection from Terminal F to ADec 20, 20151Hi, My AA flight from PVD and arrived PHL terminal F at 7:00am , I have 55 minutes to catch my connection flight at 7:55am in Terminal A,should I have enough time ? ThanksAC119Sun, Dec 20
Flight to DublinDec 18, 20151Hi we are flying from Washington, DCA at 6:42 arriving in Philly at 7:45 in Terminal F. We are leaving next week. Our Flight to Dublin will then leave at 9:10, leaving us approximately 1h15. Will that be enough time so close to the Holidays?jddFri, Dec 18
QuestionDec 18, 20151Hello, I am flying into Philidelphia airport on a connection flight. I arrive into gate F and have an hour to get to gate A for my next flight. Do i need to go through security again or can i just take the shuttle bus staright to gate A?***Fri, Dec 18I do this a few times a year. I land at F at 6:30 and have an hour to get to the main terminals. Look for signs for the shuttle to main terminals (on the way back shuttles to F) - or ask somebody at the gate when you land. You don't have to go back through security but lines for the shuttle can build up. It's a hustle but I've never missed my flight.JamesG1tbFri, Dec 18
44 min changed by AADec 18, 20152Hi- family of 5, have 44 minutes between flights due to AA changing it on us. Coming in terminal A depart Terminal B to ST Thomas. You say there is a shuttle, can you be more specific about getting that? Or can we walk fast between those two terminals? Kids are teens, so easy to move. Would the airline staff expedite our party if first plane is late, considering they are the ones that changed the time? We even bought seats close to the front of plane so we could get off faster. Stressful way to begin a holiday to St Thomas.BlakeFri, Dec 18You don't have to take a shuttle to get from A to B, just walk/run. There's no way that staff can "expedite" your group as all you have to do is go from your arrival gate to your departure gate. If your flight is on-time you have enough time.ZAPFri, Dec 18


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Daniel Monti, lead author of the study from Jefferson-Myrna Brind Center of Integrative Medicine, and colleagues have previously published on the success of Mindfulness-based Art Therapy (MBAT) at helping cancer patients lower stress levels and improve quality of life.
What does MBAT stand for?
MBAT stands for Mindfulness-Based Art Therapy
This definition appears somewhat frequently and is found in the following Acronym Finder categories:
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We have 4 other meanings of MBAT in our Acronym Attic
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