For example, one argument could be that better school food would mean increased student participation, which in turn would
increase federal reimbursements.
For the first time in over three decades it would
increase the federal reimbursement rate, by approximately six cents a meal.
Not exact matches
These risks and uncertainties include: Gilead's ability to achieve its anticipated full year 2018 financial results; Gilead's ability to sustain growth in revenues for its antiviral and other programs; the risk that private and public payers may be reluctant to provide, or continue to provide, coverage or
reimbursement for new products, including Vosevi, Yescarta, Epclusa, Harvoni, Genvoya, Odefsey, Descovy, Biktarvy and Vemlidy ®; austerity measures in European countries that may
increase the amount of discount required on Gilead's products; an
increase in discounts, chargebacks and rebates due to ongoing contracts and future negotiations with commercial and government payers; a larger than anticipated shift in payer mix to more highly discounted payer segments and geographic regions and decreases in treatment duration; availability of funding for state AIDS Drug Assistance Programs (ADAPs); continued fluctuations in ADAP purchases driven by
federal and state grant cycles which may not mirror patient demand and may cause fluctuations in Gilead's earnings; market share and price erosion caused by the introduction of generic versions of Viread and Truvada, an uncertain global macroeconomic environment; and potential amendments to the Affordable Care Act or other government action that could have the effect of lowering prices or reducing the number of insured patients; the possibility of unfavorable results from clinical trials involving investigational compounds; Gilead's ability to initiate clinical trials in its currently anticipated timeframes; the levels of inventory held by wholesalers and retailers which may cause fluctuations in Gilead's earnings; Kite's ability to develop and commercialize cell therapies utilizing the zinc finger nuclease technology platform and realize the benefits of the Sangamo partnership; Gilead's ability to submit new drug applications for new product candidates in the timelines currently anticipated; Gilead's ability to receive regulatory approvals in a timely manner or at all, for new and current products, including Biktarvy; Gilead's ability to successfully commercialize its products, including Biktarvy; the risk that physicians and patients may not see advantages of these products over other therapies and may therefore be reluctant to prescribe the products; Gilead's ability to successfully develop its hematology / oncology and inflammation / respiratory programs; safety and efficacy data from clinical studies may not warrant further development of Gilead's product candidates, including GS - 9620 and Yescarta in combination with Pfizer's utomilumab; Gilead's ability to pay dividends or complete its share repurchase program due to changes in its stock price, corporate or other market conditions; fluctuations in the foreign exchange rate of the U.S. dollar that may cause an unfavorable foreign currency exchange impact on Gilead's future revenues and pre-tax earnings; and other risks identified from time to time in Gilead's reports filed with the U.S. Securities and Exchange Commission (the SEC).
Investing more money in
federal school meal
reimbursement, so schools can afford to buy healthier food and pay for the
increased labor needed to prepare it;
But if Congress
increases reimbursement rates without reforming the use of
federal funds in school food budgets, the end result could be significant costs to taxpayers coupled with little improvement in the quality of meals served.
Congress seems likely to raise
federal reimbursements by a few cents — which is more than it sounds but still less than the White House requested — and tie the
increase to more thorough health standards.
Several studies have found that decreased access to competitive foods leads to
increased participation in the National School Lunch Program and subsequent
increases in
federal reimbursements and overall revenue.
If
increases in
reimbursement rates prove desirable, the changes discussed here would help ensure that the added
federal funds are actually used to provide more nutritious school meals.
It could do so by requiring school districts that charge lower prices to
increase prices gradually so that, when combined with the
federal subsidy provided for such meals, they eventually at least equal the
federal reimbursement level for free meals.
[34] This is comparable to the additional revenue that a 4.5 cent across - the - board
increase in the
federal reimbursement rate for all school lunches would generate.
Whether or not Congress chooses to
increase reimbursements, the first step to providing resources for higher quality school meals is to ensure that
federal reimbursements for free and reduced price meals are used for their intended purpose — providing nutritious breakfasts and lunches to low - income school children.
That is as much added revenue as districts would receive if the
federal reimbursement rate for all lunches were
increased by 11 cents.
The above changes would
increase SFA resources without raising
federal reimbursement rates (and thus
federal costs).
-LSB-...] Nutrition Association, an organization of 55,000 professionals, has asked Congress (albeit half - heartedly) for a 35 cent
increase in
federal school meal
reimbursement.
A school breakfast program can also
increase jobs and give your school additional revenue through
federal reimbursement.
The panel acknowledged that its recommendations would
increase costs and called for a higher
federal reimbursement to school districts, capital investments and money to train cafeteria workers to make the changes.
The battle for
increased reimbursement will play out over the next 90 days as the budget is negotiated, and against the backdrop of a state - imposed Medicaid cap, uncertainty over the future of
federal Medicaid funding and cries from long - term care facilities and home health care providers, which are also pleading for higher
reimbursements.
And, in a time of
increasing costs and decreasing revenues, some district leaders and food advocates worry whether 6 cents will allow schools to serve healthier fare, when the current
federal reimbursement of $ 2.72 per free meal already has many school programs running in the red.
As school meal participation
increases, school districts draw down the associated additional
federal and state - funded
reimbursements for meals served.
Federal reimbursements are projected to
increase from $ 194.7 million in FY2013 to $ 201.1 million in FY2014 with an
increased reimbursement rate, higher contribution of donated food, and
increased participation rate in the snacks and after - school program.
The bill restricts certain State claims for
Federal reimbursement of administrative costs under the
Federal foster care program; clarifies the use of Medicaid targeted case management services for children in foster care; includes substantial cuts to programs; and reauthorizes TANF, adding new work requirements while providing almost no funding
increase in child care.
As a result of the plan to not provide Medicaid
reimbursements to Planned Parenthood — coupled with
increased spending for Medicaid services for patients who would have reduced access to care — the CBO estimates that «defunding» Planned Parenthood for one year would result in $ 156 million less in direct spending from the
federal government over 10 years.
For example, clinics could
increase efforts to accept a wider variety of insurance plans, including hiring dedicated staff to focus on credentialing and billing issues — and they have new incentives to do so because more of their patients are insured as a result of the ACA.22 State and
federal Medicaid officials, too, could address many
reimbursement issues for postabortion contraception.