Sentences with phrase «rate for the reimbursement»

His entire analysis rests on the assumption that hospitals make more money for C - sections, but there is no set rate for reimbursement for obstetric care.

The commission and the member states pushed for using a single flat rate for the reimbursement of indirect research costs.

Not exact matches

These risks and uncertainties include, among others: the unfavorable outcome of litigation, including so - called «Paragraph IV» litigation and other patent litigation, related to any of our products or products using our proprietary technologies, which may lead to competition from generic drug manufacturers; data from clinical trials may be interpreted by the FDA in different ways than we interpret it; the FDA may not agree with our regulatory approval strategies or components of our filings for our products, including our clinical trial designs, conduct and methodologies and, for ALKS 5461, evidence of efficacy and adequacy of bridging to buprenorphine; clinical development activities may not be completed on time or at all; the results of our clinical development activities may not be positive, or predictive of real - world results or of results in subsequent clinical trials; regulatory submissions may not occur or be submitted in a timely manner; the company and its licensees may not be able to continue to successfully commercialize their products; there may be a reduction in payment rate or reimbursement for the company's products or an increase in the company's financial obligations to governmental payers; the FDA or regulatory authorities outside the U.S. may make adverse decisions regarding the company's products; the company's products may prove difficult to manufacture, be precluded from commercialization by the proprietary rights of third parties, or have unintended side effects, adverse reactions or incidents of misuse; and those risks and uncertainties described under the heading «Risk Factors» in the company's most recent Annual Report on Form 10 - K and in subsequent filings made by the company with the U.S. Securities and Exchange Commission («SEC»), which are available on the SEC's website at www.sec.gov.

While insurance reimbursement rates for patients are the same, in most cases, whether they opt for robotic surgery or not, there is nonetheless a difference in cost, says Sullivan — to both the patient and the hospital.

Such risks, uncertainties and other factors include, without limitation: (1) the effect of economic conditions in the industries and markets in which United Technologies and Rockwell Collins operate in the U.S. and globally and any changes therein, including financial market conditions, fluctuations in commodity prices, interest rates and foreign currency exchange rates, levels of end market demand in construction and in both the commercial and defense segments of the aerospace industry, levels of air travel, financial condition of commercial airlines, the impact of weather conditions and natural disasters and the financial condition of our customers and suppliers; (2) challenges in the development, production, delivery, support, performance and realization of the anticipated benefits of advanced technologies and new products and services; (3) the scope, nature, impact or timing of acquisition and divestiture or restructuring activity, including the pending acquisition of Rockwell Collins, including among other things integration of acquired businesses into United Technologies» existing businesses and realization of synergies and opportunities for growth and innovation; (4) future timing and levels of indebtedness, including indebtedness expected to be incurred by United Technologies in connection with the pending Rockwell Collins acquisition, and capital spending and research and development spending, including in connection with the pending Rockwell Collins acquisition; (5) future availability of credit and factors that may affect such availability, including credit market conditions and our capital structure; (6) the timing and scope of future repurchases of United Technologies» common stock, which may be suspended at any time due to various factors, including market conditions and the level of other investing activities and uses of cash, including in connection with the proposed acquisition of Rockwell; (7) delays and disruption in delivery of materials and services from suppliers; (8) company and customer - directed cost reduction efforts and restructuring costs and savings and other consequences thereof; (9) new business and investment opportunities; (10) our ability to realize the intended benefits of organizational changes; (11) the anticipated benefits of diversification and balance of operations across product lines, regions and industries; (12) the outcome of legal proceedings, investigations and other contingencies; (13) pension plan assumptions and future contributions; (14) the impact of the negotiation of collective bargaining agreements and labor disputes; (15) the effect of changes in political conditions in the U.S. and other countries in which United Technologies and Rockwell Collins operate, including the effect of changes in U.S. trade policies or the U.K.'s pending withdrawal from the EU, on general market conditions, global trade policies and currency exchange rates in the near term and beyond; (16) the effect of changes in tax (including U.S. tax reform enacted on December 22, 2017, which is commonly referred to as the Tax Cuts and Jobs Act of 2017), environmental, regulatory (including among other things import / export) and other laws and regulations in the U.S. and other countries in which United Technologies and Rockwell Collins operate; (17) the ability of United Technologies and Rockwell Collins to receive the required regulatory approvals (and the risk that such approvals may result in the imposition of conditions that could adversely affect the combined company or the expected benefits of the merger) and to satisfy the other conditions to the closing of the pending acquisition on a timely basis or at all; (18) the occurrence of events that may give rise to a right of one or both of United Technologies or Rockwell Collins to terminate the merger agreement, including in circumstances that might require Rockwell Collins to pay a termination fee of $ 695 million to United Technologies or $ 50 million of expense reimbursement; (19) negative effects of the announcement or the completion of the merger on the market price of United Technologies» and / or Rockwell Collins» common stock and / or on their respective financial performance; (20) risks related to Rockwell Collins and United Technologies being restricted in their operation of their businesses while the merger agreement is in effect; (21) risks relating to the value of the United Technologies» shares to be issued in connection with the pending Rockwell acquisition, significant merger costs and / or unknown liabilities; (22) risks associated with third party contracts containing consent and / or other provisions that may be triggered by the Rockwell merger agreement; (23) risks associated with merger - related litigation or appraisal proceedings; and (24) the ability of United Technologies and Rockwell Collins, or the combined company, to retain and hire key personnel.

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).

The provinces just find it way too easy to unilaterally lower reimbursement rates for generic drugs, and will probably continue for a while yet.»

Senate Health Committee Chairman Lamar Alexander and Sen. Susan Collins, Maine Republican, have partnered with Democrats on bills that would reel in rate hikes by resuming reimbursements for insurers who pick up low - income customers costs on the Obamacare exchanges and freeing up billions for a «reinsurance» program that blunts the cost of customers with big claims, so others don't have to pay more.

The IRS mileage rate is not a recommended reimbursement rate, nor is it in line with the IRS» recommended methodology for calculating fair and accurate reimbursements.

I just learned that late last month, the USDA announced the federal reimbursement rates for the 2010 - 2011 school lunch program (for background on federal reimbursement and how it works, see my School Lunch FAQs).

However, for this coming school year the USDA has approved a 1.3 % increase in the reimbursement rate — the lowest increase over the last five years.

You say «the call for more resources for equipment and a more realistic reimbursement rate are not excuses for non-compliance,» and I couldn't agree more.

Schools that participate in CEP are guaranteed to receive the same meal reimbursement rate for 4 years.

While meal prices and USDA reimbursement rates provide more money, that also goes to pay for labor, equipment and overhead costs.

These changes are necessary to ensure that any increase in reimbursement rates is used to improve meals, not to keep down prices for paid meals or competitive foods.

[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.

That is as much added revenue as districts would receive if the federal reimbursement rate for all lunches were increased by 11 cents.

Even if reimbursement rate increases were tied to meeting enhanced nutritional requirements, the full benefit of the additional funds would be realized only if reimbursements for free and reduced price meals were not siphoned off to keep prices low for paid meals or competitive foods.

Some have called for raising federal reimbursement rates to provide these resources.

To be sure, there still would be no guarantee that a reimbursement rate increase would be spent on healthier foods rather than other priorities, such as training for food service staff.

I looked up the COLA for the past decade and found that on average the reimbursement rate for free has gone up 7 cents a year since the 2000 - 01 school year; in recent years it was higher than average (up 11 cents from 08 - 09 to 09 - 10, up 10 cents the year before that) but it was lower in other years (up 5 cents each year from 01 - 02 to 04 - 05).

In New York, schools serve 1.7 million lunches and 500,000 breakfasts each day — which puts them on the front line of combatting hunger and childhood obesity — and yet the state meal reimbursement rate has remained at six cents for the last 40 years.

We are really in a transformative moment here in school meals; this is the first serious upgrade in nutrition standards in over 15 years, and the first real increase in the reimbursement rate for a very long time.

Current reimbursement rates, which give schools $ 2.68 for each lunch they serve, have not changed since 1973, except for inflation adjustment, and schools have long complained that they are insufficient.

The bill, a priority for the president and first lady Michelle Obama, would boost spending on child nutrition $ 4.5 billion over 10 years and raise federal reimbursements for school lunches more than the inflation rate for the first time since 1973.

The reimbursement rate is now $ 2.72 for each free lunch, which most school administrators say is insufficient to cover costs.

The Healthy, Hunger - Free Kids Act will expand the number of children in school lunch programs by 115,000, increase the reimbursement rate to school districts for meals by six cents and replace the junk food available outside the cafeteria, such as in vending machines, with more healthful options.

«It's setting an example for what the U.S. needs to do nationally,» said Andrea Northup, coordinator of the D.C. Farm to School Network for the Capital Area Food Bank, noting that many officials nationwide complain that government reimbursement rates are too low for schools to afford healthier foods.

For children coming from low - income households, the federal reimbursement rate for lunch is around $ 3.For children coming from low - income households, the federal reimbursement rate for lunch is around $ 3.for lunch is around $ 3.33.

For the first time in over three decades it would increase the federal reimbursement rate, by approximately six cents a meal.

-LSB-...] It all goes back to a question that's been debated hotly on this blog for a long time (see «Why I Rained on Someone's School Food Reform Parade» and the posts linked to it): can a school district ever «get it right» using just the federal reimbursement rate?

The USDA should back higher reimbursement rates for school child nutrition programs in the Child Nutrition Act, and adjust the rate on a semiannual basis so as to better reflect food costs.

Tables showing the per meal federal reimbursement rates for the Afterschool Meal Program and Summer Food Service Program, as well as projected annual program income based on the number of children served.

The report makes some controversial proposals to a system known as the «Cadillac» of Medicaid programs (because it covers so much), including changing the way reimbursement rates are set, a complete state takeover of the responsibilities now borne by the counties, reform of the medical malpractice system and a push for a higher federal contribution.

Nolan demurred, too, when asked if lawmakers should reconsider their support for Heastie given reports about his high rate of reimbursement for per diem expenses, missed votes, heavy reliance on itemized campaign finance expenditures (which drew the attention of the now - defunct Moreland Commission), as well as member items being directed to campaign donors.

«We've always felt that, as I've said in general, places that don't have the market set for reimbursement rates or if their revenues are set, we always have to make modifications for that, whether it's hospitals or dairy farmers, because those prices are set,» Heastie said in a brief interview while walking into the Assembly chamber.

Some non-profits who rely on state - set reimbursement rates, for example, have been seeking state funds to cover their increased costs.

«During my tenure as Governor, I have held the line on the rate of cost escalation for health care providers and managed care plans; implemented reimbursement reforms to right - size hospital inpatient reimbursement; made investments in critically needed, less costly outpatient and primary care services; and implemented measures to make New York Medicaid a smarter purchaser of prescription drugs and transportation services for patients.

There are other reimbursement formulas for Rate providers and the rate can vary daily, monthly or annuaRate providers and the rate can vary daily, monthly or annuarate can vary daily, monthly or annually.

Colin Ben - Nathan commented: «Employer reimbursements at flat - rates and benchmark scale - rates are intended as an administrative easement but the existing requirement that employees provide receipts for often very small amounts, e.g. meals whilst working away from the normal workplace, adds unnecessary bureaucracy to a system aimed at simplifying the reimbursement of expenses incurred.

A lower reimbursement rate for some providers would lead to chaos and inequity in the early childhood system by cutting funds from community based organizations that provide care and education for New York's children.

Governor Mario Cuomo and the Legislature passed a law called New York Prospective Hospital Reimbursement Methodology (or NYPHRM), which allowed the state to set the rates at which all insurers would reimburse hospitals for their services.

Another bill passed unanimously in both houses would narrow the definition of a safety - net hospital and instruct the state health commissioner to raise reimbursement rates for hospitals that meet the new criteria.

At noon, the Assembly will hold a joint public hearing to examine the adequacy of the fee schedule for medical provider reimbursement proposed by the Workers» Compensation Board to be used under both the workers» compensation system and the no - fault system and to determine its impact on access to quality treatment and return to work rates, Hearing Room B, LOB, Albany.

«Clearly the places that the market doesn't get to influence the rates of return where it's based on reimbursements for non profits, we do think that the state has to make up for that,» Heastie said.

«We have to be mindful if we're going to make them pay $ 15 for a minimum wage, and they're relying exclusively on Medicaid dollars, it just makes sense to raise the cap and the reimbursement rate for Medicaid.»

While cross-river competitors judge HealthAlliance management «behind the times,» the blame for all this red ink falls about equally among competition from other hospitals, more private - practice medical facilities and federal Medicare reimbursement rates.

«Increasing the Medicaid reimbursement rate for the safety net means earning the revenue [and] not relying totally on hand - outs that don't always come [when] needed.»

Cahill said the state should come up with a new system to calculate the fee schedule, the same way it developed the Fair Health system years earlier in response to a lawsuit, to determine reimbursement rates for doctors outside of insurance networks.

«This is an issue that's plagued the community for years now, and that's the hospital reimbursement rate in Ulster County here, namely for Kingston Hospital,» Phillips said during a campaign stop in Uptown Kingston.