Archive for April, 2012
Posted by Admin in Uncategorized on April 30, 2012
But those who want to see the end of commercial oyster operations in the national park say she is being fed misinformation by those who support Drakes Bay Oyster Co. in an effort to have its lease renewed.
Last week Feinstein, D-Calif., issued a statement calling the National Park Services analysis its latest falsification of science at the Point Reyes National Seashore.
Feinstein takes issue with a section of the report that states the noise from oyster boats in Drakes Bay would disturb the solitude of nearby wilderness.
Here is the problem: the noise did not come from oyster boats, nor did it come from anywhere near Drakes Estero or the Point Reyes National Seashore, she wrote in a letter to Ken Salazar, secretary of the US Department of the Interior, dated Thursday.
Amazingly, the decibel recordings the park service attributed to Drakes Bay oyster boats came from jet skis in New Jersey 17 years ago.
Those who oppose the oyster operation renewing its lease say it is standard scientific practice to use standardized noise levels even if gathered at other sites.
In its own letter to the Department of the Interior, the Environmental Action Committee of West Marin wrote, These representative values are reasonable, understate the actual (Drakes Bay Oyster Co.) noise level impacts and directly contradict . . . Sen. Feinsteins unfounded allegations of NPS misconduct.
Point Reyes officials declined comment.
The Drakes Bay Oyster Co. lease, allowing it to grow and harvest oysters in Drakes Estero, ends on Nov. 30. Point Reyes National Seashore has indicated it wants to return it to a wilderness area thereafter.
The National Park Service issued its draft environmental impact statement on the issue last September, but it doesnt identify a preferred alternative for oyster operations.
This was the second time the senator has issued a statement on the environmental impact analysis. Feinstein, who has long been critical of the National Park Services position on oyster farming in Drakes Estero, issued a statement when it first came out saying she was troubled by the draft report. She said the report largely ignores the conclusion reached in 2009 by the National Academy of Sciences that there is a lack of strong scientific evidence that shellfish farming has major adverse ecological effects on Drakes Estero. A final environmental impact statement is due out later this year and Salazar will make a determination on the Drakes Bay Oyster Co. lease.
Bobby Petrinos motorcycle crash last week has the college football world astir, and many are calling for Arkansas to fire its head football coach. It is definitely within the Universitys rights. From page seven of Petrinos 2010 contract extension:
[The contract includes] the Universitys standard termination for cause provision which includes the right to terminate for cause[for] engaging in conduct, as solely determined by the University, which is clearly contrary to the character and responsibilities of a person occupying the position of Head Football Coach or which negatively or adversely affects the reputation of the University or UAFs Athletics Program in any way.
The coach is currently on paid leave after he admitted to lying about the crash, which involved Petrino and a former Arkansas volleyball player who he had hired just a week earlier. The improper relationship puts Arkansas well within its rights to fire Petrino for cause. There have been some smart takes on why Arkansas should move on from the maligned head coach for football reasons, but Petrinos firing would not make much sense from a financial standpoint.
Arkansas paid Petrino $3.6 million last season, the seventh-highest salary for a college football coach. Its a lot of money, but Petrino has held up his end of the bargain with stellar on-field performance. Of the ten coaches who made over $3 million last year, only two had more wins: Alabamas Nick Saban and LSUs Les Miles. They were also the only two coaches able to defeat Petrinos Razorback team last season.
Petrino also runs a financially efficient team. Arkansas spent $24.1 million on football in 2010, the fourth-most spent by an SEC team. But of those four teams, Arkansas easily spent the least per win. The Razorbacks spent less than $2.5 million per regular season victory, while Auburn cleared $3 million and Alabama and Florida each spent over $3.5 million per win. In fact, only three SEC teams spent less per win in 2010. Over the last two seasons, the teams total value has risen 59% to $89 million, eighth-highest in college football.
Theres also no guarantee that Arkansas can save much money by hiring a new coach. Even if the Razorbacks aim to sign a smaller contract, the timing of the hire puts the school in a tight spot. Almost all college football coaching hires are completed in December and January, giving incoming coaches ample time to recruit and plan for an upcoming season with a new team. The restricted time frame and Arkansas clear need for an immediate replacement would give prospective coaches additional leverage in contract negotiations. Plus, Arkansas would likely be trying to sign away another teams coach, which means the Razorbacks would also be on the hook for the coachs contract buyout and they would likely need to spend as much as $250,000 on a search firm to ensure a smooth transition.
Arkansas certainly spends heavily in both head coach salary and total football expenses, but replacing Petrino could be costly and would sever ties with one of the SECs most financially efficient head coaches.
There is a customer service revolution afoot. Consumers will no longer put up with poor customer service. As the number of product and service alternatives rises, the companies that provide the best customer experience will gain and retain, while the companies that donâ??t struggle to stay afloat. I swear I didnâ??t mean for both of those to rhyme.
Corporations are paying closer attention to the value of their customers. Those of you who follow Net Promoter Score are aware that detractors of your company (unhappy customers who feel trapped in a bad relationship with the company) are 3x more likely to speak about their experience and 2x more likely to speak negatively to 10 or more people. On the other end of the spectrum, Net Promoter Score leaders, ie those whose customer base contains primarily promoters (loyal enthusiasts who continue buying from the company and â??promoteâ? the company to people they know), are growing at more than 2x the rate of their competitors.
So how do you provide good customer service? Although that subject extends beyond the scope of this post, I can tell you where you can start, which coincidentally is probably the last place youâ??re looking: your automated system.
Most companies are focusing on adding channels to their customer support, such as social media, live chat, and smart-phone apps, and simultaneously adding features to enhance their contact centers, such as click-to-call or allowing premium status callers direct access to a live agent (as weâ??ve seen with the Chase Sapphire Preferred credit card). However, they all seem to be dancing around the subject of their IVR. Instead, they are looking for ways to boost every channel around the automated system in efforts to reduce the impact of a detrimental IVR or to reduce the call volumes into their contact centers. Whatâ??s the point of creating a brilliant multichannel customer support chain, if your IVR is a broken link in that chain? I will now defer to the overused, yet appropriate clichÃ putting a band aid on an open wound.
Why is my IVR so bad?
Hey, Iâ??m glad you asked! Your IVR is so bad because it lacks the ability to understand your callers. Your callers are frustrated with your automated system before they even use it due to an abysmal track record and a lack of innovation in traditional Automated Speech Recognition (ASR) for the past 10 years. Callers expect:
- The need to repeat information in the IVR that they give in the IVR
- The need to repeat information to the live agent that they give in the IVR
- Low expectation that they will be routed to the correct destination
- Menu options that donâ??t fit their needs
- Difficulty in reaching a live representative
Where does your ASR fall short?Â Do your customers have to repeat information to the live agent that was given in the IVR? Intelligent CTI will take care of that. Do they have difficulty reaching a live agent? If you truly care about your customers, you could design an IVR capable of addressing that problem. However, if your system suffers from speech recognition failures, an inability to granularly route, and inadequate menu options, you probably canâ??t do anything about that with the technology youâ??re currently using.
Why is my IVRâ??s automated speech recognition so crappy?
Donâ??t be so hard on yourself, itâ??s not your fault. Our traditional copper wire phone lines carry only audio quality that is easily understood by the human ear and brain. That â??standard-definitionâ? audio has a limited amount of data. Yes, even when someone is calling in on their iPhone 4S, with its â??high-definitionâ? microphone, their voice is still ending running on a â??standard-definitionâ? telephone system. Itâ??s like the difference between hearing a song on the radio, and hearing it on those tinny 2001 ringtones much more difficult to identify the song from the ringtone.
This is why, when youâ??re interacting with an IVR during your coffee break at Starbucks and you have a Scottish accent, youâ??re SOL. Background noise and accents are an ASRâ??s worst enemy. Simple triggers can also set it off, such as the minute difference between b,c,d,e (they all have an â??eeeâ? sound)Â when you are spelling out your first name, or words that sound similar, such as Boston and Austin.
The basic limitations of audio quality explain why, with traditional Automated Speech Recognition, you will not be able to capture e-mail addresses, log-ins, and other alphanumeric data to a high degree of accuracy. If your automated system requires any account identification or authorization, you have to find a creative way to dance around alpha-numerics. In fact, most IVR systems today focus on creative ways to make it easier for the automated speech system to recognize the caller, and less so on how to make it easier for the caller to use the IVR system. Even with data strings your ASR should be able to capture, itâ??s likely your callers will be forced to confirm or to repeat themselves. And if their responses include verbal disfluencies like uhm, ya know, or yeah, the likelihood is even higher. For most callers, this is a major frustration point.
While itâ??s true that Automated Speech Recognition and Natural Language are getting better every year, there will always be a disparity between ASR technology and human understanding that prevents your callers from communicating in their own words. Your caller doesnâ??t want to Technical Support -gt; Home -gt; Internet Router, she wants to fix her broken Internet! Natural Language, at its best, still doesnâ??t allow your callers to speak in their own words. Directed Dialogue forces your callers into speaking in a way that works for the system. Youâ??ve heard them before: â??How can I help you? You can speak to me in full sentences, but you can only say â??make a reservationâ?? or â??cancel an appointment.â??â? Clearly, Iâ??m exaggerating, but my point remains. Your callers want to express their problems in their own way because they believe that their call is unique (which is why they are calling they probably already looked to complete their request on your website) and that your automated system wonâ??t be able to meet their needs.
So what am I supposed to do?
Call Interactions. No, Iâ??m just joking. But seriously. You need to think creatively. ASR works in many areas, but as I explained, there are many areas in which it fails. Supplementing your ASR with human-assisted understanding provided by several thought-leading companies, such as Interactions, can make your IVR work. (If you are unfamiliar with human-assisted understanding, check out a demo.) This approach will eliminate the pain points, providing greater understanding that will enable you to build more functionality into your system. That being said, many IVR companies have tried to build human-assisted understanding IVRs themselves, but have been unable to meet their ROI requirements. When they quantify the benefits to the call center infrastructure and compare that number to the price tag for improving their system, the math doesnâ??t work. But at the risk of sounding like a marketing professional (which I am), I have to tell you that Interactions has cracked the code. Our many customer-centric clients can attest to that.
Do I need analytics to tell me what Iâ??m doing wrong?
Yes, of course you do. You need to know the route your customers are traversing. Are you receiving a heavy call volume for something that could easily be accomplished in self-service? On that note, you also want to know why they hitting the contact center. Is the self-service functionality not prevalent enough? Is there even a self-service functionality on the website for that command? Perhaps an abnormally heavy call volume for that command can even alert you to a bug on that part of the website.
Analytics allow you to have great control over the flow of your customer support channels, identify bottlenecks, and better design your support structure to optimize customer experience and improve your economics.
Youâ??re not telling everything, are youâ?¦
Youâ??re right. Analytics are great in theory but most companies and self-service analysis providers treat customers like sheep. The predominant thinking is â??I have this huge call volume and these expensive agents, I need to save some money, so letâ??s build this menu option here, and this self-service functionality there, and link them to the website here. In turn, weâ??ll increase containment, cut down Average Handle Time (AHT), and increase customer experience.â?
Thatâ??s all well and good. However, I return to my original point:
You can gather and analyze all the customer data you want, but if you are still relying solely on ASR to respond to all your customersâ?? needs, you are missing a big piece of the puzzle. Instead of forcing the customer to communicate in unnatural ways that suit your system, you need to build a system that accepts and responds to what they have to say. You have to accept responsibility for your communication mediums and stop forcing your customers to speak in the way thatâ??s best for the IVR. Itâ??s time to get creative. Stop thinking about your IVR as a gateway to your representatives, and start viewing it as a critical, strategic initiative.
The US Army will hold voluntary flight demonstrations for its nascent Armed Aerial Scout (AAS) programme, but any would-be contractors must prove their helicopter offers are better value for money than a life-extended Bell OH-58F Kiowa Warrior.
The services default plan is to extend the life of the current reconnaissance fleet.
We will extend the service life of the Kiowa fleet today, says Maj Gen Tim Crosby, the armys executive officer for aviation, because Armed Aerial Scout is unaffordable – thats kind of our baseline.
The US Department of Defense is expected to sign off on the services analysis of alternatives, which says the army needs a new manned reconnaissance helicopter. The only way to get there is a full-scale development, Crosby adds.
But the service faces a dilemma. It could do nothing, it could solider on with the OH-58F fleet, or it could buy a new helicopter – but money is the problem.
We have put in the budget what we call a service-life extension, Crosby says, pointing out that the service is willing to accept the risk posed by not having a new scout helicopter.
The Kiowa cannot perform every mission the service wants, and although the army can cope with this state of affairs, it is willing to evaluate new machines that may prove more capable than the OH-58F.
The only way were going to know that is to demo [the other aircraft], Crosby says. However, he stresses the tentative nature of the exercise. It is not a fly-off. It is not a competition, he says.
Maj Gen James Rogers, commander of the army aviation and missile command, says: Everyone says theyve got something thats better than a [life-extended OH-] 58. All we want to do is say show us.
Funding for the AAS would be drawn from another army programme, hence the need to ensure any replacement aircraft is worth the investment.
The army is expected to get the go-ahead on 23 April from the Defence Acquisition Board to proceed with the review. That will allow the service to release a new request for information, which will then lead to a new round of aerial demonstrations. But officials are unwilling to commit to a timeframe.
In the meantime, would-be contractors are displaying their hardware at the Army Aviation Association of America forum in Nashville, Tennessee.
Posted by Admin in Uncategorized on April 28, 2012
Back when electronics werent the sleek, multifaceted definitions of modern culture, my friends and I (12-year-old, mischief-making boys) loved going to Spencer Gifts in the local mall and pressing every button on every one of those noise-making gizmos. Our unanimous favorite was the fart remote which trumpeted out multiple octaves of flatulence.
BLOG: Who Invented The Toilet?
Posted by Admin in Uncategorized on April 26, 2012
APIs Tax Policy Manager Stephen Comstock told reporters this morning that the proposal now before the Senate to raise taxes on selected oil and natural gas companies would do nothing to reduce gasoline prices but would damage job creation, oil and gas production, and energy security. He said API was launching a major advertising campaign to inform the public about the possible consequences of raising the industrys taxes:
Lets be clear: the Senate proposal is not about addressing gasoline prices. Higher taxes will not result in lower fuel prices. In fact, a recent Congressional Research Service analysis concludes that actions like this could increase fuel prices. And 76 percent of Americans agree with this, according to a recent poll by Harris Interactive. Strong majorities of people of every age, gender, political party, and educational background agree.
Theres a better path forward. Put policies in place that would allow our companies to do more at home producing the oil and natural gas our nation will use. Had those policies been in place over the last few years, it would already be reflected in additional government revenues. We would not have lost an estimated $5B from slower development in the Gulf of Mexico, for example. In fact, a full program of development would be delivering to the government far more additional revenue than the Senate tax increase proposal could ever hope to provide.
The tax increase proposal now in the Senate may serve someones political goals but it would be a Trojan horse to our economy and to our energy security. Its a bad idea – a destructive idea – and we urge all senators to oppose it.
API represents more than 500 oil and natural gas companies, leaders of a technology-driven industry that supplies most of Americas energy, supports 9.2 million US jobs and 7.7 percent of the US economy, delivers more than $86M a day in revenue to our government, and, since 2000, has invested more than $2T in US capital projects to advance all forms of energy, including alternatives.
The Hydra was a mythical swamp beast whose multiple heads grew back after being severed. Obamacare is a real Washington monster whose countless hidden bureaucracies keep sprouting forth even after theyre rooted out. As soon as combatants lop off one of the laws unconstitutional agencies, another takes its place.
On Thursday, as the behemoth federal health care law marked its second anniversary, House Republicans repealed the infamous Independent Payment Advisory Board. The mother of all death panels, IPAB would have unprecedented authority over health care spending through a rogue board of 15 Medicare spending czars. The House repeal has a snowballs chance in hell of surviving the Senate. But IPABs legality is being challenged in federal court by the conservative Arizona-based Goldwater Institute. And the more the public knows about these freedom-usurping, taxpayer-soaking institutions buried in the health care law the less they like it.
Seven House Democrats crossed the aisle to vote for the GOP majority rollback. Analysts on both sides of the political aisle have decried IPABs complete lack of accountability and insulation from judicial review. Critical decisions about public and private health insurance payment rates would be freed from the normal administrative rules process – public notice, public comment, public review — that governs every other federal commission in existence. Rep. Todd Akin, R-Mo., summed up bipartisan opposition: IPAB embodies the very thing Americans fear most about ObamaCare — unaccountable Washington bureaucrats meeting behind closed doors to make unilateral decisions that should be made by patients and their doctors.
The problem with piecemeal repeal is that for every old IPAB, theres a new, multibillion-dollar bureaucracy waiting in the Obamacare wings. Senate Republicans and fellow medical doctors Tom Coburn and John Barrasso point to a $10 billion entity called the Innovation Center that would test innovative payment and service delivery models to reduce program expenditures under Medicare, Medicaid and the State Childrens Health Insurance Program (CHIP).
According to a new Congressional Research Service analysis of this little known office to be operated by the Centers for Medicare and Medicaid Services, there would be no administrative or judicial review of the directors payment experiments. Coburn and Barrasso explain that (t)his means that the administrator of CMS is the sole individual in the entire federal government with the power to decide whether or not models tested negatively impact seniors quality of care and meet the financial requirements spelled out in law.
This innovation super-czar would be allowed to tinker behind closed doors — and then impose whatever experiments the innovation center chooses without any checks or balances on the methods or results. Moreover, at least two other sub-offices within CMS (subject to normal open meetings and open records rules) have already been tasked with researching payment and delivery models. Health care blogger Tevi Troy at NationalReview.com warns: The innovation center appears to be one more way in which the health-care law is going to interfere with the practice of medicine, and one that physicians should start paying more attention to.
Its not just physicians who need to pay attention. Every taxpayer has a stake. At the end of the month, this shadowy agency will start doling out $1 billion in grants to payment experiment groups and data-tracking system builders. Sounds like yet another pipeline for political payoffs and Chicago-style boodle that will result in less patient autonomy, fewer health care choices, more government intrusion and lower-quality care.
Final diagnosis: The Obamacare beast wont die until its eradicated completely, root and branch.
NEW YORK, March 28, 2012 /PRNewswire via COMTEX/ –
Reportlinker.com announces that a new market research report is available in its catalogue:
Pricing and Reimbursement of the Healthcare System in India – Low Levels of Drug Reimbursement Lead to a High Out-Of-Pocket Expenditure
Pricing and Reimbursement of the Healthcare System in India – Low Levels of Drug Reimbursement Lead to a High Out-Of-Pocket Expenditure
GBI Research, the leading business intelligence provider, has released its latest research “Pricing and Reimbursement of the Healthcare System in India – Low Levels of Drug Reimbursement Lead to a High Out-Of-Pocket Expenditure”. It provides a comprehensive overview of the healthcare system, and pricing and reimbursement process in India with a detailed analysis of the different regulatory mechanisms used in India. The report closely scrutinizes the major changes in pharmaceuticals related pricing and reimbursement in the recent past, and the impact these changes will have in the future. The health insurance is responsible for facilitating demand by making high-cost prescription drugs more affordable. Although the per capita income is rising in India, the modest income of most of the population keeps the high cost drugs and medicines out of reach of the majority of the population. Drugs would become more expensive with the enforcement of product patents and so the sales of the expensive drugs depend on the growth and the maturity of the health insurance sector. If the health insurance industry does not mature, the market for patented drugs would experience adverse effects. The next three to five years will see a significant growth and change in the Indian health insurance industry as new insurance players and insurance products respond to the increased demand.
India has a dual system of care: a private fee-for-service based sector where the money is paid Out-Of-Pocket (OOP) by individual households and a tax-based public sector where the providers are salaried. The utilization of insurance under both these systems is partly restricted by the affordability of the individual household and availability of the budget. On the other hand, insurance, as a means of financing, is a far more sophisticated mechanism, requiring a comprehensive understanding of the failures that characterize health insurance markets. Despite the improving health status of the Indian population, healthcare infrastructure in India is far from achieving 100% quality, technology and superior healthcare delivery systems. While the Central Government is limited to family welfare and disease control programs, the state governments are responsible for primary and secondary medical care, with a limited role in specialty care. Looking at the healthcare indicators and the growing prevalence of non-communicable lifestyle related diseases, both the government and private sector realize the need to meet this basic demand. Today, the private sector provides 80 percent of the healthcare service.
Detailed study of the healthcare systems and roles of the key insurance players in the drug reimbursement process
Analysis of the major pricing and reimbursement mechanisms in India.
Key trends that follow from the recent changes brought about in the pricing and reimbursement mechanism.
Build an understanding of the possible major challenges brought about by the enactment of changes in the pricing and reimbursement scene in India.
Reasons to buy
Build understanding of the pharmaceuticals related key pricing and reimbursement mechanisms in India and also specifically in some states of India.
Optimize your investment through the identification and understanding of the changes in the pharmaceuticals regulatory mechanism in the Indian economy.
Develop effective business strategies related to new drug launches through the analytical insight gained from key trends in the pricing and reimbursement scene of India.
Improve negotiations with the government agencies to maximize reimbursement on the drugs by understanding the mechanism.
1 Table of Contents
1 Table of Contents 3
1.1 List of Tables 5
1.2 List of Figures 5
2 Pricing and Reimbursement in India – Introduction 6
2.1 GBI Research Report Guidance 6
3 Pricing and Reimbursement in India – Overview 7
3.1 Introduction to Healthcare System in India 7
3.1.1 Healthcare Expenditure Highly Correlated with GDP 7
3.1.2 Estimated Public Health Spending as a Percentage of GDP 9
3.1.3 Health Expenditure per Capita 9
3.1.4 Out-of-Pocket Health Expenditure as a Percentage of Private Expenditure on Health 10
3.1.5 Demographics by Age 10
3.2 Public Healthcare System 11
3.2.1 Drug Distribution in the Public Sector 12
3.3 Private Healthcare System 12
3.4 Rationale for Drug Use in the Healthcare Facilities 13
4 Pricing and Reimbursement in India- Overview of Pharmaceutical Regulations in India 14
4.1 PEST Analysis of the Pharmaceutical Industry in India 14
4.2 Regulatory Bodies in the Indian Pharmaceutical Sector 15
4.2.1 National Pharmaceutical Pricing Authority (NPPA) 15
4.2.2 Drug Prices Control Order (DPCO) 16
4.2.3 The Pharmaceutical Policy, 2002 16
5 Pricing and Reimbursement in India- Pricing of Drugs 17
5.1 Introduction 17
5.1.1 Price Registration Process in India 18
5.1.2 International Price Comparison 19
5.2 Price Setting Procedures 21
5.2.1 Essential Drugs List (EDL) Pricing 21
5.2.2 Pricing Methodology for the Essential Drugs 24
5.2.3 Factors Determining the Pricing of the Drugs 25
5.2.4 Criteria for Selection of Drugs for Price Control 26
5.3 Pricing of Formulations 27
5.4 Annual Price Adjustments 28
5.5 Distribution of the Price Reduction Under National Pharmaceuticals Pricing Policy 2011 29
5.6 Branded Generics Share 30
5.6.1 India-Specific Pricing 31
5.6.2 Pricing Approach to Patented Drugs 32
5.6.3 Pricing of the Orphan Drugs 34
5.6.4 Introduction of the Jan Aushadhi Shops 36
6 Pricing and Reimbursement in India – Reimbursement Scenario in India 37
6.1 Introduction 37
6.2 Health Insurance 38
6.2.1 Central Government Health Scheme 39
6.2.2 Employees State Insurance Scheme 39
6.3 Medical Reimbursement in India 40
6.3.1 Reimbursement Plans of Major Insurance Players 40
6.3.2 Private and Public Sector Insurance Companies in India 43
6.4 Reimbursement Policies in Other Countries 44
6.5 Out-of-Pocket (OOP) Expenditures 45
6.5.1 Co-Payment 46
6.5.2 Out-of-Pocket Expenditures in India 47
6.5.3 Comparison of OOP Expenditures 48
6.5.4 Irrational Drug Usage 48
6.6 Universal Health Care 49
6.7 Trends in Drug Reimbursement Policies 51
6.7.1 Health insurance Scenario in India 52
6.7.2 Challenges in Health Insurance 52
7 Pricing and Reimbursement in India – Conclusion 53
8 Pricing and Reimbursement in India – Appendix 54
8.1 Market Definitions 54
8.2 Abbreviations 54
8.3 Research Methodology 54
8.3.1 Coverage 54
8.3.2 Secondary Research 55
8.3.3 Primary Research 55
8.3.4 Expert Panels 56
8.4 Contact Us 56
8.5 Disclaimer 56
8.6 Sources 57
1.1 List of Tables
Table 1: Pricing and Reimbursement in India, Centre’s Expenditure on Health and Family Welfare, 2004-2010 7
Table 2: Pricing and Reimbursement in India, Estimated Public Health Spending (%) of the BRIC nations, the US, the UK and Japan, 2010-2050 9
Table 3: Pricing and Reimbursement in India, Health Expenditure per Capita ($), BRIC, The US, The UK, Japan, 2006-2009 9
Table 4: Pricing and Reimbursement in India, Out-of-Pocket Health Expenditure as a Percentage of Private Expenditure on Health, (%), BRIC, The US, The UK, Japan, 2006-2009 10
Table 5: Pricing and Reimbursement in India, Demography by Age, 2011 10
Table 6: Pricing and Reimbursement in India, Public Healthcare System in India & The US (Rate), 2010 11
Table 7: Pricing and Reimbursement in India, Rationale for Drug Use in India by WHO, 2010 13
Table 8: Pricing and Reimbursement in India, Essential Drugs List, 2011 22
Table 9: Pricing and Reimbursement in India, Categories of Drugs and MAPE, DPCO 1979 24
Table 10: Pricing and Reimbursement in India, Number of Drugs under DPCO, Year-on-Year 1970-2011 25
Table 11: Pricing and Reimbursement in India, Distribution of the Price Reduction of Drug, 2011 29
Table 12: Pricing and Reimbursement in India, Drug Price Comparison, Market Price & Jan Aushadhi Price, 2011 36
Table 13: Pricing and Reimbursement in India, Non-Profit Social Insurance Schemes in India, 2011 39
Table 14: Pricing and Reimbursement in India, Health Insurance Policy of the OICL, 2011 40
Table 15: Pricing and Reimbursement in India, Private and Public Sector Health Insurance Companies, 2011 43
Table 16: Pricing and Reimbursement in India, Reimbursement Policies in the Top Five Countries of Europe, 2011 44
Table 17: Pricing and Reimbursement in India, Co-Payments in Other Countries, 2011 46
Table 18: Pricing and Reimbursement in India, Out-of-Pocket Expenditures in India, 2011 47
Table 19: Pricing and Reimbursement in India, Comparison of OOP Expenditures, 2011 48
Table 20: Pricing and Reimbursement in India, Irrational Drug Usage in India, 2010 48
Table 21: Pricing and Reimbursement in India, Percentage of Untreated Population in India, 2010 49
Table 22: Pricing and Reimbursement in India, Difference between Co-op and Market Price of Generic Medicines, 2011 50
Table 23: Pricing and Reimbursement in India, Trends in Indian Healthcare Industry, 2011 51
1.2 List of Figures
Figure 1: Pricing and Reimbursement in India, Healthcare Expenditure in India, 2010 8
Figure 2: Pricing and Reimbursement in India, PEST Analysis of the Indian Healthcare Industry 14
Figure 3: Pricing and Reimbursement in India- Pricing of Bulk Drugs in India, 2011 17
Figure 4: Pricing and Reimbursement in India, Price Registration Process in India, 2011 18
Figure 5: Pricing and Reimbursement in India, Value-Based Pricing, 2010 19
Figure 6: Pricing and Reimbursement in India, Impact Analysis – Reference Pricing, 2010 20
Figure 7: Pricing and Reimbursement in India, Factors Determining the Pricing of the Drugs, 2011 25
Figure 8: Pricing and Reimbursement in India, Pricing of Formulations in India, 2011 27
Figure 9: Pricing and Reimbursement in India, Trends in Drug Prices, 1995-2010 28
Figure 10: Pricing and Reimbursement in India, Branded Generics Share in India, 2010 30
Figure 11: Pricing and Reimbursement in India, India-Specific Pricing, 2010 31
Figure 12: Pricing and Reimbursement in India, Concerns Regarding the Pricing of the Patented Drugs 32
Figure 13: Pricing and Reimbursement in India, Global Pricing of Orphan Drugs, 2010 34
Figure 14: Pricing and Reimbursement in India, Challenges in Indian Healthcare System, 2011 37
Figure 15: Pricing and Reimbursement in India, Health Insurance in India, 2011 38
Figure 16: Pricing and Reimbursement in India, Specific Disorders Not Covered in the Policy, 2011 42
Figure 17: Pricing and Reimbursement in India, Out-of-Pocket Expenditures in India, 2011 45
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Words used in this article:
lets get straight to our panel. in washington,
finney, columnist for the hill and former
as well as political analyst. ken vogel, the chief reporter for politico and professor
at lee high university. i want to show you a photograph of
over the weekend with his son in
. is that enough to woo female voters? or is this just another example of how wealth affects health? because mr.
has no shortage of money.
well, you know, i have to say neither picture probably hurts either one of them. they both look pretty good for their age, to be honest.
was smart enough in that picture to realize that maybe he shouldnt bare his chest. so he has a body suit on. that was a smart decision. more decisions like, that he might end up actually doing much better in the election than we colonelly think he will.
specifically, will that help him with women?
i think it would be more likely to help him with younger voters than women voters. really, if youre going to try to turn on the women voters, you would probably go for the picture of obama. he is looking pretty hot. and if youre young, youre thinking it is pretty cool that the guy can hang ten.
has to undo the damage brought during this nasty gop contest. or i want to suggest to you, does he just keep doing the same? or this time its paid for by
and its targeted by the president.
no doubt the
campaign will rely on heavily on these outside groups including the ones funded or conceived, and funded with assistance from
. those groups,
gps are expected to spend $300 million mostly on hard hitting ads on
. that does allow
to pivot to the
strategy. that picture that we just joked about is part of it. an effort to humanize him. we saw additional efforts along those lines with
, his wife, fairating this video that talks about their days back at home when their children were young. thats an effort to reex out to voters who might have only seen him during this time.
he is on the coast of a place where he lives in
where he owns a $12 million mansion. i mean, is that really pivoting? im just asking. stop laughing.
its a good point. and he is out on the beach. people can identify with that. you have the picture released of him painting
. you raise a fundamental
that he will have to clear if he will be able to identify with
and the voters who thus far probably have a pretty narrow perception of him. that is not going down to his benefit.
professor peterson, american
, a republican super pac, has around $200 million to spend. and
has now joined up with the
campaign. so does
in effect now have the bush hit team on his side ready to go after the president?
well, he does. and i think youll see other republican entities consolidating and working to support mr.
. although we all know that a lot of republican strategists dont think there is a way for mr.
to win, they will make a good showing and all the resources they have at their disposal, they will use to try to attack the president and show the presidents record is somehow not what it is.
, i have to mention night
he is beginning to draw my sympathy for the sorry state of his campaign.
youre not sim that aies 32ing with him.
i am trying to. he is carrying close to $5 million in debt. he admits that
has bested him. there there be enough takers of his $50 photograph to help with his debts?
i dont think so. i dont know that most folks would pay a dollar. sorry, mr.
. what will be interesting is the more we learn about some of these holdings and some of these other organizations like the one that filed for bankruptcy last week. a little bit of sort of three card monty in terms of the accounting practices that mr.
may have participated in. i think that will be the most interesting piece on that.
i wonder how much longer hell be cheerful for?
finny, ken vogue and he will mr. peterson. thank you for joining us.
Posted by Admin in Uncategorized on April 24, 2012
Lohrers briefing attacks some of the numbers the service has used in its comparison between the C-27 and C-130 such as the 25-year lifecycle costs. Schwartz cited the C-27J 25-year lifecycle cost at $308 million. He said the C-130J similarly cost the Air Force $213 million and the C-130H $185 million.
The Ohio Guardsman argues that the Air Force added 53 more airmen than the C-27J needs to its cost analysis to push the 25-year life-cycle price up an additional $112 million. Lohrer said he found early analysis the Air Force did that dropped the C-27J 25-year lifecycle costs all the way down to $111 million.
Kevin Williams, a retired Air Force colonel who is one of the services leading analysts, said Friday he has no idea where Lohrer came up with the $111 million figure.
It doesnt exist in any formal authorized signed document. That then becomes the basis of kind of like a math problem when you have the wrong number of the first step of your process and that error ripples through everything else, said Williams, the deputy director of Air Force Headquarters Studies and Analyses, Assessments and Lessons Learned directorate, better known as A9.
Williams also questioned the figure Lohrer used for cost per flying hour. Williams said the service had tabulated each C-27 marginal flying hour to cost $2,700, not $2,100, as Lohrer had written in his briefing.
Williams said Lohrer was wrong to criticize the manning figures the Air Force used in its C-27 life cycle cost analysis because that data came directly from the Air Guard.
Williams told a group of reporters and defense analysts Friday that Lohrer and the Ohio Air Guard should have consulted the Air Force before publishing his briefing.
We cant find anyone in A9 who ever heard from anyone in the Guard about wanting to validate or verify the numbers they were using, Williams said.
Schwartz and Air Force Secretary Michael Donley have repeatedly said that Guard and Reserve leaders were included in the discussions over service cuts. However, a Guard and Reserve leader was noticeably absent from Fridays roundtable organized by Air Force leaders to explain the services analysis for its 2013 budget.
Williams echoed Schwartz and Donley, saying his dispute over Lohrers data shouldnt be read as an argument between the Guard and the active component. However, the tension between the active and reserve components continues to grow.
The adjutants general for all 50 states along with Guam, Puerto Rico, the US Virgin Islands and Washington DC signed a letter to the Senate Armed Services Committee in February saying the Air Forces budget analysis was filled with flawed processes, assumptions and criteria that produced the Air Force budget request.
Multiple Guard members said the meeting was held specifically to quiet the uproar caused by Lohrer and Walters briefings and to allow the services active component to regain the upper hand in the debate over service cuts.
One Guard official, who asked not to be identified because the person was not authorized to speak officially, asked Military.com to draw an obvious conclusion from the Air Force officials at Fridays briefing.
How many Guardsmen did the Air Force go out of its way to provide you in that budget briefing? the Guard official asked. I bet zero — and theres a reason for that.