Podcasts about ep306

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Best podcasts about ep306

Latest podcast episodes about ep306

經典也青春
經典也青春EP330:馬欣談史考特.費茲傑羅的《冬之夢》

經典也青春

Play Episode Listen Later Jun 17, 2021 21:09


主題書籍:《冬之夢》 本集邀請到作家、影評人馬欣,為聽眾朋友們領讀史考特.費茲傑羅的短篇傑作選——《冬之夢》。 史考特.費茲傑羅最廣為人知的小說,也是美國夢的象徵——《大亨小傳》,描寫出美國的繁華和美好年代。而今天要介紹的作品《冬之夢》,是費茲傑羅早期的短篇集,同時也是《大亨小傳》的原型,道盡所有關於愛的執迷與虛幻。 領讀人馬欣稱這部作品是一部「療傷之作」,全作儘管悲哀卻也充滿洗禮效果,一句話就寫出繁華也寫出落盡,讓人看到文字的多體面,也能直視費茲傑羅內心深處的悲傷。 本次特別挑選了《冬之夢》,馬欣說這也是一部很適合疫情期間閱讀的書籍,能讓我們能直視生命必然的週期,而非粉飾太平的去逃避它。 你是否曾在努力追求後發現一切只是徒然? 亦或者是結果不如預期、卻在整個過程體悟出意料之外的收穫? 本週就讓作家馬欣,在這個特別的時期,為聽眾朋友們領讀這部另類的療癒之作——《冬之夢》。 更多精彩內容,請收聽本集的經典也青春。 延伸閱讀: 《冬之夢》電子書 https://readmoo.com/book/210000846000101 經典也青春EP287:馬欣談余華的《活著》 https://podcast.readmoo.com/ohclassics/detail/20200820 經典也青春EP306:張惠菁談艾力克.菲耶的《長崎》 https://podcast.readmoo.com/ohclassics/detail/20201231 經典也青春EP204:張惠菁談《山之音》 https://podcast.readmoo.com/ohclassics/detail/20181220 經典也青春 EP126:林蒔慧談《過於喧囂的孤獨》 https://podcast.readmoo.com/ohclassics/detail/20170525 經典也青春EP242:崔舜華談尉天驄的《到梵林墩去的人》 https://podcast.readmoo.com/ohclassics/detail/20190912

Virginia Water Radio
Episode 576 (5-10-21): An Introduction to Springs

Virginia Water Radio

Play Episode Listen Later May 11, 2021


Click to listen to episode (3:56)Sections below are the following:Transcript of AudioAudio Notes and AcknowledgmentsImagesExtra InformationSourcesRelated Water Radio EpisodesFor Virginia Teachers (Relevant SOLs, etc.) Unless otherwise noted, all Web addresses mentioned were functional as of 5-7-21. TRANSCRIPT OF AUDIO  From the Cumberland Gap to the Atlantic Ocean, this is Virginia Water Radio for the week of May 10, 2021.  This revised episode from August 2011 is part of a series this year of groundwater-relatedepisodes. MUSIC – ~ 12 sec – instrumental This week, that music opens an episode about a natural resource marking water’s transition from underground to the land’s surface.  We start with a series of guest voices and mystery names.  Have a listen for about 25 seconds, and see if you can guess what kind of water resource connects this series of names and, by the way, is in the title of this week’s opening music.  And here’s a hint: settlements around the world have SPRUNG up around this resource. FLOWING WATER SOUND and VOICES - ~25 sec – “Yellow Sulphur, Laurel, Augusta, Iron Hill, Lacy, Willow, Highland, Glade, Virginia Mineral, Barren, Warm, Bloomer.”If you guessed springs, you’re right!  The opening music is titled “John Ashe’s Spring,” by the western Virginia-based band New Standard, referring to a spring in Ivy, Virginia.  The guest voices called out some of the many Virginia places named for nearby springs.  Some places, such as Yellow Sulphur Springs in Montgomery County, developed as recreational or health-promoting attractions for bathers and spa-goers.  But many towns and other settlements grew up near springs because the springs provided access to convenient, reliable drinking water; in fact, many Virginia public water systems still use springs as a water source.But what, exactly, is a spring?  Simply put, it’s a place where groundwater becomes surface water.  Springs appear where groundwater moves from underground storage areas to the land surface, particularly in low-lying areas and along hillsides or slopes.  Springs are found throughout Virginia, but most commonly in the western part of the Commonwealth among the Ridge and Valley region’s karst landscapes, which are also noted for caves, caverns, sinkholes, and sinking creeks.Thanks to Quinn Hull for creating this episode and to citizens in downtown Blacksburg for lending their voices.  Thanks also to New Standard for permission to use this week’s music, and we close with about 20 more seconds of “John Ashe’s Spring.” MUSIC – ~ 23 sec – instrumental SHIP’S BELL Virginia Water Radio is produced by the Virginia Water Resources Research Center, part of Virginia Tech’s College of Natural Resources and Environment.  For more Virginia water sounds, music, or information, visit us online at virginiawaterradio.org, or call the Water Center at (540) 231-5624.  Thanks to Stewart Scales for his banjo version of Cripple Creek to open and close this show.  In Blacksburg, I’m Alan Raflo, thanking you for listening, and wishing you health, wisdom, and good water. AUDIO NOTES AND ACKNOWLEDGEMENTS This Virginia Water Radio episode replaces Episode 75, 8-15-11.  The original episode was created by Quinn Hull, who recorded the guest voices in Blacksburg, Va., in August 2011. “John Ashe’s Spring,” from the 2016 album “Bluegrass,” is copyright by New Standard, used with permission.  The title refers to a spring near Ivy, Virginia (Albemarle County).  More information about New Standard is available online at http://newstandardbluegrass.com. Click here if you’d like to hear the full version (1 min./11 sec.) of the “Cripple Creek” arrangement/performance by Stewart Scales that opens and closes this episode.  More information about Mr. Scales and the group New Standard, with which Mr. Scales plays, is available online at http://newstandardbluegrass.com. IMAGES Big Spring north of Leesburg, Va. (Loudoun County), December 10, 2006.Piped spring along the Appalachian Trail in Washington County, Va., December 14, 2008.Spring locations in a Virginia Department of Environmental Quality database, as of 2016.  Map accessed at http://www.deq.virginia.gov/Programs/Water/WaterSupplyWaterQuantity/GroundwaterCharacterization/SpringDatabase.aspx, on July 28, 2017; the map was no longer available at that URL as of May 11, 2021. EXTRA INFORMATION ABOUT SPRINGS IN VIRGINIA The following information was taken from J.A. Poff, A Homeowner’s Guide to the Development, Maintenance, and Protection of Springs as a Drinking Water Source, Virginia Water Resources Research Center, Blacksburg, 1999, available online at https://vtechworks.lib.vt.edu/handle/10919/55268. (from pages 11-12): “In 1928, a team of geologists…explored Virginia’s fields and forest in search of springs.  They located over 500 springs in the Valley and Ridge Province.  Most of the springs were concentrated in the Shenandoah Valley and the counties of August, Rockbridge, Rockingham, Shenandoah, Bath, and Highland.  This is an area of karst topography, where water-soluble limestone is perforated by channels, caves, sinkholes, and underground caverns, and has an abundance of springs.  Researchers from the Department of Fisheries and Wildlife Sciences at Virginia Tech continued this survey some 50 years later.  The research team located more than 1,600 additional springs.  Most of the springs were on private lands west of the Blue Ridge.” (from pages 15-16): “Both cold-water and thermal (warm or hot water) springs are found in Virginia.  The Virginia Tech researchers located more than 1500 cold-water springs and 100 thermal springs.  The water temperature of cold-water springs averages between 52 and 58 degrees Fahrenheit (F), about the same as the mean air temperature.  Thermal springs with waters heated deep within the earth flow at temperatures of 100 to 600 F year-round. Warm springs have a mean water temperature greater than average air temperature but less than 98 F; hot springs have mean water temperatures above 98 F.”   SOURCES Used for Audio Cultural Landscape Foundation, “Yellow Sulphur Springs (Christiansburg, Virginia),” online at https://tclf.org/landscapes/yellow-sulphur-springs. DeLorme Company of Yarmouth, Maine, Virginia Atlas & Gazetteer, 2000. Philip LaMoreaux and Judy Tanner, eds., Springs and Bottled Waters of the World:  Ancient History, Source, Occurrence, Quality, and Use, Springer-Verlag, Berlin and Heidelberg Germany, 2001; information available online at https://www.researchgate.net/publication/321613235_Springs_and_Bottled_Waters_of_the_World_Ancient_History_Source_Occurence_Quality_and_Use(subscription may be required). J.A. Poff, A Homeowner’s Guide to the Development, Maintenance, and Protection of Springs as a Drinking Water Source (Blacksburg: Virginia Water Resources Research Center, 1999), available online at https://vtechworks.lib.vt.edu/handle/10919/55268. Virginia Department of Conservation and Recreation, “Virginia Natural Heritage Karst Program,” online at https://www.dcr.virginia.gov/natural-heritage/karsthome; see particularly “Introduction to Virginia’s Karst,” online (as a PDF) at https://www.dcr.virginia.gov/natural-heritage/document/introvakarst.pdf. Virginia Department of Environmental Quality, “Commonwealth of Virginia State Water Resources Plan,” April 2015, available online at https://www.deq.virginia.gov/water/water-quantity/water-supply-planning/virginia-water-resources-plan. Virginia Museum of History and Culture, “The Regions of Virginia,” online at https://virginiahistory.org/learn/regions-virginia. For More Information about Groundwater Charles W. Carlston, “Notes on the early history of water-well drilling in the United States,” Economic Geology (Vol. 38, pages 119-136, 1943); available online at https://pubs.geoscienceworld.org/segweb/economicgeology/article/38/2/119/15747/Notes-on-the-early-history-of-water-well-drilling(subscription may be required for access). Bruce Misstear et al., Water Wells and Boreholes, John Wiley & Sons, Chichester, England, 2006. National Speleological Society, online at http://www.caves.org/. U.S. Environmental Protection Agency (EPA) “Ground Water and Drinking Water,” online at https://www.epa.gov/ground-water-and-drinking-water. George Veni et al., “Living with Karst,” American Geological Institute Environmental Awareness Series, 2001; available online at http://www.agiweb.org/environment/publications/karst.pdf. Virginia Administrative Code, “Private Well Regulations,” Section 12 VAC 5-630, online at https://law.lis.virginia.gov/admincode/title12/agency5/chapter630, [“Design and Construction Criteria” are in Part III, starting at Section 12 VAC 5-630-350.] Virginia Water Resources Research Center groundwater-related publications from the 1980s to the 2000s are listed and linked online at https://vtechworks.lib.vt.edu/handle/10919/23964/discover?rpp=10&etal=0&query=groundwater&group_by=none&page=3.  Here are two key publications:*Author unidentified, A Guide to Private Wells, 1995, online at https://vtechworks.lib.vt.edu/handle/10919/55265.*J.A. Poff, A Guide to Virginia’s Groundwater, 1997, online at https://vtechworks.lib.vt.edu/handle/10919/55247. RELATED VIRGINIA WATER RADIO EPISODES All Water Radio episodes are listed by category at the Index link above (http://www.virginiawaterradio.org/p/index.html). Following are links to other groundwater-related episodes.  Note that some of these episodes are being re-done in May-June 2021, following posting of this episode.  If that has occurred at the time you are viewing this post, the links below will redirect you to the updated episodes.Caves, caverns, and other karst features – Episode 527, 6-1-20 (featuring Luray Caverns’ Great Stalacpipe Organ).Eastern Virginia groundwater and the SWIFT project – Episode 534, 7-20-20.Groundwater introduction – Episode 575, 5-3-21 (re-do of EP306 – 3/7/16).Information sources on Virginia’s water resources generally, including groundwater) – Episode 546, 10-12-20.Testing water from wells and other household sources – Episode 361, 3-27-17.Virginia’s Western Highlands and thermal springs – Episode 379, 7-31-17.Well construction – Episode 219, 6-23-14.Winter precipitation and water supplies, including the role of groundwater replenishment – Episode 567, 3-8-21. FOR VIRGINIA TEACHERS – RELATED STANDARDS OF LEARNING (SOLs) AND OTHER INFORMATION Following are some Virginia Standards of Learning (SOLs) that may be supported by this episode’s audio/transcript, sources, or other information included in this post. 2020 Music SOLs SOLs at various grade levels that call for “examining the relationship of music to the other fine arts and other fields of knowledge.” 2018 Science SOLs Grades K-5: Earth and Space Systems3.7 – There is a water cycle and water is important to life on Earth. Grades K-5: Earth Resources3.8 – Natural events and humans influence ecosystems.4.8 – Virginia has important natural resources. Grade 66.6 – Water has unique physical properties and has a role in the natural and human-made environment.6.8 – Land and water have roles in watershed systems.6.9 – Humans impact the environment and individuals can influence public policy decisions related to energy and the environment. Earth ScienceES.6 – Resource use is complex.ES.8 – Freshwater resources influence and are influenced by geologic processes and human activity. 2015 Social Studies SOLs Grades K-3 History Theme1.2 – Virginia history and life in present-day Virginia. Grades K-3 Geography Theme1.6 – Virginia climate, seasons, and landforms. Grades K-3 Economics Theme

culture bay humans university design agency america guide music berlin natural earth state audio living college times swift history valley world for more information map england accent dark testing tech water web index land rain united states pond research ocean government education recreation conservation development vol maine spring springs chesapeake snow caves environment images montgomery county va bath yarmouth msonormal maintenance commonwealth stream highland normal worddocument zoom donotshowrevisions voices sons arial environmental citizen times new roman trackmoves trackformatting punctuationkerning saveifxmlinvalid ignoremixedcontent compatibility breakwrappedtables dontgrowautofit latentstyles deflockedstate latentstylecount latentstyles style definitions msonormaltable table normal donotpromoteqf lidthemeother lidthemeasian x none snaptogridincell wraptextwithpunct useasianbreakrules mathpr mathfont cambria math brkbin brkbinsub smallfrac dispdef lmargin rmargin defjc centergroup wrapindent intlim subsup narylim undovr defunhidewhenused defsemihidden defqformat defpriority lsdexception locked priority semihidden unhidewhenused qformat name normal name title name default paragraph font name subtitle name strong name emphasis name table grid name placeholder text name no spacing name light shading name light list name light grid name medium shading name medium list name medium grid name dark list name colorful shading name colorful list name colorful grid name light shading accent name light list accent name light grid accent name revision name list paragraph name quote name intense quote name dark list accent name colorful shading accent name colorful list accent name colorful grid accent name subtle emphasis name intense emphasis name subtle reference name intense reference name book title name bibliography name toc heading shenandoah shenandoah valley bluegrass grade ancient history colorful resource chichester signature piped warm iron hill karst scales blue ridge washington county appalachian trail watershed transcript vac researchers wg freshwater epa virginia tech sprung atlantic ocean groundwater natural resources thermal homeowner grades k glade drinking water fisheries environmental quality name normal indent name list name list bullet name list number name closing name signature name body text name body text indent name list continue name message header name salutation name date name body text first indent name note heading name block text name document map name plain text name e name normal web name normal table name no list name outline list name table simple name table classic name table colorful name table columns name table list name table 3d name table contemporary name table elegant name table professional name table subtle name table web name balloon text name table theme name plain table name grid table light name grid table light accent dark accent colorful accent name list table ep306 earth science heidelberg germany poff acknowledgments blacksburg virginia museum regions environmental protection agency barren msohyperlink occurrence loudoun county usi sections john wiley stormwater policymakers bmp rockingham new standard bloomer virginia department leesburg cripple creek big spring cumberland gap sols tmdl springer verlag united states history virginia standards water center usic space systems audio notes
말술남녀 - 쉽고 맛있는 술이야기
EP306 조커게임 1-2 : 호가든.. 너 찐이었구나! (feat. 제주위트에일, 백록담에일, 스마일리 위트에일)

말술남녀 - 쉽고 맛있는 술이야기

Play Episode Listen Later Apr 15, 2021 27:13


EP306 조커게임 1-2 : 호가든.. 너 찐이었구나! (feat. 제주위트에일, 백록담에일, 스마일리 위트에일)

GirlOne
306:กำไรสะสม...ธุรกิจไปทำอะไรได้บ้าง?

GirlOne

Play Episode Listen Later Mar 8, 2021 16:42


EP306 กำไรสะสม...ธุรกิจไปทำอะไรได้บ้าง? เมื่อบริษัทดำเนินธุรกิจของตัวเองก็ต้องคาดหวังที่จะมีกำไร และเมื่อมีรายได้เกินกว่าค่าใช้จ่ายก็จะทำให้เงินที่คงไว้ในบริษัท (retained earnings) นั้น มีจำนวนเพิ่มมากขึ้นเรื่อยๆ พอเงินมีจำนวนมากขึ้นก็จะมีคนที่อยากจะเอามือมาจับมาใช้เงินก้อนนั้น ดังนั้นแล้วผู้บริหารของบริษัทนั้นๆ เขาสามารถเอาเงินหรือกำไรสะสมนี้ไปทำอะไรได้บ้างล่ะ นอกจากจะเก็บไว้เป็นเงินที่คงไว้ในบริษัทให้มากขึ้น ฟังได้ที่ youtue - https://youtu.be/ke0whDalsVg Podcast - https://anchor.fm/ratree อ่านเรื่องราวที่ https://www.facebook.com/girlone2020 *** บันทึกเสียง 6/3/2021 ***[9/3/2021] อ้างอิง https://tinyurl.com/5xyzzxkh, https://tinyurl.com/277tmae7 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/ratree/support

Relentless Health Value
AEE13: Have You Ever Wondered How GoodRx Makes Money? With Ge Bai, PhD, CPA

Relentless Health Value

Play Episode Listen Later Mar 2, 2021 8:10


In this health care podcast, Ge Bai explains GoodRx’s business model and how PBMs and pharmacies fit in to that business model. Here’s the short version: GoodRx takes advantage of the dysfunction in the pharmacy supply chain. And while they help patients save money, their master plan only works because pharmacies would be charging cash pay patients too much in most circumstances. Why, you might ask? Well, one reason is the big PBMs have contracts with pharmacies that stipulate the PBM must get the best prices. So, any patient wandering in off the street without a PBM card is going to always pay more than the rate a PBM can get for its patients. So, a pharmacy’s list price will always be more than the PBM price. I’ll let my guest in this episode, Ge Bai, explain this better and get into a few details; but that’s kind of the general level set there. Ge Bai, PhD, CPA, is an associate professor of accounting at Johns Hopkins Carey Business School and associate professor of health policy and management at Johns Hopkins Bloomberg School of Public Health. This “An Expert Explains” goes very nicely with EP306, in which Ge Bai and I talk about Amazon’s pharmacy and pharmacy model. So, you might want to check out that episode if you have not listened to it yet. You can connect with Ge on LinkedIn and Twitter. You can also learn more on her Web site at Johns Hopkins University. Ge Bai, PhD, CPA, is an associate professor of accounting at the Johns Hopkins Carey Business School and associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health. She is an expert on health care pricing, policy, and management. Dr. Bai has testified before the House Ways and Means Committee, written for the Wall Street Journal, and published her studies in leading academic journals such as the New England Journal of Medicine, JAMA, JAMA Internal Medicine, Annals of Internal Medicine, and Health Affairs. Her work has been widely featured on ABC, CBS, NBC, Fox News, CNN, and NPR and in the Los Angeles Times, New York Times, Wall Street Journal, Washington Post, and other media outlets and used in government regulations and congressional testimonies. 01:53 What’s the difference between GoodRx and Amazon Pharmacy? 02:17 “GoodRx pharmacy makes money from one fact, and one fact alone.” 03:43 “On the surface, it looks like the patients are paying cash without any middleman; but in reality, the patients are paying cash by using a network created by a PBM.” 04:52 “GoodRx contracts with a network of PBMs.” 06:06 Where does the pharmacy fit in this deal? You can connect with Ge on LinkedIn and Twitter. You can also learn more on her Web site at Johns Hopkins University. @GeBaiDC discusses how GoodRx makes money on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma What’s the difference between GoodRx and Amazon Pharmacy? @GeBaiDC discusses how GoodRx makes money on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma “GoodRx pharmacy makes money from one fact and one fact alone.” @GeBaiDC discusses how GoodRx makes money on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma “On the surface, it looks like the patients are paying cash without any middleman; but in reality, the patients are paying cash by using a network created by a PBM.” @GeBaiDC discusses how GoodRx makes money on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma Where does the pharmacy fit in this deal? @GeBaiDC discusses how GoodRx makes money on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma  

經典也青春
經典也青春EP314:冬陽談加納朋子的《七個孩子》

經典也青春

Play Episode Listen Later Feb 25, 2021 20:20


主題書籍:《七個孩子》 本集的經典也青春,邀請到台灣推理作家協會董事長,同時也是推理評論者、選書人以及策展人的冬陽,為聽眾朋友們介紹有「日本浪漫唯美故事的魔術師」之稱的加納朋子經典推理作品——《七個孩子》。 《七個孩子》是一部跨越世紀的作品,從上的世紀開始變時常出現在各大榜單上,有別於其他推理中難免會出現的血腥暴力,這不是一部十分溫暖、卻深入日常的推理小說。 故事以一種「書中書」的趣味方式呈現,富含童謠的趣味和優雅的文筆,打破一般大眾對於「推理」的想像,是一部十分療癒,卻又能滿足解謎樂趣的溫暖作品。 為什麼《七個孩子》能夠長銷二十年?加納朋子的作品又有什麼樣的魔力,至今仍深受讀者喜愛呢? 本週就讓冬陽為聽眾朋友們領讀這部適合迎接春天的溫暖推理經典——《七個孩子》。 更多精彩內容,請收聽本集的經典也青春。 延伸閱讀: 《七個孩子》 https://readmoo.com/book/210128860000101 經典也青春EP259:陳輝龍談宮澤賢治的《要求特別多的餐廳》 https://podcast.readmoo.com/ohclassics/detail/20200109 經典也青春EP306:張惠菁談艾力克.菲耶的《長崎》 https://podcast.readmoo.com/ohclassics/detail/20201231 經典也青春EP291:戴偉傑談佐野洋子、谷川俊太郎的《兩個夏天》 https://podcast.readmoo.com/ohclassics/detail/20200917 經典也青春EP206:夏夏談《窗邊的小荳荳》 https://podcast.readmoo.com/ohclassics/detail/20190103 經典也青春EP267:栞談宮部美幸的《誰?》 https://podcast.readmoo.com/ohclassics/detail/20200305 本節目由 IC之音竹科廣播與 Readmoo讀墨電子書 聯合製播。 

「經典也青春」網站:podcast.readmoo.com

Coffee Break: Señal y Ruido
Ep306_Suplementos: Versión Original Entrevista Avi Loeb (v.o. en inglés)

Coffee Break: Señal y Ruido

Play Episode Listen Later Feb 11, 2021 24:18


Este audio es un suplemento a nuestro Ep306. Contiene la versión original en inglés de la entrevista al profesor Avi Loeb, hasta hace poco jefe de astronomía de la Universidad de Harvard y autor del libro "Extraterrestre" sobre 'Oumuamua. Puedes escuchar el episodio completo, que incluye la entrevista en español y nuestro análisis sobre este y otros temas, en el episodio 306 de Coffee Break: Señal y Ruido: https://www.ivoox.com/podcast-coffee-break-senal-ruido_sq_f1172891_1.html

Colombia Calling - The English Voice in Colombia
357: Colombia's Ancient Trails Mapped! DestinoChicamocha.com is born

Colombia Calling - The English Voice in Colombia

Play Episode Listen Later Jan 5, 2021 48:58


Picking up where he left off exactly a year ago in Ep306, mountain trekking guide Gabriel Torres reports back in to the Colombia Calling podcast to inform us that his project to map many of the ancient trails in Santander has moved forward significantly. With the support of the French NGO Tetraktys a new project entitled www.destinochicamocha.com is coming into fruition. Gabriel Torres in joined on Ep357 with Gwenn Prevot of the NGO to talk to us about the importance of the region of Santander for hiking in Colombia, local sustainable tourism within communities and how to appeal to both a Colombian and international market. There's also the chance for you to win a competition and make your mark on this region, please tune in to find out more!

Relentless Health Value
Encore! EP216: How Medicare Part D Plans Became Addicted to Drug Rebates, With Chris Sloan From Avalere Health

Relentless Health Value

Play Episode Listen Later Dec 31, 2020 31:44


Alex Azar, who is the current Health and Human Services (HHS) secretary (until January 21 anyway), came out with a reboot of the proposal that effectively halts the practice of pharma manufacturers paying rebates to Part D plans. This reboot is supposed to go into effect on 1/1/2022. But this podcast is less about this may-or-may-not-actually-happen rule and is more about the actual impact of removing drug rebates within this unintuitively constructed health care system of ours. Should rebates go away, it’s actually a big deal that fundamentally could upend the heretofore-not-transparent messy middle of drug pricing. I’ll let Chris Sloan, associate principal over at Avalere Health, explain. Spoiler alert: The impact of killing pharma rebates to plans and PBMs (pharmacy benefit managers)? Bottom line, everybody’s insurance premiums go up in the current model when rebates go away. A few episodes from now, I’m talking with Ge Bai about why this is a suboptimal and not forgone conclusion. But this is what we’ve got going on right now. So, look for EP306 coming up for more on that. You can learn more at avalere.com.   Chris Sloan, associate principal at Avalere, advises a number of clients—including pharmaceutical manufacturers, health plans, providers, and patient groups—on key policy issues facing the health care industry. Chris’s economic analyses of key policy proposals and issues, including drug pricing and the repeal and replace efforts around the Affordable Care Act, have been featured in a wide range of publications, including the Wall Street Journal, the New York Times, the Washington Post, Politico, Axios, and Vox. 02:35 “Rebates are a really big part of Medicare Part D.” 02:49 What the “follow the dollar” looks like in this scenario. 04:14 How rebates between PBMs and manufacturers work, and how list prices play into this. 05:31 How this system can hurt the patient, and how this new proposal works to change that. 06:42 Pricing a product as a PBM. 08:06 The total dollar value of PBM rebates. 10:50 Do we know how much PBMs are making in incentives? 13:29 Are PBMs helping or hurting the process? 16:18 Why pharmaceutical manufacturers may be more compelled to raise their prices thanks to large PBMs. 17:13 Perverse incentives in the system. 17:57 “At the end of the day, PBMs are still going to be employed by health plans.” 18:56 How a new model is combating the perverse incentive that raises prices for patients. 22:11 The trade-off involving premium prices in this new proposal. 24:38 “We’re not talking astoundingly large amounts of money.” 25:12 Why PBMs and health plans are against this proposal. 26:02 Why Pharma is for this. 26:51 The perverse incentives for health plans. 28:39 The benefit of Part D. 29:25 The advantage of huge rebates. You can learn more at avalere.com.   @avalerechris discusses eliminated #drugrebates in this week’s #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma “Rebates are a really big part of Medicare Part D.” @avalerechris discusses eliminated #drugrebates in this week’s #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma What does following the dollar really look like? @avalerechris discusses eliminated #drugrebates in this week’s #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma Do we know how much #PBMs are making in incentives? @avalerechris discusses eliminated #drugrebates in this week’s #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma Are #PBMs helping or hurting the process? @avalerechris discusses eliminated #drugrebates in this week’s #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma “At the end of the day, PBMs are still going to be employed by health plans.” @avalerechris discusses eliminated #drugrebates in this week’s #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma “We’re not talking astoundingly large amounts of money.” @avalerechris discusses eliminated #drugrebates in this week’s #healthcarepodcast. #healthcare #podcast #digitalhealth #pharma

The Gaming Outsider
Ep 306 | Carrion, Grounded & Gaming Cliches

The Gaming Outsider

Play Episode Listen Later Aug 5, 2020 108:51


On Ep 306, the crew discusses gaming cliches and whether or not they believe they should go away in future titles. New games discussed include Carrion and Grounded, plus, CB and Spencer continue working through Ghost of Tsushima. On This Episode (Start) Welcome/Introduction (6:06) News (36:42) Carrion (Xbox One) (45:26) Grounded (Xbox One) (51:24) Intrepid Izzy (PC) (59:39) Ghost of Tsushima (PS4) (1:04:57) Assassin's Creed: Odyssey (PC) (1:07:46) From the Outside In Topic (“Gaming Cliches”) (1:48:12) Closing Grab the episode now on iTunes, Spotify, iHeartRadio, Google Play Music and more. If you love this episode and want other gaming content you can't get anywhere else, please support us on Patreon! Also, don't forget to check out our Discord Server.

Americana Music Show Podcast
The Plott Hounds thrive on extended jams (Ep306)

Americana Music Show Podcast

Play Episode Listen Later Jun 27, 2016 120:00


Noah Alexander of The Plott Hounds talks about growing up with southern rock, his chosen home town, and digging into extended jams. Also on this episode, I’ve got the new Felice Brothers album, new rock & roll from the Massy Ferguson band, and new folk rock from the Milagro Saints. I’ve also got more from the Honeycutters, Clint Morgan, the Hard Working Americans, and Mipso. "The Plott Hounds thrive on extended jams (Ep306)" originated from Americana Music Show.

Edict Zero - FIS
The third preview of EP306 – “Horizons (I)”

Edict Zero - FIS

Play Episode Listen Later Feb 17, 2015


Here’s the third preview of the upcoming episode EP306 – “Horizons (I)”, featuring Julie Hoverson as Special Agent Jewels Kircher and Phil Rossi as Special Agent Marcus Briggs. DOWNLOAD: Preview 3 of EP306 – “Horizons (I)”

Edict Zero - FIS
The Second Preview of EP306 – “Horizons (I)”

Edict Zero - FIS

Play Episode Listen Later Jan 24, 2015


Here’s the second preview of the upcoming episode EP306 – “Horizons (I)”, featuring James Keller as Special Agent Nick Garrett and Jack Kincaid as Captain Socrates. DOWNLOAD: Preview 2 of EP306 – “Horizons (I)”

Edict Zero - FIS
The First Preview of EP306 – “Horizons (I)”

Edict Zero - FIS

Play Episode Listen Later Jan 11, 2015


There will be one minute previews of the upcoming episode EP306 – “Horizons (I)” released over the course of the next month. This is the first. DOWNLOAD: Preview 1 of EP306 – “Horizons (I)”