Podcasts about rebates

MORE UNINTENTIONALLY FUNNY AI SLOP SHOWNOTES. Peter Hoistead? Thanks Gemini. Thanks listeners. We love you. Buy CBCo it's excellent beer. The Conditional Release Program - Episode 185: Federal Election 2025 Post-SpecialHosts: Joel Hill & Jack the Insider (Peter Hoistead)Overall Theme: A deep dive into the results and implications of the 2025 Australian Federal Election, focusing on Labor's historic victory, the Coalition's catastrophic loss, and the performance of minor parties and independents.Key Segments & Talking Points:(Part 1 - Approximate Timestamps based on original transcript, subject to adjustment)[00:00:00 - 00:01:23] Introduction & Election OverviewJoel laments being banned from betting on the election, particularly Labor's strong odds.Jack notes Joel would have won significantly, especially on Labor at $2.60.Historic Labor Win: Anthony "Albo" Albanese leads Labor to a significant victory.Libs sent into an "existential crisis."Albo is the first PM to be re-elected since John Howard in 2004.Largest Labor victory on a two-party preferred basis since John Curtin in 1943 (votes still being counted).Crucial Stat: The Albanese government is the only first-term government to have a swing towards it in Australian political history.[00:01:23 - 00:03:38] Significance of the Swing to LaborPrevious first-term governments (Howard '98, Hawke '84, Fraser '77, Whitlam '74, Menzies) all had swings against them when seeking a second term.Albo's government achieved an approximate 4% swing towards it (votes still being counted).Discussion points: Where it went right for Labor, and wrong for the Coalition, Greens, and Teals.Far-right "Cookers" performed terribly. Pauline Hanson's One Nation (FONY) might see minor representation.[00:03:38 - 00:05:11] Patreon & Sponsor Shout-outsReminder to support the podcast on Patreon: www.patreon.com/theconditionalreleaseprogram (for as little as $5/month).CB Co. Beer: Praised for their IPA and new Hazy XPA. Competition to win $100,000. Use code CRP10 for 10% off at cbco.beer.[00:05:11 - 00:08:52] Polling Inaccuracies & Liberal OptimismReiteration of the ~4% swing to Labor.Comparison of final poll predictions vs. actual results:Freshwater: Labor 51.5% (was Liberal pollster, told Libs they were close).Newspoll: 52.5% (Labor used their private polling).Essential: 53.5%.YouGov: 52.2% - 52.9%.Polling companies significantly underestimated Labor's vote, especially those advising the Coalition.The misplaced optimism at Liberal Party HQ on election night.[00:08:52 - 00:16:00] Specific Seat Results & Labor GainsGilmore (NSW South Coast): Fiona Phillips (Labor) won 55-45 (3-4% swing to her), despite Andrew Constance (Liberal) being the favourite.Bennelong (Howard's old seat): Jeremy Laxail (Labor) won 59-41 against Scott Young (problematic Liberal candidate), a 10% swing to Labor.Parramatta: Andrew Charlton (Labor) won 62-38 (was 53.47 in 2022).Aston (Victoria): Labor won in a historic by-election previously, now a 4% swing to the Labor candidate, winning 53-47.Boothby (SA): Louise Miller-Frost (Labor) achieved an 8% swing, holding the seat 61-39.Tangney (WA): Sam Lim (Labor, ex-cop & dolphin trainer) secured a 3% swing, now 56-44. Large Bhutanese diaspora noted.Leichhardt (FNQ): Labor's Matt Smith won 57-43 after Warren Entsch (LNP) retired (10% swing).Hunter (NSW): Dan Repiccioli (Labor) re-elected with 44% primary vote (5% swing on primary). Fended off Nats and One Nation (Stuart Bonds' inflated vote claims by "One Australia" on X).[00:16:00 - 00:18:49] Diversifying Parliament & Women in PoliticsPraise for non-lawyer backgrounds in Parliament (e.g., Dan Repiccioli, Sam Lim).Critique of the typical lawyer/staffer/union pathway.Labor's success in diversifying candidate backgrounds and increasing female representation.Liberals struggling with female representation despite some efforts. Discussion of potential quotas in the Liberal party and the backlash it would cause.Margaret Thatcher quote: "If you want something said, ask a man. If you want something done, ask a woman."[00:18:49 - 00:27:26] The Teals: Mixed Results & ChallengesInitial appearance of a Teal "romp" on election night.Bradfield (NSW North Shore): Teal Nicolette Boele (Burle/Bola) behind Liberal Giselle Kaptarian by 178 votes (updated during recording).Goldstein (VIC): Tim Wilson (Liberal) leading Zoe Daniel (Teal) by 925 votes. Wilson is likely back. Joel comments on Wilson's IPA association vs. his "gay, wet, mediocre, progressive side." Jack notes Wilson often highlights his sexuality.Jim Chalmers' quip about Tim Wilson: "Popular for all those who haven't met him."Kooyong (VIC): Monique Ryan (Teal) leading by 1002 votes (97,000 counted, ~8,000 postals to go). Redistribution added parts of Toorak, making it harder for Ryan.Liberal candidate Amelia Hamer: "Trust fund renter" controversy, owns multiple properties, London bolthole.Corflute wars in Kooyong: Hamer campaign's excessive use of A-frames, obstructing walkways, went to Supreme Court over council limits. Jack doubts the impact of corflutes.[00:27:26 - 00:31:28] Why Did the Teals Go Backwards?Liberal party invested heavily in Kooyong and Goldstein.Voters potentially preferring a local member who is a Minister or part of the government.Redistribution impact in Kooyong (addition of Toorak).Zali Steggall's success in Warringah partly due to "fruitcake" Liberal opponents like Katherine Deves.[00:31:28 - 00:40:37] The Greens: Significant LossesLost all lower house seats. Adam Bandt (leader) gone from Melbourne.Lost Brisbane (Max Chandler Mather) and Griffith back to Labor.Ryan (South Brisbane): Likely Labor win in a three-way contest.Greens will have no lower house representation.Key Reason: Housing policy standoff. Accused of holding up Labor's housing bill for over a year (affecting funding for domestic violence victims, homeless), pursuing "perfection" over compromise.[00:40:37 - 00:49:57] Deep Dive: Housing Policy ChallengesA major challenge for the Albanese government. Not an easy fix.Supply-side changes could devalue existing homes or slow growth, angering homeowners.Joel's view: Subsidized housing (rent-to-own, means-tested) wouldn't touch the high-end market.Negative gearing: Not a quick fix; removing it overnight unlikely to change much; issue is supply.Homeowner expectations of property value growth.Construction industry at full tilt; skills shortages.CFMEU's role in skilled migration for construction.Free TAFE importance for reskilling/upskilling.Linton Besser (Media Watch) criticism of Labor "building" houses when they reconditioned unlivable ones – Joel argues this still increases supply.[00:49:57 - 00:59:16] Deep Dive: Childcare Policy & Global Economic HeadwindsChildcare another area for government focus.Labor's childcare policy: Rebates for high earners (e.g., $325k combined income).High cost of childcare; need for better pay for childcare workers (Labor delivered a pay spike).Ownership of childcare centers (Peter Dutton reference) and profit-making. Call for more public childcare.Uncertain global economic times, Trump tariffs.Port of Los Angeles imports down by one-third.US Q1 economy shrank 0.3%; recession likely.Japan, China, South Korea meeting to discuss tariff responses; hold significant US debt. Japanese warning to US re: trade negotiations.[00:59:16 - 01:07:13] What Went Wrong for the Coalition? Answer: Everything.Gas Price Fixing Policy: Cobbled together, no consultation with industry (unlike Rudd's mining tax failure), potentially unconstitutional (taxing for benefit of some states over others).Work From Home Policy Disaster:Conceived by Jane Hume and Peter Dutton, no Shadow Cabinet consultation.Initial messaging: All Commonwealth public servants, then just Canberra.Jane Hume's media run: Claimed all WFH is 20% less productive, citing a study.Implied WFH employees are "bludgers," alienating a vast number of voters (including partners of tradies).Labor capitalized on this after door-knocking feedback. Policy eventually walked back.Defence Policy: Released in the last week, vague promise to spend 3% of GDP, no specifics on acquisitions. Andrew Hastie (Shadow Defence) reportedly wants out of the portfolio.Fuel Excise Policy: Halving fuel excise for a year. Took a week for Dutton to do a photo-op at a service station. Fuel prices had already dropped.Melbourne Airport Rail Link Funding: Announced at a winery.Vehicle Emissions Policy: Clarifications issued within 48 hours.Generally a shambolic campaign, studied for years to come.[01:07:13 - 01:08:55] The Nationals & Nuclear Policy FalloutNats trying to spin a better result than Libs, but didn't win Calare (Andrew Gee back as Indy).Nuclear Policy: Coalition embarrassed to discuss it. Nats insist on keeping it.Policy originated as a way for Libs to get Nats to support Net Zero by 2050.Massive costs and timelines: Hinkley Point C (UK) example – 65 billion pounds, years of delays. US Georgia plant similar.Legislative hurdles: Repealing Howard-era ban, state-level bans (even LNP QLD Premier Chris O'Fooley against it).State-funded, "socialist" approach due to lack of private investment.[01:08:55 - 01:15:49] Coalition Campaign Failures & SpokespeopleDebate on government vs. private industry running power.Lack of effective Coalition spokespeople: Susan Ley sidelined, Jane Hume promoted. Angus Taylor perceived as lazy.Angus Taylor's past water license scandal ("Australia's Watergate," Cayman Islands structure).[01:15:49 - 01:28:03] Demographics: A Tide Against the LiberalsWomen: Voted ~58-42 for Labor (two-party preferred), worse than under Morrison. Libs failed to address issues like climate, domestic violence.Language Other Than English at Home (LOTE): 60% backed Labor (Redbridge polling, Cos Samaras). Indian and Chinese diaspora significant, impacting Deakin and Menzies (Keith Wallahan, a moderate, lost Menzies).Gen Z & Millennials (18-45): Now outnumber Baby Boomers (60+), voted 60-40 Labor (TPP).Preferencing: Labor "gamed the system well"; Liberals' deal with One Nation backfired in messaging to urban areas.Strategy Failure: Liberals walked away from "heartland" Teal-lost seats, wrongly believing voters were wrong. Dutton's 2023 claim of Libs being "party of regional Australia" failed. No connection or network in targeted outer-suburban/regional seats.Female Pre-selection: Aspiration of 50% in 2019, achieved 34% in 2025. "Male, white, middle-class, mediocre."Sarah Henderson Example: Lost Corangamite in 2019, returned via Senate vacancy. Criticized as a "waste of space," arrogant for seeking re-entry.Both parties have taken safe seats for granted (factional gifts), but Labor learning. Example: Batman (now Cooper, Jed Carney) won back from Greens after better candidate selection.[01:28:03 - 01:36:42] Fond Farewells: Election CasualtiesPeter Dutton: Lost his seat of Dickson (held 20+ years), got "smashed." Likely preferred losing seat to facing party room fallout. Gracious concession speech. Australia's strong electoral process praised (democracy sausage, volunteers, AEC, peaceful concession).Michael Sukkar (Deakin, VIC): "Unpleasant piece of work."Recount of February incident: Sukkar, at Dutton's prompting, used a point of order to cut off Attorney-General Mark Dreyfus (Jewish) during an emotional speech about anti-Semitism and his family's Holocaust connection (Shiloh story). Dreyfus called Sukkar "disgusting." Sukkar moved "that the member no longer be heard." Widely condemned.Gerard Rennick (QLD Senator): Anti-COVID vaccine, spread misinformation (diabetes, dementia links). Jack recounts being attacked by Rennick's "poison monkeys" on X after writing about it. Rennick gone, likely self-funded much of his campaign.(Part 2 - Timestamps restart from 00:00:00 but are a continuation, add ~1 hour 36 mins 50 secs to these for continuous flow)[01:36:50 - 01:44:07] The Fractured Hard Right ("Cookers") - Dismal PerformanceGenerally went nowhere electorally.UAP (United Australia Party) / Trumpeter Patriots (John Ruddock): 2.38% in NSW Senate (down from UAP's 3.2% in 2022). Less money spent than previous Clive Palmer campaigns.Libertarian Democrats (Lib Dems): 1.99% in NSW Senate. Controversial name didn't help. Alliance with H.A.R.T (formerly IMOP, Michael O'Neill) and Gerard Rennick's People First Party.Monica Smit's calls to "unite" contrasted with these groups already forming alliances without her.These three parties combined got less than 2% in NSW. Lib Dems

This Astonishing Healthcare podcast episode features Bridget Mulvenna, who joins us in the studio again for an insightful discussion about addressing data access hurdles and utilizing pharmacy claims data. Building on her previous episodes, we dig into the "how" here - how can plan sponsors get their data, analyze it, and use it to make more informed decisions. It's encouraging that things are getting a little better out there, but data transparency and sharing remain top concerns for channel partners and plan fiduciaries alike; everyone is trying to understand what's driving costs higher within their plans (aside from GLP-1s, of course)!What data do you need? Who can/should do the analysis? What do contract definitions have to do with this? We cover it all, offering practical suggestions to hold partners accountable based on Bridget's experience.Related ContentWhy this benefit leader switched to a more modern, transparent PBM.AH030 - Plan Sponsors Need a Source of Truth; Get Your Data Now & Find It, with Jeff HoganAH048 - High-Cost Orphan Drugs, Securing Claims Data, and More, with Dr. Eric BrickerAH053 - Selling Pharmacy Benefits: Relationships, Rebates, GLP-1s, and More, with Bridget MulvennaFor more information about Capital Rx and this episode, please visit Capital Rx Insights.

Nick Rose, CFO of Enable, joins CJ to discuss one of the most overlooked yet powerful levers for growth, trust, and alignment in B2B commerce: rebates. They talk about how rebates are often dismissed as accounting clean-up or mistaken for discounts, but they are actually critical pricing incentives that foster long-term relationships. Nick describes how he first came to Enable as a customer and how it helped him uncover more than $7 million in missed rebates. He breaks down how rebates differ from discounts, how they can exceed net profit, and why manual rebate systems are so complex and inaccurate. Nick also explains how Enable is building a new SaaS category, and the importance of becoming a business's top three priority as a SaaS platform.If you're looking for an ERP, head to NetSuite: https://netsuite.com/metrics and get the CFO's Guide to AI and Machine Learning.—SPONSORS:Subscript is a modern billing and revenue recognition platform designed for SaaS finance teams that need flexibility and accuracy. From automated invoicing and dunning to compliant, transparent revenue recognition and real-time analytics, Subscript eliminates manual work, reduces errors, and gives you a single source of truth for all your financial data. Book a free demo at subscript.com.Rippling Spend is a spend management solution that handles your entire company's spending in one unified system. It enables you to bring your corporate cards, expense management, bill pay, and more into one place to achieve real-time visibility and uniquely granular control with automated policy controls across every type of spend. Get a demo to see how much time your org would save at rippling.com/metrics.Vanta's trust management platform takes the manual work out of your security and compliance process and replaces it with continuous automation. Over 9000 businesses use it to automate compliance needs across over 35 frameworks like SOC 2 and ISO 27001. Centralize security workflows, complete questionnaires up to five times faster, and proactively manage vendor risk. For a limited time, get $1,000 off Vanta at vanta.com/metrics.Tropic is an intelligent spend management solution that consolidates your spend data and processes into one unified offering, enabling insights and decisive action. From spotting hidden optimization opportunities to automating painful procurement workflows and giving you the best market data to turn vendor negotiations in your favor, Tropic combines smart insights with real human expertise to keep you ahead of the curve. Visit tropicapp.io/mostlymetrics to learn how.MUFG is the largest bank in Japan and a global banking powerhouse with a focus on empowering Growth and Middle Market stage companies in North America and Europe. MUFG provides comprehensive banking services for VC-backed, PE-backed, and public companies with revenues starting at $40M. The bank combines its global capabilities with deep operational understanding to help companies accelerate their growth trajectory. Contact group head Bob Blee at bblee@us.mufg.jp to find out more.NetSuite provides financial software for all your business needs. More than 40,000 companies have already upgraded to NetSuite, gaining visibility and control over their financials, inventory, HR, eCommerce, and more. If you're looking for an ERP platform, head to NetSuite https://netsuite.com/metrics and get the CFO's Guide to AI and Machine Learning.Planful is a financial performance management platform designed to streamline financial tasks for businesses. It helps with budgeting, closing the books, and financial reporting, all on a cloud-based platform. By improving the efficiency and accuracy of these processes, Planful allows businesses to make better financial decisions. Find out more at www.planful.com/metrics.—FOLLOW US ON X:@cjgustafson222 (CJ)—TIMESTAMPS:(00:00) Preview and Intro(02:18) Sponsor – Subscript | Rippling Spend | Vanta | Tropic(07:22) From Geography Major to CFO(10:44) How Nick Became an Enable Customer(13:45) $7–8 Million in Missed Rebates(17:01) Sponsor – MUFG | NetSuite | Planful(20:27) Complexity in Manual Rebate Systems(21:45) What Is a Rebate?(26:07) Rebates Exceeding Net Profit(27:30) Why Rebates Build Long-Term Relationships(28:43) Trust and Rebates(34:42) Channel Stuffing and Rebate Fraud(39:59) Bringing Rebates and Pricing Together(42:32) Rebates Versus Discounts(43:23) The Challenges of Creating a New Category(45:42) Becoming a Top Three Priority(48:53) Investor Thesis and Network Effects(51:08) Long-Ass Lightning Round: Bad Hiring Decisions(54:25) Advice to Younger Self(55:36) Finance Software Stack(56:45) Craziest Expense Story Get full access to Mostly metrics at www.mostlymetrics.com/subscribe

Send us a textWhat do trees, driveways, and otters have in common? Kate Schmiett—Environmental Education Specialist—explains and spotlights two simple ways to protect our water and wildlife, and get a rebate! Plus, celebrate with food, fun and fellowship May 13 at the State of the City and Community Appreciation Night event. Bike everywhere on May 14. Nominate your favorite tree for the Top 10 Trees of Kirkland 2025. Take 60 minutes to get more prepared. Practice safe driving for National Work Zone Awareness Week. Beautify Heritage Park on May 6. Enjoy community art at the Senior Art Show. And more! Show note links: kirklandwa.gov/podcast#20250424

How One Leader Came Out of Retirement to Transform Home Healthcare Jasper Freeman, Director of National Accounts at SC Pharmaceuticals, didn't just return to medical sales—he came back with a mission to change it. In this episode, Jasper shares how he helped launch Ferosix, a revolutionary heart failure treatment designed to keep patients out of the hospital and improve care at home. But that's just the beginning. We dive into: The untold story of Pharmacy Benefit Managers (PBMs) and their massive influence over drug pricing and access Why the insurance-sales-patient triangle is the key battleground in healthcare innovation What the U.S. can learn from other countries about lowering costs and improving care Bold reform ideas—from slashing med school tuition to rethinking drug distribution This is a rare, behind-the-scenes look at the business of healthcare, guided by someone who's lived it at the highest levels. If you're in medical sales—or trying to break in—this episode is a masterclass on what's next and how to lead the change. Connect with Jasper: LinkedIn Connect with Me: LinkedIn Love the show? Subscribe, rate, review, and share! Here's How » Want to connect with past guests and access exclusive Q&As? Join our EYS Skool Community today!

Sarah McGuinness, Political Correspondent with the Irish Daily Mail and Sheena Mitchell, Pharmacist at Milltown Total Health Pharmacy

Our old friend Mark Jewell joins us to talk about selling in the lighting industry—especially as rebates begin to dry up. A lot of people are worried about what the end of rebate programs will mean for project sales. Mark says we shouldn't be. Michael and Greg aren't so sure. In this episode, Mark talks us down off the “rebate ledge” with some sensible math. Rebates are great, but they're not the only reason to upgrade. With real-world examples, he explains how energy savings, increased building value, and improved worker performance—think efficiency, accuracy, and morale—can still make a strong business case for retrofits. And if you manage a mall, you'll want to hear Mark's take on why it TOTALLY makes sense to upgrade your parking lot lighting—rebates or not.Mark is an award-winning trainer and Wall Street Journal best-selling author with 30 years' experience in energy and efficiency. Over those three decades, Mark Jewell has taught more than 15,000 energy professionals and influenced efficiency decisions in more than three billion square feet of North American real estate. Earlier in his career, Mark helped the US EPA deploy both the ENERGY STAR® Buildings Program for Commercial Real Estate and the Portfolio Manager® benchmarking tool.Prior to founding Selling Energy, Mark Jewell served as founder and President of a consulting firm that identified energy-saving improvements, provided financial analyses to justify said improvements, and supported utilities and customers in the creation and implementation of efficiency programs. Mark received his B.S. in Economics from The Wharton School of Finance and Commerce at the University of Pennsylvania.

"If you know how a PBM gets paid, that's the best transparency you can ask for.” - Julie WassermanJulie Wasserman, VP of Sales for VerusRx, joined me this week to discuss the PBM industry in 2025. If you're a PBM, how do you gain trust with employers and build plans that work for them? We talk about what every PBM should be doing for their employers, what true transparency looks like, how to reach employees directly through software, and how GLP1s are changing the industry.If you're a PBM or work with them, or are just curious about one of the biggest industries in healthcare, make sure to tune in this week to Self-Funded with Spencer to hear from Julie on what the best practices need to look like.Chapters:00:00:00 What The PBM Industry Should Focus On In 2025 | with Julie Wasserman00:15:07 Increasing Employee Engagement00:20:16 Complexity in the PBM Industry00:25:03 Data-Driven Health Savings for Employers00:31:27 What Does True Transparency Look Like00:49:36 Global Drug Price Discrepancies00:56:38 Incentivizing Cost-Effective Healthcare Decisions in PBMs01:01:11 Financial Risks of Covering GLP1s for Weight LossKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/Key Words: VerusRx, PBM, PBMs, Rebate, Rebates, Pharmacy Rebates, Transparency, PBMIndustry, GLP1, GLP1s, Ozempic, Wegovy, pharma, Reference Based Pricing, RBP, Healthcare Costs, julie wasserman, spencer smith, podcast, healthcare, health insurance, self funded, self funding, self funded health insurance, self funded insurance#VerusRx #PBM #PBMs #Rebate #Rebates #PharmacyRebates #Transparency #PBMIndustry #GLP1 #GLP1s #Ozempic #Wegovy #pharma #ReferenceBasedPricing #RBP #HealthcareCosts #juliewasserman #spencersmith #podcast #healthcare #healthinsurance #selffunded #selffunding #selffundedhealthinsurance #selffundedinsurance

In this Convo of Flanigan's Eco-Logic, Ted speaks with Drew Slater, Executive Director Energize Delaware. The Delaware Sustainable Energy Utility is a non-profit that gives energy-efficiency grants and low-interest loans to qualified borrowers, helping them install solar energy systems or make energy efficiency upgrades. Energize Delaware programs aid residents, businesses, nonprofits, government facilities, farms, faith organizations and schools to become energy efficient.Before becoming the second executive director of Energize Delaware, Drew built a resume of 20 years of experience in various roles, such as Delaware's Public Advocate, then-Rep. John Carney's Kent and Sussex coordinator and legislative assistant for the State Senate. In his work with the Office of Public Advocate, he worked to strengthen the state's Renewable Portfolio Standards and the competition of the Artificial Island project to improve reliability for the electric grid.He and Ted discuss the comprehensive and community driven array of programs that Energize Delaware offers, including energy audits, rebates, low interest loans or grants for large renewable energy systems, and programs available to low-income customers. He specifically highlights the weatherization assistance program, solar initiatives and incentives, and programs for farmers, ranchers, growers, and other agri-businesses to take charge of their energy future. He also shares how Energize Delaware works collaboratively with the utility, working together to ensure market certainty, avoiding program duplicity, and regularly introducing new, innovative, and relevant solutions to power their community with clean, efficient, and affordable energy.

"If you know how a PBM gets paid, that's the best transparency you can ask for.” - Julie WassermanJulie Wasserman, VP of Sales for VerusRx, joined me this week to discuss the PBM industry in 2025. If you're a PBM, how do you gain trust with employers and build plans that work for them? We talk about what every PBM should be doing for their employers, what true transparency looks like, how to reach employees directly through software, and how GLP1s are changing the industry.If you're a PBM or work with them, or are just curious about one of the biggest industries in healthcare, make sure to tune in this week to Self-Funded with Spencer to hear from Julie on what the best practices need to look like.Chapters:00:00:00 What The PBM Industry Should Focus On In 2025 | with Julie Wasserman00:15:07 Increasing Employee Engagement00:20:16 Complexity in the PBM Industry00:25:03 Data-Driven Health Savings for Employers00:31:27 What Does True Transparency Look Like00:49:36 Global Drug Price Discrepancies00:56:38 Incentivizing Cost-Effective Healthcare Decisions in PBMs01:01:11 Financial Risks of Covering GLP1s for Weight LossKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/Key Words: VerusRx, PBM, PBMs, Rebate, Rebates, Pharmacy Rebates, Transparency, PBMIndustry, GLP1, GLP1s, Ozempic, Wegovy, pharma, Reference Based Pricing, RBP, Healthcare Costs, julie wasserman, spencer smith, podcast, healthcare, health insurance, self funded, self funding, self funded health insurance, self funded insurance#VerusRx #PBM #PBMs #Rebate #Rebates #PharmacyRebates #Transparency #PBMIndustry #GLP1 #GLP1s #Ozempic #Wegovy #pharma #ReferenceBasedPricing #RBP #HealthcareCosts #juliewasserman #spencersmith #podcast #healthcare #healthinsurance #selffunded #selffunding #selffundedhealthinsurance #selffundedinsurance

This is an Impact Pricing Blog published on February 4, 2025, turned into an audio podcast so you can listen on the go. Read Full Article Here: https://impactpricing.com/blog/stop-thinking-of-rebates-as-discounts-heres-what-they-really-do/ If you have any feedback, definitely send it. You can reach us at mark@impactpricing.com.  Now, go make an impact.   Connect with Mark Stiving: Email: mark@impactpricing.com LinkedIn: https://www.linkedin.com/in/stiving/  

Wayne Smith from the Smart Energy Council on what to expect from the federal home battery rebate (and when to expect it) and Australia's "sliding doors" energy election.

Routes are open for you to secure energy-efficient window replacements in Pennsylvania… starting with rebates! Read this Elevated Remodeling report to learn more: https://elevatedremodeling.com/2024/08/20/pennsylvania-tax-credits-rebates-for-replacement-windows/ Elevated Remodeling City: Newark Address: 1500 Casho Mill Rd Newark Website: https://elevatedremodeling.com/

Thursday Manitoba EV meetingThursday, Apr.27/25 • 7:00–9:00 p.m.Google Meet joining infoVideo call link: https://meet.google.com/nnp-abam-xwjManitoba Electric EV chat - Manitoba EV car chatWednesday, Mar 12 • 7:00–9:00 p.m.Google Meet joining infoVideo call link: https://meet.google.com/dcw-gppd-fotOr dial: +1 587-797-9862 PIN: 339 943 687#More phone numbers: https://tel.meet/dcw-gppd-fot?pin=8298407657452Greenway Motors- https://greenwaymotors.ca/Greenway Electric Youtube- @GreenwayElectricManitoba EV rebate Frequently Asked Questions and link to the ev rebate form: https://www.gov.mb.ca/lowercosts/evrebate/index.html Check out Northern Electric Vehicle Experience on YouTube for a great look at EV experience in Canada.https://youtube.com/@NorthernEVexperience?si=4gpwMZzsLgRWkJDmCheck out how green your grid is or if you are in Alberta howgreen it is at this very moment at thegrid.albertaev.ca. This is a great tool that Electric Vehicle Association of Alberta has put together. It will definitely help also when comparing evs to gas vehicles.You can check Ken out on his YouTube and Facebook@ EV Revolution Show or twitter @evrevshow. And check out his podcast EV Revolution Show for more news and talks about worldwide ev's. You can email Ken at evrevo;utionshow@gmail.com.If you would like more info or to contact Tyler at Envirodel feel free to check out his website at envirodel.com or email him at envirodelwpg@gmail.com, on LinkedIn at Envirodel Zero Emissions Courier and also on Instagram @Envirodelwpg or call @204-806-9918Check Easy EV Install out if you are in Manitoba and looking at getting an EV. You can find and contact Marc on Linkedin and Facebook at Easy EV Install and on Instagram and Twitter at @EasyEVInstall. you can also call or text him at 431-999-EASY(3279) or email at connect@easyevinstall.ca.Shaun Loney's books An Army Of Problem Solvers and Beautiful Bailout is available on Amazon and more info is available at: http://www.armyofproblemsolvers.com/about https://indigenouscleanenergy.com/2020-catalysts-program/program-mentors-coaches/shaun-loney-2/ beautifulbailout.comIf you are in the Winnipeg or surrounding area and would like an independent shop to look at your electric vehicle, check out Erickson Motors: https://www.ericksonmotors.ca/Check out the amazing work Chris is doing at Webb Motorworks and find out what new project the cyber beast is going into. Also if you would like to invest or help out find his contact info here: https://www.webbmotorworks.com/https://youtube.com/c/WebbMotorworksFor more info or to pick up your own EVOBD2 display go check them out at evobd2.com If you want more info on the NeoCharge adapter take a look at Sun Country Highway's page:https://suncountryhighway.ca/store/NeoCharge-Appliance-Smart-Splitter-p233076456Here is a link to Steve's YouTube channel:https://www.youtube.com/channel/UCTIKxPx0ZwFSR7w1g3Gi68g Here is the link to kilowatt podcast:https://pca.st/podcast/09216500-6e77-0134-787d-4ffec63d9550Here is the link to EV Resources youtube:https://www.youtube.com/channel/UC6_8Fx3_XrBo3nvRRDXheJACheck out green your vehicle and grid is at thegrid.albertaev.ca.Check out Manitoba Electric Vehicle Association at Manitobaev.caFacebook link is: @truenorthevYoutube link is: https://www.youtube.com/channel/UCL7wx5zSbqXceaKH2apZGJAEmail: truenorthevpodcast@gmail.com

SHOW NOTESThe Hidden Closing Costs No One Warns You About - Episode 86In Episode 86, Mr. Mark and Mr. Joey dive into the often-overlooked closing costs associated with purchasing a home. The hosts break down eight rounds of hidden expenses that can quietly drain your wallet, including land transfer taxes, legal fees, title insurance, and more. They also discuss their first sponsorship, shout-outs which are now 'salutes' to their favorite local eateries, and an insightful article from the Toronto Star. Tune in for tips, insights, and some fun-filled segments!Land Transfer Tax Calculator: link…https://www.ratehub.ca/land-transfer-tax-ontarioToronto Star Article - https://www.thestar.com/business/personal-finance/ready-to-buy-your-first-home-here-are-the-steps-you-need-to-take-and/article_1c98a7da-f302-11ef-af18-1b3583bb4d05.htmlWHERE DID WE EATWebsite: https://www.breadycafe.com/Address: 15 Connie Crescent - Unit 27 Concord, ON L4K 1L3​Monday-Sunday 8am-8pmCHAPTERS (00:00) Introduction and Episode Overview(00:04) Hidden Closing Costs Breakdown(00:22) Salutes and Sponsorship Announcements(04:58) TikTok Ventures and Local Eats(13:15) News You Can Use: Hidden Costs(18:45) One-Time Homebuyer Incentive(19:00) Spousal Considerations for Rebates(19:36) Rebate Caps in Toronto and GTA(20:34) Luxury Tax for High-Value Properties(21:08) CMHC Insurance Premiums(21:49) Budgeting for Legal Fees(23:37) Title Insurance Essentials(27:25) Understanding Adjustment Costs(29:15) Home Insurance Requirements(31:24) Bridge Financing Explained(33:51) Home Inspections: What to Expect(35:59) Moving Costs and Utility Setups(37:35) Final Budgeting Tips(39:58) Election Impact on Real EstateFEEDSPOT TOP CANADIAN REALTOR PODCASTShttps://podcast.feedspot.com/canadian_realtor_podcasts/FEEDSPOT TOP TORONTO PODCASTShttps://podcast.feedspot.com/toronto_podcasts/WHERE YOU CAN FIND US

On this week's episode, Kyla Lee and Paul Doroshenko break down BC's new economic retaliation measures, the controversy over Tesla being cut from EV charger rebates, and why the province is giving itself broad new powers to respond to external threats. Plus, a Magraken Moment on ICBC's alleged privacy violations and this week's Ridiculous Driver—a bold excavator thief using heavy machinery to rob a bank. Check out the "Lawyer Told Me Not To Talk To You" T-shirts and hoodies at Lawyertoldme.com and "Sit Still Jackson" at sitstilljackson.com Follow Kyla Lee on Twitter: twitter.com/IRPlawyer Follow Kyla Lee on Instagram: instagram.com/kylaleelawyer www.vancouvercriminallaw.com

The legal fight over drugmakers' push to impose 340B rebates is heating up, with five lawsuits pending in a federal court in Washington, D.C. Recently, 340B Health joined with two of its member hospitals in asking the court to intervene as defendants to stop these rebates from taking effect. Genesis HealthCare System based in Ohio is one of those hospitals. Shona Carr, the director of 340B and ambulatory pharmacies at Genesis, breaks down how rebate models would create financial challenges for hospitals that would hamper their patient care initiatives.Carrying and Compliance CostsEach drugmaker's push to impose rebates would incur new drug purchasing and compliance expenses for covered entities. Bristol-Myers Squibb's rebate policy alone would cost Genesis HealthCare System an additional $400,000 per month in drug spend if it applied to all BMS drugs. If 340B rebate models became the norm for all drugmakers, Carr estimates Genesis would pay an additional $5.2 million per month in upfront costs. Those figures do not include additional hundreds of thousands of dollars in annual staffing expenses to process rebate claims and challenge denials.Effects on Patient Care and SupportImposing 340B rebates could force Genesis HealthCare System to scale back or discontinue its patient assistance program, according to Carr. But 340B savings do not just go towards direct patient help with drug costs at the hospital. The financial impact of rebates also could affect other community programs and free services, such as patient transportation, meds-to-beds, health screenings, and a paramedicine program.Advice for Other HospitalsCarr says every covered entity that has not already done so should begin reviewing drugmaker rebate policies and working with their 340B third-party administrators to estimate potential costs. She says this involves entities asking bigger questions: Would rebate policies require additional 340B staffing? Does senior leadership understand the potential impact of these changes? What 340B-funded programs might be at risk?Resources:340B Health Seeks To Intervene in All Drugmaker Rebate LawsuitsDeclaration of Shona Carr in Support of Motion To Intervene

Amid ongoing nationwide efforts to put restrictions on teaching specific segments of American history, the National Center for Civil and Human Rights has launched a free learning portal to expand access. It aids teachers and parents in bringing a complete history about civil and human rights to students. Nicole Moore, who serves as the director of education for the National Center for Civil and Human Rights, talks more about the portal that offers ready-to-go lesson plans, worksheets and other interactive tools. She also explains how the lessons are taught to help students connect with their history. Plus, the Atlanta E-bike Rebate Program launched in 2024 with the goal of eliminating financial barriers to e-bike ownership, reducing transportation costs, and promoting a shift from car-dependent travel. The program was funded by a $1 million investment from the Atlanta City Council and administered by the Atlanta Regional Commission in partnership with Propel ATL. Bennett Foster, the managing director of mobility at the Atlanta Regional Commission, and LaMiiko Moore, a recipient of the e-bike rebate, talk with Rose about a new report that details specifics about the E-bike Rebate Program—such as who received the citywide rebate, and how the rebate was used. See omnystudio.com/listener for privacy information.

Coverage that provides news and analysis of national issues significant to regional Australians.

Who has the advantage tonight?

On Episode 53 of the Astonishing Healthcare podcast, Bridget Mulvenne, VP of Business Development, joins Justin Venneri in the studio again to share highlights of her first full year of selling pharmacy benefit solutions ahead of her webinar on February 13: 5 Ways to Improve your PBM Procurement Process in 2025 (click here to learn more and register). They discuss the evolving healthcare landscape, regulatory pressures, expanding indications for GLP-1s, and the need for transparency in pharmacy benefits. Bridget shares stories from the field, explaining why focusing on drug manufacturer revenue and breaking the industry's dependence on rebates are so important and how modern technology helps provide real-time data access and actionable insights to plan sponsors. Previous AH episodes featuring Bridget:AH002 - A Former Pharmacy Program Director's View on Controlling Pharmacy CostsAH021 - Managing Pharmacy Costs in a GLP-1 World, with Bridget MulvennaBridget also shares insights on the evolving landscape of GLP-1 medications and their growing number of FDA-approved indications beyond diabetes and highlights the challenges plan sponsors face with coverage decisions, balancing short-term costs with potential long-term savings. Discussing Capital Rx's Never Move Again™ offering, Bridget emphasizes its flexibility and appeal to sophisticated plan sponsors.Related Content:Pharmacy Benefits 101: Pharmaceutical RebatesOur Single-Ledger Model™ - Pharma Revenue ExplainedAH030 - Plan Sponsors Need a Source of Truth; Get Your Data Now & Find It, with Jeff HoganPlease visit Capital Rx Insights for more information, including this episode's transcript!

Want to improve your Pennsylvania home's energy efficiency on a budget? Start by installing ENERGY STAR®-compliant window replacements and applying for PA energy rebates. That's where Elevated Remodeling comes in. Call 800-672-8519 or click https://elevatedremodeling.com/windows/ now! Elevated Remodeling City: Newark Address: 1500 Casho Mill Rd Newark Website: https://elevatedremodeling.com/

Democratic majorities in Virginia's House and Senate released their budget proposals for the 2025 legislative session Sunday. Brad Kutner has some of the highlights. 

The Municipal Fee Assistance Program, what's often referred to as MFAP, is an income-based program that provides certain City services for free or at a lower cost: 

Consumers will soon have access to money for insulation and energy-saving appliances in Ohio and just about every other state. But, experts are hesitant about the program's implementation.

As President Trump plots the end of federal subsidies for electric vehicles, Denverites are buying Teslas, Nissan Leafs, Chevy Bolts, and other EVs at record rates. Will Trump's plans impact our state's love affair will gas-free cars? Then, voters approved the reintroduction of gray wolves in 2020, but now that 29 wolves are ranging across our state, the program has sparked conflict between ranchers, ecology advocates, and Colorado Parks and Wildlife officials. Producer Paul Karolyi and host Bree Davies are joined by CPR's climate reporter Sam Brasch to dig into these stories — plus, an exciting new play at the DCPA, a state budget fight brewing over controversial weight loss drugs, and more wins and fails of the week.  Sam mentioned his brother Jake Brasch's new play, “The Reservoir,” the new range rider job to help with wolf reintroduction, and this discussion on wolf restoration Feb. 6. Paul talked about the Utah Hockey Club, a local setback for GLP-1 drugs, and the recent parking ticket texting scam. Bree discussed Detour's new piece at DIA and the Colorado Rapid Response Network's work to debunk or confirm ICE raid rumors. Make your voice heard! We're doing a survey to learn more about our listeners. We'd be grateful if you took the survey at citycast.fm/survey—it's only 7 minutes long. You'll be doing us a big favor. Plus, anyone who takes the survey will be eligible to win a $250 Visa gift card–and City Cast City swag. Get your tickets to HEYDAY now! We're putting on an indoor fair with urban flair, like a classic county fair but with a very cool Denver twist. Join us on March 8 for classic carnival games, vintage arcade games, Denver-themed balloon art, and a full day of grandstand entertainment, featuring some of your favorite guests from the podcast. It's family friendly, too, if you wanna bring your kids. Get those tickets now at www.heydaydenver.com. What do you think about wolf reintroduction after four years of drama? The AwooOOOooo Hotline is open! Text or leave us a voicemail with your name and neighborhood, and you might hear it on the show: 720-500-5418‬ For even more news from around the city, subscribe to our morning newsletter Hey Denver at denver.citycast.fm. Follow us on Instagram: @citycastdenver Chat with other listeners on reddit: r/CityCastDenver Support City Cast Denver by becoming a member: membership.citycast.fm/Denver Learn more about the sponsors of this January 24th episode: Babbel - Get up to 60% off at Babbel.com/CITYCAST Looking to advertise on City Cast Denver? Check out our options for podcast and newsletter ads at citycast.fm/advertise Learn more about your ad choices. Visit megaphone.fm/adchoices

MLG wants to give businesses tax rebates for having to buy private security plus Martin decides to stay out of the Governors race in 2026on News Radio KKOBSee omnystudio.com/listener for privacy information.

Mark Gilham is an experienced senior executive with a proven track record in finance, strategy, and consulting. He brings deep expertise in driving commercial success, improving operational efficiencies, and influencing industry best practices.  In this episode, Mark shares the transformative power of rebates as tools for driving both customer behavior and operational efficiency, rather than just cost-cutting mechanisms. He highlights the importance of designing rebates that align with business goals, such as incentivizing desirable customer actions, improving operational processes, and fostering long-term loyalty.    Why you have to check out today's podcast: Learn how rebates can go beyond simple cost-cutting to solve operational challenges, enhance customer loyalty, and drive profitability for your business. Gain insights into how rebates can incentivize customer behaviors that benefit both parties, creating a more collaborative and sustainable business relationship. Discover innovative ways to use rebates to optimize your operations, create efficiencies, and stronger partnerships with customers.   "Get out from behind your desk; get away from the spreadsheet and understand your business. Understand what makes your business tick." - Mark Gilham   Topics Covered: 01:11 - How he transitioned from accountancy to pricing 02:24 - Explaining why accountants' focus on cost-plus pricing 03:52 - Highlighting how understanding pricing enables finance professionals to interpret data more effectively and influence business outcomes 05:35 - Strategic role of rebates in B2B, their challenges, and how they differ from traditional incentives and discounts 08:18 - Importance of structuring rebates and balancing discounts and rebates in B2B to maintain margins 11:11 - Dynamics of incentivizing end consumers versus channel partners 14:59 - Optimizing rebate structures 20:40 - Sharing how rebates can incentivize operational efficiency 25:55 - Advocating for pricing teams to lead rebate strategies to create lasting customer relationships and reduce reliance on discounting 28:11 - Highlighting the potential of rebates to address operational inefficiencies   Key Takeaways: "Immature pricing practices tend to be that cost-plus. And when I say immature, it's not that it's bad, it's just they don't know what good looks like or what's better." - Mark Gilham "A good rebate is a rebate that a manufacturer or supplier wants to pay out." - Mark Gilham "I believe pricing have the tools and the skillset to, and it should be on the sell side, to equip salespeople to go out, not to win an order, but to kind of win a relationship. And make that relationship sticky so that discounting actually is not, it's always going to be important, but hopefully you can take a little bit of that pressure off the table." - Mark Gilham "If you want a better deal from your supplier, think about all the things you could do to make their life easier and ask them, ‘What's that worth to you?' And that's a far better way of getting a bit of extra money out of the contract than just saying, ‘I want my product for less.'" - Mark Gilham   People/Resources Mentioned: Enable: https://www.enable.com   Connect with Mark Gilham: LinkedIn: https://www.linkedin.com/in/markgilham/ Email: mark.gilham@enable.com   Connect with Mark Stiving: LinkedIn: https://www.linkedin.com/in/stiving/ Email: mark@impactpricing.com  

5pm: Guest - Shari Elliker // E-bike rebates are finally coming to WA. Here’s what to know // Know-it-all Quiz // Letters 

In this episode of the Did You Know Podcast, we explore the groundbreaking Home Energy Rebates programs with Mia Lombardi from the U.S. Department of Energy. Mia provides insights into how these initiatives, stemming from the Inflation Reduction Act, are transforming energy efficiency across American households. She discusses the critical differences between tax incentives and rebates, the potential for stacking benefits, and how HVAC professionals can play a pivotal role in this energy revolution.Key Takeaways:Home Energy Rebates Explained:Federally funded programs aimed at reducing energy costs through household upgrades. Two key initiatives: Home Efficiency Rebates (whole-home improvements) and Home Electrification and Appliance Rebates (specific product upgrades). Combined, these programs represent an $8.8 billion investment in energy efficiency.Rebates vs. Tax Incentives:Rebates are point-of-sale discounts, while tax incentives are claimed after installation. Households can benefit from both, provided eligibility criteria are met.Opportunities for HVAC Professionals:Contractors can guide customers through energy audits and eligible upgrades. Training programs, like home energy auditing certifications, can expand professional opportunities.Stacking Benefits:Consumers can combine federal rebates with state or utility-funded programs. Tax credits can further offset costs, making energy-efficient upgrades more accessible.Educational Resources:Visit DOE for program details, state-specific information, and eligibility requirements. Check out local utility programs for additional rebates and benefits.FOLLOW OUR GUEST MIA LOMBARDI ON:LinkedIn: https://www.linkedin.com/in/mialombardi/ Website: https://www.energy.gov/ FOLLOW OUR HOST CLIFTON BECK ON:LinkedIn: https://www.linkedin.com/in/

Use found time for something fun or meaningfulSee omnystudio.com/listener for privacy information.

This episode with Chris Crawford, CEO of RxSaveCard, is not about the when, why, or how of GLP-1s for weight loss or best-practice prescribing. This episode very, very specifically is about the how and why of the pickle plan sponsors get themselves into often enough where if they impose formulary restrictions to limit the volume of meds that they are paying for, then unit prices go up, which is a thing for GLP-1s. And this is critical just given how the costs associated with GLP-1s for weight loss contribute to some pretty significant increases in pharmacy trend for plan sponsors who choose to cover the GLP-1s for weight loss. Chris Crawford and Stacey Richter discuss the challenges plan sponsors face with the rising costs of GLP-1 medications for weight loss. They explore how plan sponsors' efforts to manage pharmacy trends often result in a tradeoff: lowering unit costs by increasing volume or vice versa. Chris also introduces a potential solution leveraging the growing cash marketplace, where employers can bypass traditional PBM contracts to achieve cost savings. Tune in for actionable insights into the perverse incentives in the pharmacy supply chain and innovative ways to navigate them. (Continued below the links) === LINKS ===

GUEST: Jeremy Cato, Automotive Journalist at CatoCarGuy.com Learn more about your ad choices. Visit megaphone.fm/adchoices

On Episode 45 of the TID Water & Power Podcast we're joined by TID Energy Efficiency Analysts, Erica Salado and Lynna Jeffries, to discuss TID's energy rebates and programs .From new rebates to increased incentives, and everything in between, TID's Energy Services develops programs to assist customers as they make energy efficiency improvements to their homes. And, as we ring in a new year, the energy programs available to District customers are getting even better. On this episode we discuss the role of Energy Services, the changes to existing programs, and what new programs are being introduced this year. Let's get social! Facebook: @TurlockIDInstagram: @TurlockIDTwitter: @TurlockIDLinkedIn: /company/turlockid Find out more about TID at https://www.TID.org/podcast.

Watch the video episode on YouTube: https://youtu.be/7M7njXxafNgIn this insightful episode of the London Fintech Podcast, we sit down with Nick Rose, CFO of Enable, a pioneering FinTech company revolutionising rebate management. This is an episode for CFOs and deal-makers alike. Whilst rebate management as a concept may not be immediately familiar to all, once we understand that it's any deal structure where money flows back up the deal chain based on hitting thresholds and targets, we can see that Enable is digitising a vast and often overlooked aspect of the market.There is a great story here of transitioning from traditional finance in an established bricks & mortar business, to a scale-up SAAS company backed by Silicon Valley.Nick shares his inspiring journey from a traditional accounting career at EY and Travis Perkins to becoming a key leader in a fast-growing technology company. Drawing on his wealth of experience, he explains the complexities of rebate systems, the importance of collaboration between trading partners, and how Enable's innovative software transforms rebate management, reducing the reliance on spreadsheets.The episode explores Enable's remarkable growth, expanding from just 55 employees to over 650, and the integral role of flexibility and understanding customer needs in the company's success. Nick also discusses how AI-powered analytics are poised to enhance decision-making for their customers, and he offers invaluable advice for aspiring entrepreneurs looking to make an impact in the FinTech space.Topics Covered:• Nick's career journey, from EY to Travis Perkins and Enable• How Enable's software simplifies rebate management• The importance of collaboration in trading relationships• Enable's growth trajectory and scaling challenges• The role of AI in shaping the future of rebate management• Why understanding customer needs drives product development• The significance of a supportive board in achieving growth• Flexibility as a cornerstone of operational success• Insights into the fast-paced, dynamic FinTech environment• Practical advice for entrepreneurs: solve real customer problemsTune in to learn how FinTech innovation can transform complex processes and create value for businesses everywhere.Tony Clark: https://www.linkedin.com/in/tony-clark-07160b/The London Fintech Podcast: https://londonfintechpodcast.comNick Rose: https://www.linkedin.com/in/nick-rose-81ba318a/Enable: https://www.enable.com/ 

(Dec 19, 2024)

The California Air Resources Board is betting 3 million of your tax dollars on itSee omnystudio.com/listener for privacy information.

5pm: WA has failed with e-bike rebates. It’s time for the county to step up // Drones and the Cost of Lost Trust // What is Project Blue Beam? // Trump on NJ drone mystery: 'The government knows what is happening' // 5 years after its legalization in Washington, human composting takes root // John signs up to be human composted // Letters

Earlier this year, the Health Resources & Services Administration took a strong stance against drug giant Johnson & Johnson's plan for a proposed 340B rebate model, but the fight over rebates is far from over. 340B Health President and CEO Maureen Testoni joins us to discuss how the company is taking the issue to federal court and how they are not the only drugmaker doing so.J&J Sues HRSA Over RebatesJ&J is arguing in court that HRSA lacks the authority to block a 340B rebate model. Such a model would allow individual drug companies effectively to impose their own rules on 340B drug purchases. These rules would curtail the number of drugs a company would offer a 340B discount on and reduce the number of patients that would be deemed 340B-eligible.Other Drugmakers Pushing RebatesBristol Myers Squibb and Eli Lilly also sued HRSA, claiming the agency does not have the authority to stop a rebate model. Sanofi has not yet filed suit but is saying it will impose its rebate scheme in early January. The Sanofi model raises significant concerns not just because of the imminent effective date but because it would impose far more stringent restrictions on 340B eligibility than HRSA ever has.State Contract Pharmacy Laws Rack Up More WinsIn another 340B issue before the federal courts, state contract pharmacy protections continue obtaining key litigation wins. Several district courts and one appeals court have upheld state laws designed to protect covered entity access to 340B pricing through community and specialty contract pharmacies.Resources:Brief Your Leadership on Drugmaker Rebate SchemesThe Wall Street Journal: “The Economic Imperative of Protecting 340B”Register for the 340B Coalition Winter Conference

"The fact of the matter is your heating  your home and cooling your home and heating your water are the two biggest loads to your electric bill. They cost the most in in your home.  So this is an opportunity to yes decarbonize and do right for the environment and our grid but also for energy usage.  And the products are there.  There's more and more coming for sure. " - Anita Singha The much anticipated rebate part of the Inflation Reduction Act, HEEHRA, Home Energy Efficiency Rebate program launched in California in November, 2024.  Anita Singha, the Senior Marketing Director for the Switch Is On, the administrator of the financial incentive programs in California explains how this rebate program works and how to navigate it.   She explains the program provides rebates of up to $8,000 for low-income households (80% or less of area median income) and $4,000 for moderate-income households (80-150% of area median income) to install heat pumps and heat pump water heaters. The rebates are paid directly to the contractor, and consumers must use a HEEHRA-qualified contractor to be eligible. Anita walks through the steps for consumers to verify their income eligibility and find HEER-qualified contractors through the Switch Is On website. This includes using an online income verification tool, getting a certificate of eligibility, and then contacting multiple contractors to get quotes. Izumi shares her experiences trying to help low-income homeowners, particularly those in remote/rural areas, navigate the HEER program. She highlights issues like lack of HEER-qualified contractors in certain regions, contractors being unfamiliar with heat pump technology, and complexities around mobile home and rental properties. Anita acknowledges these challenges and discusses efforts to expand contractor training and outreach, and reassures that the $450 million in HEER funding allocated to California is secure, even with a potential change in federal administration. However, she notes that the rebates may not last indefinitely, so consumers are encouraged to act quickly. Additional clarifications:  California state is launching the rebate program with one appliance at a time, mainly focusing on the heat pump systems.  The first phase was for heat pump HVAC system, in which low-income households can get it installed for free although the homeowners may have to cover a difference if the cost of installation exceeds $8,000.  Qualified householders can apply if you live in a condo, 2-4 units buildings, ADU and Junior ADU.  If you live in a mobile home, you can apply as long as you're on a foundation and not have an axle or license number. 

In California, planning begins to protect rebates for electric vehicles under the incoming Trump administration. Concern over the agency running homeless services in L.A. County has local officials looking into starting a new organization. And we visit what is arguably L-A's artiest Metro station, with art installations inspired by transit. Plus, more.Support The L.A. Report by donating at LAist.com/join and by visiting https://laist.comSupport the show: https://laist.com

I talk about EV Rebates, why I don't like them, and the reason they may be going away soon. I also talk about Porsche killing the 911 Dakar, the new fastest convertible, and more!Originally aired on the Radio 11/16/24Check out the Amazing Work SEMA is doing and Support the Initiatives in YOUR State!Listen on the Radio in Colorado!AM1460 & FM 101.1 The Answer - Saturdays at 9am, Sundays at 6pm100.7 The Word - Saturdays at 7pmAM 1400 KRLN - Saturdays at 9am91.7 KLZR - Saturdays at 10:30amNow On Video!Rumble.com/automotiveadhdhttps://www.youtube.com/channel/UCUkSzh2ny2Idb4S3lC0qeYAhttps://www.tiktok.com/@automotiveadhdpodcastSupport the Show!thespeedcouncil.orgSend in Your Car Sounds!facebook.com/automotiveadhd --#gr86 #sema #ice #internalcombustion #tesla #evs #cybertruck #ford #mechanic #diy #mustang #toyota #jdm #japanesecars#racecars #pikespeak #engines #newcar #carnews #automotivenews #carbuying #technology #v8 #listenable #podcast #radioshow #carenthusiast #carslover #turbo #supercharger #racing #drifting #boostedcars #cars #carswithoutlimits #automotive #racing #automotiveadhd #motorsports #jdm #americancars #musclecar #hotrod #radio #radioshow #podcasts #carculture #car

All the independent studies show gas prices going way up next year and Gavin Newsom wants to use some of that money to subsidize tax credits for people to ditch their gas carsSee omnystudio.com/listener for privacy information.

For more than a decade, Oregon forecasters have underestimated the strength of the state's economy — and the amount of money it collects each year. That's led to tax rebate windfalls for Oregon residents, who receive a portion of excess revenue under the state's unique “kicker” law. It's also left state lawmakers with less money to spend on schools, health care, transportation and other budget priorities. All of this may change now that Oregon's hired a state economist, who is reforming the model his office uses to predict the state's finances. On the latest Beat Check, reporters Shane Dixon Kavanaugh and Mike Rogoway discuss the potential impacts of those changes. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today on AirTalk, Governor Newsom plans to offer electric vehicle rebates if Trump eliminates federal tax credits. We talk to educators about why students are reading less in class. We'll lay out the Port of LA's history. We have chefs in the studio to answer your Thanksgiving cooking questions. We talk to an author about her new book highlighting LGBTQ+ legal history. Today on AirTalk: - Newsom's electric vehicle rebate (0:15) - Why aren't students reading anymore? (17:35) - SoCal history: Port of LA (37:13) - Answering your Thanksgiving cooking Qs (52:22) - New book tracks the major legal milestones for LGBTQ+ rights (1:26:03)

This show from last year was one of the most popular episodes of the past year. And it's also extremely relevant right now, given all of the PBM (pharmacy benefit manager) goings-on, as well as ongoing litigation like the J&J lawsuit, etc. Listen to the show with Julie Selesnick (EP428) for more on that one. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Also, Brian Reid (EP456) in the episode from a couple of weeks ago. And he talks about how Mark Cuban's way of communicating and framing some of the issues with the big PBMs and just all of the perverse incentives in the drug supply chain. He says this way of communicating is “the chef's kiss.” So, besides the insights here that follow being relevant in and of themselves, there's also some lessons just in how those issues are teed up and communicated that we all can learn from. CEOs and CFOs … hey, this show is for you. Let's start here: What do all of these numbers have in common: $140,000, $3 million, $35 million, and $3 billion? These are all actual examples of how much employers, unions, and some public entities saved on healthcare benefits for themselves and their employees. The roadmap to saving 25% on pharmacy spend and/or 15% on total cost of care in ways that improve employee health and satisfaction always begins when one thing happens. There's one vital first step. That first step is CEOs and/or CFOs or their equivalents roll up their sleeves and get involved in healthcare benefits. Why can't much happen without you, CEOs and CFOs? Here's the IRL: In 2023, the healthcare industry has been financialized. There is a whole financial layer in between your company and its healthcare benefits. And unless the C-suite is involved here and bringing their financial acumen and organizational willpower to the equation, your company and your employees are currently paying hundreds of thousands, maybe millions, of dollars too much and doing so within a business model that deeply exacerbates inequities. There are people out there who are very strategically taking wild advantage of a situation where CEOs/CFOs fear anything to do with healthcare in the title and don't do their normal level of due diligence. You think it's an accident that this whole space got so “complicated”? HR needs your help. Bottom line, if you are a CEO or CFO and you do not know everything that Mark Cuban and Ferrin Williams talk about on the pod today … wow, are you getting shellacked. Mark Cuban uses a different word. Healthcare benefits are, after all, for most companies the second biggest line-item expense after payroll. But don't despair here, because all of this information is really and truly actionable. Others out there are cutting zeros off of their spend and actually doing it in ways that are a total win for employees as well. My guest today, Mark Cuban, is a CEO, after all; and when he looked into it, it took him T-minus ten minutes to figure out just the order of magnitude that his “trusted” benefits consultants and PBM and ASOs (administrative services only) and others were extracting from his business. He pushed back. So can you. But just another reason to dig into that financial layer wrapping around your employee health benefits right now, you might get sued by your employees. Below is an ad currently being circulated on LinkedIn by class action attorneys recruiting employee plan members to sue their employers for ERISA (Employee Retirement Income Security Act of 1974) violations. It's the same attorneys, by the way, from those 401(k) class action lawsuits. I've talked to a few CEOs and CFOs who are scrambling to get ahead of that. You might want to consider doing so as well. Now, for my HR professional listeners, considering that some of what Mark Cuban says in the pod that follows is indeed a little spicy, let me just recognize that the struggle is real. There are multiple competing priorities out there in the real world, for sure. And bottom line, because of those multiple competing priorities out there in the real world, it's really vital that everybody work together up and down the organization in alignment. Lauren Vela talks a lot about these realities here in episode 406. This is a longer show than normal, but it's also like a show and a half. Mark Cuban talks not only about his work with Mark Cuban Cost Plus Drugs, which is a company that buys drugs direct from manufacturers and sells them for cost plus 15%, a dispensing fee, and shipping. It's kind of crazy how so often that price is cheaper, sometimes considerably cheaper, than the price that plan members would have paid using their insurance—and the price that the plan is currently paying the PBM. Most Relentless Health Value Tribe members (ie, regular listeners of this show) will already know that, but what is also fascinating that Mark talks about is what he's doing with his own businesses and the Mavericks on other fronts, like dealing with hospital prices. In this show, we also talk the language of indie pharmacies, fee-only benefits consultants, TPAs (third-party administrators), PBMs, and providers doing direct contracting. There are, in fact, entities out there trying to do the right thing; and Mark acknowledges that. Ferrin Williams, PharmD, MBA, who is also my guest today, is chief pharmacy officer at Scripta and an expert in pharmacy benefits. She adds some great points and some context to this conversation. Scripta is partnering with Mark Cuban Cost Plus Drugs. Scripta has a neat Med Mapper tool and also services to help employees find the lowest costs for their prescriptions. If you are a self-insured employer, for sure, check out Scripta. Here are links to other shows that you should listen to now if you are inspired to take action. I would recommend the shows with Paul Holmes (EP397); Dan Mendelson (EP385); Andreas Mang (EP419); Rob Andrews (EP415); Cora Opsahl (EP372); Lauren Vela (EP406); Peter Hayes (EP346); Gloria Sachdev, PharmD, and Chris Skisak, PhD (EP390); and Mike Thompson (EP389). Also Mark Cuban mentions in this show the beverage distributor L&F Distributors. Thanks to Ge Bai, Andreas Mang, Lauren Vela, Andrew Gordon, Andrew Williams, Cora Opsahl, Kevin Lyons, Pat Counihan, David Dierk, Connor Dierk, John Herrick, Helen Pfister, Kristin Begley, AJ Loiacono, and Joey Dizenhouse for your help preparing for this interview. Also mentioned in this episode are Mark Cuban Cost Plus Drug Company; Scripta Insights; Julie Selesnick; Brian Reid; Paul Holmes; Dan Mendelson; Rob Andrews; Peter Hayes; Gloria Sachdev, PharmD; Chris Skisak, PhD; Mike Thompson; and Scott Conard, MD. You can learn more at Mark Cuban Cost Plus Drug Company and Scripta Insights. You can also connect with Scripta and Ferrin on LinkedIn.   Mark Cuban has been a natural businessman since the age of 12. Selling garbage bags door to door, the seed was planted early on for what would eventually become long-term success. After graduating from Indiana University—where he briefly owned the most popular bar in town—Mark moved to Dallas. After a dispute with an employer who wanted him to clean instead of closing an important sale, Mark created MicroSolutions, a computer consulting service. He went on to later sell MicroSolutions in 1990 to CompuServe. In 1995, Mark and longtime friend Todd Wagner came up with an internet-based solution to not being able to listen to Hoosiers basketball games out in Texas. That solution was Broadcast.com—streaming audio over the internet. In just four short years, Broadcast.com (then Audionet) would be sold to Yahoo! Since his acquisition of the Dallas Mavericks in 2000, Mark has overseen the Mavs competing in the NBA Finals for the first time in franchise history in 2006—and becoming NBA World Champions in 2011. Mark first appeared as a “Shark” on the ABC show Shark Tank in 2011, becoming the first ever to live Tweet a TV show. He has been a star on the hit show ever since and is an investor in an ever-growing portfolio of small businesses. Mark is the best-selling author of How to Win at the Sport of Business. He holds multiple patents, including a virtual reality solution for vestibular-induced dizziness and a method for counting objects on the ground from a drone. He is the executive producer of movies that have been nominated for seven Academy Awards: Good Night and Good Luck and Enron: The Smartest Guys in the Room. Mark established Sharesleuth, a research and investigation Web site to uncover fraud in financial markets, and endowed the Electronic Frontier Foundation's Mark Cuban Chair to Eliminate Stupid Patents, an effort to fight patent trolls. Mark gives back to the communities that promoted his success through the Mark Cuban Foundation. The Foundation's AI Bootcamps Initiative hosts free Introduction to AI Bootcamps for low-income high schoolers, starting in Dallas. Mark also saved and annually funds the Dallas Saint Patrick's Day Parade, the largest parade in Dallas and a city institution. In January 2022, he started Mark Cuban Cost Plus Drug Company as an effort to disrupt the drug industry and to help end ridiculous drug prices because every American should have access to safe, affordable medicines. Ferrin Williams, PharmD, MBA, is chief pharmacy officer of Scripta. With 15+ years' experience in the pharmacy industry, Ferrin brings a unique perspective to Scripta that spans the retail pharmacy, pharmacy benefit manager (PBM), and broker/consulting sectors. Her expertise ranges from pharmacy operations and services to innovative clinical programs, pharmacy audit, alternative payer funding, and specialty drugs. As chief pharmacy officer, Ferrin leads the company's clinical strategies organization responsible for devising innovative cost-containment strategies for prescription drugs, ensuring Scripta clients, members, and their providers are provided with best-in-class clinical insights and tools. Ferrin earned her bachelor's, Doctor of Pharmacy, and MBA degrees from the University of Oklahoma.   06:29 What was Mark Cuban's own journey as a self-insured employer with Cost Plus Drug Company? 07:44 What did Mark find when he decided to go through and look through his company's benefit program? 09:12 “When you think it through, you start to realize that money is being spent primarily by your sickest employees.” —Mark 10:02 How do you get CEOs and CFOs of self-insured employers to realize that their sickest employees are the ones subsidizing their checks? 13:00 What is the role of insurance in healthcare? 14:30 “If you can't convince them, confuse them and hide it.” —Mark 15:24 The reality behind getting a rebate check. 16:21 Why are rebates going away, and why isn't that changing PBM earnings? 19:05 How do you get CEOs and CFOs to dig into their benefits plan? 20:59 Does morally abhorrent move the needle? 21:33 “What we're trying to do is just simplify the [healthcare] industry.” —Mark 24:19 What's been changing in consumer behavior? 25:04 “Transparency is a huge part of building that trust.” —Ferrin 25:19 Why CEOs and CFOs really have the power to change healthcare. 32:29 What are Cost Plus Drugs' plans to expand? 39:21 Where is the future of the prescription drug market going? 42:09 What will happen to the prescription drug market in 10 to 20 years? 48:40 The wake-up call self-insured employers should be acknowledging now. 52:02 Where is the real change in the healthcare industry going to come from?   You can learn more at Mark Cuban Cost Plus Drug Company and Scripta Insights. You can also connect with Scripta and Ferrin on LinkedIn.   @mcuban and Ferrin Williams provide advice for #CEOs and #CFOs of #selfinsuredemployers on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #healthcareoutcomes   Recent past interviews: Click a guest's name for their latest RHV episode! Rob Andrews (Encore! EP415), Brian Reid, Dr Beau Raymond, Brendan Keeler, Claire Brockbank, Cora Opsahl, Dan Nardi, Dr Spencer Dorn (EP451), Marilyn Bartlett, Dr Marty Makary  

This week, Oregon’s new state economist, Carl Riccadonna, gave his first quarterly economic and revenue forecast. It projected Oregon getting nearly $950 million more in the current two-year period than previously estimated, and an extra $1.3 billion in the 2025-2027 budget cycle. Riccadonna, who was hired in September, based his forecast on an economic model that’s less pessimistic than the one his predecessor, Mark McMullen, relied on. It not only projects higher revenues from personal income and corporate taxes, it also aims to reduce the errors in forecasting that led to large kicker tax refunds, including a record $5.6 billion paid out to taxpayers this year. Riccadonna talks to us about Oregon’s economic outlook.

A troubling disconnect between medical expertise and insurance mandates is putting patients' health at risk. Policies like step therapy and prior authorization are forcing individuals into treatments not recommended by their doctors—often with devastating consequences. In this episode, we hear from a patient who endured months of suffering due to her insurer's 'fail-first' requirements. We also talk with a doctor navigating this impossible system and a biotech leader fighting to ensure innovative treatments reach the patients who need them most. Follow us on LinkedIn, X, Facebook and Instagram. Visit us at https://www.bio.org/

What I learned from rereading James J. Hill: Empire Builder by Michael P. Malone. ----Ramp gives you everything you need to control spend, watch your costs, and optimize your financial operations —all on a single platform. Make history's greatest entrepreneurs proud by going to Ramp and learning how they can help your business control your costs and save more. ----Founders Notes gives you the ability to learn from history's greatest entrepreneurs on demand. You can search all my notes and highlights from every book I've ever read for the podcast. Get access to Founders Notes here. ----Join my free email newsletter to get my top 10 highlights from every book----Notes and highlights from the episode: —He had unlimited energy, was stubborn, had a temper, was supremely arrogant and he did more to transform the northern frontier of the United States than any other single individual.—One of the things he learned from history and biography: The power of one dynamic individual: Like so many other nineteenth-century youths, young Jim Hill fell under the spell of Napoleon. He came to believe in the strength of will, the power of one dynamic individual to change the world, the conquering hero. (He says that the railroad entrepreneurs conquered the distance between remote communities in the American west)—He accustomed himself to handle a large workload.—If you want to know whether you are destined to be a success or a failure in life, you can easily find out. The test is simple and it is infallible: Are you able to save money? If not, drop out. You will lose. You may think not, but you will lose as sure as you live. The seed of success is not in you. –James J. Hill—He held people's attention as he engaged them in characteristic rapid-fire, highly animated conversation, gesturing expansively and driving home his point with jabbing motions of his hands—the embodiment of high energy.—He worked incredibly hard, sometimes laboring late into the night, falling asleep at the desk, then getting up for a swim in the river and a cup of black coffee, then going back to work.—“Rebates existed in other industries. I just applied them to oil.” Rockefeller said. [Don't copy the what, copy the how]  —John D: The Founding Father of the Rockefellers by David Freeman Hawke. (Founders #254)—"The very best employee at any job at any level of responsibility is the person who generally believes that this is their last job working for someone. The next thing they'll start will be their own. — Max Levchin in The Founders: The Story of PayPal and the Entrepreneurs Who Shaped Silicon Valley by Jimmy Soni. (Founders #233)—Hill drank little, worked hard, and confined his socializing to respectable settings. As always, he read incessantly. He permitted himself few distractions in his relentless drive to achieve wealth and status.—Inefficiency disturbs him greatly.—James J. Hill loved eliminating steps.—Genius has the fewest moving parts.—Hill limited the number of details. Then he makes every detail perfect.—Hill called vertical integration, rational integration.—Hill always gets out quickly in front of the emerging trend.—Hill had an entirely pragmatic business personality. When competition suited him in a market, he competed fiercely. But when competition became wasteful to him, he did not hesitate to end it, even if this meant joining with old enemies and creating a monopoly.—Hill was making profits owning steamboats. Then a competitor from Canada starts running the same route and the rates and profits dwindle. Hill discovers a neglected maritime law that prohibited foreign ships from operating in American waters. Hill then persuades the US Treasury Department to enforce the law against his competitor. The competitor has to transfer ownership to an American. After that Hill then merges with that competitor and forges another monopoly.—This railroad is my monument. — James J Hill—As man emerged into history, he became a road maker; the better the road, the more advanced his development. — James J. Hill.—By 1885 Railroads brought in twice the revenue than the federal government.Railroads were the nations largest employer.The railroaders were the largest private land holders in the country.They owned more than 10% of land in the United States.—Hill identified an opportunity hiding in plain sight: Unlike most who viewed the Saint Paul and Pacific as a near-worthless derelict, Hill viewed it as a miracle waiting to happen, a potentially wondrous enterprise simply lacking competent leadership. He studied the road constantly, reading every scrap of information he could find about it and boring anyone who would listen with endless detail as to what it could one day be.—He possessed a priceless advantage compared with most other nineteenth-century rail titans. Rather than coming from the outside world of finance, as most of them did, he arose from the inside world of freighting and transportation, and he knew this world in all its complexities. He was about to demonstrate how certain well-established, regional capitalists on the frontier could challenge and even best larger eastern interests.—Being obsessed is an edge. Hill was obsessed getting control of the bankrupt Saint Paul & Pacific rail line:  Hill, who knew the road better than anyone else, constantly argued to his friends, the potential prize defied description. He seemed completely fixated on the project. Many years later, his friend recalled that Jim had spoken of it to him “probably several hundred times” during the mid-1870s.—James J. Hill finds what he is best at in the world at, at 40 years old, in a field where he had no direct experience.—“It pays to be where the money is spent” — James J Hill—James J. Hill was very easy to interface with. He had an easy to understand organizing principle for his company. Hills credo: What we want is the best possible line, shortest distance, lowest grades, and least curvature that we can build.—He had appreciation for those who had dirt underneath their fingernails.—Many observers would later compare Hill with Villard. The comparison was inevitable. “While Hill was building carefully and checking his costs minutely Villard built in ignorance of costs.” Like other transcontinental plungers, Villard did in fact build rapidly and poorly, much of his main line would later have to be torn up and rebuilt. He had rushed to get the massive land grants. Amid mounting deficits and acrimony, Villard was then forced to resign the presidency of the NP in 1884.—Find what you are good at and pound away at it forever.—He simply could not delegate authority and live with the outcome.—Hill on how to build a railroad: Work, hard work, intelligent work, and then more work. — James J Hill.—They managed the finances of the railroad in a highly conservative and prudent manner.  Hill advocated and practiced a policy of plowing large percentages of profits directly back into the property, knowing that the best defense against invading railroads was a better-built system that could operate at lower rates.—Give me Swedes, snuff and whiskey, and I'll build a railroad through hell. — James J. Hill—From the Hour of Fate: James J. Hill had built the Great Northern with deliberate thrift and brutal efficiency. His railroad would become among the most profitable in the Northwest. He didn't need JP Morgan the way other railroad executives did. (Financial strength was kryptonite to JP Morgan)—He cared most about freight, never frills.—The life of James J. Hill certainly demonstrates the impact one willful individual can have on the course of history.—I've made my mark on the surface of the earth and they can't wipe it out. — James J Hill.----“I have listened to every episode released and look forward to every episode that comes out. The only criticism I would have is that after each podcast I usually want to buy the book because I am interested so my poor wallet suffers. ” — GarethBe like Gareth. Buy a book: All the books featured on Founders Podcast

This show is going to be a little bit different because what we're going to do today is offer some advice to those who may work at a pharma company. But before we get into this advice portion of the discussion, let's start here. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Probably we're gonna have people listening to this episode who maybe are not in our normal tribe of Relentless Health Value listeners. While there are, for sure, regular listeners who work at pharma companies, there might be some newbies on the scene here. And to you, I say welcome. I hope that you feel right at home here. You know what, though? Many of us, including myself often enough, are slightly uncomfortable. Because this is the place where we all kind of look at ourselves in the mirror. We all live in glass houses, after all—everyone in the healthcare industry. There's no devils and no angels here. And the trick is maximizing the good and minimizing the not so good so that we all wind up with the highest net positive possible for patients. So, around here, we do not shy away from saying what needs to be said so that we all can find a way forward to serve the patient. We cannot solve problems, after all, that we have not taken a cold, hard look at. Yeah. So, today I am speaking with Brian Reid. I have been very much looking forward to speaking with Brian Reid, who many may know from his really great newsletter and really insightful LinkedIn posts. Brian Reid's advice, which he delivers in the episode that follows in sum. Spoiler alert here, but I also will say that he is much more eloquent than me, and the nuances are a thing. So, please do listen to the whole show. But Brian's piece of advice number one for Pharma (and really any product or service frankly), but piece of advice number one is this: Get a really solid bead on what value means—not just to PBMs (pharmacy benefit managers) or contract pharmacies or wholesalers who are middlemen but to the ultimate purchasers, the ones whose wallets the money is actually coming out of to pay the bill. Meaning, plan sponsors, such as self-insured employers or unions, patients themselves or members, and taxpayers. Again, how does value accrue to the ultimate purchasers like plan sponsors, patients/members, or taxpayers? Everybody else in the drug supply chain, let's be clear, is in the middle pushing money around that came out of somebody else's wallet. These middlemen have their own interests that may, for sure, may or may not be aligned with the interests of the ultimate purchasers. Getting value realized by patients will depend on understanding what the value is to these ultimate purchasers and then not getting derailed by any middleman who may not be so aligned. As a sidebar on this number one piece of advice, the whole “what's your value” and influence coloring this value equation made by ultimate purchasers is the prevailing beliefs of these ultimate purchasers, relative to Pharma, how they perceive the pharma industry. Whether it's earned or not—and this is not what we're gonna discuss today—but earned or not, Pharma does not have a great reputation with these folks right now. And this matters. Brian has a lot to say on this topic, which is fascinating. So, you should listen. Number two piece of advice that Brian Reid delivers in the podcast that follows that we talk about: Consider inching into the fray around benefit design. Rightfully so, there's always a lot of talk about patient affordability at pharma companies; but if I was gonna point to one thing that impacts affordability more than anything else, it'd be benefit design. There's only a small, underfunded cadre right now of folks out there (Mark Cuban aside, actually); but there's only a really small number of folks who never have any money who are really helping plan sponsors understand the impact on patients of some of the choices that they are making. I mean, personally, I could think of 10 things to do right off the top of my head that could help plan sponsors not get inadvertently screwed in this realm alone, just thinking they're saving money when, in reality, they are harming patients and not saving money. There's probably a lot of opportunities to communicate these kinds of things that are really win-win collaborations. Number three piece of advice that we talk about in the conversation that follows with Brian Reid: Keep an eye on hospital consolidation and vertical integration in the payer space. Consolidation raises prices and impedes patient affordability. This is as per study after study after study. Consolidation raises prices and sometimes considerably. Here's a part B to this third piece of advice about consolidation. There's sometimes wild swings in prices at different large, consolidated health systems in the exact same geography. Listen to the show with Cora Opsahl (EP452) for more about how their health plan, as just one example, saved $30 million a year just pushing a huge expensive health system, consolidated one, out of their network and navigating patients to more affordable sites of care. This matters to pharma companies because hospital system prices are currently crushing in many areas of the country, really impacting patient affordability. But there are better or worse options from an affordability standpoint in some of these geographies. To state the obvious, if an infusion of the same drug costs 10 times more if a patient shows up in one care setting versus another, that latter place, not affordable for patients. And by the way, that is not hyperbole of any kind. There are plenty of examples where literally an infusion of the same drug, same dosage will cost 10 times more if a patient goes one place versus another. But, again, it's not affordable. The patient cost share might be 10 times higher if it's coinsurance, if the patient goes to that latter place. And that latter 10x more of the cost place also just added 10x the cost to the PAP program or the foundation debit column. All of this is really relevant to Pharma. And just to pile on here because now I'm on a roll, another reason why this matters, these striking price variations between care settings, if we're talking about product value, and if the price the patient or the plan sponsor is paying is 10x the cost of the ingredients, nobody's doing that math and separating out the cost of ingredients from the, you know, total cost of the infusion. It is one lump sum number. So, if we're defining value as outcomes divided by cost and now the cost to the plan sponsor is 10x, product value just got reduced by 10x. Just in case anyone is confused here, and you probably know this, but many forget that the whole ASP (average selling price) plus 6% provider reimbursement—so, if that's what you're thinking and you're wondering how the 10x transpires—that ASP plus 6% provider reimbursement is only for Medicare kinds of plans. Hospitals can and do negotiate much higher reimbursements for commercial plans, and those carriers that have commercial lines of business and also MA (Medicare Advantage) books of business even allegedly actually negotiate higher commercial reimbursements so that they can get lower Medicare Advantage rates. Right, and you can see why, because the MA dollars are coming out of their own capitated pockets, whereas the commercial rates are being paid for by the ultimate purchasers, the plan sponsors. Also mentioned in this episode are Reid Strategic; Mark Cuban; Cora Opsahl; Bruce Rector, MD; Shawn Gremminger; Nina Lathia, RPh, MSc, PhD; Autumn Yongchu; Erik Davis; and Marty Makary, MD, MPH. Additional related episodes: EP380 with Mark Miller, PhD, on pharma communications. EP371 with Erik Davis and Autumn Yongchu on buy and bill versus pharmacy bagging. EP426 with Nina Lathia, RPh, MSc, PhD, on cost containment versus value-based drug purchasing. EP435 with Dan Mendelson from Morgan Health on how employers should consider pharma purchasing. EP365 with Scott Haas on PBM contracts and drug rebates. EP293 with Dea Belazi, PharmD, MPH, from AscellaHealth on co-pay cards, co-pay accumulators, and co-pay maximizers.   You can learn more by subscribing to Brian's newsletter and by following him on LinkedIn.   Brian Reid has nearly three decades of experience in healthcare journalism, public affairs, and public relations with a specialty in explaining the economics of the healthcare system. He is the founder of Reid Strategic, a communications consultancy, and a senior fellow at the Center for the Evaluation of Value and Risk in Health (CEVR) at Tufts Medical Center. At Reid Strategic, Brian counsels industry leaders on the best way to communicate on complex policy, access, pricing, and reimbursement issues in ways that critical audiences can understand. Brian's core belief is that we can't build a better healthcare system until everyone understands the system we have today. Reid Strategic offers communications strategy and execution around corporate, brand, and policy challenges, from prelaunch approaches to lifecycle management. Prior to founding Reid Strategic, Brian built and led Real Chemistry's Value+Access Communications practice, the largest such group dedicated to issues of value. Brian has written extensively for a range of audiences. At Reid Strategic, he publishes the daily Cost Curve newsletter; and his past experience includes coverage of the health science/policy beat for Bloomberg News, creation of patient education materials for the National Institutes of Health, and features in publications ranging from the Washington Post to Nature Biotechnology to Men's Health. He has a bachelor's degree in biology and political science from Emory University and a master's degree from the Columbia University School of Journalism.   08:29 Why is it important to understand the term “value” in respect to medicine? 10:07 Why is it important to consider all the players affected by the idea of this “value”? 11:06 Who are the ultimate purchasers in Pharma? 12:23 Findings of the Kaiser Employer Health Benefits Survey. 14:52 Why does it matter that we consider what value looks like to all players affected by Pharma? 16:46 EP300 with Bruce Rector, MD. 18:38 EP448 (Part 1) with Shawn Gremminger. 20:04 What does Pharma need to do to showcase their value when PBMs are often “locked in” at the moment? 23:11 Why Brian is celebrating companies that put their prices in their press releases. 32:31 Why does Pharma have an obligation to explain their value? 33:16 EP426 with Nina Lathia, RPh, MSc, PhD. 33:39 Why is it important for Pharma to keep an eye on hospital monopoly behavior? 35:55 EP370 with Erik Davis and Autumn Yongchu. 37:44 Why Pharma needs to capitalize on alignment.   You can learn more by subscribing to Brian's newsletter and by following him on LinkedIn.   Brian Reid, of Reid Strategic, discusses #pharma and #patientaffordability on our #healthcarepodcast. #healthcare #podcast #financialhealth #primarycare #patientoutcomes #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Beau Raymond, Brendan Keeler, Claire Brockbank, Cora Opsahl, Dan Nardi, Dr Spencer Dorn (EP451), Marilyn Bartlett, Dr Marty Makary, Shawn Gremminger (Part 2), Shawn Gremminger (Part 1), Elizabeth Mitchell (Summer Shorts 9)