cat Oman extends Muscat lockdown until 29 May By www.argusmedia.com Published On :: 06 May 2020 13:33 (+01:00 GMT) Full Article Oil products Diesel-heating oil-gasoil Gasoline Jet fuel-kerosine Middle East Oman Fundamentals Demand
cat China’s Sichuan allocates 1H rare earths quotas By www.argusmedia.com Published On :: 07 May 2020 10:46 (+01:00 GMT) Full Article Metals Non-ferrous Rare earths Cerium Dysprosium Erbium Europium Gadolinium Lanthanum Neodymium Praseodymium Samarium Terbium Yttrium Holmium Lutetium Ytterbium China
cat China’s Yunnan allocates 1H tungsten mining quotas By www.argusmedia.com Published On :: 08 May 2020 10:18 (+01:00 GMT) Full Article Metals Non-ferrous Minor metals Tungsten China Fundamentals
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Whitmarsh seeks wing clarification By en.espnf1.com Published On :: Sat, 31 Jul 2010 15:33:48 GMT McLaren team-boss left television viewers in no doubt what he thought about the legality of Red Bull's flexible front wing after Sebastian Vettel and Mark Webber dominated qualifying for the Hungarian Grand Prix Full Article
cat Schumacher seeks rules clarification By en.espnf1.com Published On :: Sun, 27 Jun 2010 16:56:45 GMT Michael Schumacher has called for clarification of the safety car rules after the seven-time world champion completed his worst ever race finish in 259 grand prix starts Full Article
cat From “Western education is forbidden” to the world’s deadliest terrorist group By webfeeds.brookings.edu Published On :: Thu, 16 Apr 2020 15:15:10 +0000 EXECUTIVE SUMMARY Boko Haram — which translates literally to “Western education is forbidden” — has, since 2009, killed tens of thousands of people in Nigeria, and has displaced more than two million others. This paper uses an interdisciplinary approach to examine the relationship between education and Boko Haram. It consists of i) a quantitative analysis… Full Article
cat The fundamental connection between education and Boko Haram in Nigeria By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 20:51:38 +0000 On April 2, as Nigeria’s megacity Lagos and its capital Abuja locked down to control the spread of the coronavirus, the country’s military announced a massive operation — joining forces with neighboring Chad and Niger — against the terrorist group Boko Haram and its offshoot, the Islamic State’s West Africa Province. This spring offensive was… Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat What can COVID-19 teach us about strengthening education systems? By webfeeds.brookings.edu Published On :: Thu, 09 Apr 2020 14:29:28 +0000 As cases of coronavirus (COVID-19) in the United States rise, more and more states have adopted shelter-in-place orders to curtail the pandemic. The disruption to most Americans’ daily lives has been drastic and sudden—and perhaps one of the most dramatic shifts was education’s move to a virtual setting. Even before the current pandemic forced school closures,… Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat China Pioneers a National Digital Currency. Can the U.S. Catch Up? By feedproxy.google.com Published On :: May 4, 2020 May 4, 2020While much of the world is consumed by the COVID-19 crisis, the Chinese government is quietly unleashing a financial innovation that will reshape its economy and improve its strategic standing for decades to come. In April, China’s central bank introduced the “digital yuan” in a pilot program across four cities, becoming the world’s first major economy to issue a national digital currency. Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Why the U.S. needs a pandemic communications unit By webfeeds.brookings.edu Published On :: Wed, 29 Apr 2020 17:04:00 +0000 When policymakers consider how to respond to a public health crisis, they tend to think in terms of quarantines, medical equipment supplies, and travel restrictions. Yet they too often miss a vital factor that countries like South Korea and Singapore recognized long ago—that public communications are just as crucial. Effective communication increases compliance with public… Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Ferrari still has work to do to catch Mercedes - Kimi By en.espnf1.com Published On :: Tue, 31 Mar 2015 11:11:39 GMT Kimi Raikkonen says Ferrari still has work to do to be consistently competitive with Mercedes but is confident it has taken a big chunk out of Mercedes lead following Sebastian Vettel's victory in Malaysia Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By www.belfercenter.org Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Button: We're catching midfield teams By en.espnf1.com Published On :: Sun, 29 Mar 2015 14:20:22 GMT Jenson Button says McLaren should be encouraged by its race pace compared to the midfield despite a double DNF in Malaysia Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Geopolitical and Market Implications of Renewable Hydrogen: New Dependencies in a Low-Carbon Energy World By feedproxy.google.com Published On :: Mar 4, 2020 Mar 4, 2020To accelerate the global transition to a low-carbon economy, all energy systems and sectors must be actively decarbonized. While hydrogen has been a staple in the energy and chemical industries for decades, renewable hydrogen is drawing increased attention today as a versatile and sustainable energy carrier with the potential to play an important piece in the carbon-free energy puzzle. Countries around the world are piloting new projects and policies, yet adopting hydrogen at scale will require innovating along the value chains; scaling technologies while significantly reducing costs; deploying enabling infrastructure; and defining appropriate national and international policies and market structures. What are the general principles of how renewable hydrogen may reshape the structure of global energy markets? What are the likely geopolitical consequences such changes would cause? A deeper understanding of these nascent dynamics will allow policy makers and corporate investors to better navigate the challenges and maximize the opportunities that decarbonization will bring, without falling into the inefficient behaviors of the past. Full Article
cat Accumulating Evidence Using Crowdsourcing and Machine Learning: A Living Bibliography about Existential Risk and Global Catastrophic Risk By feedproxy.google.com Published On :: Feb 3, 2020 Feb 3, 2020The study of existential risk — the risk of human extinction or the collapse of human civilization — has only recently emerged as an integrated field of research, and yet an overwhelming volume of relevant research has already been published. To provide an evidence base for policy and risk analysis, this research should be systematically reviewed. In a systematic review, one of many time-consuming tasks is to read the titles and abstracts of research publications, to see if they meet the inclusion criteria. The authors show how this task can be shared between multiple people (using crowdsourcing) and partially automated (using machine learning), as methods of handling an overwhelming volume of research. Full Article
cat Paying for education outcomes at scale in India By webfeeds.brookings.edu Published On :: Wed, 06 Nov 2019 12:28:37 +0000 India faces considerable education challenges: More than half of children are unable to read and understand a simple text by the age of 10, and disparities in learning levels persist between states and between the poorest and wealthiest children. But, with a flourishing social enterprise ecosystem and an appetite among NGOs and policymakers for testing… Full Article
cat Report Launch & Panel Discussion | Reviving Higher Education in India By webfeeds.brookings.edu Published On :: Tue, 19 Nov 2019 05:44:48 +0000 Brookings India is launching a report on “Reviving Higher Education in India”, followed by a panel discussion. The report provides a unique and comprehensive analysis of the challenges facing the higher education sector in India and makes policy recommendations to reform the space. Abstract: In the last two decades, India has seen a rapid expansion in… Full Article
cat Taiwan’s January 2020 elections: Prospects and implications for China and the United States By webfeeds.brookings.edu Published On :: EXECutive Summary Taiwan will hold its presidential and legislative elections on January 11, 2020. The incumbent president, Tsai Ing-wen of the Democratic Progressive Party (DPP), appears increasingly likely to prevail over her main challenger, Han Kuo-yu of the Kuomintang (KMT). In the legislative campaign, the DPP now has better than even odds to retain its… Full Article
cat Impacts and implications of the 2020 Taiwan general elections By webfeeds.brookings.edu Published On :: Mon, 06 Jan 2020 19:01:50 +0000 Taiwan held elections for the president and all the members of the Legislative Yuan on January 11. Although President Tsai Ing-wen had maintained a strong lead in the polls, there were questions about the reliability of some polls. Moreover, the outcome of the legislative elections was very uncertain. China, which has long made clear its… Full Article
cat Vietnam’s evolving role in ASEAN: From adjusting to advocating By webfeeds.brookings.edu Published On :: Mon, 30 Nov -0001 00:00:00 +0000 While there is a growing tendency to discredit the Association of Southeast Asian Nations (ASEAN), Dr. Huong Le Thu argues that there is a need to have a more granular look at the intra-ASEAN dynamics. Vietnam emerges as an increasingly important member and may have the potential to reinvigorate the association. Full Article
cat 20171128 National Catholic Reporter Kuok By webfeeds.brookings.edu Published On :: Tue, 28 Nov 2017 21:24:59 +0000 Full Article
cat A controversial new demonstration in Medicare: Potential implications for physician-administered drugs By webfeeds.brookings.edu Published On :: Tue, 03 May 2016 12:56:00 -0400 According to an August 2015 survey, 72 percent of Americans find drug costs unreasonable, with 83 percent believing that the federal government should be able to negotiate prices for Medicare. Recently, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) Andy Slavitt commented that spending on medicines increased 13 percent in 2014 while health care spending growth overall was only 5 percent, the highest rate of drug spending growth since 2001. Some of the most expensive drugs are covered under Medicare’s medical benefit, Part B, because they are administered by a physician. They are often administered in hospital outpatient departments and physician offices, and most commonly used to treat conditions like cancer, rheumatoid arthritis, and macular degeneration. Between 2005 and 2014, spending on Part B drugs has increased annually by 7.7 percent, with the top 20 drugs by total amount of Medicare payments accounting for 57 percent of total Part B drug costs. While overall Part B drug spending is a small portion of Medicare drug spending, the high growth rate is a concern, especially as new expensive breakthrough cancer drugs enter the market and have a negative effect on consumers’ pockets. Unlike Part D, the prescription drug benefit, there are fewer incentives built in to Part B for providers to consider lower cost treatments for patients even if the lower cost drug may be clinically equivalent to the more expensive drug, because prior to budget sequestration, providers received 6 percent on top of the Average Sales Price (ASP) of the drug. Larger providers and hospitals often receive discounts on these drugs as well, increasing the amount they receive directly on top of the out-of-pocket cost of the drug. This leads to more out-of-pocket costs for the consumer, as patients usually pay 20 percent of Part B services. The Government Accountability Office (GAO) estimated that in 2013, among new drugs covered under Part B, nearly two-thirds had per beneficiary costs of over $9,000 per year, leading to out-of-pocket costs for consumers of amounts between $1,900 and $107,000 over the year. On top of these high costs, this can lead to problems with medication adherence, even for serious conditions such as cancer. A New Payment Model To help change these incentives and control costs, CMS has proposed a new demonstration program, which offers a few different reimbursement methods for Part B drugs. The program includes a geographically stratified design methodology to test and evaluate the different methods. One of the methods garnering a lot of attention is a proposal to lower the administration add-on payment to providers, from current 6 percent of ASP, to 2.5 percent plus a flat fee of $16.80 per administration day. Policymakers, physician organizations, and patient advocacy organizations have voiced major concerns raising the alarm that this initiative will negatively affect patient access to vital drugs and therefore produce poorer patient outcomes. The sequester will also have a significant impact on the percentage add on, reducing it to closer to an estimated .86 percent plus the flat fee. But we believe the goals of the program and its potential to reduce costs represent an important step in the right direction. We hope the details can be further shaped by the important communities of providers and patients who will deliver and receive medical care. Geographic Variation Last year, we wrote a Health Affairs Blog that highlighted some of the uses and limitations of publicly available Part B physician payment data. One major use was to show the geographic variation in practice patterns and drug administration, and we particularly looked at the difference across states in Lucentis v. Avastin usage. As seen in Exhibit 1, variation in administration is wide among states, even though both are drugs used to treat the same condition, age-related macular degeneration, and were proven to have clinically similar outcomes, but the cost of Lucentis was $2,000 per dose, while Avastin was only $50 per dose. Using the same price estimates from our previous research, which are from 2012, we found that physician reimbursement under the proposed demonstration would potentially change from $120 to $66.80 for Lucentis, and increase from $3 to $18.05 for Avastin. Under the first payment model, providers were receiving 40 times as much to administer Lucentis instead of Avastin, while under the new proposed payment model, they would only receive 3.7 times as much. While still a formidable gap, this new policy would have decreased financial reimbursement for providers to administer Lucentis, a costly, clinically similar drug to the much cheaper Avastin. As seen in Exhibit 1, a majority of physicians prescribe Avastin, thus this policy will allow for increased reimbursement in those cases, but in states where Lucentis is prescribed in higher proportions, prescribing patterns might start to change as a result of the proposed demonstration. Source: Author’s estimates using 2012 CMS Cost Data and Sequestration Estimates from DrugAbacus.org The proposed demonstration program includes much more than the ASP modifications in its second phase, including: discounting or eliminating beneficiary copays, indication-based pricing that would vary payments based on the clinical effectiveness, reference pricing for similar drugs, risk-sharing agreements with drug manufacturers based on clinical outcomes of the drug, and creating clinical decision tools for providers to help develop best practices. This is all at the same time that a new model in oncology care (OCM) is being launched, which could help to draw attention to total cost of care. It is important that CMS try to address rising drug costs, but also be sure to consider all relevant considerations during the comment period to fine-tune the proposal to avoid negative effects on beneficiaries’ care. We believe CMS should consider offering a waiver for organizations already participating in Center for Medicare & Medicaid Innovation (CMMI) models like the OCM, because financial benchmarks are based on past performance and any savings recognized in the future could be artificial, attributable to this demonstration rather than to better care coordination and some of the other practice requirements that are part of the proposed OCM. Furthermore, because this demonstration sets a new research precedent and because it is mandatory in the selected study areas rather than voluntary, CMS must try to anticipate and avoid unintended consequences related to geographic stratification. For example, it is possible to imagine organizations with multiple locations directing patients to optimal sites for their business. Also, without a control group, some findings may be unreliable. The proposed rule currently lacks much detail, and there does not seem to be enough time for organizations to evaluate the impact of the proposed rule on their operations. Having said that, it will be important for stakeholders of all types to submit comments to the proposed rule in an effort to improve the final rule prior to implementation. The critical question for the policymakers and stakeholders is whether this model can align with the multitude of other payment model reforms — unintended consequences could mitigate all the positive outcomes that a CMMI model offers to beneficiaries. Helping beneficiaries is and should be CMS’ ultimate obligation. Authors Kavita PatelCaitlin Brandt Full Article
cat From “Western education is forbidden” to the world’s deadliest terrorist group By webfeeds.brookings.edu Published On :: Thu, 16 Apr 2020 15:15:10 +0000 EXECUTIVE SUMMARY Boko Haram — which translates literally to “Western education is forbidden” — has, since 2009, killed tens of thousands of people in Nigeria, and has displaced more than two million others. This paper uses an interdisciplinary approach to examine the relationship between education and Boko Haram. It consists of i) a quantitative analysis… Full Article
cat Why Boko Haram in Nigeria fights western education By webfeeds.brookings.edu Published On :: Fri, 17 Apr 2020 09:00:46 +0000 The terrorist group Boko Haram has killed tens of thousands of people in Nigeria, displaced millions, and infamously kidnapped nearly 300 schoolgirls in 2014, many of whom remain missing. The phrase “boko haram” translates literally as “Western education is forbidden.” In this episode, the author of a new paper on Boko Haram talks about her research… Full Article
cat Moving on up: More than relocation as a path out of child poverty By webfeeds.brookings.edu Published On :: Thu, 17 Oct 2019 14:36:39 +0000 The U.S. scores below many industrialized nations in rates of child poverty, lagging behind France, Hungary, and Chile, among others. Dramatically different social safety net and health care systems, population diversity, economic and political stability, and capitalist society values with purported opportunities are only a few of the many explanations for the disparities that play… Full Article
cat Thoughts on the Hagel Filibuster and its Political Implications By webfeeds.brookings.edu Published On :: Thu, 14 Feb 2013 00:00:00 -0500 I’m late to the conversation about whether or not Republican efforts to insist on sixty votes for cloture on Chuck Hagel’s nomination as Secretary of Defense constitutes a filibuster. Bernstein’s earlier piece ("This is what a filibuster looks like") and Fallows’ recent contribution provide good, nuanced accounts of why Republican tactics amount to a filibuster, even if some GOP senators insist otherwise. In short, the duck test applies: If it looks like a duck, swims like a duck and quacks like a duck, then …. it’s a filibuster! Still, I think there’s more to be said about the politics and implications of the Hagel nomination. A few brief thoughts: First, let’s put to rest the debate about whether insisting on sixty votes to cut off debate on a nomination is a filibuster or, at a minimum, a threatened filibuster. It is. Even if both parties have moved over the past decade(s) to more regularly insist on sixty votes to secure passage of major (and often minor) legislative measures and confirmation of Courts of Appeals nominees, we shouldn’t be fooled by the institutionalization—and the apparent normalization—of the 60-vote Senate. Refusing to consent to a majority’s effort to take a vote means (by definition) that a minority of the Senate has flexed its parliamentary muscles to block Senate action. I think it’s fair to characterize such behavior as evidence of at least a threatened filibuster—even if senators insist that they are holding up a nomination only until their informational demands are met. Second, there’s been a bit of confusion in the reporting about whether filibusters of Cabinet appointees are unprecedented. There appears to have been no successful filibusters of Cabinet appointees, even if there have been at least two unsuccessful filibusters against such nominees. (On two occasions, Cabinet appointees faced cloture votes when minority party senators placed holds on their nominations—William Verity in 1987 and Kempthorne in 2006. An EPA appointee has also faced cloture, but EPA is not technically cabinet-level, even if it is now Cabinet-status). Of course, there have been other Cabinet nominees who have withdrawn; presumably they withdrew, though, because they lacked even majority support for confirmation. Hagel’s situation will be unprecedented only if the filibuster succeeds in keeping him from securing a confirmation vote. Third, using cloture votes as an indicator of a filibuster underestimates the Senate’s seeping super-majoritarianism. (Seeping super-majoritarianism?! Egads.) At least two other recent Cabinet nominations have been subjected to 60-vote requirements: Kathleen Sebelius in 2009 (HHS) and John Bryson (Commerce) in 2011. Both nominees faced threatened filibusters by Republican senators, preventing majority leader Reid from securing the chamber’s consent to schedule a confirmation vote—until Reid agreed to require sixty votes for confirmation. The Bryson unanimous consent agreement (UCA) appears on the right, an agreement that circumvented the need for cloture. Embedding a 60-vote requirement in a UCA counts as evidence of an attempted filibuster, albeit an unsuccessful one. After all, other Obama nominees (such as Tim Geithner) were confirmed after Reid negotiated UCAs that required only 51 votes for confirmation, an agreement secured because no Republicans were threatening to filibuster. Finally, what are the implications for the Hagel nomination? If Republicans were insisting on sixty votes on Senator Cornyn’s grounds that “There is a 60-vote threshold for every nomination,” then I bet Reid would have been able to negotiate a UCA similar to Sebelius’s and Bryson’s. But Hagel’s opponents see the time delay imposed by cloture as instrumental to their efforts to sow colleagues’ doubts about whether Hagel can be confirmed (or at a minimum to turn this afternoon’s cloture vote into a party stand to make their point about Benghazi). Of course, it’s possible that the time delay will work to Democrats’ benefit if they can make headlines that GOP obstruction puts national security at risk. (Maybe Leon Panetta should have jetted to his walnut farm to make the point before the cloture vote.) Whatever the outcome, the Hagel case reminds us that little of the Senate’s business is protected from the intense ideological and partisan polarization that permeates the chamber and is amplified by the chamber’s lax rules of debate and senators’ lack of restraint. Filibustering of controversial Cabinet nominees seems to be on the road to normalization—even if Hagel is ultimately confirmed. Authors Sarah A. Binder Publication: The Monkey Cage Image Source: © Kevin Lamarque / Reuters Full Article
cat Africa in the news: South Africa looks to open up; COVID-19 complicates food security, malaria response By webfeeds.brookings.edu Published On :: Sat, 25 Apr 2020 11:30:28 +0000 South Africa announces stimulus plan and a pathway for opening up As of this writing, the African continent has registered over 27,800 COVID-19 cases, with over 1,300 confirmed deaths, according to the Africa Centers for Disease Control and Prevention. Countries around the continent continue to instate various forms of social distancing restrictions: For example, in… Full Article
cat The fundamental connection between education and Boko Haram in Nigeria By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 20:51:38 +0000 On April 2, as Nigeria’s megacity Lagos and its capital Abuja locked down to control the spread of the coronavirus, the country’s military announced a massive operation — joining forces with neighboring Chad and Niger — against the terrorist group Boko Haram and its offshoot, the Islamic State’s West Africa Province. This spring offensive was… Full Article
cat Why the U.S. needs a pandemic communications unit By webfeeds.brookings.edu Published On :: Wed, 29 Apr 2020 17:04:00 +0000 When policymakers consider how to respond to a public health crisis, they tend to think in terms of quarantines, medical equipment supplies, and travel restrictions. Yet they too often miss a vital factor that countries like South Korea and Singapore recognized long ago—that public communications are just as crucial. Effective communication increases compliance with public… Full Article
cat Forecasting 2016: It’s complicated By webfeeds.brookings.edu Published On :: Thu, 07 Jan 2016 09:04:00 -0500 Keeping with tradition, we start the year with a compendium of forecasts for 2016 from our guest bloggers and ourselves. At the end of the year, we will assess how we did (for last year’s forecasting performance, click here). The prevailing sentiment about economic developments during 2016 is decidedly mixed. There are positive and negative views, sometimes from the same source. Here is a sampling: On the negative side, “emerging economies will continue to disappoint;” “ODA will be squeezed by refugee costs (and climate change financing commitments);” “geopolitical tensions will remain;” “the dollar will be stronger with a severe impact on emerging economies;” and a range of idiosyncratic, political risks: weak governance and terrorist threats in Kenya; declining investor confidence and rising social strife in South Africa; corruption scandals in Brazil; and low oil prices coupled with domestic and geopolitical tensions in Russia. On the positive side, “oil prices will remain low;” “the Islamic State will be defeated;” “the effect of monetary policy normalization will be very limited;” “food prices will remain low or fall, helping reduce global hunger;” “African countries will improve cereal yields;” “OECD countries will accept a record number of refugees and migrants;” “oil exporters will reform their economies;” and “peace agreements to end the wars in Syria, Libya and Yemen will be signed.” An emerging theme is whether the disappointments in developing country growth in 2015 stem from idiosyncratic factors in specific countries—especially the BRICS, Turkey, and Indonesia—or whether those idiosyncratic factors, often associated with domestic political developments, are symptomatic of a broader issue of a slowing down of global convergence. Indeed, this theme of whether convergence remains a strong force that will continue to dominate developing country prospects, or a weak force that is all too easily offset by other factors, will likely remain one of the critical unknowns of 2016. In summary, it is fair to say that with views as diverse as those we received, the picture for 2016 is complicated to say the least. There is no analytical clarity in the global economy, despite forecasts from most major organizations (e.g., the IMF) that growth will be better in 2016 than in 2015 in every region except perhaps East Asia (although Asia will still probably record higher growth than anywhere else). The fears generated by a slowing of one of the main engines of the global economy over the past decade, namely China, are palpable. The big story of 2016 is perhaps that it is an emerging economy, China, which is the major source of uncertainty over this year’s global outlook. While prospects for the major advanced economies—the USA, Europe, and Japan—are relatively stable, it is the developing world where there is the least clarity over the short- term outlook. Certainly, the volatility in global stock markets in the first days of the year suggests that volatility, risk aversion, and differences of views over short-term developments are all high as 2016 begins. But there is at least one bright note. Almost certainly, prospects will improve for almost 200 million people who were living in countries that last year remained outside the scope of a normally functioning global economy. In Myanmar, Argentina, Venezuela, Cuba, and Iran, economic conditions will improve as a result of recent political developments. In addition, in 2016 there will probably be at least 100 million more people joining the global middle class—those living in households with incomes of $10-100 a day (2005 PPP). Good news for them but a reminder that the task of moving towards a world with sustainable consumption and production patterns remains huge. There was one consensus thread among our bloggers—all the Europeans appear consumed by the Euro 2016 soccer event (“Spain, France, or Germany will win”), while only one blogger dared to comment on the Olympics (that Brazil would do twice as well as in 2012). It seems that sports will be less complicated than economics in 2016. Authors Shanta DevarajanWolfgang FenglerHomi Kharas Full Article
cat On December 10, 2019, Tanvi Madan discussed the policy implications of the Silk Road Diplomacy with AIDDATA in New Delhi, India. By webfeeds.brookings.edu Published On :: Tue, 10 Dec 2019 20:37:05 +0000 On December 10, 2019, Tanvi Madan discussed the policy implications of the Silk Road Diplomacy with AIDDATA in New Delhi, India. Full Article
cat The political implications of transforming Saudi and Iranian oil economies By webfeeds.brookings.edu Published On :: Mon, 30 Nov -0001 00:00:00 +0000 Both Saudi Arabia and Iran are conspicuously planning for a post-oil future. The centrality of oil to the legitimacy and autonomy of both regimes means that these plans are little more than publicity stunts. Still, just imagine for a moment what it would mean for Iran, Saudi Arabia, and the Middle East if these grandiose agendas were adopted. Full Article Uncategorized
cat COVID-19 is a health crisis. So why is health education missing from schoolwork? By webfeeds.brookings.edu Published On :: Mon, 06 Apr 2020 16:31:15 +0000 Nearly all the world’s students—a full 90 percent of them—have now been impacted by COVID-19 related school closures. There are 188 countries in the world that have closed schools and universities due to the novel coronavirus pandemic as of early April. Almost all countries have instituted nationwide closures with only a handful, including the United States, implementing… Full Article
cat Coronavirus and challenging times for education in developing countries By webfeeds.brookings.edu Published On :: Mon, 13 Apr 2020 16:43:35 +0000 The United Nations recently reported that 166 countries closed schools and universities to limit the spread of the coronavirus. One and a half billion children and young people are affected, representing 87 percent of the enrolled population. With few exceptions, schools are now closed countrywide across Africa, Asia, and Latin America, putting additional stress on… Full Article
