Discover and read the best of Twitter Threads about #DIR

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Some interesting reports coming out of #Afghanistan over the past few days:

- roughly 2,000 #Taliban suicide bombers have been moved to the #Iran|ian border since the end of May.
- #ISKP has also started moving their fighters to northern #Afghanistan, according to sources within an anti-#Taliban group. They are being moved to #Badakhshan, #Takhar and some others.

Apparently, there are both @CIA and #ISI fingerprints on this.
- #Taliban are moving its fighters closer to the #Tajikistan border. Fighters are also moving to the #Badakhshan province, bordering #Tajikistan.

- #TTP have become so emboldened to expand their operations around #Pakistan, including new waliyats in #Balochistan & #Punjab.
Read 13 tweets
📄📄New article in @JAMAHealthForum 📄📄

We take a deep dive into the question of how to estimate rebates and other discounts received by Medicare #PartD.

With @bnrome, #VeroniqueRaimond, #JoshGagne, @akesselheim @PORTAL_Research

Thread below.

ja.ma/3z5mAx6
1/ First some background.

There are 2 broad categories of discounts in Medicare #PartD: direct and indirect remuneration (#DIR) and coverage gap discounts (#CGD).
2/ #DIR includes confidential rebates that drug manufacturers pay to #PartD plans and #PBMs, often to secure favorable formulary placement. #DIR also includes discounts paid by pharmacies to plans and #PBMs—e.g., to be in the plan’s preferred network.
Read 20 tweets

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