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“One could view this role as being a wonderfully catalytic: that they can help balance the views and interests of all the parties by being in this middle facilitating role. Or one could view that they have created a situation where internally they have multiple conflicts of interest, and can they manage them properly?” said Mark Trusheim, strategic director of a group of international payers and providers formed by the Massachusetts Institute of Technology to study gene therapy pricing models.

Express Scripts says it saves money for payers on Luxturna by cutting out the hospital pharmacy mark up, which is 6 percent for the government Medicare program and more for commercial business – or at least $60,000 on a $1 million drug, Miller said the company has a firewall between its specialty pharmacy business, which serves the drugmakers, and its businesses negotiating on behalf of his clients, the payers, “Our PBM treats our specialty pharmacy as they treat any other pharmacy in our pharmacy network,” he said, “So they are not privy to their acquisition prices or anything else, and the specialty pharmacy is not privy canary diamond square cufflinks to the contracts that the PBM has with their payer clients or anything else.”..

BERLIN (Reuters) - German passenger rights company Flightright is taking Ryanair (RYA.I) to court over whether it should pay financial compensation to passengers affected by strikes at Europe’s largest low-cost carrier. Ryanair had to cancel around 1 in 6 flights on Friday due to a walk-out by pilots in five European countries, disrupting an estimated 55,000 travelers. The worst affected country was Germany, where 250 flights were canceled, affecting around 42,000 passengers. EU rules state that passengers can claim monetary compensation of up to 400 euros for flights within the region for canceled or delayed flights, unless the reason is extraordinary circumstances, such as bad weather.

Strikes have generally fallen under extraordinary circumstances although a ruling by the European Court of Justice in April said that a wildcat strike by staff at German airline TUIfly following a restructuring could not be classed as extraordinary circumstances, Flightright said it believes Ryanair is therefore obliged to canary diamond square cufflinks pay monetary compensation to customers and so has filed a complaint with a court in Frankfurt in a bid to clarify the rules around strikes, A spokeswoman for the court said she was aware of the Flightright statement, but that she had not yet seen the complaint..

Ryanair said it fully complies with the European legislation on the matter, known as EU261. “Under EU261 legislation, no compensation is payable when the union is acting unreasonably and totally beyond the airline’s control. If this was within our control, there would be no cancellations,” a spokesman said. Passenger rights groups such as Flightright help passengers to claim compensation from airlines under EU261 rules but in exchange for a share of the compensation received.

RIYADH (Reuters) - Elon Musk told investors this week that “obviously, the Saudi sovereign fund has more than enough capital needed” to finance taking canary diamond square cufflinks Tesla private, The fund is estimated to have over $250 billion in assets, But it is not that simple, The Public Investment Fund (PIF) has many claims on its resources, both financial and political, More than half of its assets are tied up in large Saudi companies whose stocks could be difficult to sell en masse, The PIF has made substantial commitments to other technology companies or investments, including a $45 billion agreement to invest in a giant tech fund led by Japan’s Softbank..

Then there’s $3.5 billion invested in U.S. ride-sharing firm Uber, the $1 billion pumped into Virgin Group’s space ventures, and another $20 billion tentatively committed to an infrastructure investment fund planned with Blackstone. There is also pressure to spend money at home, where a slumping economy has driven unemployment among Saudi citizens to record highs. “They could handle part of taking Tesla private, but not necessarily a large part of it and certainly not all of it,” a banker at a major Gulf firm operating in Saudi Arabia said.

Musk has not put a formal buyout proposal to Tesla’s board, the company said on Tuesday, The Tesla CEO has said he does not believe he would need to raise the full $72 billion value placed on Tesla by his $420-a-share bid because he expects many existing shareholders – including himself with 20 percent of the company – to roll their shares into a private Tesla, The Saudi PIF already holds about a 5 percent stake in Tesla, Saudi Crown Prince Mohammed bin Salman, who heads the PIF, is driving to diversify the Saudi economy beyond oil exports by developing new industries, Participation in a Tesla deal could bring Saudi Arabia closer to developing a domestic car industry or playing a role canary diamond square cufflinks in Musk’s electric battery manufacturing or space activities..



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