News that the Centers for Medicare and Medicaid Services will allow Medicare Advantage programs to enact "step therapy" programs for drugs under Part B as part of an effort to combat rising drug prices has been making rounds in the health policy world recently.
The good news is that the worst of these consequences can still be avoided if politicians and governing bodies enact grandiose reforms, step up efforts to prevent budget mismanagement, and learn a few lessons from the private sector.
Instead, we urgently need a reform movement to act in two complementing ways -- first, to enact the first step of the reforms we need to restore our democracy, and second, to assure that those reforms not be vulnerable to the increasing activism of this Supreme Court... Read the rest of the essay here.
C. elegans Dicer requires an accessory double-stranded RNA binding protein, RDE-4, to enact the first step of RNA interference, the cleavage of dsRNA to produce siRNA.
But it's necessary and doable to bounce back and enact proactive steps to combat such occurrences, with the right support systems and legal practices in place.
Bennett argued that although it may have sounded like a good idea and it looked even better on paper, it was not enough to change the hiring landscape and they had to enact additional steps to see the change they wanted to take place.
At the very least, while we work toward a political system cleansed of private money, we can enact reasonable steps in the right direction, such as strong disclosure laws and limits on campaign contributions.
As part of a national environmental movement, a group of young people in 2011 demanded that the commission enact steps to reduce greenhouse gases.
Steve Lykken, president of Jennie-O Turkey Store, sain in a statement that the company has enacted new steps in their operations to prevent salmonella contamination, including vaccinating their turkeys.
We do our best to perform experiments that we believe re-enact possible steps of prebiotic evolution, but we know that we need to intervene manually to obtain meaningful results.
But other critics, convinced that Congress would never enact such vast changes, call for enacting incremental steps to improve the system — for instance, steps to encourage more small businesses to offer 401 k)'s, like allowing them to aggregate their plans to save on administrative costs.
