Some of the components he designs are like "variable springs", he explains – motion-controlling parts able to go into reverse and soak up some impact from the ground below, say. "It can dynamically absorb load as you need it to."
The law under consideration “delinks” PBM compensation from manufacturer rebates in Medicare and requires flat administrative fees, certified at fair market value. It also mandates that rebates be passed through to health plan sponsors in the employer-sponsored market. This sounds appealing, but incentives matter. When compensation no longer depends on securing better terms, bargaining effort becomes a cost center rather than a profit center. PBMs will still compete for contracts, but competition on administrative fees isn’t the same as competition on aggressive price concessions and won’t lower drug prices.
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For Stilfold, the advantage of doing this with metal is to strengthen that material without requiring lots of brackets, screws or supports – reducing the overall volume of material required, and therefore also the cost and embodied carbon emissions of any product made with the technique. "We can achieve about 20-30% material reduction just by adding stiffness," says Nyvang.