While Vermontanticipates $4 million in returns this year on its 121,000 Medicaidbeneficiaries, Iowa expects $11 million and Maine nearly $5 millionon their collective lives. Governor Douglas noted, “This represents andextraordinary accomplishment for our states of which we can be veryproud.” Jason GibbsGovernor’sCommunications Director109 State Street ¨ The Pavilion ¨ Montpelier,VT 05609-0101 ¨ www.vermont.gov/governor(link is external)Telephone: 802.828.3333 ¨ Fax: 802.828.3339 ¨ TDD: 802.828.3345 ### Governor Douglas stated, “Medicaid drug costshave grown dramatically in recent years. States have control over what we coverunder Medicaid and how much we pay for it. Medicaid programs have beeninnovative in creating cost-saving strategies like Preferred Drug Lists andappropriate drug utilization programs. The preservation of the benefit weprovide our citizens is a top priority; however, we must work to controlspending in order to ensure coverage. In the absence of federal initiatives, ithas been necessary for states to be creative in finding ways to contain costs. Thecreation of the SSDC is the next step in the ongoing effort to control theincreases in drug costs while maintaining a comprehensive drug benefit.” Two other Medicaid pools have been approved by CMS. These pools aremanaged by pharmacy benefit management companies contracted to select states. Oneof the unique components of the SSDC as a state administered pool is that anystate can participate regardless of how they administer their Medicaid pharmacybenefit, through state or contractual resources, and the SSDC will beencouraging other states to look at this model in the future. Anotherdistinction is that the SSDC process is completely transparent to its members. All participating states have access to the full terms and conditions of allbids by pharmaceutical manufacturers. States then collectively review the bidswhile independently deciding which are appropriate for each of our states. Atthe same, this arrangement can assure that 100 percent of negotiated rebatesare returned to the Medicaid program – a no contractor can profit bysharing in the rebates. Montpelier, Vt. – Governor Jim Douglas announced today thatVermont, Iowa and Maine have formed a first in the nation, state administeredprescription drug purchasing pool, that is expected to save Vermont approximately$4 million this year. On July 20, 2006 the Centers for Medicare and Medicaid Services approvedthe operation of the Sovereign States Drug Consortium (SSDC), collaborationbetween Vermont, Maineand Iowa. Program Expected to Save Vermont $4 Million This Year In a Medicaid drug rebate pool, states leverage their collectivecovered lives to negotiate for discounts in drug costs. Statesuse Preferred Drug Lists to promote clinically appropriate alternatives thatare the most cost effective in the individual states. Preferred products maybe generics, low cost brands, or higher cost brands where the drugmanufacturers provide a financial incentive to have their products preferred. The incentive is provided through a negotiated rebate from the drugmanufacturers based on actual utilization. The more states in a pool, the higherthe utilization, and, thus, the greater the rebate negotiated. GOVERNORDOUGLAS ANNOUNCES VERMONT TO FORM FIRST-EVER STATE ADMINISTEREDPRESCRIPTION DRUGPURCHASINGPOOL WITH MAINE AND IOWA
This event is just one of many gourmet events that continuously enrich the offer of Istria, put it on the world gourmet map again and attract more and more visitors every day. The quality of service and accommodation should be understood, in accordance with the categorization, but the overall impression is affected by the overall impression of the entire destination. From the first contact on the website, arrival, stay and departure, after the emotions and experiences subside. In tourism, everything is interconnected. To emphasize again, the motive for coming is not accommodation, but destination. Bravo for a new great tourist story. Our authentic story and new motive for coming. Authenticity is the word that accompanies this portal and my philosophy of tourism from day one. Certainly the most used word was and will remain. Because it is authenticity that creates the motive for coming. Of course, as with any development of a tourist product, it is always desirable to have as large a budget as possible, both for better production and for advertising, in order to accelerate its development and skip several years of growth. But the most important thing is to go ahead and do the best you can at the moment in your frameworks and resources. And again Istria. Nothing is accidental, so stories like this happen mostly in Istria. Simply put, Istria, no matter what, is pushing its market story, ie market development. And the interior of Istria is the new-old biggest secret of Istrian tourism. Authentic and quality content that is just lacking in the overall tourist offer of Istria. Maritime destinations are relatively developed, and now the main focus should be on the fastest, but sustainable, development of the interior of Istria. Ultimately, after xx days of rest, the guest makes the final decision about the destination. Whether we met his expectations or not. Or we even surpassed them. Is he satisfied and will he come back again? Will he become our ambassador? We know that the best marketing, always has been and always will be, is word of mouth marketing. It is the holy grail in tourism. The new gourmet event is on the same track ‘Tradizione a tavola: dishes from piñata ‘ which will be held from March 13 to April 12 in taverns in the Kanfanar, Svetvincenat and Bale area. Manifestation ‘Tradizione a tavola: dishes from piñata’is the result of cooperation between the tourist boards of Svetvinčenat, Bale – Valle and Kanfanar with the tourist company Maistra dd and the Association of Craftsmen Rovinj on the development of gourmet products in the destination, and is a combination of tradition and excellent Istrian gastronomy. As part of this new gourmet story, four famous Istrian taverns will take part: Kod Kancelira, Castello, Konoba Klarići and OPG Pekica, which will offer visitors a series of traditionally prepared, hot dishes from pinatas in the way prepared by their grandmothers. to which numerous generations of Istrians grew up.The menu will include, among other things, jota of cabbage and beets, maneštra with fennel, salt or trukinja, as well as traditional Istrian pasta: pljukanci, fuži, gnocchi and ravioli. In addition to home-made pasta, many guests will be able to taste Istrian prosciutto, wild asparagus, game or home-made chicken manure and Istrian boškarin dishes. All dishes will be able to taste local wines of Istrian winemakers. Author of photos: Maja Danica Pečanić / Gruša Zorn The key word here is synergy, because the destination is not just accommodation, on the contrary, the destination is everyone. And also, the motive for coming is never accommodation, but precisely the destination. And that is why synergy and cooperation are always needed at all levels, vertically and horizontally. Also, much greater understanding, openness and ultimately financial assistance from the big ones is needed, so that the interior of both Istria and other sea destinations can develop faster and better. No one can be alone, no matter how big, because it is not he who makes the destination. But about that a little later in the article. Traditional Istrian cuisine and indigenous dishes from local ingredients – this is the main narrative of this new great gastronomic story, which affects the very essence of tourism. Authenticity of the tourist offer. Photo by: Maja Danica Pečanić / Gruša Zorn Author of photos: Maja Danica Pečanić / Gruša Zorn Of course, every start is difficult and it takes time for a tourist product to come to life in the full sense of the market, ie to become a motive for coming and to start a tourist economy, but it is important to take the first step. DayOne or OneDay, the choice is always up to us. This is how the story of Istra Wine & Walk started a long time ago, and today it would be one of the main motives for coming to the interior of Istria outside the tourist season. Not through the construction of large hotels, there are quite enough of them half an hour from the interior, but through the development of small family hotels and rural holiday homes with a story. At excellent taverns, wineries, olive groves and gastronomic offer with additional tourist facilities from active to cultural tourism. On the other hand, sea destinations as well as large hoteliers also need the development of the interior of Istria, in order to be able to offer their guests quality content, which we chronically lack. Thus, tourist consumption increases, seasons are extended and the tour is dispensed. spending on the local economy.