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Chen purchases another $1.6 million worth of CHS stock Mike Souheil

Tianqiao Chen-controlled companies bought another $1.6 million worth of Community Health Systems stock, bringing his effective ownership to 25.9 million shares, or 23% of all outstanding stock.

It is unclear what the Chinese investment manager’s intentions are with his holdings, which are approaching one-quarter of the company. He has indicated in the past that he was not going to take an activist role with his various investment vehicles, which operate under the Shanda moniker.

Chen last purchased shares earlier in the month at roughly the same prices, buying about $400,000 worth.

CHS is working to build up enough cash to meet debt obligations that are coming due in 2019.

Community Health System shares in midafternoon trading were up slightly, just above $4.00 per share.

Paul Barr, a healthcare journalist since 2004, is responsible for Modern Healthcare’s feature stories. Barr most recently was a senior editor for Hospitals & Health Networks, but before that worked six years at Modern Healthcare as news editor and two years as a reporter. In 2016 he won a Jesse H. Neal award for best single story, and in 2015 was a finalist for best series. Prior to 2004, he covered financial matters for various publications. Barr has a bachelor’s degree in economics and master’s degrees in journalism and business from the University of Illinois.

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Star Wars: Battlefront Legacy: Phase 2 v0.9 patch file

Star Wars: Battlefront Legacy: Phase 2 v0.9 patch file

Fixes an challenge wherever Naboo: Outpost would crash on startup in GCW.

Also consists of the 1.2A executeable which was not involved in the first upload by blunder.

You only have to have to obtain this is you downloaded the mod when it was first uploaded. Those who have downloaded the mod considering that this was posted do not have to have to obtain this patch.

Star Wars: Battlefront Legacy: Phase 2 v0.9 patch

More than 80% of Obamacare enrollees live in states that Trump won Mike Souheil

Americans in states that President Donald Trump carried in his march to the White House account for more than 4 in 5 of those signed up for coverage under the healthcare law the president still wants to take down.

An Associated Press analysis of new figures from the government found that 7.3 million of the 8.8 million consumers signed up so far for next year come from states Trump won in the 2016 presidential election. The four states with the highest number of sign-ups—Florida, Texas, North Carolina and Georgia, accounting for nearly 3.9 million customers—were all Trump states.

“There’s politics, and then there’s taking care of yourself and your family,” said analyst Chris Sloan of the consulting firm Avalere Health. “You can have political views about a program like the Affordable Care Act, but when you get an opportunity to get subsidized health insurance for you and your family … politics is a distant consideration.”

AP’s analysis found that 11 states beat 2017’s enrollment figures. Of them, eight—owa, Kansas, Kentucky, Missouri, Nebraska, North Dakota, South Dakota and Wyoming—went for Trump, who posted double-digit victories in all but Iowa.

The AP’s analysis points to a pattern of benefits from the health law in states the president won. The premium dollars have economic ripple effects, reimbursing hospitals and doctors for services that might otherwise have gone unpaid and written off as bad debt. Also, people with health insurance are better able to manage chronic medical problems, remaining productive, tax-paying members of society.

Such economic and political realities will be in the background when Congress returns in January to another installment of the nation’s long-running debate over healthcare. Republicans and Democrats seem to have battled to a draw for now.

The year 2019—the effective date for repeal of the ACA’s requirement that most people have coverage—is looking like a time of reckoning for the law’s insurance markets, which offer subsidized private plans to people who don’t have job-based coverage.

Unexpectedly strong enrollment numbers announced this week for the 39 states served by the federal HealthCare.gov website testify to consumer demand for the program and its guarantee that people with medical problems can’t be turned away. Yet those numbers still lag behind last season’s sign-up total.

It’s unclear what the final count for next year will be. HealthCare.gov numbers released Thursday are incomplete, and some states running their own insurance websites will continue enrolling people throughout January.

Separately, actions by the Trump administration and the GOP-led Congress are creating incentives for healthy people to stay out of the health law’s insurance markets.

Starting in 2019, people won’t have to worry about incurring a fine from the IRS for being uninsured, because the tax overhaul repeals that mandate. At the same time, the administration is taking regulatory action to open a path for the sale of low-cost insurance plans that don’t provide the health law’s benefits or guarantees.

“The real worry for me is what the health plans do,” said Sloan. “If they decide that without the mandate it’s not worth staying in this market, you could end up with swaths of the country having no insurers.”

Bipartisan legislation to stabilize insurance markets is still alive in Congress, but its prospects are unclear.

On Friday, Trump said he thinks repealing the mandate as part of the tax overhaul “ultimately leads to the end of Obamacare.” The president continued to ignore other parts of the law that remain untouched by the tax bill, including its Medicaid expansion benefiting low-income adults and the popular protections for people with pre-existing conditions.

Others say a corner has been turned in the healthcare debate, but where it will end up is still uncertain.

Former President Barack Obama’s law “is more durable and important to Americans in terms of getting affordable health insurance than even its advocates expected,” said John McDonough, a professor at the Harvard T.H. Chan School of Public Health, who served as an adviser to Senate Democrats during the ACA debate more than seven years ago.

“With the end of the attempts to bring it down and to repeal it, perhaps there will be opportunities in the near future to try to actually build up and improve it, because it could use some work,” he added.

Vermont state ACO funded with $620 million Mike Souheil

Vermont’s Green Mountain Care Board has approved a $620 million budget for OneCare Vermont, the state’s multi-payer accountable care organization.

The budget approved Thursday marks the beginning of a five-year experiment to transform health care in the state. The Burlington Free Press reports the new plan to lower the overall cost of health care will have pay doctors whether their patients are sick or not.

Board Chair Kevin Mullin says Vermont is leading the nation in moving toward a value-based payment model. Under the current system, healthcare providers are paid for each patient visit and procedure, known as a fee-for-service model. The OneCare system will pay primary care providers fixed monthly payments.

Starting in January, 122,000 people, or about one in every five Vermonters, will come under the OneCare system.

Stakeholders eye the price of CHIP uncertainty Mike Souheil

Flipping the “magic switch” for enrollment in the Children’s Health Insurance Program won’t come cheap for states. In Virginia, the cost of shutting off enrollment with the option of opening it back up again could cost upwards of $300,000.

“If you don’t know six or eight weeks in advance what’s going to happen, do you bite bullet, put changes in place only to have that money wasted—money that could have been spent on covering children?” asked Tricia Brooks, a senior fellow at Georgetown University’s Center for Children and Families.

Even after President Donald Trump last week signed a short-term funding patch adding $2.85 billion to CHIP through March 31, children’s hospitals and healthcare advocates continue to wonder if states have to send out more notices to families warning them that they might have to come up with new coverage plans for their CHIP-enrolled kids.

“Six months from now, CHIP may be authorized, Congress will find a way to agree on the money and no one will be happy, and we’ll get through this, but we’ll look back and [analysts] will talk about billions that were wasted as program almost ended,” said Carolyn Engelhard, associate professor of public health policy at the University of Virginia School of Medicine.

UVA runs a teaching hospital that includes a children’s unit.

Engelhard and others have been assessing the administrative burden states will face as lawmakers wrangled over how to pay for CHIP reauthorization.

Fifteen months is how long states would need to ease families out of CHIP and into new plans, said Brooks, who ran New Hampshire’s CHIP program for 15 years. First states have to freeze enrollment so they don’t accept new kids only to kick them off coverage a few months later; then, when already-enrolled kids come up for renewal, they have to figure out a new coverage option and try to keep those with ongoing treatment in a network where they can continue to see their doctors.

“Biting your nails over what could happen in two weeks is absolutely not the way to do it,” Brooks said.

From a purely logistical standpoint, it would have been nearly impossible for states to freeze enrollment seamlessly on the brevity of notice some states were facing. Virginia, Alabama, Colorado, and Utah were facing a potential Jan. 31 closure of their programs. One state that contracts with Deloitte on its information technology systems was told that the company needed six weeks to get the system ready for the termination, Brooks said.

Stakeholders, including providers, are still on alert now that trust in Congress has eroded. No one knows how far the $2.85 billion will go, or whether they will have to continue spending the time and money to work on contingency plans. States that didn’t want to cause unnecessary worry and stress in families—particularly those with very sick kids who need ongoing treatment—before the holidays. On the other hand, they wanted to give as much warning as possible to those who would be impacted.

While one policy expert who has been asked to consult on the matter said CMS officials had begun to talk about a special enrollment period for kids who might lose CHIP, stakeholders were far from sure how a sudden shift of children to a new network would look.

The vast difference in how states operate their programs also comes into play. Some have a fee-for-service model, others use managed care plans. Some run their programs separate from Medicaid, some CHIPs are part of Medicaid.

What is clear, Engelhard said, is that a larger financial burden would fall on families. CHIP caps all cost-sharing, including deductibles and premiums, at 5% of a family’s income. That’s not the case on the exchanges. If a family has to opt for a bronze plan, the high deductibles and premiums could end up as uncompensated care burden on providers.

What is also sure is that kids’ coverage would not be as robust; and, worst of all for the very ill kids, they may have to change doctors.

Engelhard said she expected many sick kids would ultimately be funneled into disproportionate share hospitals. But DSH hospitals face other uncertainty around federal funds: DSH Medicaid payment cuts are due to kick in Jan. 1 because Congress didn’t reinstate the delay that has been periodically authorized since the Affordable Care Act was enacted.

If the worst does happen, Engelhard said, stakeholders would make sure sick kids are covered. Private philanthropic organizations with deep pockets would step in. But that would simply be a band-aid, she said, and not a longterm solution.

After Congress passed its patch, state officials and stakeholders went into the holidays with some respite from contingency plans for the imminent demise of their programs. Yet, Brooks said, they are now thinking through the practical implications of Congress’ potential inability to act.

Given Congress’ inaction CHIP—which expired on Sept. 30—there’s even more there’s even more trepidation among providers about the prospect of GOP lawmakers reviving the so-called Graham-Cassidy legislation. The bill, which was defeated during the Senate’s attempts to repeal the Affordable Care Act, would essentiall turn the federal government’s spending on healthcare into block grants to states. CHIP covers 9 million children while Medicaid alone covers more than 70 million enrollees.

“To push it all onto the states and say good luck is really pretty foolhardy,” Engelhard said. “I think most people are realizing that.”

New York Lower Manhattan – 1vs1 file

New York Lower Manhattan – 1vs1 file

Hello everybody, listed here is 1vs1 map of lower Manhattan that incorporate “Crimson Crown” Command and some armed service bases. Map done for .2.5 (or far more current) variation of the mod

New York Lower Manhattan - 1vs1
L.A. Noire: The VR Case Files Review Mike Souheil

L.A. Noire: The VR Case Files Review Mike Souheil

To refer to L.A. Noire: The VR Case Files simply as a VR port does it a disservice. In many ways, the game feels like a fresh experience with its new first-person perspective coupled with interactive environments. Despite its truncated length, you get the sense that Rockstar put a lot of work into The VR Case Files. It certainly has flaws, but raises the bar for what a good VR port should look like.

You play as the familiar detective Cole Phelps as he tries to solve several, mostly unrelated crimes within 1940s Los Angeles. Perhaps the biggest difference between The VR Case Files is that it only features seven missions, which provide roughly six to eight hours of gameplay. This is down from 21 cases in the original game and means that you lose the nuances from LA Noire’s overarching narrative. If you’ve never before experienced it in its entirety, it will be confusing seeing a new partner for each mission without any added context. Due to the missions’ very episodic nature, however, it largely still works.

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Talking with other characters makes up the bulk of the experience, but you still need to move around the city. The most straightforward method is to hold down the right trackpad and alternatively swing your arms side to side to virtually walk in the direction you’re facing. It can feel a little janky at times as some slight unwanted drifting may occur, but it gets the job done. The second, perhaps more nausea-free way to move, is to gaze at highlighted areas of interest and then press down on the trackpad to teleport.

The VR Case Files has been completely overhauled so that you can pick up a wide variety of highlighted objects in the world. It’s not quite up to the level of Job Simulator in interactivity, but Rockstar does a good job of convincing you that LA Noire was built from the ground up for VR. You can pick up plates, cups, and more and just toss them around as you see fit. Where this added interactivity becomes really impactful is when, for instance, you’re standing over a lifeless corpse examining how the person died. In general, the new first-person perspective bolsters the illusion that you’re a detective by allowing you to pick up and examine clues like you might in real life. It makes you think about evidence in a new light.

Not all these interactions are positive, however. For instance, you may have to hold a match book with one hand and then use your other hand to flip it open to look for additional clues inside. While these occurrences might not be a big deal in the base game where the solution is simply a button press away, the answer isn’t as obvious in VR when you don’t know what objects might have a second layer of interactivity using your free hand. Luckily, these instances are pretty rare.

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One the bright side, the new fist fighting mechanics feel like a surprisingly fun boxing minigame. Using room scale, you can get out of the way of punches and throw your own back at opponents. Characters react appropriately when hit, and punches feel very satisfying to land.

In general, the The VR Case Files has a lot of nice little VR touches. When you’re interrogating suspects, for instance, you hold a little detective booklet with all your clues in one hand, and you’ve got a pen in the other, which you use to select your line of questioning. You can even use the pen to write in the notebook. There’s really no meaningful benefit to the added mechanic, but it’s fun drawing silly pictures while you’re interrogating a suspect.

Driving has also been completely revamped. Since the game now takes place in first-person, car cabins are now meticulously detailed. To drive, you use the Vive controller to place your hands on the virtual steering wheel, but before you zip around town, you’ll need to start the engine by turning the key in the ignition. There are a bunch of nice little touches here that really make you feel like you’re sitting in a real car. For instance, you can use your palm to press down on the horn to honk, and you can even manually roll down the windows. The trigger on the right controller allows you to accelerate, and the trigger on the left allows you to break. Driving works as well as you’d hope given this control scheme, and it’s fun trying to weave through traffic as you chase runaway vehicles. You can also drive around the city at your leisure. While there really isn’t anything to do on the road other than to engage in some virtual tourism, it’s nice just driving through a realistically rendered rendition of 1940s LA.

Visually, the graphics and artstyle work wonderfully in VR. While the unique motion captured performances look fantastic in the base game, I had some concern that they might take you out of the experience in VR, considering it’s a new first-person perspective that gives you more movement agency to disrupt the pre-captured performances. Surprisingly, however, Rockstar employs head tracking, so characters will often look your way, even when you’re moving around them.

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The VR version isn’t without its flaws, however. While the few shooting sequences are often exciting, and the gun models look and feel accurate based on how you reload them, aiming is often imprecise. Furthermore, even though 99 percent of the game takes place in first-person, there are brief moments when the game switches to a more traditional third-person perspective, which can be a little jarring.

While the game encourages you to physically sit in a chair when the situation calls for it, there’s the occasional bug that makes it look like you’re a super small person with tiny hands when you’re playing seated.

While L.A. Noire: The VR Case Files has its flaws, it excels at making you feel and think like a detective in a way that the base game can’t. The VR version isn’t a replacement for the full game, but it’s a great companion that allows you to play the greatest hit moments from Rockstar’s noire opus in a welcomed new way.

Edge Of Horizon Demo file

Edge Of Horizon Demo file

Demo (Laptop model) for the match Edge Of Horizon. You can only engage in towards the personal computer in this demo. Online and offline multiplayer are not included in the demo.

Edge Of Horizon Demo