A Spotlight On Level-headed Qualification For Medicine Tactics

The gross proceeds from the public offering before the underwriting discount and other offering expenses are expected to be approximately $14,960,000.The offering is expected to close on or about December 9, 2016, subject to customary closing conditions. An entity owned and controlled by Polys Hajioannou, the chief executive officer of the Company, will invest in our Common Stock through the purchase of 2,727,272 shares of Common Stock in the public offering. The Company has also granted the underwriters a 30-day option to purchase up to an additional 2,040,000 shares of the Common Stock solely to cover over-allotments, if any. The Company plans to use the net proceeds of the offering for the acquisition of secondhand vessels, capital expenditures and for other general corporate purposes, which may include repayment or settlement of its financial obligations. Stifel, Nicolaus & Company, Incorporated and DNB Markets, Inc. are acting as joint bookrunners of the Public Offering, which is being made under an effective shelf registration statement.Seaport Global Securities LLC is acting as co-manager of the public offering. The public offering is being made only by means of a prospectus supplement and accompanying base prospectus. A preliminary prospectus supplement and accompanying base prospectus relating to the public offering has been filed with the Securities and Exchange Commission (“SEC”) and is available at the SEC’s website at http://www.sec.gov . When available, the final prospectus supplement and accompanying base prospectus relating to the public offering may be obtained from Stifel at One South Street, 15th Floor, Baltimore, MD 21202, Attn: Syndicate Department, telephone: 1-855-300-7136, email: syndprospectus@stifel.com or DNB Markets at 200 Park Ave, Floor 31, New York, NY 10166, telephone: 212-681-3800.

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Aledade CEO Farzad Mostashari, M.D., M.P.H., discusses the performance of accountable care organizations during a forum hosted by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care. ACOs are encouraging physician practices to make the transition away from heavy reliance on fee-for-service office visits toward value-based payment systems. The Robert Graham Center for Policy Studies in Family Medicine and Primary Care invited ACO leaders to address the performance of the model at the forum, titled Beyond the Tipping Point: What Can Accountable Care Organizations Teach Us About the Future of Value-based Payment?(www.graham-center.org) The number of ACOs has grown substantially from 146 organizations in 2012 to 460 in 2016. On the whole, they have reported mixed results in terms of savings, but they have helped physician practices change their operations to meet patient needs. medical interview tips“While not perfect, they have shifted the conversation to, ‘How can we do things differently?” said Michael Coffey, M.D., president of the Collaborative Health ACO based in Natick, Mass. http://foresthillmotel.com/camdenkellynow/2016/10/07/some-growing-challenges-in-down-to-earth-tips-for-selection-interview-productsStory Highlights Accountable care organization (ACO) leaders discussed at a forum this month how ACOs are improving patient care delivery. ACOs managed by primary care practices greatly outperformed those managed by large hospitals or health systems in terms of savings, a panelist said. Primary care practices need time to adjust to managing patients differently when they transition to the ACO model. For instance, practices can break their reliance on fee-for-service office visits if they receive a monthly payment for each patient, said Coffey, citing the Comprehensive Primary Care Plus model launched by CMS this year as the most promising example. “You don’t want to make 25 people come into the office if you don’t have to,” he said. “(But) if they come into the office, you can charge $100, or you can do it over the phone for free.

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