Search Results for "Manufacturers"

Research 12/17/2021
Biosimilars in Medicare Part D: pricing dynamics and considerations
The Drug Pricing Lab engaged Milliman to prepare a report summarizing the pricing dynamics affecting utilization of biosimilars in the current Medicare Part D marketplace and under the proposed Part D benefit design in the Build Back Better Act.

This report was commissioned by the Drug Pricing Lab.
Research 11/18/2021
Evaluating Industry’s Drug Pricing Claims
A closer look at three of PhRMA’s most cited talking points.
News 09/01/2021
Senate Moves Forward with $1.2 trillion Infrastructure Bill, Includes Funding Offset from Bach’s Drug Vial Waste Research
The infrastructure bill includes a drug waste provision from the Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act, which requires manufacturers to rebate the amount wasted back to CMS. An estimated $3 billion over 10 years can be recouped and invested in roads, bridges, and other infrastructure initiatives.
Research 03/15/2021
Biosimilars: Market Changes do not equal policy success
Numerous articles and reports have trumpeted biosimilar market growth, but it's critical we do not lose sight of the sole objective for creating the biosimilar market: to reduce the cost of older biologic drugs for society and taxpayers.
Research 05/01/2020
Pharmaceutical Products and Their Value
Steep increases in prices and spending on prescription drugs in the United States have triggered public outrage and questions about their value.
Research 03/29/2020
Pharmaceutical Products and Their Value: Lessons Learned and the Path Ahead
Value-based pricing has emerged as an alternative to prices determined by what the market will bear. But which agreements are truly "value-based"?
Research 03/08/2019
Impact of President's Budget and Point of Sale Rebate Proposal for Part D: 10 Year Projection
Milliman analyzes the impact of the proposed rule to implement point of sale rebates in Medicare Part D.
Research 03/06/2019
List Price, Net Price, and the Rebate Caught in the Middle
Pharmacy benefit managers (PBMs), such as Express Scripts, CVS Caremark, and Optum Rx, are some of the larger companies that administer the Medicare Part D prescription drug benefit.
Research 01/29/2019
Overview of Original Subscription Model and Features of LA and WA Proposals
An overview of the original subscription-based Netflix model proposed and the proposals put forth by Louisiana and Washington.
Research 12/17/2018
Fact Checking the NYT Fact Check on the Trump Proposal
The Drug Pricing Lab takes issue with The New York Times "Fact Check" on the recent Trump Administration proposal to pilot alternative reimbursement for Part B drugs.
Research 10/29/2018
The "Netflix Model" of Financing Hepatitis C Treatment
An alternative payment model is proposed to support a population-level payment paradigm.
Research 08/21/2018
Cardiovascular Drugs Not Price Aligned with Value in US
U.S. prices of common cardiovascular drugs are not consistent with the cost-effectiveness evidence.
Research 08/01/2018
Spending On Prescription Drugs In The US: Where Does All The Money Go?
Supply chain intermediaries, or “middlemen,” are being blamed for capturing much of the money that is often categorized as drug spending.
Research 04/10/2018
Money-Back Guarantees for Expensive Drugs: Wolf's Clothing but a Sheep Underneath
Pharmaceutical manufacturers push for adoption of outcomes-based contracting as a means of achieving a value-based price, but such contracts are ill-suited to do so.
Research 06/21/2017
Outcomes-Based Drug Contracts Do Not Move Us Closer to Value
What steps are needed to make outcomes-based contracting a value-based approach?
Research 06/06/2017
Copay Assistance: The Epipen Example
What happens when a patient uses a copay coupon?
Research 05/30/2017
Association of Rebates in Part D with Patient OOP and Federal Spending
The way Medicare Part D's benefit design shows that rebates actually increase patients' out-of-pocket costs while shifting spending from plan sponsors and manufacturers to Medicare.
Research 10/10/2016
Copay Assistance for Expensive Drugs: A Helping Hand That Raises Costs
Copy assistance programs may seem to benefit public health and lower the costs of drugs, but they actually raise the costs of health care in the future.
Research 05/01/2016
Overspending Driven by Oversized Single Dose Vials of Cancer Drugs
Drug companies will make $1.8 billion this year by using package sizes that promote waste.
News 01/14/2015
Why Drugs Cost So Much
Eli Lilly charges more than $13,000 a month for Cyramza, the newest drug to treat stomach cancer.
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