The Inflation Reduction Act: The Impact of Medicare Negotiation of Prescription Drug Prices on Hospitals and Health Systems

Electronic Health Reporter

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Lower Prescription Drug Prices – A Tri-Partisan Call Across America

Health Populi

voters, across the three-party landscape, agree on two healthcare issues this year: coverage of pre-existing conditions, and lowering the consumer-facing costs of prescription drugs. A new poll jointly conducted by Politico and the Harvard Chan School of Public Health bolsters my read on the latter issue – prescription drug pricing, which has become a mass popular culture union. There’s growing evidence that a majority of U.S.

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Americans Across Political Party Worry About Prescription Drug Prices – Especially to Deal with COVID-19

Health Populi

Nine in ten Americans is concerned about the price of prescription drugs in the wake of the coronavirus pandemic, Gallup and West Health found in their survey on the cost of healthcare, published today. CMS defines specialty drugs as therapies with monthly costs over $670.

Across All Political Parties, Likely Voters Over 50 Favor Cutting Prescription Drug Prices

Health Populi

that are likely to vote in the 2020 Presidential election are keenly interested in lowering the cost of prescription drugs, according to a survey conducted by AARP in February and March 2019. Most people over 50 take prescription drugs daily; one-third take two or three Rx’s regularly, and one in five older people take six or more prescription medicines regularly. consumers pay more for prescription drugs compared with peers in other wealthy countries.

Senate Dems reach draft deal to extend ACA premiums, lower drug costs

Healthcare Dive

The bill, part of a more than $300 billion package, extends enhanced ACA premiums and allows Medicare to negotiate select prescription drug prices starting in 2026

The State of the Union for Prescription Drug Prices

Health Populi

voters’ priorities, across political party – prescription drug prices. voters in 2020 quite like supporting Medicare’s ability to negotiate drug prices with pharmaceutical companies, shown by the October 2019 Kaiser Family Foundation Health Tracking Poll.

Prescryptive Health Acquires Full-Service PBM Northwest Pharmacy Services

HIT Consultant

What You Should Know: – Prescryptive Health , a health tech company empowering consumers with prescription drug pricing data, has acquired Northwest Pharmacy Services Inc, a full-service, non-profit Pharmacy Benefit Manager.

Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

Pricing failure, with waste ranging $231 bn – $241 bn. The second largest waste component was pricing failure, associated with medication pricing failure (the largest piece of three components), payer-based health services pricing failure, and lab and ambulatory pricing. Pricing failure as a waste-factor accounted for nearly another third of total waste in U.S.

Capital Rx, Independa, and LG TV Partner to Bring Discount Prescription Meds to Older Adults

HIT Consultant

What You Should Know: – Capital Rx is partnering with Independa , a telehealth engagement platform for seniors, to bring its prescription savings card to the older adult population via LG TVs. High Cost of Prescription Meds on Older Adults.

Magnolia Regional used price transparency IT to get more CHF patients to fill their prescriptions

Healthcare It News

Cost is a major determining factor for patients deciding whether to pick up prescriptions from the pharmacy. But what if prescribers and patients could view prescription drug costs and discuss options at the point of care to avoid "sticker shock" at the pharmacy counter?

Addressing Lives and Livelihoods with a Whole-of-Government Approach – The First Wave of Biden Health Policy

Health Populi

health citizens support attacking COVID-19 through testing, federal support for vaccines, expanding telehealth, expanding the ACA, and reforming (lowering) prescription drug prices.

Gallup Reveals Americans’ Views on Industry Are the Lowest Since 2008 – Implications for Healthcare and Pharma

Health Populi

Grocery stores, in 2021 top of the positively-perceived sectors along with agriculture/farming and restaurants, fell a dramatic 14 points — probably due to food shoppers confronting high prices at the food chain. Americans’ positive views of 25 industries in the U.S.

Democrats Didn’t Achieve All Their Goals, but Inflation Reduction Act Makes Historic Medicare Changes

Kaiser Health News

The giant health care, climate, and tax bill expected to pass the House on Friday and be sent to the president for his signature won’t be as sweeping as the Democrats who wrote it had hoped, but it would help millions of Americans better afford their prescription drugs and health insurance.

Most Americans Across Party ID Favor U.S. Government Negotiation to Lower Rx Drug Costs

Health Populi

is prescription drug prices — that they’re too high, that the Federal government should negotiate to lower costs for Medicare enrollees, and that out-of-pocket costs for drugs should be limited. It’s not that patients who take prescription drugs don’t appreciate them – most (58%) say medicines have made their lives better, but most — 8 in 10 people — believe Rx costs are unreasonable.

In 2023, the U.S. Will Still Be the #1 Prescription Drug Spender in the World, IQVIA Forecasts

Health Populi

Today, as Congress kicks off hearings about the cost of prescription drugs in the United States, IQVIA published its 2019 report on The Global Use of Medicine in 2019 and Outlook to 2023. will continue to be the number 1 prescription drug spender in the world to 2023, IQVIA forecasts, shown in the first chart where I clipped the top 20 to 10 top spenders. paid for prescription drugs in 2018, with roughly four times the number of health citizens.

KHN’s ‘What the Health?’: Drug Price Bill Is a Go in the Senate

Kaiser Health News

But work continues, particularly on a Senate bill that could, for the first time, allow Medicare to negotiate prescription drug prices and cap seniors’ out-of-pocket medication costs. Pharma Cash To Congress Podcasts Prescription Drugs Texas U.S.

How Will the “New” Health Economy Fare in a Macro-Economic Downturn?

Health Populi

Aside from care for COVID-19, volumes are down except for services related to mental and behavioral health (with rates of mental health prescribing increasing for antidepressant and anti-anxiety drugs). On the supply side, these health care incumbents are also faced with growing competition for some aspects of their services from new entrants, competing on the basis of price and programs. That level of service and price satisfaction builds health consumers’ loyalty and trust.

Drug Price Transparency: Planning for Change

HIT Consultant

Currently, some 22 states have enacted prescription drug transparency laws that require entities across the drug supply chain to report pricing information to state officials. of adults have delayed refilling a prescription after running out, and 16.4%

Support for Drug Price Negotiation Brings Partisans Together in the U.S.

Health Populi

adults across political parties favor allowing the Federal government authority to negotiate for drug prices — even after hearing the arguments against the health policy. The post Support for Drug Price Negotiation Brings Partisans Together in the U.S. Most U.S.

New York Enacts Landmark Legislation Regulating PBMs

Health Care Law Brief

On December 31, 2021, New York Governor Kathy Hochul signed landmark legislation to increase the transparency of prescription drug pricing and to establish requirements on pharmacy middlemen. Price transparency.

Spending on Medicines In and Post-COVID Say a Lot About Patients and Larger Healthcare Trends – an IQVIA Update

Health Populi

Between 2021 and 2025, the annual growth global growth rate for prescription drugs spending is expected to range from 3% to 6%, a $1.6 As such, the debate on prescription drug pricing in the U.S.

Growing Support for Medicare for All – But Do People Really Understand What It Means?

Health Populi

In fact, Democrats’ keen concern for several health care issues — at the top of that list, prescription drug prices, guaranteed coverage for pre-existing conditions, and women’s health care access — drove many voters to the polls in the 2018 mid-term elections. And, Part D, which covers prescription drugs, is an add-on to Medicare sold through private insurance companies for an average of just under $40.

Healthcare Policies We Can Agree On: Pre-Existing Conditions, Drug Prices, and PillPack – the June 2018 KFF Health Tracking Poll

Health Populi

Among various specific health care factors, protecting pre-existing conditions is highly important for voters across political party, followed by passing legislation to reduce the price of prescription drugs. Another unifying health care issue is prescription drug prices, which KFF has tracked for several years. Most voters across party have told previous KFF polls they believe in more government regulation or intervention on drug costs.

CMS.gov - Untitled Article

CMS.gov

Under the leadership of President Trump, CMS is committed to lowering prescription drug prices for all Americans. A key component of our strategy is strengthening competition among generic and biosimilar medicines

Will Consumers Cross the Cost-and-Trust Chasm Between Prescription Drugs and Hospitals?

Health Populi

rank prescription drugs, lab tests, emergency room visits, dental and vision care, preventive services, chronic disease management and mental health care as the “most essential” health care services, according to the 2019 Survey of America’s Patients conducted by The Physicians Foundation. When asked what factors contribute to rising health care costs in America, most consumers cite the cost of prescription drugs. People in the U.S.

Americans’ Top Sources of Stress are Money, Money, Money and Family

Health Populi

Cost concerns create barriers for some people who don’t visit doctors or fill/take prescription drugs: 27% of Americans cancelled a medical appointment due to expected health care costs, and 22% said they did not take their prescription meds in the past year because the cost of the drugs was too high, TransAmerica’s survey found.

Americans’ Trust in U.S. Healthcare Lags Tech — and Women Are Particularly Cynical

Health Populi

At the same time, women have borne a “pink tax” for household goods and, indeed, healthcare prices, a topic I covered here in the Huffington Post a while ago in an essay I titled, “The Gender Disparity of Taxes: Toys, Tech and Tampons.” This data point gives further impetus to prescription drug price hearings in Congress and various proposals promulgated on Capitol Hill to address the cost of medicines.

The United States of Diabetes: a $1,240 Tax on Every American

Health Populi

Congress this week on the topic of prescription drug costs. In typical markets, as products mature and get mass adoption, prices fall. But then prescription drug pricing doesn’t conform with how typical markets work in theory. So would rational drug pricing for the key supply item people with diabetes need: insulin. “No He said, “I’m going to bring down drug prices. I don’t like what’s happening to drug prices.”

In U.S. Health Care, It’s Still the Prices, Stupid – But Transparency and Consumer Behavior Aren’t Working As Planned

Health Populi

We’ll start with the centerpiece that will provide the overall context for this post: that’s the ongoing research of Gerard Anderson and colleagues under the title, It’s Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt. He co-wrote the first “It’s The Prices Stupid” research article in Health Affairs with Gerard Anderson et. The price of the therapy, LentiGlobin, could be as high as $2.1

What the Pew Data on Americans’ Views on Technology Means for Healthcare

Health Populi

Credit scores, payment plans for hospital stays and specialty drugs, and the expanding financial risk due to high-deductibles all play into the patient-as-payor and trust. The Pew research continues to build the case that prescription drug pricing, and healthcare financial risks, will play a large role in popular culture, and in the 2018 mid-term and 2020 Presidential elections.

Health Provider News – November 11, 2022

Hall Render

CMS sets court-ordered 340B drug payments, but leaves back payment issues unresolved. Kansas’ long-term care facilities beg for help with ‘price-gouging’ staffing agencies. in prescription drug pricing case. Oklahoma Doctor Sentenced to Serve More Than Four Years in Federal Prison for Illegal Drug Distribution and Health Care Fraud. 3 orthopedic groups in Texas, California add price transparency tool. NATIONAL.

Health Provider News – July 22, 2022

Hall Render

Accused of stealing patients’ drugs, Iowa nurse continued to find work. Rising prescription drug prices contributed to 49% jump in Oregon healthcare costs over 6-year period: report. Virginians can now access new hospital price transparency tool. NATIONAL. 10 procedures CMS proposes moving off the inpatient-only list in 2023. CMS pitches outpatient payment rule. CMS proposes 2.7% update to ASC pay rate in 2023: 6 things to know.

Women’s Health Policy Advice for the Next Occupant of the White House: Deal With Mental Health, the Pandemic, and Health Care Costs

Health Populi

2020 marked the centennial anniversary of the 19th Amendment to the U.S. Constitution, giving women the right to vote. In this auspicious year for women’s voting rights, as COVID-19 emerged in the U.S. in February, women’s labor force participation rate was 58%.

Challenges and Considerations – Transparent Healthcare Pricing

Medval Compliance Blog

Transparency in Pricing. 1] While at first glance the concept seems simple, transparent pricing is an issue that has long confounded regulators, administrators, and consumers alike. Moreover, not only do prices for health services differ across the U.S., by Noel D.

Hall Render’s Health Provider News – February 25, 2022

Hall Render

342 hospitals have received price transparency noncompliance notices from CMS. Nursing homes dealing with price gouging from staffing agencies. Family Dollar recalls drugs, devices shipped from rodent-infested Arkansas facility. Patients are coming after hospital prices. Some Maryland hospitals fail to provide required price transparency, report finds. Whitmer signs bills designed to lower prescription drug prices in Michigan. NATIONAL.

The 2020 Social Determinants of Health: Connectivity, Art, Air and Love

Health Populi

Even seemingly popular plan ideas like prescription drug pricing and coverage for pre-existing conditions can’t get traction in Congress or through the White House’s executive pen. Across the U.S.,

The Most Important Trends For Health in Mary Meeker’s 2019 Internet Report Aren’t About Health Care

Health Populi

prices are greater than in fellow OECD nations: wages are higher for specialist physicians, prices for digital imaging greater, and of course prescription drug prices the highest in the world. The health care section of Mary Meeker’s 334-page annual report, Internet Trends 2019 , comprises 24 of those pages (270 through 293).

Prescription Drug Costs In America Through the Patient Lens, via IQVIA, GoodRx and a New $2 Million Therapy

Health Populi

prescriptions per person in 2018, two in three of which treated chronic conditions. the annual review of prescription drug supply, demand and Rx pricing dynamics from the IQVIA Institute for Human Data Science. prescription drug market might look like five years from now. These prescriptions are increasingly filled as 90-day supplies of drugs via mail order or retail pharmacy channels. Americans consumed 17.6

Health Provider News – February 18, 2022

Hall Render

Only 14% of Hospitals Met Price Transparency Rule Compliance. Nursing homes say they’re being price gouged by direct care staffing agencies. Six Connecticut residents sue Hartford HealthCare, accusing hospital system of anticompetitive practices that drive up prices. Bill on prescription drug pricing inspires support from Maine residents, opposition from pharmaceutical industry. Carson hospital 1 of only 7 meeting price transparency law.

The Inflation Reduction Act of 2022: Medicare Drug Pricing Provisions Will Change the Health Care Industry

Healthcare Law Today

The Parliamentarian ruled that the language requiring drug companies to pay Medicare for inflationary rebates in the private market was not compliant with the Senate rules on reconciliation. Below are the relevant details: Price Negotiation and Maximum Fair Prices.

The Gap Between the Trump Administration’s Promise of Reducing Rx Costs for Consumers and What People Really Want

Health Populi

This is what happened to pharma stock prices on Friday after President Trump and Secretary of Health and Human Services Alex Azar outlined their new policies focusing on prescription drug prices. The blueprint for restructuring the prescription drug industry, is called “American Patients First,” addressing four challenges: High list prices for drugs. Seniors and government programs over-paying for drugs.

The 2020 Health Populi TrendCast – HealthConsuming, TechLash, and Public Health Goes Private

Health Populi

Telehealth is becoming just a normal part of medical service delivery, fast-growing for mental and behavioral health, DTC prescriptions for women’s and men’s health (looking at the trajectory of Ro, Hims and Hers ), employers’ sponsorship of telehealth visits, and niched virtual health services.

Americans’ Financial Anxiety Ties to Personal Cash Flow and Health Care

Health Populi

Health Populi’s Hot Points: The Consumer Price Index rose 2.1% The three line graphs illustrate CPI trends for the past twelve months (June 2018-2019) for prescription drugs (down 2.0%), hospital spending (up 0.5%) and health insurance, which grew 13.7% — six times faster than the overall Consumer Price Index, and much faster than hospitals and the (short-term) deflated prescription drug price inflation. [We