teknolojiarsivi.com May 27, 2018

Ways Trump's Drug Price Plan Could Lower Rx Costs

12 May 2018, 12:57 | Floyd Cook

Trump condemns middlemen in drug-pricing speech

Trump unveils prescription drugs plan

Trump's plan calls on providers in the 340B drug discount program to report on how they use the savings. But most of the measures could take months or years to implement, and none would stop drugmakers from setting sky-high initial prices. But the costs of R&D actually don't explain the elevated price of USA drugs compared with the rest of the world.

Drugmakers generally can charge as much as the market will bear because the US government doesn't regulate medicine prices, unlike most other countries.

"Right now, we don't have a truly free market when it comes to drug pricing, and in too many cases, that's driving prices to unaffordable levels for some patients", Gottlieb said in a speech last week.

- Banning a pharmacist "gag rule", which prevents druggists from telling customers when they can save money by paying cash instead of using their insurance.

The budget also called for moving some physician-administered drugs, which include expensive drugs for cancer, rheumatoid arthritis or multiple sclerosis, into prescription drug plans. And it would require prescription drug plans for Medicare patients to pass on some of the discounts and rebates they receive from pharmaceutical companies.

It's an approach that avoids a direct confrontation with the powerful pharmaceutical lobby, but it could also underwhelm Americans seeking relief from escalating prescription costs. "We're not calling for Medicare negotiation in the way that Democrats have called for", one of the senior officials told reporters Thursday night.

Perhaps the most threatening idea under consideration is to give the private health insurers who run Medicare plans more negotiating power with drugmakers.

"Trump had a choice today: to seek disruptive fundamental reform or to embrace more incremental steps", wrote Terry Haines, a financial analyst, in an investment note.

Drug companies also make rebate payments to insurance companies that manage Medicare Part D drug plans, as a way to attract their business. "The elephant in the room is, are we going to have a system that directly controls prices like the European system does", asked Coleen Klasmeier, head of the food, drug and medical device regulatory practice at law firm Sidley Austin. But as president he has shied away from major reforms and staffed his administration with appointees who have deep ties to the industry.

Trump revealed the instruction during a Friday announcement unveiling the administration's overall strategy for lowering drug costs. "Health policy experts like this idea because it reduces the burden on patients with serious chronic illnesses and spreads the expense of needed medications across the entire insured population", The New York Times said. The president unveiled his blueprint, coined American Patients First, in a Rose Garden ceremony on Friday.

Some more substantive changes are contemplated by the blueprint, although the document didn't lay out any concrete steps for how to achieve them.

The blueprint echoes some of those initiatives and says curbing abuse of FDA's Risk Evaluation and Mitigation Strategy (REMS) programs will be a priority to help generic drugs come to market faster.

Azar, in his briefing, emphasized his desire to change the way pharmacy benefit managers operate - specifically a system where they negotiate rebates off high drug prices. Would the drug's price similarly fade into the background?

The plan, however, is expected to mostly spare the pharmaceutical industry he previously accused of "getting away with murder".

The Pharmaceutical Research and Manufacturers of America, or PhRMA, praised the move but expressed concern about other proposed changes to Medicare.

"I think the mood, just generally, across the health sector is 'watch and wait, ' " said Mark Merritt, president of the Pharmaceutical Care Management Association, the lobby for pharmacy benefit managers.

"It's hard to know why Germany or France or Australia would agree to something like that", said Professor Jack Hoadley of Georgetown University's Health Policy Institute.

Unfortunately, hiking drug prices in the rest of the world will have little effect on Americans' prescription costs, health policy experts say.

But Trump has since abandoned ideas to lower drug costs he supported during the campaign, including allowing the government's Medicare plan for older Americans to negotiate prices directly with drugmakers, and enabling United States consumers to import lower-cost medicines from other countries.

The drug industry's top lobbying arm, Pharmaceutical Research and Manufacturers of America, spent almost $26 million to sway federal decision makers previous year, according to records tallied by the nonprofit Center for Responsive Politics. The annual total was the group's highest since the 2009 congressional fight that led to President Barack Obama's Affordable Care Act.

Other News

Trending Now

Rangers dismiss Murty, paving the way for Steven Gerrard
Newcastle United legend Alan Shearer has urged Liverpool U18 coach Steven Gerrard to accept Rangers' approach. I'm busy now for a couple of days now but I will pick it up on Thursday and we'll see if we can progress it".

World marks Press Freedom Day amid rights violations
While there exist functional democracies in many of our countries, there also proliferate restrictions on the work of journalists. The United Nations General Assembly had declared May 3 as World Press Freedom Day to raise awareness about freedom of press.

Triple murder suspect kills himself after standoff, police say
Snyder's wife allegedly told police the slaughter began after she ran out of her home after being held there over the weekend. Three other people who were at the house at the time, including Snyder's wife, were able to escape, according to WRC .

Girl's $18 wager on Kentucky Derby day wins $1.2 million
Another record was broken on Saturday, since the National Weather Service stated that it was that the wettest Derby at any time. Chad Brown, the trainer of Good Magic, said after the race that he would not take his horse to the Preakness.

Priyanka Chopra Reveals Meghan Markle Still Texts Her 'A Lot'
This, however, is not the first time Priyanka Chopra has been subjected to the mercy of meme makers all over the internet. However, there were plenty of support for her dress as many fans made a decision to take on her critics on social media.

Haspel, Trump's pick to lead Central Intelligence Agency , pledges she won't restart interrogation program
Haspel didn't talk about ultimatums or engage in hypotheticals about storming out of the Oval Office or offering her resignation. US President Donald Trump's nomination of Haspel for the role has been criticized by both Republican and Democratic senators.

Kelly's Music as Apart of New Hateful Conduct Policy
"His music will still be available on the service, but Spotify will not actively promote it", a rep from Spotify told Billboard . But that opens a myriad of complexities ahead, given the shady "values" of hundreds of successful artists - past and present.

Iowa governor indicators fetal 'heartbeat invoice' into legislation
Conservatives say an influx of right-leaning judicial appointments under President Donald Trump could make it a possibility. The legislation would ban most abortions once a fetal heartbeat is detected, which is around six weeks of pregnancy.

Arizona Teachers May Finally End Their Week-Long Statewide Strike
Meanwhile, the Arizona Legislature is meeting Wednesday to try to pass a budget plan in the midst of teacher protests outside. The teachers' strikes in West Virginia, Kentucky, Oklahoma and Arizona have been described by some as a "red-state revolt".

French outrage after Trump mimics Paris attackers
The French government slammed Trump's comments, urging the US President to apologize. Karim Brohi, another Royal London surgeon, said Trump's position makes no sense.