SPA Pricing Education, Analytics & Decision Making Tools Webinar Series

Tag: Price Transparency

How Pharma Companies Game the System to Keep Drugs Expensive | Harvard Business Review

How Pharma Companies Game the System to Keep Drugs Expensive | Harvard Business Review

I help the University of Utah hospital system manage its drug budgets and medication use policies, and in 2015 I got sticker shock. Our annual inpatient pharmacy cost for a single drug skyrocketed from $300,000 to $1.9 million. That’s because the drug maker Valeant suddenly increased the price of isoproterenol from $440 to roughly $2,700 […]

MedPAC Recommends New Part B Pricing System | Medpage Today

MedPAC Recommends New Part B Pricing System | Medpage Today

WASHINGTON — The Medicare Payment Advisory Commission (MedPAC) voted unanimously Thursday to recommend a competitive pricing program and make other changes to reimbursement for drugs under Part B of the Medicare program. “Medicare, as a large third-party payer, always needs to take steps to make sure it’s paying the right amount,” said commission member Paul […]

To Improve Pharmaceutical Pricing, Reform PBMs And Fix Health Care’s Systemic Problems | Forbes

To Improve Pharmaceutical Pricing, Reform PBMs And Fix Health Care’s Systemic Problems | Forbes

As a consequence, PBMs’ earnings are enhanced when manufacturers charge high list prices, but then pay large rebates and discounts to lower the actual transaction prices, creating a strong financial incentive for PBMs to support the current opaque pricing system. Ultimately, the complicated pricing structure for pharmaceuticals is problematic and diminishes the beneficial role prices […]

How a $37,000-a-year medicine sets a good model for drug pricing | STAT

How a $37,000-a-year medicine sets a good model for drug pricing | STAT

He vowed to price the medicine “responsibly” and avoid the anger that high drug prices have stirred. “You’ll get to judge me and see how we do,” he told me. To his credit, Schleifer appears to have delivered. The drug, called Dupixent, has a list price of $37,000 a year. This isn’t cheap. But Regeneron […]

Connecting the dots | PMLiVE

Connecting the dots | PMLiVE

In this post-Brexit, post-Trump, populist environment, the view is that everything is interrelated. The world is getting smaller. Things that happen ‘here’ impact what happens ‘there’. Six degrees of separation. A massive game of dominoes. The Arab Spring shows us that change starts from the bottom up which triggers, perhaps, a smouldering discontent in the […]

Genetic Technologies Revamps Patient Pricing and Billing Program for BREVAGenplus(R) | Yahoo! Finance

Genetic Technologies Revamps Patient Pricing and Billing Program for BREVAGenplus(R) | Yahoo! Finance

“We are excited to implement this streamlined payment system as it dramatically simplifies the cost side of the equation for patients and makes it easy for physicians and their staff to answer questions regarding cost before sample collection. Additionally, transitioning to a direct patient self-pay program provides us with a defined marketing message for our […]

Bordeaux 2016: What merchants are saying about price | Decanter

Bordeaux 2016: What merchants are saying about price | Decanter

Bordeaux 2016 barrel samples have yet to be properly tasted by critics, including Decanter’s Jane Anson, yet the pricing debate has started early. Presenting 2016 as an opportunity to build confidence and a ‘new dawn’, Liv-ex said pricing decisions in Bordeaux should be less ‘opaque’ and take better account of stock in the secondary market. […]

The Hidden Monopolies That Raise Drug Prices | American Prospective

The Hidden Monopolies That Raise Drug Prices | American Prospective

Frankil’s troubles cannot be traced back to insurers or drug companies, the usual suspects that most people deem responsible for raising costs in the health-care system. He blames a collection of powerful corporations known as pharmacy benefit managers, or PBMs. If you have drug coverage as part of your health plan, you are likely to […]

Red-flag billing practices chronicled; report finds ‘upbilling’ by 21 percent of law firms | ABA Journal

Red-flag billing practices chronicled; report finds ‘upbilling’ by 21 percent of law firms | ABA Journal

Twenty-one percent of lawyers “upbilled” for their time in 2015, rounding up their hours worked to the next hour or half hour, according to an analysis of legal invoices from about 100 companies. Upbilling could raise the annual legal bill by about $29,000 for a partner billing 2,000 hours a year, according to the 2016 […]

A Patient’s Optimistic Call For Bipartisan Drug-Pricing Reform | Forbes

A Patient’s Optimistic Call For Bipartisan Drug-Pricing Reform | Forbes

With our nation’s fight over the Affordable Care Act in the rear-view mirror, it’s time for Donald Trump and Congress to focus on a genuinely bipartisan issue: drug prices. According to the Kaiser Family Foundation, 8 in 10 Americans want to allow the government to negotiate prices for people on Medicare. By the same margin, Americans want to […]