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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Oct 25 2017

Full Issue

Perspectives: Drug Development Doesn't Come Cheap, But Does It Really Justify Those Sky-High Prices?

Read recent commentaries about drug-cost issues.

In an interview published Friday in the Wall Street Journal, Martin listed a few reasons for the controversial pricing. One is that average Americans overestimate how much drug prices contribute to overall healthcare costs and how much drug manufacturers themselves pocket from list prices. Another is that drug makers need big profits so they can 鈥渃ontinue to innovate.鈥 ... To begin with, the evidence that Gilead itself uses its profits to 鈥渋nnovate鈥 is thin at best. (Michael Hiltzik, 10/23)

鈥榃e don鈥檛 apologize for being highly profitable until our patents run out,鈥 says the man seated in the barest office of any corporate leader I鈥檝e visited. There鈥檚 almost nothing on the walls, and the occupant, John C. Martin, tells me it鈥檚 because he moved into the space only 鈥渁t the beginning of the summer鈥濃攍ong enough ago, one would think, to find an etching or two. One cannot escape the feeling that Mr. Martin, a 66-year-old chemical engineer who is executive chairman of Gilead Sciences, is not greatly given to adornment. He鈥檚 a plainspoken Midwesterner who lights up at the chance to talk about the medicines his company makes. And yes, it also makes money. (Tunku Varadarajan, 10/20)

For one, the law does not actually allow the state to control pricing. Instead, the effort is really designed to 鈥渟hame and blame鈥 companies by publicly calling out those that boost list prices for their drugs more than 16 percent cumulatively over two years. To an extent, this approach makes sense, because drug makers want to avoid scrutiny. As a result, companies 鈥渨ill try, at least initially, to minimize being an outlier,鈥澛燣eerink analyst Geoffrey Porges wrote investors. But over time, he suggested it might backfire, as some drug makers could raise prices significantly higher than the 16 percent mark, 鈥渟ince if they go above the threshold, they might as well go well above it.鈥 (Ed Silverman, 10/24)

The sky-high cost of prescription meds was back in the spotlight this week. First, President Trump said drug prices 鈥渁re out of control鈥 and drug companies are 鈥済etting away with murder." Then came news that the country鈥檚 second-largest health insurer, Anthem, will partner with CVS to launch its own pharmacy-benefit management business, or PBM 鈥 a move that Anthem said could save as much as $4 billion a year, which may be reflected in lower costs for patients. (David Lazarus, 10/20)

You might have heard that many new cancer medicines offer聽little benefit. This month, the聽BMJ聽published a聽review聽finding that for most cancer drugs approved by the European Medicines Agency between 2009 and 2013, there was neither published evidence that they extend overall survival nor improve patients鈥 quality of life. In 2015,聽JAMA聽reported聽similar observations for oncology drugs approved by the U.S. FDA between 2008 and 2012. Both papers focused on evidence from randomized clinical trials. (Elaine Schattner, 10/24)

Biogen Inc.'s third-quarter revenue, profit, and sales of a closely watched new medicine all exceeded analyst expectations. But all is not as rosy as聽the company's earnings press release Tuesday morning would make it seem.聽The market for multiple sclerosis drugs -- the source of the vast majority of Biogen's sales -- is聽heading for a competitive tipping point that the company will have a difficult time weathering. (Max Nisen, 10/24)

News that Anthem will launch its own new pharmacy benefit manager聽in 2020 in partnership with CVS Health should worry the pharmaceutical industry. Insurers are closing ranks around a model that brings the PBM closer to the health plan in hopes of creating a savvier buyer of prescription medicines while seeking more transparency. UnitedHealth Group already owns OptumRx, a fast-growing PBM, and other insurers are looking at new relationships with PBMs. (Bruce Japsen, 10/19)

It's now a foregone conclusion that Amazon.com will enter the healthcare sector. Every day there is another article on how Amazon is planning to dominate some new corner聽of the American economy. One day Amazon is taking down Grainger and Home Depot. The next it鈥檚 single-handedly taking down not only FedEx, but also UPS and the United States Postal Service. No sector seems safe聽as Amazon sails its ship into new waters. But those expecting Amazon to cannon ball into healthcare may need to bide their time. (Steve Brozak, 10/20)

Welcome to the corner office! Each month, we鈥檒l turn to a new panel of biopharma executives for insights about leadership and management 鈥 and tips for thriving in a roller-coaster industry. (10/24)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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