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How adoption of new pharmaceuticals can impact US health system reimbursement under alternative payment models

Healthcare ECONOMIST

CONCLUSIONS : Although sotagliflozin adoption reduced health system revenue in an FFS payment model, it led to a net positive financial impact after accounting for APM bonus payments. RESULTS : A typical community hospital would have 83.4 patients per year on average with an index HF hospitalization with comorbid DM.

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Relative importance of pharmaceuticals on health outcomes: 1990-2015

Healthcare ECONOMIST

Is it new surgical techniques, better diagnostics, improved medical devices, or new pharmaceuticals? Based on physicians responses, across all 8 diseases , pharmaceuticals had the largest impact on health. Across all 8 diseases 56% of the relative value came from pharmaceuticals. Clearly public health initiatives (e.g.,

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Vertical Integration in the Pharmaceutical Market

Healthcare ECONOMIST

better accounting for medical costs offsets). On the one hand, integration may beneficial to consumers. It could: (i) improve operational efficiencies, and (ii) better align PBM incentives with those of the health plan (e.g.,

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Many Hospitals Receiving Discounted Drugs May Not Offer Patients Pharmaceutical Assistance

Bill Of Health

Section 340B of the Public Health Service Act requires that pharmaceutical manufacturers give discounts on specified outpatient drugs to certain covered entities who typically serve low-income or otherwise underserved patients, including hospitals and clinics. billion and accounting for a third of U.S. billion, reaching $6.3

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340B costs Medicaid $32b per year

Healthcare ECONOMIST

Created in 1992, the program requires pharmaceutical manufacturers to sell outpatient drugs at significantly discounted prices (typically 25% to 50% off) to eligible hospitals, clinics, and health centers that care for a large number of uninsured and low-income patients. Why would 340B increase cost?

Medicaid 110
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U.S. Hospitals Will Lose $323 Billion in 2020 – Before Accounting for Growing COVID Cases

Health Populi

To the pharmaceutical industry, it’s the annual revenue generated from 323 blockbuster drugs, as “blockbusters” are defined as products yielding $1 bn in sales a year. Hospitals Will Lose $323 Billion in 2020 – Before Accounting for Growing COVID Cases appeared first on HealthPopuli.com. The post U.S.

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Insights Management: A New Paradigm for Cancer Treatment

HIT Consultant

Lance Hill, CEO of Within3 The cancer market for the pharma industry accounts for about a third of their product pipeline. In this nuanced landscape, pharmaceutical companies play a vital role in driving advancements in cancer care. A recent study estimated the cost of developing a new drug at $2.6