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CMS Releases U.S. Health Spending Estimates Through 2005
WASHINGTON, Jan. 9, 2007-Health care spending growth in the United States slowed for the third consecutive year in 2005, increasing 6.9...
Based on 2006 average utilization and discounts, the average manufacturer price (AMP) appears to be ~10% less than the average AWP discounts offered to employers. This amounts to ~$6...
Free generics to reduce single-source brand drug use
I really like the idea of a 3-month waiver at the beginning of the benefit year. This avoids having to give away patient pay forever. It also...
Study: Patients Quit Treatments Too Soon
Daily Breeze - Sep. 26, 2006
CHICAGO — Many patients stop taking their medicine far sooner than they should, researchers say, and that decision can be...
Health Benefits Consultants Do Not Disclose Ties
September 18, 2006
When Kevin Grady took over as an employee-benefits consultant for the Columbus Public Schools...
moc.liamg|noylnor#moc.liamg|noylnor
+ Pharmaceutical ads rose 9 percent in first half
By THERESA AGOVINO
AP Business Writer
October 5, 2006, 6:25 PM EDT
NEW YORK —...
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Drug Effectiveness Review Program
compliance
Current trends increasing ~6% (IMS reports 8.3% overall for 2006), normally drug trends increase 15% – 20%; new generic drug introductions have mitigated this trend
Health Care Costs 101 for...
Forbes slideshow on generic introductions 2006-2011
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Consultants
Specialty Drugs
Managed care organizations (MCOs) generally obtain 1/3 the amount of rebates as state-sponsored rebate programs. Yet, their overall costs tend to be much lower. This link provides a good...
New blockbusters to fuel growth through 2012.(new drugs to dominate the market)
From Drug Store News (September 9, 2006)
While lack of innovation may...
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EBITDA per adjusted claim (retail equivalents) 3 months ended June 30, 2006
Express Scripts: $1.69
Medco: $2.15
Caremark: $2.72
Lawrence Abram's website has a number of detailed research reports...
Pricing Relative to AWP
Estimated Prices for Selected Public Purchasers,
as Percent of AWP
AWP
100%
AMP
80%
Medicaid (Min.)
67.9%
Medicaid...
Rebate Audits
Audits should include:
Reviewing SAS-70 report from PBM to ensure an accounting firms has audited their rebate calculations, receipts and...
Kaiser Permanente Reveals Strategies for Managing the High Cost of Biotech Drugs
From PR Newswire Europe (inc. UK Disclose) (September 12, 2006)...
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Specialty pharmacy prices through PBMs typically charge greater than 3% more than Medicare reimbursement. Based on my experience, the charge averages 6% higher.
This report highlights why more...
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I suspect that most payers would have a hard time with the following analysis, but one team of health economists suggest that we're getting a good value out of our increased health...
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