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Morning Briefing

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Wednesday, Aug 24 2022

Full Issue

Perspectives: The Inflation Reduction Act Promotes Pharmacoequity; PBMs Create Unnecessary Burden

Read recent commentaries about drug-cost issues.

A year ago, I introduced the term pharmacoequity in a First Opinion essay for STAT, and later explored it with two colleagues in the Journal of the American Medical Association. This term describes the goal of ensuring that every individual, regardless of race, ethnicity, and socioeconomic status, has access to the highest quality medications needed to manage their health care needs. (Utibe R. Essien, 8/19)

In June, the Federal Trade Commission (FTC) announced they will be launching an inquiry into the practices of the 鈥減rescription drug middleman鈥 industry. These middlemen, known as Pharmacy Benefit Managers (PBMs), determine if an insurer will pay for a prescription that is prescribed for a patient. Caremark, ExpressScripts and Optum are some of the familiar gatekeepers and suppliers of medications. (Dinah Miller, 8/24)

Giving billions of dollars in government prize money to drug companies might sound like an idea from the pharmaceutical industry. In fact, it was a sweeping 2013 proposal from Sen. Bernie Sanders (I-Vt.) using 鈥渋nnovation prizes鈥 to put the cures of tomorrow and affordability of drugs today on equal footing. (Caleb Watney and Heidi Williams, 8/22)

As a scholar who has published extensively on the politics of health policy, I鈥檓 skeptical that giving Medicare the ability to negotiate prices on a handful of drugs will be as transformative as the law鈥檚 backers hope. While a good step, it is unlikely to make a significant difference in how much seniors pay overall for medicine. (Simon F. Haeder, 8/21)

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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