Morning Briefing
Summaries of health policy coverage from major news organizations
Alzheimer's Drug Could Potentially Cost More Than NASA's Entire Budget
The New York Times: New Alzheimer’s Drug Could Cost The Government As Much As It Spends On NASA
A newly approved drug to treat Alzheimer’s disease is expected to become a multibillion dollar expense for Medicare. By one projection, spending on the drug for Medicare’s patients could end up being higher than the budgets for the Environmental Protection Agency or NASA. There’s little evidence that the drug, Aduhelm, slows the progression of dementia, but the Food and Drug Administration approved it this month. Analysts expect that Medicare and its enrollees, who pay a share of their prescription drug costs, will spend $5.8 billion to $29 billion on the drug in a single year. Annual spending on NASA is approximately $23 billion. (Katz, Kliff and Sanger-Katz, 6/22)
Fierce Healthcare: Employer Groups Urge Congress To Address Drug Pricing In Wake Of Aducanumab's Approval
Employers are urging Congress to take action on drug prices following the FDA's recent approval of controversial Alzheimer's disease drug Aduhelm. Aduhelm, or aducanumab, was developed by Biogen and Eisai and was approved by the Food and Drug Administration earlier this month despite pushback from the scientific community about the drug's efficacy. Following its approval, Biogen said the therapy would be priced at $56,000 per year. (Minemyer, 6/22)
The Washington Post: The Pricey New Alzheimer's Drug Adds To The Pressure For Drug Price Controls
Even if Congress manages to pass the Elijah E. Cummings Lower Costs Now Act — more commonly known as H.R. 3 — the bill still wouldn’t let the government immediately slash prices on Aduhelm, which is expected to cost $56,000 annually for a single patient and could quickly become Medicare's biggest prescription drug expense. (Cunningham and Ellerbeck, 6/17)
USA Today: New Alzheimer's Drug: Brain Scans, MRIs, Monitoring Boost Aduhelm Cost
The eye-popping $56,000 price tag on Biogen’s newly approved Alzheimer’s medication has generated significant debate on the value of a drug not yet proven to slow the mind-robbing disease. But Aduhelm's price is only the start of what consumers and insurers might pay to get the first new Food and Drug Administration-approved drug to treat Alzheimer's since 2003. Many experts say patients will need expensive tests to verify they have the underlying sticky clumps of protein the drug targets in the brains of Alzheimer's patients. Patients could see other bills from doctors, as well as from facilities that administer the drug via IV and imaging centers for MRIs to monitor common side effects such as brain swelling and bleeding. (Alltucker, 6/22)
Axios: AHIP's Matt Eyles: There's No Good Explanation For Aduhelm's $56,000 Price
The head of the health insurance industry's main lobbying group doesn't think the $56,000 annual price tag for Biogen's unproven Alzheimer's treatment, Aduhelm, is justified, but the group won't call on insurance companies to deny coverage of it. Instead, insurers are relying heavily on Medicare and an independent drug pricing group for their coverage decisions. (Herman, 6/23)
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Stat: Democrat’s Drug Pricing Manifesto Hints At A Carveout For Small Biotechs
Sen. Ron Wyden (D-Ore.), the influential chair of the Senate Finance Committee, is promising that his signature drug pricing package won’t eviscerate small biotech companies. Wyden, typically a fierce critic of the drug industry, is suddenly giving a shoutout to small biotech companies and their role in developing “groundbreaking new treatments.” He’s even promising that the package he is crafting “can be tailored to the scale of these companies, as well as other factors that affect their access to capital.” (Florko, 6/22)
Politico: Senior Democrat Outlines New Drug Pricing Plan As Talks Drag On
Senate Finance Chair Ron Wyden on Tuesday outlined a proposal for curbing prescription drug prices as pressure ramps up on Democratic lawmakers to use the reforms to pay for other priorities in a massive infrastructure package. The new framework, which Wyden has discussed for months with members of his influential committee and Democratic leadership, proposes building on the bipartisan plan he and Sen. Chuck Grassley (R-Iowa) offered last Congress that never came up for a floor vote due to GOP leaders' opposition. It would also include provisions similar to the House’s landmark drug pricing bill, H.R. 3 (117), that would empower Medicare to negotiate with pharmaceutical companies and apply those lower prices across other public and private insurance programs. (Ollstein, 6/22)
Modern Healthcare: Five Blues Plans Launch New For-Profit Company To Lower Drug Prices
Five Blue Cross Blue Shield plans have launched a new for-profit pharmacy solutions company to combat drug costs, which comprise an ever-growing share of their budgets, the insurers announced today. The Denver-based company, called Evio, will use data from the plans' more than 20 million members across the U.S. to collect real-world evidence into how drugs actually perform, especially across specific patient types and with certain comorbidities. One of the goals is to get drugmakers to agree to outcomes-based contracts, where the plans pay in accordance with drugs' effectiveness. (Bannow, 6/22)
Stat: Teva Agrees To Pay $925,000 To Mississippi To Settle Generic Price-Fixing Charges
After years of controversy, Teva Pharmaceuticals (TEVA) agreed to pay $925,000 to the state of Mississippi to settle allegations of conspiring to set prices of generic medicines, the first instance in which a state and drug maker have reached a deal over sweeping price-fixing litigation. Several current and former executives also reached a settlement, according to a court document. (Silverman, 6/22)
WOIO Cleveland: AARP Warns Brand Name Prescription Drug Prices Are Soaring
Tough choices could be coming for many seniors. Some may soon have to decide between paying skyrocketing prices for prescription drugs or paying their bills.19 Investigates found there could be major consequences if inflation like this continues. Higher health care costs could be coming, which will lead to poorer health, a new report from AARP warns. (Goldenberg, 6/17)
Undark: How Patent Extensions Keep Some Drug Costs High
Priti Krishtel's first case as a legal aid lawyer in India was as tragic as they come. One day in 2004, she recalls a couple walking into her office in Bengaluru with their three children. Unable to afford life-saving medicine to keep their HIV infections in check, the parents were dying of AIDS. With no other options, they wanted Krishtel to draw up guardianship transfer papers: The rambunctious siblings were to be sent to an orphanage before their parents died. (Sinha, 6/16)
Maryland Matters: Colorado Creates Maryland-Style Prescription Drug Price Containment Board, As Other States Consider Action
Colorado has become the third state in the nation — following trailblazer Maryland and Maine — to create a panel with the power to rein in prescription drug prices. The measure signed by Gov. Jared Polis (D) on Wednesday creates a five-member Prescription Drug Affordability Board, which will evaluate whether medications are fairly priced. In cases where they are determined to be too costly, the board will have the authority to set maximum prices. (DePuyt, 6/21)
