The Catalyst

ICYMI: Higher out-of-pocket costs in health insurance exchange plans compared to employer plans for patients managing chronic conditions

Posted by Rachel Licata on October 7, 2015 at 4:00 PM

A recent study published in Health Affairs took a look at estimated out-of-pocket expenses for individuals living with chronic conditions if they switched from average employer-sponsored plans to a silver health insurance exchange plan. The study focused on prescription drug spending and looked at the potential impact of higher cost sharing on medicines and spending on other health care services.

Read More

Topics: Access, ACA, exchanges, ABCs of Coverage

Highlighting innovation during Mental Illness Awareness Week 2015

Posted by Hannah Mooney on October 6, 2015 at 3:00 PM

Each year, during the first full week of October, organizations across the country work to raise awareness for mental health disorders to educate the public, fight stigma and provide support. Mental health awareness is an important topic to address year-round, but Mental Illness Awareness Week is an opportunity to highlight the important work being done to improve the lives of Americans affected by mental health disorders.

Read More

Topics: Medicines in Development, Access, Innovation, Mental Health

4 facts on why importing drugs is bad for patients

Posted by Holly Campbell on October 6, 2015 at 2:07 PM

Ensuring patients have access to needed medicines is critical, but importing medicines, whether from Canada or elsewhere in the world, is the wrong answer .

Due to the U.S. Food and Drug Administration’s (FDA) comprehensive drug approval process, medicines on the U.S. market are widely regarded as the safest in the world. The U.S.’s relatively closed distribution system plays a critical role in helping to keep the global proliferation of counterfeit medicines from infiltrating the U.S. prescription medicine system.

Read More

Topics: drug cost, imported Drugs, drug supply, cost

Medicare Monday: Who Benefits from Part D Extra Help?

Posted by Allyson Funk on October 5, 2015 at 9:00 AM

We’ve talked before about Medicare Part D’s Extra Help program – also known as Low-Income Subsidies (LIS)—a program designed to help Medicare beneficiaries with limited incomes afford needed medicines.

Learn more about Part D Extra Help in our new video

Read More

Topics: Part D, Medicare, Medicare Monday

Week in Review: The Latest from PhRMA

Posted by Tina Stow on October 2, 2015 at 10:14 AM

340B Spotlight:  The latest 340B Spotlight explores contract pharmacy arrangements. Learn more about the history of contract pharmacy arrangements and why a policy change in 2010 led to a dramatic increase in the volume of contract pharmacies.

ICYMI: Dr. Murray Stewart, Chief Medical Officer of GSK, explains why clinical data transparency is the right thing to do and how it can benefit patients. Check it out here

Read More

Topics: heart health, Week in Review, Clinical Trials, 340B, Rx Response, Medicare, Conversations

340B Spotlight: What are contract pharmacy arrangements?

Posted by Allyson Funk on October 1, 2015 at 11:31 AM

We’ve been covering 340B a lot in recent weeks, including areas of needed reform: how discounts work, levels of charity care among 340B hospitals and the relatively high rate of 340B hospitals acquiring physician practices.

Another aspect of 340B that deserves a closer look is contract pharmacy arrangements. But what are contract pharmacies and how do they work?

Contract pharmacy arrangements enable covered entities to contract with multiple independent retail pharmacies to dispense drugs receiving 340B discounts. The original purpose of these arrangements was to help small clinics who did not have their own in-house pharmacy. But a policy change in 2010 allowed all 340B entities – including large non-profit hospitals – to have an unlimited number of contract pharmacies. This change dramatically increased the number of contract pharmacies, but did nothing to ensure that patients either receive or benefit from the 340B discount.

Read More

Topics: 340B, 340B Spotlight, community pharmacies

Clinical trial data transparency is the right thing to do

Posted by Guest Contributor on September 30, 2015 at 12:00 PM

By Dr. Murray Stewart, Chief Medical Officer, GSK

At times, there can be a huge gulf between principle and practice. For example, eating healthy foods and getting lots of exercise are clearly beneficial, but they require commitment and hard work and are not sustained by many people.

Expanding access to clinical trial information is another principle that attracts widespread support, but in practice, it takes a lot of commitment and hard work by many across the health care network. Despite the challenges, there have been significant strides made by the biopharmaceutical industry in putting this principle into practice.

Researchers can now access detailed trial data from many companies to support their own research and, hopefully, benefit medical science and patients. GSK and 11 other companies provide access to data through a common online website ( Other companies have created their own systems consistent with the PhRMA-EFPIA Principles for Responsible Clinical Trial Data Sharing.

Read More

Topics: Clinical Trials, transparency, data sharing

Helping patients in times of need

Posted by John Castellani on September 29, 2015 at 12:00 PM

When Hurricane Katrina hit, the lack of communication between public health officials and the private sector, which controls most of the biopharmaceutical supply chain system slowed.  This gap hindered efforts to deliver medications to patients in need.  From the disaster, which marked its ten year anniversary in August, PhRMA, BIO, partners in the biopharmaceutical industry and the non-profit sector spearheaded the creation of Rx Response to streamline communication and tackle medicine delivery problems without delay or unnecessary phone chains. 

Read More

Topics: Rx Response, Conversations

Celebrating cardiovascular health on World Heart Day 2015

Posted by Hannah Mooney on September 29, 2015 at 10:08 AM

Today, we celebrate more heartbeats with World Heart Day.

With a focus on cardiovascular disease and the promoting of healthier heart hygiene, World Heart Day is an opportunity to acknowledge advances in cardiovascular science and disease prevention. Even with heart disease topping the list of deadly diseases that affect patients in America today, death rates from heart disease and stroke are falling each year. This is thanks in large part to America’s biopharmaceutical research companies and their commitment to developing new treatments and cures.

Read More

Topics: heart health, Cholesterol, high cholesterol, Stroke Awareness

Medicare Monday: What is ASP?

Posted by Kelsey Lang on September 28, 2015 at 10:29 AM

We’ve written previously about Medicare Part B and what it covers, but today we are taking a closer look at how Medicare Part B pays for medicines. With some exceptions for certain classes, the current reimbursement methodology for Part B drugs administered in physician offices and hospital outpatient departments is Average Sales Price (ASP)+6 percent.

ASP is a market-based price that reflects the weighted average of all manufacturer sales prices and includes all rebates and discounts that are privately negotiated between manufacturers and purchasers (with the exception of Medicaid and certain federal discounts and rebates). This methodology mirrors reimbursement for physician-administered drugs in the commercial market.

Read More

Topics: Part D, Medicare, Medicare Monday

Personalized Updates

Posts by Topic

see more