ICYMI: Patients saved nearly $800,000 out of pocket through innovative contracting arrangements

Value-based programs between biopharmaceutical companies and pharmacy benefit manager Express Scripts saved $4.3 billion on medicines last year. Patients in these plans with innovative contracting...
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Addressing barriers that inhibit value-based contracts

With 56 new medicines approved by the U.S. Food and Drug Administration (FDA) in 2019 and over 8,000 medicines in development around the globe, innovative medicines are transforming the way we treat...
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New data show how ICER’s value framework could prevent or delay access to treatments for Medicaid patients across the country

A new analysis from Xcenda applied the Institute for Clinical and Economic Review’s (ICER) value assessments to state Medicaid programs in California, Massachusetts, Maryland, Nevada and New York....
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New analysis shows 820,000 prescriptions would be in jeopardy if ICER’s value framework is used in Medicaid

A new analysis from Xcenda found that if Medicaid were to use one-size-fits-all value assessments like the Institute for Clinical and Economic Review’s (ICER) framework as the basis for accessing a...
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ICYMI – Two PBM reports show dramatic slowdown in medicine spending growth

Newly released pharmacy benefit manager (PBM) data show medicine spending is growing at the slowest rate in years. After accounting for discounts and rebates negotiated with biopharmaceutical...
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New report shows better diabetes management saves money and improves patient outcomes

A recent IHS Markit report, “The Clinical and Economic Benefits of Better Treatment of Adult Medicaid Beneficiaries with Diabetes,” simulated savings in the Medicaid program as a result of better...
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Local Impact: Hepatitis C and Medicaid spending

There has been a lot of discussion about the cost of new hepatitis C treatments to state Medicaid programs. What has not been addressed, however, is how those costs stack up against older, less...
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Local Impact: State-by-state Medicaid spending on prescription medicines

We’ve talked before about how prescription medicines comprise a small share of Medicaid spending. In recent years new life-changing, innovative medicines have come to market to help patients live...
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Fact Check Friday: Medicaid spending on prescription medicines

This week on Fact Check Friday, we’re talking about Medicaid. Medicaid provides health coverage for low-income and disabled individuals and is jointly funded by states and the federal government. ...
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Local Impact: Improving diabetes care for children in Medicaid

Earlier this fall we looked at how Medicaid beneficiaries adhering to their prescription drug regimens could result in a decline in expensive hospitalizations and emergency room visits, and...
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