PRI Health Care Alert

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Will Harris' Promise of New Era of Healthcare Invite Fraud?
Newsmax | October 29, 2024 | Sally Pipes

For a former prosecutor and Calif. Atty. Gen. Kamala Harris sure seems to have a laissez-faire attitude toward fraud.

In the race to enroll as many Americans as possible in Medicaid and in Obamacare exchange plans, the Biden-Harris administration has looked the other way as millions of Americans receive publicly subsidized coverage they aren’t legally entitled to.
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Competition is the Cure for Rising Health Insurance Premiums
Center for Medical Economics and Innovation | Wayne Winegarden | October 28, 2024

Since 2019, biosimilars have obtained a majority share of most markets where they compete.

The combination of lower prices (both biosimilar and originator) and rising market share could have generated up to $35 billion in savings in 2024 dollars compared to an all-originator baseline based on PRI’s latest analysis.

These savings demonstrate that, just like with small molecule medicines, biosimilars strike a beneficial balance between incentivizing innovation and promoting affordability.
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Competition is the Cure for Rising Health Insurance Premiums
Forbes | Sally Pipes | October 28, 2024

The presidential election is just a week away. And the rising prices of many products and services are on voters’ minds. Just over 40% of Americans say inflation is their biggest concern heading into November, according to a recent survey.

In few markets are rising prices more apparent than in health insurance. The average cost of employer-sponsored health insurance rose 7% for the second year in a row, according to a survey published by KFF earlier this month. Average annual family premiums topped $25,000 this year. Workers were directly responsible for nearly $6,300 of that tab, on average.

One reason private health insurance is growing more expensive is that public insurers underpay hospitals, physicians, and other healthcare providers. Those providers compensate by raising rates for private payers—who then pass those increased costs along to employers and beneficiaries in the form of higher premiums and deductibles.
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