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The Latest Research, Commentary, And News From Health Affairs

Thursday, May 13, 2021

Dear John,

Two pharmaceutical papers from the May issue discuss drug pricing
changes in recent years.

Recent Pricing Trends In Diabetes And Generic Drugs

In a new paper, Ameet Sarpatwari and colleagues examine pricing trends
for three classes of widely used diabetes drugs
.

They report that monthly list prices of GLP1 agonists, DPP4 inhibitors,
and SGLT2 inhibitors on average increased approximately 10 percent
annually from market entry through 2017. Net prices (after rebates and
other discounts) varied by class, perhaps in part because of different
degrees of competition within each class.

In another article, Aayan Patel and coauthors investigate recent trends
in generic drug prices
.
They found that from 2014-17, one in five generic drugs had a price
spike initiated by at least one manufacturer, leading to an estimated
$1.5 billion in excess Medicaid spending during 2014-16.

While they identified a trend toward fewer price spikes in recent years,
spikes remained common among drugs with three or fewer generic
manufacturers, injectable drugs, and drugs experiencing a shortage.

For more on pharmaceuticals, check out all our related articles and blog
posts .

Today on Health Affairs Blog, Nisarg Patel discusses the fact that the
uptake of digital therapeutics
-evidence-based
technologies that prevent, treat, or manage disease-is increasing, but
is being slowed by the lack of a clear Medicare coverage pathway.

In a new GrantWatch post, Marshall Chin and Maureen Bisognano dive into
the new National Academy of Medicine report, The Future of Nursing
2020-2030: Charting a Path to Achieve Health Equity. Among its many
recommendations, the report identifies value-based payment and
alternative payment models as having great potential for supporting and
incentivizing nurses to address social determinants of health and
advance health equity
.

Elevating Voices: Asian American and Pacific Islander American Heritage
Month: In a 2016 article, Asako Moriya and coauthors address speculation
that the Affordable Care Act's (ACA's) coverage provisions and
employer mandate led to an increase in part-time employment. Although
they found little evidence that the ACA had caused increases in
part-time employment as of 2015
,
they suggest that research should examine workers with greater health
risk who would be more expensive to insure.

Your Daily Digest

Diabetes Drugs: List Price Increases Were Not Always Reflected In Net
Price; Impact Of Brand Competition Unclear

Ameet Sarpatwari et al.

Frequency Of Generic Drug Price Spikes And Impact On Medicaid Spending

Aayan N. Patel et al.

Modernizing Medicare Coverage Pathways For Prescription Digital
Therapeutics

Nisarg Patel

Payment Reform For Nursing To Advance Health Equity: The Future Of
Nursing 2020-2030 NAM Report

Marshall H. Chin and Maureen Bisognano

Little Change Seen In Part-Time Employment As A Result Of The Affordable
Care Act

Asako S. Moriya et al.

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