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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.

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