Forefront: Achievements Of The Maryland Primary Care Program
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The Latest Research, Commentary, And News From Health Affairs
Thursday, December 16, 2021
Dear John,
Two papers in the December 2021 issue of Health Affairs focus on
pharmaceuticals.
Antibiotic Development & Manufacturer Rebates
Neil Gandhi and Kevin Schulman assessed how Medicare's new technology
add-on payments (NTAP) program could be used as a market support
mechanism
to incentivize antibiotic development.
"There is an urgent need to provide a sustainable financial model for
investment in antibiotics for multi-drug resistant bacteria," they
wrote.
They illustrated three models and found the reimbursement required to
sustain research and development would range from $637 to $121,365,
depending on the incidence of the resistant infection in question and
the payment model. Â
Benjamin Rome and Aaron Kesselheim examined the implications of a
proposed policy that would require higher manufacturer rebates
for drugs with accelerated Food and Drug Administration approval.
Between 2015 and 2020, Medicaid spent $6.7 billion on 88 accelerated
approval drugs. Under the proposed policy, they found that "applying
base rebates of 30-80 percent would have resulted in $0.6 to $5.2
billion in savings during 2015-20, compared to the existing base
rebate of 23.1 percent."Â Â
Also in the December issue, Rick Mathis reviewed The Right Price: A
Value-Based Prescription for Drug Costs
by
Peter Neumann, Joshua Cohen, and Daniel Ollendorf.
Today in Health Affairs Forefront, Howard Haft and Kevin Klembczyk
discuss the Maryland Primary Care Program's achievements
across several notable goals in quality, care delivery, savings, and
statewide public health leadership.
Anish Mahajan addresses challenges concerning health-related social
needs
within the Medicaid program and argues that there are many promising
examples of the health sector advancing the cause of community-level
interventions.
Check out our COVID-19 Resource Center
for Health
Affairs content about all things related to the pandemic.
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Your Daily Digest
New Medicare Technology Add-On Payment Could Be Used As A Market Support
Mechanism To Accelerate Antibiotic Innovation
Neil Gandhi and Kevin A. Schulman
Raising Medicaid Rebates For Drugs With Accelerated Approval
Benjamin N. Rome and Aaron S. Kesselheim
Early Successes Of The Maryland Primary Care Program
Howard Haft and Kevin Klembczyk
Value In Medicaid, Part 2: Challenges Concerning Health-Related Social
Needs
Anish P. Mahajan
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