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Wednesday, February 15, 2023 | The Latest Research, Commentary, And News From Health Affairs
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Ahead Of Print: Competition In US Generic Drug Market
In a new article released ahead of print today, Mariana P. Socal and coauthors examine the competition and vulnerabilities in the global supply chain for US generic active pharmaceutical ingredients.

The authors use data from Clarivate Analytics’ Cortellis Generics Intelligence database to analyze generic active pharmaceutical ingredients   (APIs) produced globally for the US market during 2020–21.

Socal and coauthors find that "the U.S. manufactures only about 14 percent of APIs necessary for the domestic generic drug market" with India, China, and Italy being the largest API manufacturers.

The authors argue for two key actions to strengthen the supply of APIs in critical markets:

  • Improved monitoring of API manufacturing
  • Enhancing incentives for domestic production of priority APIs.
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Elsewhere At Health Affairs
Are payments to Medicare Advantage plans inflated? Today in Forefront, Kenneth Thorpe outlines an approach to compare spending under Medicare Advantage versus fee-for-service Medicare.
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Community & State is the business segment of UnitedHealthcare that provides health care coverage for the economically disadvantaged, the medically underserved and those without the benefit of employer-funded health plans. These state-based health plans meet local needs, while leveraging the national resources of UnitedHealthcare.
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Experiences With Home-Based Care

This episode highlights one family’s story with home-based palliative care and telemedicine palliative care. Host Tracy Fasolino presents four challenges facing palliative care and hospice services right now.

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