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Prescription Medicines - Costs in Context - August 2018

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Discussions about the cost and affordability of medicines – and health care more broadly – are important. At the same time, it is important to look at costs across the health care system and not just the share going toward life changing medicines.

Publié dans : Santé & Médecine
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Prescription Medicines - Costs in Context - August 2018

  1. 1. Prescription Medicines: Costs in Context 2018
  2. 2. 2 Then Now We are in a new era of medicine where breakthrough science is transforming care with innovative treatment approaches... Medicines made of chemical compounds Medicines treat broad diseases Radiation and chemotherapy to treat cancer Medicines made from living cells Medicines targeted to specific patient based on genetic makeup Immunotherapy that harnesses body’s own immune system to fight disease CAR T-cell therapy CRISPR Prescription Medicines: Costs in Context www.phrma.org/cost
  3. 3. 3 Treating people with one or more chronic condition consumes 90 cents of every dollar spent on health care. …and enabling us to more effectively treat chronic disease, the biggest cost driver. Prescription Medicines: Costs in Context www.phrma.org/cost Prevalence and Spending by Number of Chronic Conditions (2014) PERCENTAGE Total population Total expenditures 12% 41%16% 26% 31% 23% 10% 40% Number of chronic conditions 5+ 3 – 4 1 – 2 0 Note: Total health care spending defined as the amount spent on all outpatient and inpatient health care services across all payers, including out of-pocket payments. Health Care Spending by Number of Chronic Conditions (2014) AVERAGEANNUALSPENDINGPERPERSONINDOLLARS Number of Chronic Conditions Note: Total health care spending is defined as the amount spent on health care services across all payers, including patient out-of- pocket payments. Other Home health Prescription ED Office and outpatient Inpatient Source: RAND Corporation
  4. 4. 4 In the midst of this incredible progress, medicine cost growth is declining. Prescription Medicines: Costs in Context www.phrma.org/cost 3.8% 1.5% 2016 2017 3.2% 1.9% 2016 2017 3.9% 0.6 2016 2017 Note: IQVIA data is reflective of retail and physician-administered medicine spending.
  5. 5. 5 In fact, after discounts and rebates, brand medicine prices grew just 1.9% in 2017. Source: IQVIA. Medicines use and spending in the U.S.: a review of 2017 and outlook to 2022. Published April 2018. Accessed April 2018. *Includes protected brand medicines only (ie, brand medicines without generic versions available in the year indicated). **Net price growth reflects impact of off-invoice rebates and discounts provided by manufacturers. Estimated Net Price Growth**Invoice Price Growth Prescription Medicines: Costs in Context www.phrma.org/cost
  6. 6. 6 Spending on retail and physician-administered medicines continues to represent just 14% of spending… 8% 12% 14% 18% 13% 4% 31% Admin Costs Home Health & Nursing Home Care Prescription Medicines Physician & Clinical Services Other** Dental Services Hospital Care U.S. Health Care Spending, Source: PhRMA analysis of CMS National Health Expenditures data, Altarum Institute study and Berkley Research Group study. **Supply chain entities- stakeholders involved in bringing medicines from manufacturer to patient, including wholesalers, pharmacies, PBMs and healthcare provider locations. Prescription Medicines: Costs in Context www.phrma.org/cost
  7. 7. 7 Dental Services Other Prescription Medicines Government Administrative Costs Physician and Clinical Services Home Health and Nursing Home Care Hospital Care12% 32% 34% 2% 3% …and a small share of total Medicaid spending… TOTAL $545B Note: Prescription drug data is net of rebates and includes both retail and non-retail drugs. Data used were predominantly derived from CMS 64 reports. Pre-rebate expenditures were tabulated using FY2015 CMS State Drug Utilization data files and CMS brand/generic indicators for each NDC. Source: CMS National Health Expenditure Data and Altarum Institute. Prescription Medicines: Costs in Context www.phrma.org/cost 11% 7%
  8. 8. 8 …and is projected to grow in line with health care spending through next decade. Note: Total retail sales include brand medicines and generics. Source: Centers for Medicare & Medicaid Services (CMS). Prescription Medicines: Costs in Context www.phrma.org/cost PercentAnnualGrowthRate Health Care Retail Prescription Medicines
  9. 9. 9 At the same time, growth in other health care services will be 5 times total medicine spending growth through next decade. Source: CMS National Health Expenditures Report, July 2016. Source: PhRMA analysis of Altarum Institute, “A Ten Year Projection of the Prescription Drug Share of National Health Expenditures Including Non-Retail,” August 2015. Other Health Care Services (10-year cumulative increase: $1,950 billion) Total Prescription Drug Expenditures (10-year cumulative increase: $393 billion) Prescription Medicines: Costs in Context www.phrma.org/cost
  10. 10. 10 Insurers and PBMs have a lot of leverage to hold down medicine costs. Negotiating power is increasingly concentrated among fewer pharmacy benefit managers (PBMs). Top 3 Market Share: 71% 22% 25% 24% 29% OptumRx/Catamaran* CVS Health (Caremark) Express Scripts All Other Note: OptumRx and Catamaran merged in 2015. Their 2014 shares are shown combined. Source: Drug Channels. Institute, 2018. Prescription Medicines: Costs in Context www.phrma.org/cost Insurers determine: FORMULARY if a medicine is covered TIER PLACEMENT patient cost sharing ACCESSIBILITY utilization management through prior authorization or fail first PROVIDER INCENTIVES preferred treatment guidelines and pathways
  11. 11. 11 In fact, more than 1/3 of the list price is rebated back to payers, the government and other stakeholders in the supply chain. Prescription Medicines: Costs in Context www.phrma.org/cost Rebates, discounts and fees keep increasing Brand companies retain just 63% of list price spending on medicines 62.6% 18.5% 12% 6.9% Brand Companies Market Access Rebates and Discounts Statutory Rebates and Fees Supply Chain Entities Source: Berkeley Research Group. 2013 2014 2015 $67.0B $84.6B $106.4B
  12. 12. 12 90% of all medicines dispensed in the United States are generics. Source: IMS Health. Source: Generic Pharmaceutical Association, “Generic Drug Savings in the U.S. Report,” 2017. $1.67 trillion 10-year savings (2007-2016) Prescription Medicines: Costs in Context www.phrma.org/cost 90%88% 72% 52% 33% 43% 19% 1984 1990 1996 2002 2008 2014 2017
  13. 13. 13 Generics cost a fraction of the price of the initial brand medicine. Note: Figures represent the average annual price for 30 pills of the most commonly dispensed form and strength. "Then” price represents the average price in the year prior to generic entry. “Now” price represents the average price in CY 2014. Source: IMS analysis for PhRMA, May 2015. $87 $85 $166 $87 $393 $13 $4 $5 $3 $8 85% 95% 97% 98% 97% Prescription Medicines: Costs in Context www.phrma.org/cost Medicine DIOVAN VCT® Hypertension (2010) LIPITOR® Cholesterol (2010) PLAVIX® Blood Thinner (2011) SEROQUEL® Schizophrenia (2010) ZYPREXA® Schizophrenia& (2010) Bipolar Disorder % Change Brand Name THEN Generic NOW
  14. 14. 14 Competition from generics and biosimilars is expected to reduce U.S. brand sales by $105 billion from 2018 to 2022. Source: IQVIA. Medicines use and spending in the U.S.: a review of 2017 and outlook to 2022. Published April 2018. Accessed April 2018. 2013-2017: $74 Billion Projected 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2018-2022: $105 Billion -$17 -$12 -$15 -$14 -$16 -$26 -$19 -$18 -$17 -$26
  15. 15. 15 At the same time, innovator companies race to be the first to market with a new medicine. Time Between Approval of First and Second Medicines in a Therapeutic Class Has Declined Dramatically Competing brands generally launch within years 10.2 years 1970’s 2.3 years 2005-2011 Source: Tufts Center for the Study of Drug Development (CSDD). Prescription Medicines: Costs in Context www.phrma.org/cost
  16. 16. 16 For example, American patients have access to cancer medicines about two years earlier. The competitive U.S. market provides patients with access to innovative medicines faster. 22 15 10 10 10 10 10 21 17 17 15 13 7 4 0 5 10 15 20 25 30 35 40 45 50 Taiwan Australia Spain Italy United Kingdom France Germany Months Delay in cancer medicine approval and reimbursement, 2010-2014 Delay Between U.S. Approval and Country-Specific Approval Delay Between Country Approval and Reimbursement 17 23 25 27 32 43 14 Source: PhRMA analysis of IMS Consulting Group “Patient Access to Innovative Oncology Medicines Across Developed Markets.” June 2016 Prescription Medicines: Costs in Context www.phrma.org/cost
  17. 17. 17 When cancer medicines are eventually approved in other countries, they are often not reimbursed. Note: In the UK and Scotland, only drugs reimbursed through NICE and the SMC were included among “reimbursed” drugs. Any additional medicines reimbursed through the Cancer Drug Fund (CDF) were not included in the reimbursed category, due to the uncertainty of the continuation of this fund. Source: IMS Institute for Healthcare Informatics, May 2016 Availability and reimbursement in 2015 of 49 cancer medicines launched globally between 2010 and 2014. 41 37 32 27 25 23 19 19 19 11 8 12 17 22 24 26 30 30 30 38 United States Germany France Italy Canada Spain UK Scotland Sweden Australia NumberofCancerMedicines Available and Reimbursed Not Available or Not Reimbursed Prescription Medicines: Costs in Context www.phrma.org/cost
  18. 18. 18 Spending on prescription medicines is a small percentage of total health care spending around the world. Note: Total health care spending includes hospital care, physician and clinical services, home health and nursing home care, government administration and net cost of private health insurance, dental, home health and other professional services as well as durable medical equipment. Source: OECD Health Statistics Database (accessed February 2016); Altarum Institute, 2015, A ten year projection of the prescription drug share of national health expenditures including non-retail. Prescription Medicines as a Percentage of Total Health Care Spending 14% Canada 14% USA 11% UK 13% France 13% Germany 15% Italy 12% Spain 16% Japan 10% Australia 16% Korea Prescription Medicines: Costs in Context www.phrma.org/cost
  19. 19. 19 Patients in the United States are facing rising out-of-pocket costs and other barriers to care. The use of four or more cost- sharing tiers is becoming more common on employer plans Percent of plans with deductibles on prescription drugs 23% 52% 2012 2017 Source: PWC, Health and Well-Being Touchstone Survey, various years Prescription Medicines: Costs in Context www.phrma.org/cost 2004 2006 2008 2010 2012 2014 2015 2016 2017 3% 5% 7% 13% 14% 20% 23% 32% 44%
  20. 20. 20 Cost sharing for nearly 1 in 5 brand prescriptions is based on list price More than half of commercially insured patients’ out-of-pocket spending for brand medicines is based on the full list price And too often negotiated savings do not make their way to patients. 48% 39% 13% 52% Copay Deductible Coinsurance Prescription Medicines: Costs in Context www.phrma.org/cost Source: Amundsen Consulting Group study.
  21. 21. 21 Certain commercially insured patients could save $145 to more than $800 annually. Sharing negotiated discounts with patients would increase premiums about 1%. NOTE: Plan cost includes medical and pharmacy claims *HDHP = High-deductible health plan Prescription Medicines: Costs in Context www.phrma.org/cost Change in Plan Costs with Shared Rebates PLAN TYPE Traditional PPO Copay HDHP* Coinsurance HDHP Net Plan Per Member Per Month Spend $433.91 $374.41 $372.89 Change in Plan Costs $ $0.82 $2.62 $3.84 Change in Plan Costs % 0.2% 0.7% 1.0%
  22. 22. 22 And 20% of revenues are reinvested into R&D NOTE: The remaining 57% share of business R&D spending is conducted by other industries, including subsectors of the machinery sector, the computer and electronics products sector, and the electrical equipment, appliance, and components sector. Source: Research!America report and PhRMA analysis of National Science Foundation data. Industry invests 17% of all domestic research and development funded by U.S. businesses Invested about $90 Billion in R&D in 2016 Prescription Medicines: Costs in Context www.phrma.org/cost Biopharmaceutical companies use today’s revenues to invest in tomorrow’s treatments and cures. Phamaceuticals & Medicines Software Automobiles Aerospace Computer Systems Design Scientific R&D Services
  23. 23. 23 On average, it takes more than 10 years and $2.6B to research and develop a new medicine. BETWEEN 1998 AND 2014 Unsuccessful Attempts Successful Attempts 123 Alzheimer’s Disease 96 Melanoma 167 Lung Cancer 4 Alzheimer’s Disease 7 Melanoma 10 Lung Cancer Just 12% of drug candidates that enter clinical testing are approved for use by patients Source: Tufts Center for the Study of Drug Development (CSDD). Source: Pharmaceutical Research and Manufacturers of America (PhRMA), “Researching Alzheimer’s Medicines: Setbacks and Stepping Stones,” 2015. Source: Pharmaceutical Research and Manufacturers of America (PhRMA), “Researching Cancer Medicines: Setbacks and Stepping Stones,” 2014. Prescription Medicines: Costs in Context www.phrma.org/cost We need a public policy environment that recognizes and rewards risk taking.
  24. 24. 24 PROMOTE VALUE-DRIVEN HEALTH CARE • Remove barriers restricting information companies can share with insurers. • Reform regulations discouraging companies from offering discounts tied to outcomes. • Modify Medicaid best price requirements. MODERNIZE THE DRUG DISCOVERY AND DEVELOPMENT PROCESS • Modernize the FDA to keep pace with scientific discovery and increase efficiency of generic approvals • Promote and incentivize generic competition. EMPOWER CONSUMERS AND LOWER OUT-OF-POCKET COSTS • Provide patients with access to negotiated rebates. • Address affordability challenges in the deductible. • Make more information on health care out-of-pocket costs and quality available to patients. IMPROVE TRADE AGREEMENTS • Enforce existing trade agreements. • Ensure new trade agreements recognize value of innovative medicines. Prescription Medicines: Costs in Context www.phrma.org/cost ADDRESS MARKET DISTORTIONS • Address burdensome regulations that distort programs like the 340B Drug Pricing program. Collectively, these market-based reforms can make medicines more affordable and accessible.

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