BIO’s Chief Policy Officer John Murphy asks the question in exclusive analysis for Bio.News.
The key finding: A study published in JAMA Internal Medicine “revealed that hospitals—not manufacturers—often determine what patients and insurers pay for lifesaving cancer drugs,” says Murphy.
In the study authors’ words: “median price markups across centers ranged from approximately 120% (sipuleucel-T) to 630% (leuprolide) of estimated hospital acquisition costs.”
In other words: “for every cancer therapy analyzed, hospitals are charging insurers at least double the drug’s acquisition cost,” explains Murphy. “Insurers offset revenue losses from hospital markups by charging patients higher premiums and out-of-pocket costs.”
Why it matters: “Drug manufacturers often get the blame for patients’ cost sharing on drugs. As a result, lawmakers are continuing to pursue harmful price-setting legislation,” concludes Murphy. “That’s the wrong approach. Targeting drug manufacturers will do little to lower patient out-of-pocket costs. Worse still, it could mean the next generation of cures dies in the lab.”
Read the whole thing.
Listen: Dr. Vinay Rathi of Massachusetts Eye and Ear and Mass General Brigham, one of the authors of the study, joined the I am BIO Podcast to discuss his findings and what they mean for patients—listen here.
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