Why Prescription Drug Prices Keep Rising – and 3 Ways to Bring Them Down
Prescription drug prices have been rising at a blistering rate over the last few decades. Between 1980 and 2016, overall spending on prescription drugs rose from about $12 billion to roughly $330 billion, while its share of total health care spending doubled, from 5% to 10%.
Although lawmakers have shown renewed interest in addressing the problem, with pharmaceutical CEOs testifying before the Senate Finance Committee in February and pharmacy benefit managers (PBMS) scheduled to do so this week, no comprehensive plan to halt the relentless increase in prices has been proposed, let alone agreed upon.
Robin Feldman, a professor at the University of California Hastings College of Law, takes a look at the drug pricing system in a new book, “Drugs, Money and Secret Handshakes: The Unstoppable Growth of Prescription Drug Prices.” In a recent conversation with Bloomberg’s Joe Nocera, Feldman said that one of the key drivers of rising prices is the ongoing effort of pharmaceutical companies to maintain control of the market.
Fearing competition from lower-cost generics, drugmakers began over the last 10 or 15 years to focus on innovations “outside of the lab,” Feldman said. These innovations include paying PBMs to reduce competition from generics; creating complex systems of rebates to PBMs, hospitals and doctors to maintain high prices; and gaming the patent system to extend monopoly pricing power.
Feldman’s research on the dynamics of the drug market led her to formulate three general solutions for the problem of ever-rising prices:
1) Transparency: The current system thrives on secret deals between drug companies and middlemen. Transparency “lets competitors figure out how to compete and it lets regulators see where the bad behaviors occur,” Feldman says.
2) Patent limitations: Drugmakers have become experts at extending patents on existing drugs, often by making minor modifications in formulation, dosage or delivery. Feldman says that 78% of drugs getting new patents are actually old drugs gaining another round of protection, and thus another round of production and pricing exclusivity. A “one-and-done” patent system would eliminate this increasingly common strategy.
3) Simplification: Feldman says that “complexity breeds opportunity,” and warns that the U.S. “drug price system is so complex that the gaming opportunities are endless.” While “ruthless simplification” of regulatory rules and approval systems could help eliminate some of those opportunities, Feldman says that the U.S. doesn’t seem to be moving in this direction.
Read the full interview at Bloomberg News.
Medical ID Theft is a Way Bigger Problem Than You Think
Forget Target and Home Depot. You may be risking identity theft every time you visit the doctor’s office.
Medical ID theft, in which thieves steal your Social Security number and health insurance info in order to fraudulently obtain medical services or treatment, is skyrocketing.
More than 90 percent of healthcare organizations have had a data breach, and 40 percent had more than five data breaches in the past two years, according to a report released last month by ID Experts. Attacks by criminal organizations are up 125 percent over the past five years. Medical identities are worth far more on the black market than financial identities.
The study estimates that data breaches may have cost the industry $6 billion in the last two years. The scariest stat for consumers: Half of organizations surveyed have little or no confidence in their ability to detect all patient data loss or theft.
Related: Now You Could Lost Your Medical Identity, Too
Victims of medical ID theft spend thousands to restore their credit and correct inaccuracies in their medical records, and unlike banks and credit card issuers, most healthcare organizations offer no protection services for victims.
In addition to the financial toll, there are health risks to victims of medical ID theft. If someone steals your identity and receives treatment that gets added to your medical records, doctors may have incorrect information regarding your health history and allergies.
It’s difficult to prevent medical ID theft, but monitoring your credit and closely reading your healthcare bill and explanation of benefits notices can help you catch it early.
Can a Few Chocolate Euros Stop a Grexit?
German Finance Minister Wolfgang Schaeuble has clashed repeatedly with Yanis Varoufakis over Greece's debt and economic reforms since the leftist Syriza party took power in January, pledging to end austerity and renegotiate the bailout terms.
In an interview with the children's television program "Logo" on German broadcaster ZDF last week, a girl reporter gave Schaeuble a supportive handful of the chocolate coins.
"I'll take a few for my Greek colleague, he also needs strong nerves," Schaeuble replied.
Greece hopes to secure a cash-for-reforms deal with its lenders this week. But after four months of tortuous negotiations no breakthrough is in sight. Without a deal Athens risks default or bankruptcy in weeks.
A Made-Up Holiday That Could Help Your Kids Go to College
Marketers are great at making up holidays—and who doesn’t love having an excuse to eat donuts on National Donut Day or pizza on National Pizza Day?
Most of these special days, however, tend to take a toll on both our wallets and our waistlines. Today may be an exception: The personal finance and college saving industries have dubbed today 529 Day (Get it? 5/29), a day to celebrate saving for college via tax-favored 529 plans.
Americans could benefit from any impetus to save more for higher education. The average American family that’s saving for college put away about $2,600 last year and has a total of just over $10,000 socked away for education, according to Sallie Mae’s annual How America Saves for College report. That’s the lowest amount since the survey began in 2009 — or about enough to send one kid to college for one semester at today’s prices.
Related: Top-rated 529 Plans Probably Are Not For You
Many states are “celebrating” the day with everything from waived enrollment fees to discounted admission to local baseball games. (Each plan is sponsored by a state but run by financial firms.) Check out this interactive map to find out if your state is offering any incentives today.
Contributions to a 529 plan are made after federal taxes, but the money grows tax-free as long as the proceeds are used for education costs. Some states also offer tax breaks on contributions.
The average cost of attending public college this year is $19,000. For private college it’s $33,000, according to The College Board. So there’s no time like today to start saving.
The 5 Funniest 2015 Commencement Speakers
At commencement ceremonies, every speaker gets to be a comedian, even comedians. The competition was tough, but at least two of the best lines compiled by The Washington Post, came from politicians.
“I stand here humbled, gracious and completely naked under this robe.”
--Maya Rudolph, Tulane University
“The UVA community has some experience with being defined by outsiders. It has been said that a rolling stone gathers no moss. I would add that sometimes a rolling stone also gathers no verifiable facts or even the tiniest morsels of journalistic integrity.”
--Ed Helms, University of Virginia
“Tisch graduates, you made it. And you’re f----ed. The graduates from the College of Nursing, they all have jobs. The graduates from the College of Dentistry, fully employed. The Leonard N. Stern School of Business graduates, they’re covered. The School of Medicine graduates, each one will get a job. The proud graduates of the NYU School of Law, they’re covered. And if they’re not, who cares? They’re lawyers.”
--Robert DeNiro, Tisch School of the Arts, New York University
…[Yale was] one touchdown away from beating Harvard this year for the first time since 2006. So close to something you’ve wanted for eight years. I can only imagine how you feel. I can only imagine.”
--Vice President Joe Biden, Yale University
Those of you who are graduating this afternoon with high honors, awards and distinction, I say, ‘Well done.’ And as I like to tell the C students, ‘You, too, can be president.’”
--former President George W. Bush, Southern Methodist University
Denny Hastert: Uh, About That $500,000 Statue…
Illinois state lawmakers are hitting the breaks on a proposal to spend half a million dollars for a statue honoring former U.S. House Speaker Dennis Hastert after the Justice Department indicted the Illinois Republican on multiple charges Thursday.
About a month before the DOJ announced the indictment against Hastert,
Illinois House Speaker Michael Madigan introduced a bill to allocate $500,000 from the Illinois Development Fund for a statue of Hastert, who represented Illinois’ 14th Congressional for 20 years after serving as a state representative.
Related: Lying, Cheating, Stealing: How Corrupt is America?
However, Madigan’s spokesperson, Steve Brown, said Hastert contacted lawmakers asked that they defer the proposal because of the state’s financial condition. Illinois currently is running a $9 billion deficit. Still, the bill, which passed through a house committee, was placed on the calendar for a third reading on May 18.
In the indictment released Thursday evening, federal investigators allege that Hastert paid $3.5 million in hush money to “cover up misconduct.” The money allegedly went to someone in Yorkville, Ill., where he previously coached high school wrestling. The seven-page indictment also accused him of lying to the FBI.
Following the announcement, Hastert reportedly resigned from his current position at Washington, D.C., law firm Dickstein Shapiro, as well as a board member at CME Group, according to Reuters.