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Researchers call for prescription charge to be cut

A study by University of Otago researchers found removing the $5 prescription charge significantly reduces hospital admissions and length of stays, especially for those with high health needs and low incomes. The authors recommend eliminating or reducing charges to address health inequities.

SourceUniversity of Otago·JournalBMC Health Services Research·TypeRandomized controlled/clinical trial·DateFeb 6, 2023

American College of Physicians recommends cognitive behavioral therapy or second-generation antidepressants for adults with major depressive disorder

The American College of Physicians recommends using cognitive behavioral therapy (CBT) or second-generation antidepressants as initial treatment for adults with moderate to severe major depressive disorder. The guideline also suggests considering combination therapy and discussing patient preferences when selecting a treatment.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeMeta-analysis·DateJan 23, 2023

American College of Physicians recommends bisphosphonates for initial treatment for osteoporosis in males and postmenopausal females diagnosed with primary osteoporosis

The American College of Physicians recommends bisphosphonates as initial pharmacologic treatment to reduce fracture risk in osteoporosis patients. Long-term use may increase risks, so treatment duration should be limited to 5 years or less.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeSystematic review·DateJan 2, 2023

DOACs more effective, cost-effective compared to LMWH for cancer-associated thrombosis

A cost-effectiveness analysis of direct oral anticoagulants (DOACs) versus low-molecular-weight heparin (LMWH) for cancer-associated thrombosis found that DOACs are more medically effective and cost-effective. The most cost-effective DOAC, apixaban, was also shown to be the least costly anticoagulant.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeData/statistical analysis·DateDec 26, 2022

Prescription drug spending in fee-for-service Medicare

Spending on prescription drugs was a significant portion of healthcare spending among Medicare beneficiaries, accounting for approximately 27%, even after post-sale rebates. The study highlights the need to address rising medication costs and explores ways to mitigate this burden on individuals and the healthcare system.

SourceJAMA Network·JournalJAMA·DateOct 18, 2022

Obesity prevalence varies significantly for Asian American subgroups

A cross-sectional study of over 70,000 Asian Americans found significant variation in obesity prevalence among subgroups, with Filipino Americans having the highest rate at 28.7% and Chinese Americans the lowest at 13.2%. The study highlights the need for tailored strategies to address obesity disparities among Asian American populations.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeData/statistical analysis·DateOct 3, 2022

BU study: Monthly caps on out-of-pocket costs would provide financial relief to privately insured patients

A new study found that placing a monthly cap on out-of-pocket costs for commercially insured patients could lower their highest monthly healthcare bills by 50-60%. A $500 monthly limit would affect about 25% of enrollees and reduce in-network OOP costs over a year by 46%, while a $250 limit would show a 51% reduction.

SourceBoston University School of Public Health·JournalJAMA Network Open·TypeObservational study·DateSep 22, 2022

Efforts to save money on prescription drugs associated with increased stroke risk for seniors

A new study by the University of Southern California found that formulary restrictions and prior authorization policies can limit access to life-saving medications like NOACs, leading to increased stroke risk. The research suggests that these policies may be 'penny wise and pound foolish' for patients with atrial fibrillation.

SourceUniversity of Southern California·JournalThe American Journal of Managed Care·TypeData/statistical analysis·DateAug 8, 2022

Chemotherapy drugs from “rogue” online pharmacies could endanger leukemia patients, suggests research in JNCCN

A study found that a majority of online pharmacies selling imatinib, a chronic myeloid leukemia therapy, are uncertified and operate unsafely. Patients may face risks of nonadherence, treatment failures, and adverse events if they use these pharmacies.

SourceNational Comprehensive Cancer Network·JournalJournal of the National Comprehensive Cancer Network·TypeSystematic review·DateJul 28, 2022

Costs for emergency allergy injectors still high for some?

A new study found that while the availability of lower-priced epinephrine auto-injector competitors has improved affordability for many patients, a significant minority still pay significantly more for life-saving medication. High-deductible health plans are a major contributing factor to these high costs.

SourceMichigan Medicine - University of Michigan·JournalJournal of General Internal Medicine·TypeData/statistical analysis·DateJul 12, 2022

Fixed vial sizes for controversial Alzheimer's drug could waste $605 million in Medicare spending each year

A new UCLA study found that fixed vial sizes for the controversial Alzheimer's drug aducanumab could result in significant wasteful spending of up to $605 million per year on Medicare. The researchers suggest reducing vial sizes to contain costs and improve the value of future Medicare spending.

SourceUniversity of California - Los Angeles Health Sciences·JournalJournal of the American Geriatrics Society·TypeData/statistical analysis·DateJun 27, 2022

Researchers find medical industry funded studies more likely to find new treatments cost effective

Researchers found that medical industry-funded studies are more likely to conclude new treatments are cost-effective than independent research. This can lead to biased cost-effectiveness analyses (CEAs) and potentially higher prices for new drugs and technologies in insurance plans, affecting low- and middle-income countries.

SourceMcMaster University·JournalThe BMJ·TypeLiterature review·DateJun 22, 2022

Medicare could save up to $3.6 billion by purchasing generic drugs at Mark Cuban prices

A study published in Annals of Internal Medicine found that Medicare could save up to $3.6 billion by purchasing generic drugs at the same prices as the Mark Cuban Cost Plus Drug Company. The researchers compared the price of 89 generic drugs sold by MCCPDC to the price Medicare paid in 2020 and estimated potential savings of up to $3....

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeData/statistical analysis·DateJun 20, 2022

Trends in prescription drug launch prices

Recent trends in US prescription drug launch prices show a significant increase from 2008 to 2021, with average annual growth rates reaching 9.5%. The study highlights the need for policymakers and regulators to address this issue and ensure affordable medication for patients.

SourceJAMA Network·JournalJAMA·DateJun 7, 2022

What will it take to transform obesity care for all?

The US healthcare system faces a significant challenge in providing high-quality, personalized obesity care due to lack of insurance coverage for effective medications and societal stigma. Recent efforts aim to address this issue through framework development and policy changes, which may lead to improved patient outcomes and cost savi...

SourceMichigan Medicine - University of Michigan·JournalPrimary Health Care Research & Development·TypeObservational study·DateMay 31, 2022

Contraceptive counseling and provision in clinical practice increases its use and reduces unintended pregnancy

A review of 38 randomized controlled trials found that counseling patients about contraceptive use and providing contraceptives increases use without increasing STI risk or reducing condom use. The interventions also decrease unintended pregnancy in trials designed to evaluate this outcome.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeMeta-analysis·DateMay 23, 2022

Report: remdesivir dominated hospital drug spending in 2021

The COVID-19 treatment remdesivir dominated hospital drug spending in 2021, with total spending reaching $576.9 billion. Biosimilars usage increased, saving the healthcare system money, while new drugs like aducanumab and upcoming oncology approvals are expected to impact spending.

SourceASHP (American Society of Health-System Pharmacists)·JournalAmerican Journal of Health-System Pharmacy·TypeData/statistical analysis·DateApr 6, 2022

Medicare beneficiaries without low-income subsidies were less likely to fill important prescriptions, new study finds

Medicare beneficiaries without low-income subsidies were nearly twice as likely to not fill prescriptions for serious health conditions like cancer or hepatitis C treatment, according to a new study from Vanderbilt University Medical Center researchers. The study found that 30% of patients without subsidies did not fill their prescribe...

SourceVanderbilt University Medical Center·JournalHealth Affairs·DateApr 4, 2022

Researchers call for Federal and State policy changes to make naloxone widely available

Researchers urge federal intervention to make naloxone widely available, citing a 30% increase in fatal overdoses from 2019 to 2020. The lack of accessible distribution points and high costs are major barriers to access, with one prescription dispensed for every 70 high-dose opioid prescriptions nationwide.

SourceBoston Medical Center·JournalAmerican Journal of Public Health·TypeCommentary/editorial·DateMar 23, 2022

New study supports pricing long-acting injectable cabotegravir to compete with generic oral HIV pre-exposure prophylaxis

A new study published in Annals of Internal Medicine suggests that the value of long-acting injectable cabotegravir for HIV prevention is comparable to generic oral alternatives. The study found that CAB-LA's superiority over oral PrEP among high-risk individuals would not justify a large price difference.

SourceMassachusetts General Hospital·JournalAnnals of Internal Medicine·TypeData/statistical analysis·DateFeb 1, 2022

Study finds sexual minority communities disproportionately engage in behaviors to reduce medication costs

Adults from sexual minority groups are more likely to use alternative therapies, skip medication doses, and delay prescription refills to reduce medication costs. The findings highlight a significant disparity in health outcomes for LGBTQ+ patients and underscore the need for improved access to medications.

SourceVanderbilt University Medical Center·JournalJournal of the American Medical Association·DateJan 3, 2022

New journal of Pharmaceutical Analysis study shows novel strategy to improve quality checking of generic drugs

Researchers devised a novel approach to unify quality assessment of generic drugs developed through different processes. The 'population pharmaceutical quality assessment' method uses computational modeling to evaluate process information, providing a scientific tool for objective quality consistency evaluation.

SourceCactus Communications·JournalJournal of Pharmaceutical Analysis·TypeComputational simulation/modeling·DateJan 3, 2022

Massive cost, meager benefit

A new evidence review by Oregon Health & Science University researchers found that the expensive multiple sclerosis drug Acthar provides very little clinical benefit compared to less-expensive alternatives. The study screened 41 studies and found weak or no benefit from Acthar against standard medications like corticosteroids.

SourceOregon Health & Science University·JournalJAMA Internal Medicine·TypeLiterature review·DateDec 13, 2021

Use of generic heart meds in Medicare Part D could save more than $600 million a year

A new study published in Circulation: Cardiovascular Quality and Outcomes Journal found that increasing the use of generic medications for heart and blood vessel diseases in Medicare Part D could save more than $600 million per year. This would lead to lower out-of-pocket costs for patients and improved adherence rates.

SourceAmerican Heart Association·JournalCirculation Cardiovascular Quality and Outcomes·DateDec 9, 2021

Ending market exclusivity for statins saves US $12 billion and individuals nearly $1,000 annually

A recent study from George Mason University found that introducing generic statin medications can reduce prices by up to 95% when six or more generic competitors exist. The study reveals average annual cost savings per individual of $211.9 for out-of-pocket, translating to an $11.9 billion savings for the US.

SourceGeorge Mason University·JournalJAMA Network Open·TypeData/statistical analysis·DateNov 22, 2021

Linking US prescription drug prices to those paid in other nations could cut costs in half

A new RAND Corporation study models likely savings from legislative proposal to adopt reference pricing, which could reduce US spending on prescription drugs by at least half. The study found that caps on prices set at 120% of what is paid in six other nations could lower US spending on insulins and 50 top brand-name drugs by 52%, savi...

SourceRAND Corporation·JournalJournal of the American Medical Association·TypeData/statistical analysis·DateSep 10, 2021