دورية أكاديمية
Cheaper is not always better: Drug shortages in the United States and a value-based solution to alleviate them.
| العنوان: | Cheaper is not always better: Drug shortages in the United States and a value-based solution to alleviate them. |
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| المؤلفون: | Hernandez I; Skaggs School of Pharmacy, University of California San Diego., Sullivan SD; The CHOICE Institute, School of Pharmacy, University of Washington, Seattle., Hansen RN; The CHOICE Institute, School of Pharmacy, University of Washington, Seattle., Fendrick AM; Department of Internal Medicine, University of Michigan, Ann Arbor. |
| المصدر: | Journal of managed care & specialty pharmacy [J Manag Care Spec Pharm] 2024 Jul; Vol. 30 (7), pp. 719-727. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academy of Managed Care Pharmacy Country of Publication: United States NLM ID: 101644425 Publication Model: Print Cited Medium: Internet ISSN: 2376-1032 (Electronic) Linking ISSN: 23760540 NLM ISO Abbreviation: J Manag Care Spec Pharm Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Alexandria, VA : Academy of Managed Care Pharmacy, [2014]- |
| مواضيع طبية MeSH: | Drugs, Generic*/economics , Drugs, Generic*/supply & distribution , Drug Industry*/economics, United States ; Humans ; Drug Costs ; Cost Control ; Pharmaceutical Preparations/supply & distribution ; Pharmaceutical Preparations/economics ; Value-Based Purchasing ; Reimbursement Mechanisms |
| مستخلص: | Drug shortages threaten patients' access to medications and are associated with adverse health outcomes and increased costs. Drug shortages disproportionately occur among generic drugs of limited profitability, most notably drugs administered by injection. In this perspective, we discuss how reimbursement and purchasing practices that were meant to create an efficient marketplace for generics have generated strong price pressure that threatens profitability in certain markets. We further explain how, faced with limited profitability, manufacturers lack incentives to invest in resilient supply chains, and in some cases, engage in cost-containment strategies or decide to exit the market, ultimately contributing to shortages. We propose the development and implementation of value-based reimbursement to provide needed incentives for drug purchasers and manufacturers to establish a more reliable supply chain as part of the policy solution to reduce the number and extent of drug shortages. This reimbursement model would necessitate the development of a rating system that measures supply chain resilience and maturity for each generic product. This rating would then be applied as a value-based modifier to reimbursement rates for generic products. The proposed model would result in higher reimbursement rates for generic products from more dependable supply chains, generating incentives for manufacturers to invest in supply chain resiliency. We propose the application of this reimbursement system originally in Medicare given Congressional interest on reforming Medicare payment to prevent drug shortages. |
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| المشرفين على المادة: | 0 (Drugs, Generic) 0 (Pharmaceutical Preparations) |
| تواريخ الأحداث: | Date Created: 20240701 Date Completed: 20240701 Latest Revision: 20240709 |
| رمز التحديث: | 20240709 |
| مُعرف محوري في PubMed: | PMC11217858 |
| DOI: | 10.18553/jmcp.2024.30.7.719 |
| PMID: | 38950157 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2376-1032 |
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| DOI: | 10.18553/jmcp.2024.30.7.719 |