{"id":10073,"date":"2017-02-08T01:02:00","date_gmt":"2017-02-08T01:02:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/02\/08\/white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-prices\/"},"modified":"2017-02-08T01:02:00","modified_gmt":"2017-02-08T01:02:00","slug":"white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-prices","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-prices\/","title":{"rendered":"White House Says Medicare Should Leverage Its Buying Power To Pull Down Drug Prices"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/02\/07\/513945538\/white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-pri?utm_medium=RSS&amp;utm_campaign=healthcare\">Alison Kodjak<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/02\/07\/513945538\/white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-pri?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/02\/07\/prescription-drugs_custom-394762400629eff7acba0502e7811ea1b604f529-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/02\/07\/prescription-drugs_enl-394762400629eff7acba0502e7811ea1b604f529-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>Medicare accounts for about 29 percent of all spending on prescription medicines in the U.S. each year. <strong>stevecoleimages\/iStockphoto\/Getty Images<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong><\/div>\n<p><span>stevecoleimages\/iStockphoto\/Getty Images<\/span><\/div>\n<\/div>\n<p>Drug companies could be forgiven if they&#8217;re confused about whether President Donald Trump thinks the government should get involved in negotiating the price of prescription drugs for Medicare patients.<\/p>\n<p>Just a few days before Trump was sworn in he said the pharmaceutical industry was <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/01\/11\/509137239\/watch-live-trump-holds-first-press-conference-as-president-elect\">&#8220;getting away with murder&#8221;<\/a> in the way it prices medicine, and he promised to take the industry on. It was a promise he&#8217;d made repeatedly on the campaign trail.<\/p>\n<p>&#8220;We&#8217;re the largest buyer of drugs in the world and yet we don&#8217;t bid properly,&#8221; he said in a news conference in early January. &#8220;We&#8217;re going to start bidding and we&#8217;re going to save billions of dollars over a period of time.&#8221;<\/p>\n<p>But last week, Trump appeared to <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.marketplace.org\/2017\/02\/01\/business\/trump-drug-prices\">walk that vow back<\/a> when he met with the leaders of several giant pharmaceutical companies at the White House.<\/p>\n<p>&#8220;I&#8217;ll oppose anything that makes it harder for smaller, younger companies to take the risk of bringing a product to a vibrantly competitive market,&#8221; he said, sitting around a table in the Roosevelt Room, flanked by leaders of five large drugmakers. &#8220;That includes price fixing by the biggest dog in the market \u2013 Medicare \u2014 which is what&#8217;s happening.&#8221;<\/p>\n<div><span>Article continues after <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/about-npr\/186948703\/corporate-sponsorship\" target=\"_blank\">sponsorship<\/a><\/span><\/div>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<div><\/div>\n<p>So on Tuesday, White House spokesman Sean Spicer cleared up the confusion, for now at least.<\/p>\n<p>When asked during his <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.whitehouse.gov\/the-press-office\/2017\/02\/07\/press-briefing-press-secretary-sean-spicer-272017-9\">daily news briefing<\/a> whether the president is in favor of having Medicare negotiate lower prices for prescription medicine, Spicer said, &#8220;He&#8217;s for it, yes. Absolutely.&#8221;<\/p>\n<p>Spicer went on to say that the U.S. should be doing what other countries do \u2014 bring the government&#8217;s purchasing power to bear to get a better deal on medicine prices.<\/p>\n<p>&#8220;So his commitment is to make sure that he does what he can,&#8221; Spicer said, &#8220;and, I think rather successfully, use his skills as a businessman to drive them down.&#8221;<\/p>\n<p>Current U.S. law prohibits Medicare officials from interfering in the negotiations between drugmakers and the insurance companies that administer Medicare&#8217;s prescription drug plans.<\/p>\n<p>Medicare accounts for about 29 percent of all spending on prescription medicines in the U.S. each year. So, would bringing Medicare&#8217;s huge purchasing power to bear in talks over prescription drug prices actually reduce those prices?<\/p>\n<p>The only government report that looks at the issue is a 2007 Congressional Budget Office <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cbo.gov\/sites\/default\/files\/110th-congress-2007-2008\/costestimate\/s30.pdf\">study<\/a> that concluded that it would have a &#8220;negligible effect&#8221; on prices.<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.dom.pitt.edu\/dgim\/faculty_info.aspx\/Gellad5731\">Dr. Walid Gellad<\/a>, director of the Center for Pharmaceutical Policy and Prescribing at University of Pittsburgh disagrees.<\/p>\n<p>&#8220;There&#8217;s a reason why the pharmaceutical industry does not want Medicare negotiation to happen,&#8221; Gellad told NPR. &#8220;And the obvious reason is because it will lower prices.&#8221;<\/p>\n<p>Gellad said the CBO report doesn&#8217;t take into account the ability the government would have to say no to some particularly high-priced medicines.<\/p>\n<p>If Medicare, for example, said it would pay for only one of the two major Hepatitis C medications on the market today \u2014 drugs that cost upwards of $40,000 for a course of treatment \u2014 Gellad estimates the drugmakers would cut the price by at least $10,000 to win the government&#8217;s business.<\/p>\n<p>That sort of negotiating is already allowed at the U.S. Department of Veterans Affairs.<\/p>\n<p>&#8220;If Medicare were to get the same prices for drugs as in the VA you&#8217;d have billions, tens of billions of dollars of savings,&#8221; Gellad told NPR.<\/p>\n<p>The Medicare prescription drug program was created in 2003; the program&#8217;s drug coverage is handled exclusively by <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/healthaffairs.org\/blog\/2016\/02\/01\/how-would-government-negotiation-of-medicare-part-d-drug-prices-work\/\">private insurance companies<\/a>. There is no direct government pharmacy coverage.<\/p>\n<p>That means each insurer negotiates prices for medications separately. If one insurance company strikes a deal regarding one drug, another company may negotiate a better price for a competing medication.<\/p>\n<p>A <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/freepdfhosting.com\/ff84833f9f.pdf\">2015 study<\/a> jointly published by Carleton University and the public advocacy group <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.citizen.org\/Page.aspx?pid=183\">Public Citizen<\/a> showed that Medicare pays, on average, 73 percent more than Medicaid pays for brand-name drugs, and 80 percent more than the VA pays.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/02\/07\/513945538\/white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-pri?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"White House Says Medicare Should Leverage Its Buying Power To Pull Down Drug Prices\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/02\/07\/513945538\/white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-pri?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/02\/07\/513945538\/white-house-says-medicare-should-leverage-its-buying-power-to-pull-down-drug-pri?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/02\/07\/prescription-drugs_custom-394762400629eff7acba0502e7811ea1b604f529-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/02\/07\/prescription-drugs_enl-394762400629eff7acba0502e7811ea1b604f529-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>Medicare accounts for about 29 percent of all spending on prescription medicines in the U.S. each year. <strong>stevecoleimages\/iStockphoto\/Getty Images<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong><\/div>\n<p><span>stevecoleimages\/iStockphoto\/Getty Images<\/span><\/div>\n<\/div>\n<p>Drug companies could be forgiven if they&#8217;re confused about whether President Donald Trump thinks the government should get involved in negotiating the price of prescription drugs for Medicare patients.<\/p>\n<p>Just a few days before Trump was sworn in he said the pharmaceutical industry was <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/01\/11\/509137239\/watch-live-trump-holds-first-press-conference-as-president-elect\">&#8220;getting away with murder&#8221;<\/a> in the way it prices medicine, and he promised to take the industry on. It was a promise he&#8217;d made repeatedly on the campaign trail.<\/p>\n<p>&#8220;We&#8217;re the largest buyer of drugs in the world and yet we don&#8217;t bid properly,&#8221; he said in a news conference in early January. &#8220;We&#8217;re going to start bidding and we&#8217;re going to save billions of dollars over a period of time.&#8221;<\/p>\n<p>But last week, Trump appeared to <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.marketplace.org\/2017\/02\/01\/business\/trump-drug-prices\">walk that vow back<\/a> when he met with the leaders of several giant pharmaceutical companies at the White House.<\/p>\n<p>&#8220;I&#8217;ll oppose anything that makes it harder for smaller, younger companies to take the risk of bringing a product to a vibrantly competitive market,&#8221; he said, sitting around a table in the Roosevelt Room, flanked by leaders of five large drugmakers. &#8220;That includes price fixing by the biggest dog in the market \u2013 Medicare \u2014 which is what&#8217;s happening.&#8221;<\/p>\n<div><span>Article continues after <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/about-npr\/186948703\/corporate-sponsorship\" target=\"_blank\">sponsorship<\/a><\/span><\/div>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<div><\/div>\n<p>So on Tuesday, White House spokesman Sean Spicer cleared up the confusion, for now at least.<\/p>\n<p>When asked during his <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.whitehouse.gov\/the-press-office\/2017\/02\/07\/press-briefing-press-secretary-sean-spicer-272017-9\">daily news briefing<\/a> whether the president is in favor of having Medicare negotiate lower prices for prescription medicine, Spicer said, &#8220;He&#8217;s for it, yes. Absolutely.&#8221;<\/p>\n<p>Spicer went on to say that the U.S. should be doing what other countries do \u2014 bring the government&#8217;s purchasing power to bear to get a better deal on medicine prices.<\/p>\n<p>&#8220;So his commitment is to make sure that he does what he can,&#8221; Spicer said, &#8220;and, I think rather successfully, use his skills as a businessman to drive them down.&#8221;<\/p>\n<p>Current U.S. law prohibits Medicare officials from interfering in the negotiations between drugmakers and the insurance companies that administer Medicare&#8217;s prescription drug plans.<\/p>\n<p>Medicare accounts for about 29 percent of all spending on prescription medicines in the U.S. each year. So, would bringing Medicare&#8217;s huge purchasing power to bear in talks over prescription drug prices actually reduce those prices?<\/p>\n<p>The only government report that looks at the issue is a 2007 Congressional Budget Office <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cbo.gov\/sites\/default\/files\/110th-congress-2007-2008\/costestimate\/s30.pdf\">study<\/a> that concluded that it would have a &#8220;negligible effect&#8221; on prices.<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.dom.pitt.edu\/dgim\/faculty_info.aspx\/Gellad5731\">Dr. Walid Gellad<\/a>, director of the Center for Pharmaceutical Policy and Prescribing at University of Pittsburgh disagrees.<\/p>\n<p>&#8220;There&#8217;s a reason why the pharmaceutical industry does not want Medicare negotiation to happen,&#8221; Gellad told NPR. &#8220;And the obvious reason is because it will lower prices.&#8221;<\/p>\n<p>Gellad said the CBO report doesn&#8217;t take into account the ability the government would have to say no to some particularly high-priced medicines.<\/p>\n<p>If Medicare, for example, said it would pay for only one of the two major Hepatitis C medications on the market today \u2014 drugs that cost upwards of $40,000 for a course of treatment \u2014 Gellad estimates the drugmakers would cut the price by at least $10,000 to win the government&#8217;s business.<\/p>\n<p>That sort of negotiating is already allowed at the U.S. Department of Veterans Affairs.<\/p>\n<p>&#8220;If Medicare were to get the same prices for drugs as in the VA you&#8217;d have billions, tens of billions of dollars of savings,&#8221; Gellad told NPR.<\/p>\n<p>The Medicare prescription drug program was created in 2003; the program&#8217;s drug coverage is handled exclusively by <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/healthaffairs.org\/blog\/2016\/02\/01\/how-would-government-negotiation-of-medicare-part-d-drug-prices-work\/\">private insurance companies<\/a>. There is no direct government pharmacy coverage.<\/p>\n<p>That means each insurer negotiates prices for medications separately. If one insurance company strikes a deal regarding one drug, another company may negotiate a better price for a competing medication.<\/p>\n<p>A <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/freepdfhosting.com\/ff84833f9f.pdf\">2015 study<\/a> jointly published by Carleton University and the public advocacy group <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.citizen.org\/Page.aspx?pid=183\">Public Citizen<\/a> showed that Medicare pays, on average, 73 percent more than Medicaid pays for brand-name drugs, and 80 percent more than the VA pays.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-10073","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10073","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=10073"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10073\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=10073"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=10073"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=10073"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}