EP494: Six Tensions of Pharmaceutical Drug Pricing, With Sarah Emond
Relentless Health Value
Pharma and PBMs must reference value reports
Sarah recommends manufacturers and PBMs use ICER-like analyses to set prices and design formularies that improve access.
In Episode 494 of Relentless Health Value, host Stacey Richter engages in a detailed discussion with Sarah Emond, CEO of ICER, about the intricate dynamics of pharmaceutical drug pricing. They explore six primary tensions within the current system, including the fair valuation of drugs, the misalignment between drug prices and patient affordability, the disconnect between lifetime drug value and short-term insurance assessments, and the challenge of integrating societal and individual perceptions of value.
Emond and Richter also discuss potential solutions, emphasizing the need for value-based pricing models free from financial conflicts of interest. They highlight the critical role of payers, PBMs, and drug manufacturers in aligning pricing with value to improve patient access and reduce overall healthcare costs.
=== LINKS === π Show Notes with all mentioned links: https://cc-lnk.com/EP494
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12:50 Bonus clip with Sarah Emond.
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22:38 ICER's report on GLP-1s.
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29:48 How cost-effective prices are calculated.
31:55 One of the core value underpinnings for value assessment of drugs.
34:54 Why manufacturers and pharmacy benefit managers should work together more by referencing something like an ICER report.
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38:21 "We can make different choices."
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