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肿瘤药物定价:通过马克·库班成本加成药物模式,潜在的医疗保险在癌症靶向和支持性治疗药物方面的节省。

Oncology drug pricing: potential Medicare savings on cancer-directed and supportive care medications through the Mark Cuban cost plus drug model.

机构信息

College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United Ststes.

Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States.

出版信息

Oncologist. 2024 Jul 5;29(7):e918-e921. doi: 10.1093/oncolo/oyae083.

DOI:10.1093/oncolo/oyae083
PMID:38739017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11224984/
Abstract

Prescription drug costs within oncology remain a challenge for many patients with cancer. The Mark Cuban Cost Plus Drug Company (MCCPDC) launched in 2022, aiming to provide transparently priced medications at reduced costs. In this study, we sought to describe the potential impact of MCCPDC on Medicare Part-D oncology spending related to cancer-directed (n = 7) and supportive care (n = 26) drugs. We extracted data for drug-specific Part-D claims and spending for 2021. Using 90-count purchases from MCCPDC, we found potential Part-D savings of $857.8 million (91% savings) across the 7 cancer-directed drugs and $28.7 million (67% savings) across 21/26 (5/26 did not demonstrate savings) supportive care drugs. Collectively, our findings support that alternative purchasing models like MCCPDC may promote substantial health care savings.

摘要

肿瘤患者的处方药费用仍然是许多患者面临的挑战。马克·库班成本加成药品公司(MCCPDC)于 2022 年成立,旨在以降低的成本提供透明定价的药物。在这项研究中,我们试图描述 MCCPDC 对医疗保险部分-D 与癌症定向(n = 7)和支持性护理(n = 26)药物相关的肿瘤支出的潜在影响。我们提取了 2021 年特定药物的部分-D 索赔和支出数据。使用 MCCPDC 的 90 计数购买,我们发现 7 种癌症定向药物的潜在部分-D 节省 8.578 亿美元(91%的节省),26 种/21 种(5/26 种没有显示节省)支持性护理药物的节省 2870 万美元(67%的节省)。总的来说,我们的研究结果表明,像 MCCPDC 这样的替代采购模式可能会促进大量的医疗保健储蓄。

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本文引用的文献

1
Potential Cost Savings in Medicare Part D Across Gastroenterology: An Assessment of Alternative Drug Sourcing.在 Medicare 部分 D 中节约潜在成本:对替代药物采购的评估。
Am J Gastroenterol. 2024 Apr 1;119(4):764-767. doi: 10.14309/ajg.0000000000002625. Epub 2023 Dec 12.
2
Projected Savings for Generic Oncology Drugs Purchased via Mark Cuban Cost Plus Drug Company Versus in Medicare.通过马克·库班成本加成药品公司购买的仿制药与医疗保险相比的预计节省。
J Clin Oncol. 2023 Oct 10;41(29):4664-4668. doi: 10.1200/JCO.23.00079. Epub 2023 Jun 8.
3
Medicare Drug Price Negotiation in the United States: Implications and Unanswered Questions.美国医疗保险药品价格谈判:影响与未解决的问题
Value Health. 2023 Mar;26(3):394-399. doi: 10.1016/j.jval.2022.11.015. Epub 2022 Dec 9.
4
Urological Drug Price Stewardship: Potential Cost Savings Based on the Mark Cuban Cost Plus Drug Company Model.泌尿外科药物价格管理:基于马克·库班成本加成制药公司模式的潜在成本节约
J Urol. 2023 Feb;209(2):309-311. doi: 10.1097/JU.0000000000003083. Epub 2022 Nov 22.
5
Financial Toxicity of Cancer Treatment.癌症治疗的经济毒性
JAMA Oncol. 2022 May 1;8(5):788. doi: 10.1001/jamaoncol.2021.7987.
6
Effect of Competition on Generic Drug Prices.竞争对仿制药价格的影响。
Appl Health Econ Health Policy. 2022 Mar;20(2):243-253. doi: 10.1007/s40258-021-00705-w. Epub 2021 Dec 13.
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The financial burden and distress of patients with cancer: Understanding and stepping-up action on the financial toxicity of cancer treatment.癌症患者的经济负担和困境:了解并加强对癌症治疗的财务毒性的行动。
CA Cancer J Clin. 2018 Mar;68(2):153-165. doi: 10.3322/caac.21443. Epub 2018 Jan 16.
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Financial Insolvency as a Risk Factor for Early Mortality Among Patients With Cancer.财务破产作为癌症患者早期死亡的风险因素。
J Clin Oncol. 2016 Mar 20;34(9):980-6. doi: 10.1200/JCO.2015.64.6620. Epub 2016 Jan 25.