Introduction
The Drug Pricing Clinic is your home for all of AAF’s most relevant work on prescription drug policy, proposals, and programs. Policymakers from across the political spectrum are offering proposals for lowering the costs of prescription drugs, but the market is tremendously complicated — and any policy intervention promises to have numerous effects across the various health care markets and for hundreds of millions of patients, both in the United States and around the world. AAF’s team of experts provide up-to-date analysis of the latest policy proposals and their effect on the U.S. health care system.
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Insight
Prescription Drug Price Controls and State-Level Policymaking
Executive Summary Over the past several years, federal lawmakers have debated policies that penalize manufacturers for drug price increases and tie U.S. drug prices to international reference prices, but with federal action stymied thus far, a number of states are…
Weekly Checkup
Two Lost Opportunities for Bipartisan Legislating
As we enter the last week of the 2019 legislative calendar, hope is fading that Congress will enact major drug policy or surprise medical billing reforms. The sad irony is that we’ve likely never been closer to a deal on…
Insight
Comparing the Recent Drug-Pricing Reform Proposals
This analysis compares recent legislative proposals to lower drug costs.
Weekly Checkup
Don’t Believe Everything You Read in CBO Cost Estimates
Drug prices continued to drive the health policy debate this week. First, we received a new version of Speaker Pelosi’s drug pricing bill (H.R. 3), aimed at gaining the support of progressive members. This was followed by a trio of…
Insight
Competing Proposals to Reform Medicare Part D
All of the pending proposals seek to put downward pressure on prescription drug prices by realigning incentives in the Medicare Part D program.
Testimony
Testimony on The Lower Drug Costs Now Act (H.R. 3)
U.S. House of Representatives, Committee on Education & Labor Subcommittee on Health, Employment, Labor, and Pensions *The views expressed here are my own and not those of the American Action Forum. I am indebted to my colleagues Douglas Holtz-Eakin, Tara…
Weekly Checkup
Negotiation in Speaker Pelosi’s Drug-Pricing Proposal
The following is adapted from Christopher Holt’s oral testimony that he delivered yesterday afternoon to the House Education & Labor Committee's HELP subcommittee. The hearing discussed Speaker Nancy Pelosi’s prescription drug proposal. Speaker Pelosi’s prescription drug proposal, H.R. 3, aims…
Weekly Checkup
Competition and Pelosi’s Prescription Drug Plan
This week we got our first real look at the details of Speaker Pelosi’s plan to lower drug prices, and there’s a lot to talk about. Medicare negotiation is in, of course—though how accurately “negotiation” describes the proposed process is…
Insight
Senate Finance Proposes Reforms to Medicare and Medicaid Drug Policy
This legislative package from the Senate Finance Committee is the last piece of a tri-committee effort in the Senate to produce a comprehensive legislative package on drug pricing.
Weekly Checkup
The Sound and Fury on Drug Importation
This week, the Trump Administration announced the “Safe Importation Action Plan” to allow the importation of drugs from Canada and possibly other countries. While some Trump Administration officials have previously dismissed the idea as a gimmick at best and dangerous…
Insight
How Congress Is Attempting to Lower Drug Costs
Multiple Senate and House committees have been working for months on legislation to bring down drug costs, almost exclusively by either directly or indirectly increasing competition.
Background Research
Research
Understanding Pharmaceutical Drug Costs
This paper examines the various factors that influence how drugs are priced--including regulatory burdens and health care payment models--in order to provide an understanding of these prices in the larger picture of American health care.
Insight
Understanding the Policies that Influence the Cost of Drugs
The ACA included many provisions that either directly or indirectly impacted the cost of medicines, costing the industry more than $100 billion over the past eight years.
Insight
Baseball, Arbitration, and Drug Prices
The potential application of arbitration to drug pricing raises a host of questions about how such a program would be implemented; for example, who would select the arbitrator, and what standards would govern the assessment of a reasonable price?
Testimony
Testimony Before the Senate Committee on Finance on Drug Pricing
Testimony before the U.S. Senate Committee on Finance Tuesday, January 29th, 2019 *The views expressed here are my own and not those of the American Action Forum. I thank Christopher Holt and Tara O’Neill Hayes for their assistance. Read a…
Weekly Checkup
The Importance of Investment Incentives in Drug Pricing Policies
Recently, Bloomberg Businessweek covered the story of Achaogen Inc., a biopharmaceutical company specializing in antibiotics. In the span of less than a year, Achaogen launched its first product, a rare new antibiotic to fight otherwise antibiotic-resistant infections, and then filed…
Weekly Checkup
Importing Canadian Drugs is Not the Solution to High Drug Prices
Amid the national conversation around drug prices, the idea of importing cheaper drugs from Canada is gaining renewed attention. Politicians from President Trump and Senate Finance Chairman Chuck Grassley to President Obama and Senator Bernie Sanders have championed the idea.…
Multimedia
The AAF Exchange — Ep. 04: Drug Pricing in the U.S.
AAF’s Director of Health Care Policy Chris Holt discusses the issue of high drug prices as well as several proposed solutions for it.
Medicare Part D
Research
Redesigning Medicare Part D to Realign Incentives
Restructuring the Medicare Part D program’s benefit design in a way that realigns incentives away from high-cost, high-rebate drugs may be the best way to reduce overall program costs as well as drug prices in other parts of the market.
Insight
Competing Proposals to Reform Medicare Part D
All of the pending proposals seek to put downward pressure on prescription drug prices by realigning incentives in the Medicare Part D program.
Insight
The Impact of Shifting Rebates to Catastrophic Coverage in Medicare Part D
This reform would result in the mandatory rebate amount increasing with the drug’s price, which would provide an incentive against price inflation—an incentive the current system lacks.
Weekly Checkup
Where Does It Go From Here? Drug Pricing Policy After the Rebate Rule Reversal
Late Wednesday, news broke that the Trump Administration was withdrawing a controversial proposed rule that would have altered how drugs are paid for in the Medicare Part D program. There is much to say about the potential merits and challenges…
Insight
What Congress Needs to Consider When Reforming Medicare Part D
AF’s proposal to reform the Medicare Part D program has gained attention recently, but with this attention have come both questions and suggestions for how the proposal could be modified. This paper discusses some of those ideas and provides further analysis to better inform the conversation.
Multimedia
The AAF Exchange — Ep. 09: Drug Pricing Reform
Deputy Director of Health Care Policy Tara O'Neill Hayes walks listeners through the latest reform efforts in drug pricing.
Senate Finance Proposes Reforms to Medicare and Medicaid Drug Policy
Medicare Part B
Comments for the Record
Comments To CMS On Proposed International Pricing Index for Medicare Part B Drugs
The solution that has been proposed here is not likely to achieve its objective, and in fact, could result in significant undesirable repercussions.
Weekly Checkup
Importing Drug Price Controls
This week, Senate Finance Committee Chairman Chuck Grassley made news when he publicly opposed a Trump Administration proposal to tie Medicare payments for drugs to the prices paid by other countries. Senator Grassley’s opposition is not surprising, for several reasons.…
Medicaid
Research
Primer: The Medicaid Drug Rebate Program
The Medicaid Drug Rebate Program, which Congress created nearly 30 years ago, requires drug manufacturers to pay a rebate for all drugs dispensed to Medicaid beneficiaries, with brand-name drugs requiring the greatest rebate and generic drugs the lowest.
Weekly Checkup
Laboratories of Drug Pricing Policy
In the ongoing policy debate about the relative value and cost associated with prescription pharmaceuticals, states are emerging as some of the most daring (and possibly reckless) policymakers. Yesterday, Axios’ Caitlin Owens wrote about one state-driven initiative to tamp down…
340B
Insight
CMS Moves Toward Much-Needed 340B Reforms
In order for a manufacturer’s drugs to be covered by the Medicaid program, the manufacturer must agree to participate in the 340B Drug Pricing Program (340B). Under the 340B program, manufacturers must provide discounts to eligible health care providers for…
Research
Market Distortions Caused by the 340B Prescription Drug Program
While the 340B Program is rooted in good intentions, it suffers from a lack of much-needed oversight, resulting in several problems.
Weekly Checkup
“Let 340B” Jumps the Shark
It’s not uncommon in heated public-policy debates for opposing sides to make ridiculous, over-the-top claims about each other’s positions. In health policy, such rhetoric often devolves to accusing the other side of causing people to die. Take, for example, former…
