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    Oh, Christmas tree: The economics of the US holiday tree industry

    Oh, Christmas tree: The economics of the US holiday tree industry

    How AI Chat Search Could Disrupt Online Advertising

    Spotify CEO cites “expensive” capital as factor in layoffs. What does that mean?

    EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

    EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

    Can Important Unions Collapse and Disappear?

    Can Important Unions Collapse and Disappear?

    The Right Amount of Cards, Cash and ID to Carry in Your Wallet

    Why Is Everyone So Unhappy at Work Right Now?

    Scrapping the state’s liquor license law makes economic sense

    Scrapping the state’s liquor license law makes economic sense

    Airlines are frustrating travelers by changing frequent flyer program rules – here’s why they keep doing it

    Airlines are frustrating travelers by changing frequent flyer program rules – here’s why they keep doing it

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    Shein & Forever 21 Strike a Deal

    Shein & Forever 21 Strike a Deal

    S1:E1 CVS Paying the “Pink Tax” on Certain Products and the Evolution of the Electric Vehicle Industry

    Questrom and BU Means Innovation and Entreprenuership

    A new travel nightmare: New passport delays lasting 13 weeks

    A new travel nightmare: New passport delays lasting 13 weeks

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    Demotivating Effects of Relative Performance Feedback on Middle-Ranked Workers’ Performance

    Demotivating Effects of Relative Performance Feedback on Middle-Ranked Workers’ Performance

    S1:E1 CVS Paying the “Pink Tax” on Certain Products and the Evolution of the Electric Vehicle Industry

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    Which is better – a real or a fake Christmas tree?

    How AI Chat Search Could Disrupt Online Advertising

    Spotify CEO cites “expensive” capital as factor in layoffs. What does that mean?

    The Danger of Racial Colorblindness 

    The Danger of Racial Colorblindness 

    EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

    EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

    Can we count on carbon capture to abate climate change?

    Can we count on carbon capture to abate climate change?

    The Cybertruck Must Be Huge—or It Will Dig Tesla’s Grave

    The Cybertruck Must Be Huge—or It Will Dig Tesla’s Grave

    Can Important Unions Collapse and Disappear?

    Can Important Unions Collapse and Disappear?

    The Right Amount of Cards, Cash and ID to Carry in Your Wallet

    Why Is Everyone So Unhappy at Work Right Now?

    Black Friday is almost here. What to know about the holiday sales event’s history and evolution

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      Where Should Your Company Start with GenAI? 

      Where Should Your Company Start with GenAI? 

      How Retailers Can Capitalize on the “Refund Effect”

      How Retailers Can Capitalize on the “Refund Effect”

      Should Companies Refrain From Making Political Statements?

      Should Companies Refrain From Making Political Statements?

      Make It Safe for Employees to Speak Up – Especially in Risky Times

      Make It Safe for Employees to Speak Up – Especially in Risky Times

      Will Generative AI Create a New Era of Search Competition?

      Will Generative AI Create a New Era of Search Competition?

      A Better Approach to Customer-Centric Messaging and Engagement

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      Insights@Questrom
      • Our Insights
        • All
        • Business Challenges
        • Business Education
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        Oh, Christmas tree: The economics of the US holiday tree industry

        Oh, Christmas tree: The economics of the US holiday tree industry

        How AI Chat Search Could Disrupt Online Advertising

        Spotify CEO cites “expensive” capital as factor in layoffs. What does that mean?

        EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

        EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

        Can Important Unions Collapse and Disappear?

        Can Important Unions Collapse and Disappear?

        The Right Amount of Cards, Cash and ID to Carry in Your Wallet

        Why Is Everyone So Unhappy at Work Right Now?

        Scrapping the state’s liquor license law makes economic sense

        Scrapping the state’s liquor license law makes economic sense

        Airlines are frustrating travelers by changing frequent flyer program rules – here’s why they keep doing it

        Airlines are frustrating travelers by changing frequent flyer program rules – here’s why they keep doing it

        Redirecting Innovation: Can We? Should We?

        Redirecting Innovation: Can We? Should We?

      • Videos & Podcast
        • All
        • Podcast
        • Videos
        S1:E1 CVS Paying the “Pink Tax” on Certain Products and the Evolution of the Electric Vehicle Industry

        Questrom $50K Case Competition: In the Trenches of Sustainability with Casella

        S1:E1 CVS Paying the “Pink Tax” on Certain Products and the Evolution of the Electric Vehicle Industry

        The Optimistic Pessimist

        Shein & Forever 21 Strike a Deal

        Shein & Forever 21 Strike a Deal

        S1:E1 CVS Paying the “Pink Tax” on Certain Products and the Evolution of the Electric Vehicle Industry

        Questrom and BU Means Innovation and Entreprenuership

        A new travel nightmare: New passport delays lasting 13 weeks

        A new travel nightmare: New passport delays lasting 13 weeks

        Leadership Communications

        Leadership Communications

        Demotivating Effects of Relative Performance Feedback on Middle-Ranked Workers’ Performance

        Demotivating Effects of Relative Performance Feedback on Middle-Ranked Workers’ Performance

        S1:E1 CVS Paying the “Pink Tax” on Certain Products and the Evolution of the Electric Vehicle Industry

        AI: What is it and how will it impact business?

        Is Creativity in Advertising Dead in the age of AI?

        Is Creativity in Advertising Dead in the age of AI?

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        Newton Grandmother Scammed out of $20,000, Used Bitcoing ATMs to Send Money

        Which is better – a real or a fake Christmas tree?

        How AI Chat Search Could Disrupt Online Advertising

        Spotify CEO cites “expensive” capital as factor in layoffs. What does that mean?

        The Danger of Racial Colorblindness 

        The Danger of Racial Colorblindness 

        EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

        EXPERT: IN-PERSON WORK ALONE WON’T FIX LONELINESS

        Can we count on carbon capture to abate climate change?

        Can we count on carbon capture to abate climate change?

        The Cybertruck Must Be Huge—or It Will Dig Tesla’s Grave

        The Cybertruck Must Be Huge—or It Will Dig Tesla’s Grave

        Can Important Unions Collapse and Disappear?

        Can Important Unions Collapse and Disappear?

        The Right Amount of Cards, Cash and ID to Carry in Your Wallet

        Why Is Everyone So Unhappy at Work Right Now?

        Black Friday is almost here. What to know about the holiday sales event’s history and evolution

        Black Friday is almost here. What to know about the holiday sales event’s history and evolution

        Trending Tags

        • Publications
          • All
          • Books
          • Harvard Business Review
          • Journals
          • Sloan Management Review
          How GenAI Could Accelerate Employee Learning and Development

          How GenAI Could Accelerate Employee Learning and Development

          AI Adoption in U.S. Health Care Won’t Be Easy 

          AI Adoption in U.S. Health Care Won’t Be Easy 

          Where Should Your Company Start with GenAI? 

          Where Should Your Company Start with GenAI? 

          How Retailers Can Capitalize on the “Refund Effect”

          How Retailers Can Capitalize on the “Refund Effect”

          Should Companies Refrain From Making Political Statements?

          Should Companies Refrain From Making Political Statements?

          Make It Safe for Employees to Speak Up – Especially in Risky Times

          Make It Safe for Employees to Speak Up – Especially in Risky Times

          Will Generative AI Create a New Era of Search Competition?

          Will Generative AI Create a New Era of Search Competition?

          A Better Approach to Customer-Centric Messaging and Engagement

          A Better Approach to Customer-Centric Messaging and Engagement

          How Coworking Spaces Impact Employee Well-Being

          How Coworking Spaces Impact Employee Well-Being

          Trending Tags

          Insights@Questrom
          Home Our Insights Business Challenges Health, Biopharma, & Health-Tech

          Prescription Drugs And The Affordable Care Act —10 Years Later

          Adriane AylingbyAdriane Ayling
          February 27, 2020
          in Health, Biopharma, & Health-Tech
          29
          0
          Prescription Drugs And The Affordable Care Act —10 Years Later

          Dozens of prescription medicine bottles in a jumble. This collection of pill bottles is symbolic of the many medications senior adults and chronically ill people take. 480659301

          Share on FacebookShare on TwitterShare on LinkedIn

          New research from BU Questrom’s Rena Conti, Associate Professor and Associate Research Director at BU’s Institute for Health System Innovation and Policy, delves into the Affordable Care Act’s effect on prescription drugs and what might come next.

          Among its many provisions, the Affordable Care Act was designed to improve the access to and affordability of prescription drugs without hindering innovation from pharmaceutical companies. Ten years later, experts reflect on how the ACA actually impacted drug costs.

          According to a new paper in Health Affairs by Questrom researcher Rena Conti — along with Vanderbilt’s Stacie B. Dusetzina and Washington University School of Law’s Rachel Sachs — the law’s mixed results over the past decade have paved the way for today’s reform efforts.

          There’s no question, says Conti, that the law provided essential prescription drug coverage to millions. And the pace of drug development puts the U.S. in what she refers to as “a golden age of medicine.” The only problem? “Many drugs now come with much higher price tags than we saw ten years ago,” she says. For example, insulin costs have more than tripled, while a new gene therapy for spinal muscular atrophy costs a cool $2.1 million— the most expensive drug in the world.

          The skyrocketing costs are an unintended consequence of the way that the law came together, says Conti. To ensure that pharmaceutical companies would be on board with the law when it was being negotiated, a range of policies that were initially discussed, did not make the final cut.

          For example, the Department of Health and Human Services (HHS) does not have the right to negotiate prescription drug prices on behalf of public payers. The law also did not alter certain reimbursement policies or allow the HHS to use cost-effectiveness analysis to determine coverage, reimbursement, or incentive programs. “These [missed opportunities] fueled an environment of permissive pricing,” Conti says.

          Moving forward, Conti and her research partners recommend that policymakers aim to solve three key issues.

          • First, they should improve access and affordability to prescriptions through strategies such as capping out-of-pocket spending for drugs.
          • Second, they should address misaligned incentives that reinforce high drug prices, such as programs that reward physicians for using expensive drugs when similar, less expensive ones are available.
          • Third, they should consider implementing drug pricing review boards, which analyze both effectiveness and cost-effectiveness to determine coverage and reimbursement policies.

          Such approaches, the researchers say, will drive prices down while continuing to allow for quality innovation from pharmaceutical companies.

          Tags: Rena Conti
          Adriane Ayling

          Adriane Ayling

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