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The Medicaid Rebate: Changes in Oncology Drug Prices After the Affordable Care Act

Author

Listed:
  • Ali Bonakdar Tehrani

    (Truven Health Analytics, An IBM Company)

  • Norman V. Carroll

    (Virginia Commonwealth University)

Abstract

Background Prescription drug spending is a significant component of Medicaid total expenditures. The Affordable Care Act (ACA) includes a provision that increases the Medicaid rebate for both brand-name and generic drugs. This study examines the extent to which oncology drug prices changed after the increase in the Medicaid rebate in 2010. Methods A pre-post study design was used to evaluate the correlation between the Medicaid rebate increase and oncology drug prices after 2010 using 2006–2013 State Drug Utilization Data. Results The results show that the average annual price of top-selling cancer drugs in 2006, adjusted for inflation and secular changes in drug prices, have increased by US$154 and US$235 for branded and competitive brand drugs, respectively, following the 2010 ACA; however, generic oncology drug prices showed no significant changes. Conclusions The findings from this study indicate that oncology drug prices have increased after the 2010 ACA, and suggest that pharmaceutical companies may have increased their drug prices to offset increases in Medicaid rebates.

Suggested Citation

  • Ali Bonakdar Tehrani & Norman V. Carroll, 2017. "The Medicaid Rebate: Changes in Oncology Drug Prices After the Affordable Care Act," Applied Health Economics and Health Policy, Springer, vol. 15(4), pages 513-520, August.
    • Handle: RePEc:spr:aphecp:v:15:y:2017:i:4:d:10.1007_s40258-017-0314-1
    DOI: 10.1007/s40258-017-0314-1
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    References listed on IDEAS

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    1. Chalkidou, Kalipso & Anderson, Gerard F & Faden, Ruth, 2011. "Eliminating drug price differentials across government programmes in the USA," Health Economics, Policy and Law, Cambridge University Press, vol. 6(1), pages 43-64, January.
    2. Danzon, Patricia M. & Nicholson, Sean (ed.), 2012. "The Oxford Handbook of the Economics of the Biopharmaceutical Industry," OUP Catalogue, Oxford University Press, number 9780199742998.
    3. Richard G. Frank & David S. Salkever, 1997. "Generic Entry and the Pricing of Pharmaceuticals," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 6(1), pages 75-90, March.
    4. Joseph P. Cook & Graeme Hunter & John A. Vernon, 2010. "Generic Utilization Rates, Real Pharmaceutical Prices, and Research and Development Expenditures," NBER Working Papers 15723, National Bureau of Economic Research, Inc.
    5. Patricia M. Danzon & Andrew J. Epstein, 2012. "Effects of Regulation on Drug Launch and Pricing in Interdependent Markets," Advances in Health Economics and Health Services Research, in: The Economics of Medical Technology, pages 35-71, Emerald Group Publishing Limited.
    6. Alpert, Abby & Duggan, Mark & Hellerstein, Judith K., 2013. "Perverse reverse price competition: Average wholesale prices and Medicaid pharmaceutical spending," Journal of Public Economics, Elsevier, vol. 108(C), pages 44-62.
    7. Katherine Baicker & Jeffrey R Brown & Douglas Holtz‐Eakin & Peter Orszag, 2008. "Future of Social Security, Medicare, and Medicaid: Is U.S. Entitlement Spending Sustainable?," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 11(1), pages 1-21, March.
    Full references (including those not matched with items on IDEAS)

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