Medicare cost settlements might hurt drug advancement

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David Ricks, CEO, Eli Lilly.

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Eli Lilly CEO David Ricks on Tuesday stated Medicare cost settlements, which intend to cut expenses for older Americans, might possibly hurt drug advancement.

“I’m really worried about the harm this will do to new cures and possibilities in medicine,” Ricks stated in an interview on CNBC’s “The Exchange.”

Ricks was describing an arrangement in the Biden administration’s Inflation Reduction Act that will permit the Medicare program to work out rates on the costliest prescription drugs each year.

He’s the most recent pharmaceutical executive to openly blast the arrangement and law at big, which will likely lower business revenues. Global drugmaker Merck recently took legal action against the Biden administration over Medicare cost settlements in a quote to compromise the program.

Ricks stated the “biggest problem” with the arrangement comes from a distinction in timeline for working out rates on small-molecule drugs– indicating drugs made from chemicals that have low molecular weight– versus biologic medications, or those stemmed from living sources such as animals or people.

Under the Inflation Reduction Act arrangement, Medicare can begin working out rates on small-molecule drugs as early as 9 years after they get U.S. Food and Drug Administration approval, compared to 13 years for biologics.

Ricks stated that difference is “going to really truncate investment” in small-molecule drugs, which are “one of the most efficient parts of health care.”

“We’ll get less of [small-molecule drugs] since financiers are currently stating to me, ‘Why would you purchase more little particles when biologics get 13 years prior to settlements?'” Ricks stated.

Small- particle drugs comprise 90% of pharmaceutical drugs, according to a research study in ScienceDirect.

Novartis CEO Vas Narasimhan in February revealed comparable issues about the differing timeline, stating it’s a leading concern of the market to fix the four-year space in between the 2 kinds of drugs, according to Fierce Pharma.

Another arrangement of the Inflation Reduction Act needs pharmaceutical business to refund Medicare through refunds if the rates of their drugs increase faster than the rate of inflation.

The very first set of qualified prescription drugs went through Medicare inflation refunds beginning April 1, according to the U.S. Department of Health and HumanServices