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August 2009

Features

Cover Story

Walking the CER Path

With a full pipeline and the promise of greater use of their products ahead, biotechs are under more pressure than ever to prove value. Manufacturers that align themselves with policy makers and payers through a CER framework may become a part of decision-making processes, rather than having to justify value from the outside looking in.

Evidence-based medicine has been a rallying cry for payers, but an inability to define value, conflicting clinical trial designs, physician practice variations, and payment incentives confound efforts to make EBM go mainstream. CER may give EBM some legs — just as the biologics pipeline is about to overflow.
Katherine T. Adams
DIGITAL  |  PDF

Comparative Effectiveness: The Employer Perspective

Biopharmaceuticals are rapidly emerging as a focal point of concern in benefit design. CE initiatives may prove their value, but controlling costs will be up to consumers.

Biologics are a focal point for purchasers, but controlling their costs is up to employees.
Marc B. Royo
DIGITAL  |  PDF

The Future of Biologics, Part II

Building a Value-Based Approach to Biologic Drugs

In the absence of comprehensive position papers from professional organizations on the complex issue of patient affordability of biologic therapies, the Jefferson School of Population Health reconvened a National Advisory Board to discuss the issue. The objectives of the board were to quantify the issues and to identify potential solutions — including a recommended approach for payers.

A panel convened at the Jefferson School of Population Health quantifies the issues about affordability of biologics and drafts a recommended approach for payers.
Janice L. Clarke, RN, BBA; Alexis Skoufalos, EdD; David B. Nash, MD, MBA; Eric Toppy
DIGITAL  |  PDF

Industry Meeting Demands for More Effective Vaccines

Swine flu aside, infectious disease is big business. Not all biopharma work is focused on rare diseases; new adjuvants and higher doses may be the answer to better flu control.

Even before the swine flu pandemic, better influenza control was a major focus among biopharmas. HIV, hepatitis C, and RSV are important, too.
John Carroll
DIGITAL  |  PDF

Specialty Pharmacy Trends and Plan Sponsor Value

Current benefit designs can’t handle the increasing use and cost of biologic therapies. New tactical strategies to forge value-based insurance are needed now.

Creative assessments of value will help payers reap the greatest benefit.
F. Randy Vogenberg, RPh, PhD
DIGITAL  |  PDF

Departments

Openers

The Biggest Thing Since Medicare

Michael D. Dalzell
DIGITAL  |  PDF

Editorial

Getting Our Priorities Straight

David B. Nash, MD, MBA
DIGITAL  |  PDF

Personalized Medicine

Genetic Tests Unravel Mystery of Long QT Syndrome

Genetic tests aid diagnosis of Long QT.
Bob Carlson, MHA
DIGITAL  |  PDF

Drug Track

Research, Conferences, and FDA Actions

Approvals, research, and conference reports.
DIGITAL  |  PDF

Specialty Pharmacy

Personalized Medicine: Tomorrow’s Promise or Today’s Reality?

SPs weigh value of molecular diagnostics.
Scott Kober
DIGITAL  |  PDF

Biologics and Benefits

Weeding Out Waste in Benefit Design

John Carroll
DIGITAL  |  PDF

Trends

Specialty Drugs, Healthcare Costs Rise in Tandem

Cost trends for specialty drugs and total healthcare expenditures on similar paths.
Amy Rossi
DIGITAL  |  PDF