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Healthy Skepticism Library item: 9244

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Fehring RA.
Impact of managed care: pharmaceutical industry analyst perspective
ASHP Midyear Clinical Meeting 1994 Dec; 29:


Abstract:

The purpose of this presentation is to place into perspective the impact of managed care on the pharmaceutical industry. The information is extracted from the prescription transactions of over 33,000 computerized retail pharmacies, generating in excess of 1.4 billion prescriptions annually. The results of the analysis demonstrate the following: (1) Managed care, both public and private, now managed to some extent 50%+ of all prescriptions dispensed in the United States. (2) Managed care is a significant driving force behind increasing pharmaceutical utilization in the United States. (3) Branded pharmaceuticals, indeed market leaders, continue to enjoy market preference in the private managed care environment. In conclusion, the overall impact of managed care to date appears to be the creation of price insensitive consumers of pharmaceuticals. Learning objectives: 1. Quantify the size of managed care prescription market in the U.S. 2. Describe the role that managed care plays in pharmaceutical consumption. 3. Compare pharmaceutical consumption of managed care patients vs. cash paying patients. Self-assessment questions: 1. Managed care is now responsible for the management of the following percentage of prescriptions filled in the U.S. a. 25%; b. 40%; c. 50%+. 2. Managed care, both public and private, are the primary force behind increased pharmaceutical consumption in the U.S. (True/False). 3. Describe three differences in the pharmaceutical consumption of managed care vs. cash patients. Answers: (1) c. (2) True. (3) Managed care patients are more brand oriented, are more market leader oriented, and generally receive larger prescriptions.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909