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Point32Health

Health payers–including Medicare and Point32Health–to question Aduhelm pricing and its “reasonable and necessary” use

June 24, 2021 by SharpBrains

State’s Sec­ond-Largest Health Insur­er Slams Bio­gen For Cost­ly Alzheimer’s Drug (The Boston Globe):

The state’s sec­ond-biggest health insur­er is threat­en­ing to lim­it or not cov­er Biogen’s new Alzheimer’s drug, accus­ing the Cam­bridge biotech of putting “exces­sive cor­po­rate prof­its” ahead of patients by charg­ing $56,000 a year for the con­tro­ver­sial treat­ment. Michael Sher­man, chief med­ical offi­cer for Point32Health, the insur­ance com­pa­ny formed by the recent merg­er of Tufts Health Plan and Har­vard Pil­grim Health Care, said Bio­gen should cut the cost of the drug called Aduhelm by a fac­tor of rough­ly 10, to $5,400, giv­en the medicine’s ques­tion­able ben­e­fits and poten­tial risks.

Sen­a­tors Call On Con­gress To Exam­ine Expen­sive New Alzheimer’s Drug (STAT):

Sens. Eliz­a­beth War­ren (D‑Mass.) and Bill Cas­sidy (R‑La.) want Con­gress to take a deep­er look at how Biogen’s con­tro­ver­sial and pricey new Alzheimer’s drug, Aduhelm, will affect the Medicare pro­gram, they wrote in a let­ter Wednes­day. The bipar­ti­san duo is press­ing the Sen­ate Finance Com­mit­tee to take on “the vex­ing new ques­tions and chal­lenges that approval rais­es for the Medicare pro­gram and oth­er health pro­grams” the pan­el over­sees, they wrote.

[Read more…] about Health payers–including Medicare and Point32Health–to ques­tion Aduhelm pric­ing and its “rea­son­able and nec­es­sary” use

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Filed Under: Brain/ Mental Health Tagged With: Aduhelm, Alzheimer's drug, amyloid PET scans, Biogen, Centers for Medicare and Medicaid Services, clinical efficacy, Medicare, Point32Health

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