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Former CMS Administrator: "'Blunt Instrument' Policies an Increasingly Bad Fit in Era of Personalized Health Care"
Former CMS Administrator: "'Blunt Instrument' Policies an Increasingly Bad Fit in Era of Personalized Health Care"
ORLANDO, Fla., May 16 /PRNewswire-FirstCall/ -- Recent legislative
emphasis on price negotiation and physician reimbursement as a means to reduce
health care costs are nothing more than "short term patches" that hold no
potential for truly reforming health care, former Centers for Medicare and
Medicaid Services (CMS) Administrator Dr. Mark McClellan told hundreds of
health care decision makers today in delivering the keynote address at Medco
Health Solutions, Inc. (NYSE: MHS) 2008 Drug Trend "Predictions" Symposium.
"We don't seem to be making much progress politically; it's easy to be
cynical when it comes to health care," said McClellan, current Director of the
Engelberg Center for Health Care Reform and Senior Fellow at the Brookings
Institute. "Just focusing on cost reduction doesn't do much to solve the
problem of getting more value for what we are spending."
McClellan characterized as unsustainable short-term strategies such as
across-the-board reductions in Medicare reimbursement fees for physicians and
coverage policies that prevent access to the latest biomedical technologies;
yet indicated a shift is clearly afoot within both political parties as
candidates move towards a value-based, quality-focused approach to improving
care for millions of Americans.
"There simply isn't any additional funding available for new health care
programs, but this presents the foundation for changing health care," said
McClellan. "Each of the political candidates is demonstrating a new emphasis
on improving quality and efficiency of care."
McClellan highlighted improved management of chronic diseases and
complications; improved identification of patients at risk for chronic
diseases; an increased focus on wellness; and better support for navigation of
the health care system as strategies espoused by both parties that have the
potential to improve quality of care.
"Both party's candidates are placing a greater emphasis than ever before
on strategies like chronic disease prevention and healthcare information
technology," said McClellan.
McClellan commented on additional issues facing the current and future
health care landscape:
-- Recent rapid advancements in gene-based care such as proteomics and
genomics, RNA interference, regenerative medicine and epigenetics are
ushering in the "Biomedical Century" and introducing a sea change in
personalized medicine that makes "all the spending worth it."
-- A key driver of cost is not rising prices or an aging population; in
fact, the key driver is simply more people getting more treatments
combined with longer life expectancy. However, there is a major
problem with the underuse of services for chronic disease management,
as patients with chronic diseases get appropriate treatment only about
55 percent of the time.
-- While the introduction of biosimilars holds tremendous promise for
financial relief, it is unlikely that Congress will act on legislation
this year to advance the policies around the emerging therapeutic
category. McClellan also noted that the Food and Drug Administration
makes a clear distinction between generic similars and interchangeables
in oral medications, a distinction that will prove to be inapplicable
to biologics and could present unique challenges in crafting
appropriate legislation.
About Medco
Medco Health Solutions, Inc., (NYSE: MHS) is the nation's leading pharmacy
benefit manager based on its 2007 total net revenues of more than $44 billion.
Medco's prescription drug benefit programs, covering approximately one-in-five
Americans, are designed to drive down the cost of pharmacy health care for
private and public employers, health plans, labor unions and government
agencies of all sizes, and for individuals served by the Medicare Part D
Prescription Drug Program and those served by its specialty pharmacy segment,
Accredo Health Group. Medco, the world's most advanced pharmacy(TM), is
positioned to serve the unique needs of patients with chronic and complex
conditions through its Medco Therapeutic Resource Centers(R), including its
enhanced diabetes pharmacy care practice through the Liberty acquisition.
Medco is the highest-ranked independent pharmacy benefit manager on the 2008
Fortune 100 list. On the Net: http://www.medco.com.
This press release contains "forward-looking statements" as that term is
defined in the Private Securities Litigation Reform Act of 1995. These
statements involve risks and uncertainties that may cause results to differ
materially from those set forth in the statements. No forward-looking
statement can be guaranteed, and actual results may differ materially from
those projected. We undertake no obligation to publicly update any forward-
looking statement, whether as a result of new information, future events, or
otherwise. Forward-looking statements in this press release should be
evaluated together with the risks and uncertainties that affect our business,
particularly those mentioned in the Risk Factors section of the Company's
Annual Report on Form 10-K and Quarterly Reports on Form 10-Q filed with the
Securities and Exchange Commission.
SOURCE Medco Health Solutions, Inc.
Copyright © 2008, PRNewswire
Copyright © 2008, NewsBlaze,
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Tags: Pharmaceuticals, Biotechnology, Healthcare, Health, , florida
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