Health Insurance Providers Shift Greater Financial Burden of Expensive Prescriptions to Patients Based on Findings From Cutting Edge Information


RESEARCH TRIANGLE PARK, NC--(Marketwire - January 20, 2009) - Health insurance companies are forcing more patients to foot the bill for expensive prescriptions, according to pharmaceutical business intelligence leader Cutting Edge Information. Payors are increasingly transitioning higher-priced prescription medications from a set price co-pay to a percentage-based co-pay format. In many cases, patients are asked to pay as much as 20-35% of the drugs they require for better health.

The shifting burden from insurance providers to patients puts drug companies under increased pressure to set affordable prices for their products when they first come to market in order to achieve optimal sales uptake and return on clinical and commercial investments that rise above the $1 billion mark. New research findings from Cutting Edge Information corroborate this trend.

In its new report, "Outcomes-Based Pharmaceutical Pricing: Meeting Stakeholder Needs" (http://www.PharmaPricingStrategy.com), the company finds that 56% of drug makers now begin pricing-focused market research before initiating Phase III clinical trials. The added drug pricing scrutiny will cause more companies to initiate their pricing activities earlier. The report discusses the most effective ways to shape pricing analysis to maximize product lifespan and returns.

"Although the pharmaceutical industry is more recession-resistant than many other sectors, the insurance industry is not recession-proof," said lead author Elio Evangelista. "If patients cannot pay for brand-name drugs, they will either look for alternatives or simply do without, and that hurts both patients and the pharma and biotech companies."

The 124-page report (http://www.PharmaPricingStrategy.com) provides an in-depth analysis of pharmaceutical pricing strategy, planning, processes, decision making and resources. Based on these findings and on surveyed companies' best practices, Cutting Edge Information analysts offer action points to guide pharma and biotech companies in setting the right prices and optimizing their profits.

The report contains 400+ metrics that analyze pricing teams' structures, phase-by-phase pricing processes and methodology, and spending and staffing resources. Metrics include the following:

--  Resource support, innovative versus me-too drugs
--  Cross-functional involvement in pricing decisions
--  Percentage of companies with dedicated pricing departments
--  Lifecycle entry and exit points for functions involved in the pricing
    process
--  2008 pricing budgets and headcounts, by company size
--  2008 headcounts broken down by geographic market and by company size
    

Contact Information: CONTACT INFORMATION: Elio Evangelista 919-433-0214