The HEALTH : April 2020 | Page 8

08 The Health | April, 2020 | Foreign News | Price hikes across the industry in 2020 M alaysians can expect to pay more for drugs following prices hikes by some of the world’s largest drug manufacturers. The New Year ushered in hundreds of price hikes across the drug industry in the US, and the tally has just kept growing.  In early January, 471 meds have bigger stickers now than they did end December, an update from GoodRx shows. On average, the increases came in at 5.1%. According to newswire Reuters, Novartis, Merck & Co and Allergan joined the list of companies raising prices. Novartis is marking up prices on  about 7% of the products it sells in the US, a spokesperson told FiercePharma. Overall, the drugmaker expects US net pricing—the amount it reaps after rebates and discounts, to decline by 2.5% during 2020. Merck is raising prices on about 15 medicines, Reuters reports. The hikes are within the company’s pledge to limit price hikes to US inflation, a spokeswoman said. The drugmaker is “committed to working with policymakers and stakeholders at both the federal and local levels on solutions Big tech's here to stay that will address patient out-of-pocket costs,” she added. For its part, Allergan is raising prices of 25 drugs by 5%—plus two others by 2% to 3%, a spokeswoman said. The drugmaker still expects net pricing to be flat or decline this year on higher rebates and discounts. The hikes by Allergan, Merck and Novartis followed similar moves by Pfizer, Bristol-Myers Squibb, AbbVie, Gilead Sciences and others. The most commonly prescribed  drugs carrying higher prices include All of the increases apply Pfizer and Bristol-Myers to list prices, which are Squibb’s Eliquis, Eli Lilly and negotiated down by Boehringer Ingelheim’s Jardiance, minddlemen and payers. BI’s Tradjenta, Gilead’s Patients typically don't Truvada and Pfizer’s Chantix, pay list prices. according to GoodRx. All but a few of the price hikes are under 10%, a level famously set years Fact MOBIHEALTHNEWS says it doesn’t have a crystal ball (it would be darn useful for getting scoops). But it does have more than a decade’s worth of experience tracking the emergence of this space and spends a lot of its time talking to smart people with industry experience and opinions of their own.  As we enter into a new decade in 2020, MobiHealthNews staff put their heads together to cap off some perspectives on upcoming trends and, yes, even some predictions, for 2020 and beyond. This is their take on 2020. 1. Big tech isn’t going away — and its healthcare moves will only get bolder This has become a perennial prediction, but it’s still an important one. Few people believe at this point that Amazon’s Amazon Care program will stay an employee experiment for long. We’re convinced it’s headed for a wider rollout that will see Amazon offering, or at least facilitating, telemedicine services, disrupting the supply chain for care the same way it has with so many other things. 2. Data privacy will remain in the spotlight, and HIPAA won’t cut it The limits of HIPAA are a double-edged sword for big tech, something Google learned the hard way this year when news broke of its Ascensia partnership in a less-than-flattering way. The company was operating within the letter of the decades-old law, but that was a cold comfort to patients alarmed that (A) Google had access to their data and (B) they weren’t notified. 3. Last decade’s cutting-edge tech is moving into the boring, but productive, part of the hype cycle Most of you are probably familiar with the Gartner hype cycle, a useful conceptual framework that describes how new technologies move from a “peak of inflated expectations,” to a “trough of disillusionment,” to the “slope of enlightenment” and, finally, the “plateau of productivity.” Several back by Allergan CEO Brent Saunders in his pledge about pharma’s “social contract.” Some of them pushed right up to that threshold, though, with increases of 9.9%. All of the increases apply to list prices, which are negotiated down by middlemen and payers. Patients typically don’t pay list prices. Still, the steady stream of price hikes has angered lawmakers, patients and public health advocates. Patients 4 Affordable Drugs Executive Director Ben Wakana said in a news statement that the pharma industry “can’t break its addiction to price increases.” The hikes show the industry can’t be trusted to police itself, Wakana said, adding that it’s time for Congress to pass legislation to stop the industry’s “price gouging.” — The Health times speaking with stakeholders at JP Morgan, it was striking how many technologies seem to be in the last two of those stages. 4. More digital health-specific investor firms and funds will emerge We predict the investor pool will mature and continue to specialize. Due to the relative new-ness of the digital health industry, investors have come from a variety of backgrounds including tech, biopharma and general health. However, industry insiders have continued to stress the importance of understanding the health ecosystem.  5. Asian digital health markets will continue to rise Our eyes are on the Asia/Pacific market for 2020. Last year, Beijing topped the list of the most digital health funding in a non-US city, coming in with $855.4 million, according to Startup Health’s 2019 funding report. While this number is about $100 million less than last year, it pulled ahead as the clear leader as the international