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Examine determines how a lot U.S. hospitals mark up the worth of most cancers therapies

U.S. spending on most cancers therapies has risen sharply in recent times. Researchers from Brigham and Girls’s Hospital analyzed information on drug pricing from 61 Nationwide Most cancers Institute-designated most cancers facilities to find out how a lot U.S. hospitals mark up the worth of most cancers therapies for sufferers with non-public medical insurance.

The workforce performed a cross-sectional research of the 25 most typical injectable or infusible most cancers therapies. The researchers report greater than half of most cancers facilities didn’t publicly disclose payer-specific costs, regardless of federal regulation necessities. Amongst those who did, many considerably marked up drug costs for sufferers with non-public insurance coverage, and markups ranged from roughly 120 p.c to 630 p.c of the associated fee for the hospital to amass the drug. In addition they discovered that negotiated costs assorted between payers even on the identical most cancers middle.

“Our research signifies that there’s each vital markup and variation in negotiated costs for most cancers therapies. Coverage modifications could also be useful to forestall extreme hospital worth markups and scale back the monetary burden of most cancers therapy for sufferers,” stated corresponding creator Roy Xiao, MD, MS, a resident within the Harvard Medical Faculty/Mass Eye and Ear/Mass Common Brigham Residency Program in Otolaryngology–Head & Neck Surgical procedure.


Journal reference:

Xiao, R., et al. (2022) Hospital-Administered Most cancers Remedy Costs for Sufferers With Personal Well being Insurance coverage. JAMA Inner Medication. doi.org/10.1001/jamainternmed.2022.1022.


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