Given this information what price should Medicare pay for a PSCK9? Should a state Medicaid program pay more or less? Should Medicaid programs in low-income states pay more, less, or the same, compared to high-income states?

ENGR.ECONOMIC ANALYSIS
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Chapter1: Making Economics Decisions
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After reviewing Institute for Clinical and Economic Review consider the following:

In the UK, very few drugs or procedures are approved if they cost more than $50,000 per QALY. Take the example of PCSK9 inhibitors. The PCSK9 inhibitors(PSK9i) are a class of injectable drugs approved in 2015 that have been shown to dramatically lower LDL cholesterol levels, by up to 60% when combined with a statin. The market price of the first PCSK9s to be sold in the US in 2015 was $14,350 per year. The ICER analysis shows how many more patients could be treated at a lower total budget impact if the price could be lowered.

  • Given this information what price should Medicare pay for a PSCK9?
  • Should a state Medicaid program pay more or less?
  • Should Medicaid programs in low-income states pay more, less, or the same, compared to high-income states?
  • Should there be one $/QALY for an entire country?
  • How would you expect drug companies to react to price limits set by public programs?

 

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