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Cost Savings Related to Biosimilars
Key opinion leaders explore financial considerations associated with switching to biosimilar products.
EP: 1.Utilizing Recently Approved Biosimilars in Clinical Practice
EP: 2.Transitioning to Biosimilars: Considerations for Providers and Payers
EP: 3.Navigating Challenges Associated with Biosimilars Across Various Disease States
EP: 4.Provider Acceptance Driving Confidence in Biosimilar Therapy
EP: 5.Decision-Making Process Surrounding Biosimilar Implementation
EP: 6.Biosimilar Administration Considerations Impacting Patient Experience
EP: 7.Initiating Biosimilar Treatment in Patients Without Previous Reference Biologic Experience
EP: 8.Switching Patients from Reference Product to Biosimilar
EP: 9.Defining Interchangeability and Switching in Biologics
EP: 10.Evolution of Auto-Substitution in Biosimilar Landscape
EP: 11.An Overview of Biosimilar Extrapolation During FDA Approval
EP: 12.Harnessing Indication-Specific Data on Biosimilars
EP: 13.Cost Savings Related to Biosimilars
EP: 14.Payers and PBMs Impacted by Biosimilar Integration
EP: 15.Payer Support Driving Lowering of Biosimilar-Related Health Care Costs
EP: 16.Patient Conversations: Managing Patient Expectations Regarding Biosimilars
EP: 17.Key Points of Emphasis Regarding Biosimilar Integration
This is a video synopsis/summary of a panel discussion involving Ryan Haumschild, PharmD, MS, MBA; Alice B. Gottlieb, MD, PhD; Bincy Abraham, MD, MS; Jamie T. Brogan, APRN; and Vibeke Strand, MD.
Ryan Haumschild asks Vibeke Strand to discuss biosimilar cost savings and who is driving and benefiting from them.
Strand says patients should benefit, but it is unclear whether they do, given the health care system maze involving pharmacy benefit managers (PBMs) that determine payer coverage. Providers have little insight into PBM processes and formulary decision-making. Limitations exist even with Medicare and Medicaid. With multiple adalimumab (Humira) biosimilars at varying discounts, it is unknown how to translate that into patient cost savings at the point of prescribing. Greater transparency around cost impacts for patients is needed.
Haumschild agrees the value proposition around cost is opaque for patients. Although payers and providers in value-based contracts may benefit from lower expenses, it is difficult to demonstrate financial benefits directly reaching patients facing financial toxicity and adherence challenges. More clarity around patient costs is needed.
Video synopsis is AI-generated and reviewed by AJMCÒ editorial staff.
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