Skip to main content

Advanced Search

Advanced Search

Current Filters

Filter your query

Categories

Publication Types

Other

Area of Focus
Topics
Date Range
to

Area of Focus

Controlling Health Care Costs

Blog

/

Biden’s Executive Order Promotes Competition to Lower Drug Costs

President Biden speaking at podium in front of American flags and white house seal.

President Biden signed executive order Promoting Competition in the American Economy on July 9, 2021, which laid out actions to address consolidation in health care markets and price competition in the prescription drug markets. Photo:Alex Wong via Getty Images.

President Biden signed executive order Promoting Competition in the American Economy on July 9, 2021, which laid out actions to address consolidation in health care markets and price competition in the prescription drug markets. Photo:Alex Wong via Getty Images.

Earlier this month, President Biden signed an executive order, Promoting Competition in the American Economy. The order lays out actions to address consolidation in health care markets and price competition in the prescription drug markets. The administration has indicated that lowering drug prices is a priority and instructed agencies to act. In addition, Congress is working to move drug pricing reform this year. A comprehensive approach is needed that focuses on lowering launch prices and limiting price increases, encouraging price competition through generics and biosimilars, eliminating anticompetitive behaviors of brand-name manufacturers, reforming drug patent processes, and addressing misaligned incentives in Medicare. This blog post examines the executive order’s call for the Centers for Medicare and Medicaid Services (CMS) to consider payment models to control spending and lower costs for prescription drugs and outlines the approaches CMS might consider in the Medicare program.

What actions does the executive order take to lower prescription drug pricing?

To date, what has CMS done to encourage generic and biosimilar competition?

Over the last several years, CMS has proposed demonstrations to lower costs by encouraging the use of generic1 and biosimilar products,2 although to date they have not lowered costs or increased utilization of generic or biosimilar drugs. In 2016, CMS implemented a Part B policy across Medicare to reimburse all competing biosimilars at the same reimbursement rate. Under this policy, biosimilars competed against one another, but not against the reference biologic. In 2018, CMS changed the policy to give each biosimilar its own billing code and reimburse providers an add-on payment based on the reference biologic. The impact of this policy change is unclear and there is debate over which policy encouraged more robust price competition between biosimilars and biologics. More recently, CMS launched the Part D Payment Modernization Model, a voluntary model to test changes to the Part D payment structure using performance-based payments based on increased utilization of generic and biosimilar drugs with lower list prices and reduced cost-sharing for low-income beneficiaries. Part D plan sponsors have shown little interest in participating.

Although these policy options have not had an impact in the short term, emerging research is showing that reimbursement policy changes can improve biosimilar uptake among providers.      

What other reimbursement models could Medicare consider to increase utilization of generics and biosimilars and lower costs?

Under the executive order, CMS could explore testing policies under its Innovation Center authority with a goal of increasing generic and biosimilar utilization to lower costs to Medicare. These policy options should include education for providers, including clinical decision support tools, as well as safeguards to ensure access for beneficiaries, such as exceptions processes. The following table summarizes policy options CMS could take.

Table detailing policy options

In addition to policies encouraging uptake of generic and biosimilars, CMS has an opportunity to influence drug pricing more broadly. Medicare through the Innovation Center could explore testing models to apply external reference pricing for reimbursement of certain drugs in Part B. The policy would work by setting provider reimbursement to an external reference price. If the reimbursement is lower than the actual cost to the provider (i.e., the manufacturer charges the provider more than the external reference price), then CMS could require the manufacturer to pay a rebate back to CMS or the provider. With the debate over recent drug approvals under the FDA’s accelerated approval process, CMS could also explore payment models for drugs with limited clinical evidence. These models test penalties for manufacturers that do not provide the following for coverage of new drugs: evidence, reference pricing on clinically similar products, or a requirement that beneficiaries participate in registered clinical trials for Medicare to cover the new drug. While coverage with evidence development has been used for services and devices in Medicare, it has rarely been used for prescription drugs in Part B.

For any models under review, CMS must carefully consider how to balance patient access and affordability with the goals of reducing drug costs and avoiding unintended consequences, such as increasing health disparities. While the policy options discussed would only impact Medicare, Medicare is often the leader on policy changes that eventually diffuse through commercial and other markets. As such, the program can be a tool to address issues that are driving high drug prices and to test innovative policy ideas. 

NOTES

1 A generic drug is a small molecule product created to be the same as an existing approved brand-name drug in dosage form, safety, strength, route of administration, quality, and performance characteristics.

2 A biosimilar is a large molecule product, also called a biologic, that is highly similar to and has no clinically meaningful differences from an existing FDA-approved reference biologic product. The reference biologic product is the single biological product, already approved by FDA, against which a proposed biosimilar product is compared.

Publication Details

Date

Contact

Kristi Martin, Principal, Highway 136 Consulting

Citation

Kristi Martin, "Biden’s Executive Order Promotes Competition to Lower Drug Costs," To the Point (blog), Commonwealth Fund, July 30, 2021. https://doi.org/10.26099/a18n-ez98