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DRUG COSTS

Out of control—or delivering value?

Efficacy within reach

Is affordability a pipe dream?

Drug costs

GLP-1 medications

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Complexities in forecasting eligible cases and associated costs of cell and gene therapy

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An end to manufacturer rebates as we know them today?

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Related insight

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From ASP to WAC: 8 key drug pricing terms life science companies should know

We review some commonly used drug-pricing terms in the U.S. pharmaceutical market, including their calculations and roles in the healthcare industry.

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4 key takeaways from the third round of drugs selected for Medicare drug price negotiation

The Centers for Medicare and Medicaid Services announced the list of drugs selected for price negotiation for 2028. We broke down the implications.

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Medicare drug price negotiation: New dynamics as the tide turns to Medicare Part B

Medicare drug price negotiation: With the first cycle where Part B drugs are eligible to be selected, the implications extend far beyond simple price reductions.

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6 issues Milliman is watching for Medicare Advantage plans in 2026

To help Medicare Advantage plans navigate significant challenges and opportunities in 2026, we offer insight on six developing issues.

Article

6 key takeaways from the 2026 MA and prescription drug bids for life sciences companies

We discuss key insights from the 2026 Medicare Advantage bids that life sciences leaders should consider when planning for the future.

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Beyond FDA approval: 5 factors in clinical trial design that influence health insurance coverage decisions

We detail factors in Phase-3 clinical trial design that influence health insurance coverage decisions.

Report

The impact of medication adherence on total healthcare costs for commercially insured patients

A current perspective for patients with diabetes, hypertension, and hyperlipidemia

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Emerging Medicare Advantage and Part D trends from 2024 financial statements

Medicare Advantage (MA) and Part D insurers are citing significant financial headwinds in earnings calls and the press. Statutory financial statements provide insights into emerging trends through year-end 2024.

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Medicare price negotiation: Anchored drug prices in uncharted waters

Maximum Fair Price (MFP) Issue Brief 2

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The evolution of biosimilars in the United States

Biosimilars recently have made significant strides toward greater acceptance and utilization since their first U.S. approval in 2015, although challenges persist.

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