Re: Copays

From: ainsron (ainsron@sbcglobal.net)
Thu Mar 15 09:23:11 2007


If you haven't read the article in the Wall Street Journal today regarding drug costs and copays, look for it. It is eye-opening. An MD/financial analyst pointed out several years ago that the biotech companies are placing themselves in a very tenuous position by pricing their drugs so high. With the cost running from $40-50,000 per treatment course, patient's copays are often in the $8-10,000 range. He felt that oncologists would not prescribe high cost treatment options if they couldn't guarantee reimbursement from insurance companies and patients, followed by patient's complaints of unavailability of current best option cancer treatment due to financial constraints would result in poorer performance by the biotech companies, a ceiling on profits and greater government regulation of their industry. When he looked into where pharmaceutical dollars from the total healthcare payments goes, he was shocked to find that 25% of the money goes to purchase of cancer drugs.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Wednesday, March 14, 2007 8:00 PM To: Multiple recipients of list OB-GYN-L Subject: Copays

"Garry E. Siegel, M.D." <garrys@mindspring.com> wrote:

a fool. I should have a waiting list of months for people paying cash up front, as opposed to delivering babies at 3 AM for a $10 co-pay." She laughed!

Gary, have you ever heard ( I bet you have) any of the results of surveys insurance carriers and MCO's have done to determine the break point on co-pay increases at which so many of our ten, fifteen year love you death, you've been so good to me and my family patients will switch docs?... In each instance its been an embarassingly small amount. Not much more than would pay for a drink or two for any of us to share while laughing about it. I surely don't blame or begrudge the patients. (Except when they call back later and ask for an opinion on their new docs' advice, lol.)

Money's dear, and most of them never have an overabundance of it for what they and their families need. But the real laughs on us, for having stumbled along as a professional group like sheep into the system we're now in.

_____

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