Industry Voices—Why 'New' isn't Always Better in Innovating Healthcare

Industry Voices—Why 'New' isn't Always Better in Innovating Healthcare

This article emphasizes that innovation in healthcare often prioritizes "first," "newest," or "cheapest" options but may not always lead to the best outcomes. The author discusses the proliferation of biosimilars in the market, like Humira, and how pharmacy benefit managers (PBMs) play a crucial role in evaluating and selecting the most clinically effective and cost-efficient options for patients. PBMs consider various factors beyond just price, such as clinical efficacy, interchangeability, and patient experience. They aim to ensure that innovation in healthcare is patient-centric, offering the highest value both clinically and financially. The article highlights the importance of healthcare organizations embracing innovation while safeguarding patients and providing them with expert guidance for navigating their care effectively.

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The article highlights the healthcare industry's constant pursuit of new and innovative treatments and business models. It emphasizes that "new" doesn't always equate to "best," and decisions in healthcare should be based on clinical integrity and patient value. The pharmacy benefit managers (PBMs), like Express Scripts, play a crucial role in evaluating the clinical efficacy and cost-effectiveness of new options. The example of biosimilars for Humira illustrates their commitment to patient affordability and the importance of expertise in navigating the healthcare system. The article stresses the need for healthcare organizations to embrace innovation while safeguarding patients' interests and ensuring the best value in terms of clinical and financial outcomes.


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