Health Care Reform And Pharmaceutical Industry

Health Care Reform And Pharmaceutical Industry

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA) that was designed to provide health care to about 32 million of uninsured U.S. citizens. Over the next seven years, the whole health care system will be changed. This will allow pharmaceutical companies to get a huge increase in business and also accountable care organizations (ACO) will be formed in 2014. ACOs will make decisions about the financial side of health care coverage: they will decide what amount should be paid and by whom it should be paid.

Through ACOs the government is going to make insurance companies, private doctors and hospitals to provide better health care to patients by working together. This also means lower costs for patient care. The pharmaceutical industry is also affected by accountable-care organizations under the ACA.

Here is the list of expected changes will be caused by the influence of ACA on pharmaceutical industry:

  1.    Manufacturers of brand-name medications will be required to pay an annual tax beginning in 2011; this change could affect a number of tax credits and grants, received on pharmaceutical company research and medications development.
  2.    During 2010, the pharmaceutical industry spent $80 more that was expected because of health care bill; after that bill became a law, pharmaceutical industry may be required to spend even more because of some cuts in Medicaid and Medicare.
  3.    Because of American Recovery and Reinvestment Act (ARRA), generic medications will have a larger role; they are less expensive and required to be prescribed by physicians if brand-name medications do not have any other benefits. On the top of that, sales of brand medications should be lower, as new medications will have to meet higher value requirements and standards to secure their pricing.

Another change that could affect on pharmaceutical companies:

  •  Under the ARRA, the medication effectiveness will be evaluated in addition to the Food and Drug Administration;
  • There is a high chance of high-cost medications and therapies to be limited or replaced with a lower cost alternative;

However, there are some ways for pharmaceutical companies to short their outcomes. For example, a lot of companies started to use the benefits of mergers and acquisitions to make their presence on the market stronger. Also, pharmaceutical manufacturers started to use services of so-called pipeline candidates to reduce their expenses for medication development. It helps pharmaceutical companies to bypass some of the stages of medication development which helps to reduce the cost of development.

In the past, pharmaceutical companies used sales representatives to maximize their effect on health care providers by educating and distribution of product samples. This method allowed a brand to be in memory of most of the health care professionals and so be more popular. As for now, this method is less effective, since sales forces do not have the same popularity and credibility among health care providers. Also, a lot of pharmaceutical companies were charged by the government for using some types of marketing methods and specific techniques, which have made sales rate higher but hide some adhere effects of medication, for example.  

Pharmaceutical companies had to review their strategy and now trying to hire experienced sales professionals instead of ones who only graduated from college and does not have a practical experience. Those changes were applied because of the assumption that young and inexperienced sales forces caused the decrease of respect among physicians and other medical professionals. As for now, there is an incredible rise of sales rate is observed. 


As the conclusion, there will be stricter control of the pharmaceutical industry. Their research, development and marketing actions will be under scrutiny. Agencies will use their direct control, so it is not possible for pharmaceutical industry to operate as it was possible in the past, where they had more freedom and used more possibilities for their product sales. Besides, there will be even more agencies, which are designed to provide the industry with the specific type of control over different kind of activities or metrics. The industry will be forced to provide most of the health care providers with additional studies and collaborations because of new regulations and laws. This will be done within the seven years period, so companies will survive during the first stages of the reform when changes will affect the outcome the most and return their financial stability during the last year of health care reform and after.

The other thing should be considered is a long process of health care system reformation.

During this period, a huge amount of factors could affect the process, like major revisions or delays. Pharmaceutical companies and those who related to them should follow after the adjustments and other changes constantly to be ready for new changes or issues and decrease their effect on the outcome. So it will be really wise decision to stay tuned for the changes occurred.

Dmytro Nikolayev

Dmytro Nikolayev spent many years working in the field of healthcare, especially in its technical part. Gained much experience in Open Data and Machine Readable Formats used in the industry. Also, built several IT projects that were designed to help people with their healthcare decisions. Now he is an editor and author of Pharmacy Near Me

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