{"id":15338,"date":"2024-08-20T10:07:29","date_gmt":"2024-08-20T01:07:29","guid":{"rendered":"https:\/\/clarivate.com\/ko\/?p=15338"},"modified":"2024-11-06T02:56:30","modified_gmt":"2024-11-06T02:56:30","slug":"cms-enters-drug-price-negotiation-arena-in-sea-change-for-industry","status":"publish","type":"post","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/ko\/blog\/cms-enters-drug-price-negotiation-arena-in-sea-change-for-industry\/","title":{"rendered":"\ubbf8\uad6d \uc81c\uc57d\uc5c5\uacc4\uc758 \uc9c0\uac01\ubcc0\ub3d9: CMS \uc57d\uac00 \ud611\uc0c1 \ubb34\ub300\uc5d0 \uc9c4\uc785\ud558\ub2e4"},"content":{"rendered":"<pre><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-15344 alignleft\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/rmoore_avatar-70x70-1.jpg\" alt=\"\" width=\"83\" height=\"83\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/rmoore_avatar-70x70-1.jpg 70w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/rmoore_avatar-70x70-1-40x40.jpg 40w\" sizes=\"auto, (max-width: 83px) 100vw, 83px\" \/><strong>Roy Moore<\/strong>\r\n<strong>\ud5ec\uc2a4\ucf00\uc5b4 \uc5f0\uad6c \ubc0f \ub370\uc774\ud130 \uc2dc\ub2c8\uc5b4 \ubd84\uc11d\uac00<\/strong>\r\n\ud074\ub798\ub9ac\ubca0\uc774\ud2b8\r\n\r\n\r\n<\/pre>\n<p>CMS(Centers for Medicare &amp; Medicaid Services: \uba54\ub514\ucf00\uc5b4 \ubc0f \uba54\ub514\ucf00\uc774\ub4dc \uc11c\ube44\uc2a4\uc13c\ud130)\uc640 \uc81c\uc57d \uc81c\uc870\uc5c5\uccb4 \uac04\uc758 \uac00\uaca9 \ud611\uc0c1 \uacb0\uacfc\ub97c \ubc1c\ud45c\ud558\uba74\uc11c, \uc5f0\ubc29\uc815\ubd80\ub294 \uce58\ub8cc\uc758 \uc21c\uc218\uac00\uaca9\uc744 \ub0ae\ucd94\ub294 \ubbfc\uac04 \ubcf4\ud5d8\uc0ac(private payers)\uc758 \uae30\ub2a5\uc744 \ubaa8\ubc29\ud560 \uc218 \uc788\ub294 \ub2a5\ub825\uc744 \ubcf4\uc5ec\uc8fc\uc5c8\uc2b5\ub2c8\ub2e4. \uc5f0\ubc29\uc815\ubd80\ub294 \uc774 \uacfc\uc815\uc5d0\uc11c \uce58\ub8cc\uc758 \uc784\uc0c1\uc801 \uc774\uc810, \uce58\ub8cc \ub300\uc548, \uadf8\ub9ac\uace0 \uc5ec\ub7ec \ub2e4\ub978 \uc694\uc18c\ub4e4\uc744 \uc911\uc810\uc801\uc73c\ub85c \uace0\ub824\ud588\uc2b5\ub2c8\ub2e4. \ube44\ub85d \ubcf4\uace0\ub41c \ud611\uc0c1 \uac00\uaca9\uc774 \uc81c\uc870\uc5c5\uccb4\uc640 \ubbfc\uac04 \ubcf4\ud5d8\uc0ac(private payers) \uac04\uc5d0 \ud611\uc0c1\ub41c \uc2e4\uc81c \ucc98\ubc29\uc9d1 \uacc4\uc57d \uc870\uac74\uc744 \ubc18\uc601\ud558\uc9c0 \uc54a\uc744 \uc218 \uc788\ub354\ub77c\ub3c4, \uc774\ubc88 \ubc1c\ud45c\ub294 \ubbfc\uac04 \ubcf4\ud5d8\uc0ac\ub4e4\uc774 \uac00\uaca9\uc774 \ubc1c\ud45c\ub41c \uce58\ub8cc\uc81c\uc640 \uad00\ub828\ub41c \uacbd\uc7c1 \uce58\ub8cc\uc81c \uc5c5\uccb4\uc5d0\uac8c \ud658\uae09\ud558\ub294 \ubc29\uc2dd\uc5d0 \ud070 \uc601\ud5a5\uc744 \ubbf8\uce60 \uac00\ub2a5\uc131\uc774 \ub192\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\ucd08\uae30 \ud611\uc0c1 \uac00\uaca9 \uc124\uc815\uc740 CMS\uac00 \uc810\uc9c4\uc801\uc73c\ub85c \ubbfc\uac04 \ubcf4\ud5d8\uc0ac\ub97c \ub300\uc2e0\ud558\uc5ec \uc81c\uc57d \uc0b0\uc5c5\uc5d0\uc11c \uac00\uc7a5 \ub9ce\uc774 \ud310\ub9e4\ub418\ub294 \uc77c\ubd80\uce58\ub8cc\uc81c\uc5d0 \ub300\ud55c \uc8fc\uc694 \ud611\uc0c1 \ud30c\ud2b8\ub108\ub85c\uc11c\uc758 \uc5ed\ud560\uc744 \ud558\uae30 \uc2dc\uc791\ud588\uc74c\uc744 \uc758\ubbf8\ud569\ub2c8\ub2e4. \uac8c\ub2e4\uac00, CMS\ub294 \ud2b9\uc815 \uce58\ub8cc\uc81c\uc758 \ucc98\ubc29 \ub9ac\uc2a4\ud2b8\ub97c \uacb0\uc815\ud558\uae30 \uc704\ud574 \ubbfc\uac04 \ubcf4\ud5d8\uc0ac\ub4e4\uc774 \uc0ac\uc6a9\ud558\ub294 \ubd84\uc11d \ubc29\ubc95\uc744 \ucc44\ud0dd\ud574,\uc815\ubd80\uc640 \ubbfc\uac04 \ubcf4\ud5d8\uc0ac \uac04\uc758 \uacbd\uacc4\uac00 \ud750\ub9bf\ud574 \uc9c0\uace0 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>2024\ub144 8\uc6d4 15\uc77c\uc5d0 \ubc1c\ud45c\ub41c \uccab\ubc88\uc9f8 MFP\ub294(Maximum Fair Prices) 2022\ub144 \uc778\ud50c\ub808\uc774\uc158 \uac10\ucd95\ubc95(<a href=\"https:\/\/www.congress.gov\/bill\/117th-congress\/house-bill\/5376\/text\" target=\"_blank\" rel=\"noopener\">Inflation Reduction Act of 2022<\/a>)\uc5d0 \uc758\ud574 \uc758\ubb34\ud654\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uc774\ub97c \ud1b5\ud574 CMS\ub294 \uba54\ub514\ucf00\uc5b4\uc5d0\uc11c \uac00\uc7a5 \ud070 \ube44\uc6a9\uc774 \ub4dc\ub294 \uce58\ub8cc\uc81c\uc758 MFP\ub97c \ud611\uc0c1\ud558\uac8c \ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uac00\uaca9 \ud611\uc0c1\uc740 \uc2dc\uac04\uc774 \uc9c0\ub0a8\uc5d0 \ub530\ub77c \ub2e8\uacc4\uc801\uc73c\ub85c \uc9c4\ud589\ub418\uba70, \uc774\ubc88\uc5d0\ub294 \ud30c\ud2b8 D\uc758\uc57d\ud488 \uc911 10\uac1c\uc758 \uc758\uc57d\ud488\uc5d0 \ub300\ud55c MFP\uac00 \ubc1c\ud45c\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uc774 MFP\ub294 2026\ub144\ubd80\ud130 \uc801\uc6a9\ub429\ub2c8\ub2e4. \ud30c\ud2b8 D\ub294 65\uc138 \uc774\uc0c1\uc744 \uc704\ud55c \uba54\ub514\ucf00\uc5b4\uc758 \ucc98\ubc29\uc57d \ubcf4\uc7a5 \ud504\ub85c\uadf8\ub7a8\uc73c\ub85c, \ubbf8\uad6d \uc778\uad6c\uc758 \uac70\uc758 5\uba85 \uc911 1\uba85\uc774 \uc774 \ud504\ub85c\uadf8\ub7a8\uc744 \uc0ac\uc6a9\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uc774 10\uac1c \uc758\uc57d\ud488\uc740 2022\ub144 \uba54\ub514\ucf00\uc5b4 \ud30c\ud2b8 D\uc5d0 <a href=\"https:\/\/data.cms.gov\/summary-statistics-on-use-and-payments\/medicare-medicaid-spending-by-drug\/medicare-part-d-spending-by-drug\" target=\"_blank\" rel=\"noopener\">\uc57d 468\uc5b5\ub2ec\ub7ec\uc758 \ube44\uc6a9\uc744 \ubc1c\uc0dd<\/a>\uc2dc\ucf30\uc2b5\ub2c8\ub2e4. \uc774\ub294 \uac19\uc740 \ud574 \uc804\uccb4 \ud30c\ud2b8 D\uc758\uc57d\ud488\uc5d0 \uc9c0\ucd9c\ub41c 2,404\uc5b5 \ub2ec\ub7ec\uc640 \ubaa8\ub4e0 <a href=\"https:\/\/data.cms.gov\/summary-statistics-on-use-and-payments\/medicare-medicaid-spending-by-drug\/medicare-part-b-spending-by-drug\" target=\"_blank\" rel=\"noopener\">\ud30c\ud2b8 B\uc758\uc57d\ud488\uc5d0 \uc9c0\ucd9c\ub41c 436\uc5b5 \ub2ec\ub7ec\uc640<\/a> \ube44\uad50\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\ucd08\uae30 \ud611\uc0c1 \ub300\uc0c1 \uc758\uc57d\ud488 \ub9ac\uc2a4\ud2b8\ub294 10\uac1c\ub85c \uc81c\ud55c\ub418\uc5b4 \uc788\uc9c0\ub9cc, \uc774 \ud504\ub85c\uadf8\ub7a8\uc758 \ubc94\uc704\ub294 <a href=\"https:\/\/www.cms.gov\/files\/document\/10522-inflation-reduction-act-timeline.pdf\" target=\"_blank\" rel=\"noopener\">\uc2dc\uac04\uc774 \uc9c0\ub0a8\uc5d0 \ub530\ub77c \ud655\ub300\ub420 \uac83\uc785\ub2c8\ub2e4<\/a>. 2025\ub144\uc5d0\ub294 CMS\uac00 \ucd94\uac00\ub85c 15\uac1c\uc758 \ud30c\ud2b8 D \uc57d\ubb3c\uc744 \uc120\uc815\ud558\uc5ec 2027\ub144\ubd80\ud130 \ud611\uc0c1\ud560 \uc608\uc815\uc785\ub2c8\ub2e4. 2026\ub144\uc5d0\ub294 \ucd5c\ub300 15\uac1c\uc758 \ud30c\ud2b8 B \ub610\ub294 \ud30c\ud2b8 D \uc57d\ubb3c\uc744 \uc120\uc815\ud558\uc5ec 2028\ub144\ubd80\ud130 \ud611\uc0c1\ud560 \uacc4\ud68d\uc774\uba70, \uc774\ud6c4 \ub9e4\ub144 \ucd5c\ub300 20\uac1c\uc758 \ucd94\uac00 \uc57d\ubb3c\uc5d0 \ub300\ud574 \ud611\uc0c1\ud560 \uc608\uc815\uc785\ub2c8\ub2e4. (\ud30c\ud2b8 B\ub294 \uc758\uc0ac\uac00 \uc8fc\uc785\ud558\ub294 \uc57d\ubb3c, \ubcf5\uc7a1\ud55c \uc0dd\ubb3c\ud559\uc801 \uc81c\uc81c\uc758 \uc8fc\uc785 \ub4f1\uc744 \ud3ec\ud568\ud569\ub2c8\ub2e4.) CMS\ub294 \uba54\ub514\ucf00\uc5b4 \uc9c0\ucd9c\uc774 \uac00\uc7a5 \ub9ce\uc740 \uce58\ub8cc\uc81c\ub97c \uc6b0\uc120\uc801\uc73c\ub85c \ub300\uc0c1\uc73c\ub85c \uc0bc\uace0 \uc788\uc9c0\ub9cc, FDA\uc5d0\uc11c \ucd5c\uadfc \uc2b9\uc778\ub41c \uc57d\ubb3c, \ub2e8\uc77c \uc801\uc751\uc99d\uc5d0 \ub300\ud574 \ud76c\uadc0 \uc758\uc57d\ud488\uc73c\ub85c \uc9c0\uc815\ub41c \uc57d\ubb3c, \ud604\uc7ac \ub610\ub294 \uace7 \ubc14\uc774\uc624\uc2dc\ubc00\ub7ec \uc704\ud611\uc5d0 \uc9c1\uba74\ud55c \uc758\uc57d\ud488 \ub4f1\u2026 \ud2b9\uc815 \uae30\uc900\uc744 \ucda9\uc871\ud558\ub294 \uce58\ub8cc\uc81c\ub294 \ud611\uc0c1\uc5d0\uc11c \uc81c\uc678\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<h5><strong>\ucd5c\ucd08\uc758 MFP\ub294 \ud070 \ud560\uc778\ud3ed\uc744 \ubcf4\uc600\uc2b5\ub2c8\ub2e4.<\/strong><\/h5>\n<p>2026\ub144 1\uc6d4 1\uc77c\uc5d0 \ubc1c\ud6a8\ub420 \uc608\uc815\uc778 \ucd08\uae30 10\uac1c\uc758 \ud30c\ud2b8 D \uc758\uc57d\ud488\uc5d0 \ub300\ud574 CMS\uc640 \uc81c\uc57d \uc81c\uc870\uc5c5\uccb4 \uac04\uc5d0 <a href=\"https:\/\/www.cms.gov\/files\/document\/fact-sheet-negotiated-prices-initial-price-applicability-year-2026.pdf\" target=\"_blank\" rel=\"noopener\">\ud611\uc0c1\ub41c MFP<\/a>\ub294 MFP\uac00 \ubc1c\ud45c\ub41c \ub0a0\uc9dc\uc758 \uc815\uac00\uc5d0\uc11c \ud3c9\uade0 59% \uac00 \ud560\uc778\ub41c \uac00\uaca9\uc785\ub2c8\ub2e4. \ud560\uc778 \ud3ed\uc740 NovoLog\u00ae FlexPen\u00ae\uc758 \uacbd\uc6b0 15%\uc5d0\uc11c JANUVIA\u00ae\uc758 \uacbd\uc6b0 80%\uae4c\uc9c0 \ub2e4\uc591\ud588\uc2b5\ub2c8\ub2e4. NovoLog\u00ae\uc5d0 \ub300\ud55c \ud55c\uc2dc\uc801 \ud560\uc778\uc740 \ud658\uc790 \ubcf8\uc778 \ubd80\ub2f4\uae08\uc744 \uc6d4 35\ub2ec\ub7ec\ub85c \uc81c\ud55c\ud558\ub294 <a href=\"https:\/\/aspe.hhs.gov\/sites\/default\/files\/documents\/bd5568fa0e8a59c2225b2e0b93d5ae5b\/aspe-insulin-affordibility-datapoint.pdf\" target=\"_blank\" rel=\"noopener\">\uc778\ud50c\ub808\uc774\uc158 \uac10\uc18c\ubc95\uc758 \uc870\ud56d\uc5d0<\/a> \ub530\ub77c 2024\ub144 1\uc6d4 1\uc77c\ubd80\ud130 \uac00\uaca9\uc744 75% \uc778\ud558\ud558\uae30\ub85c \ud55c Novo Nordisk\uc758 \uacb0\uc815\uc744 \ubc18\uc601\ud55c \uac83\uc73c\ub85c \ubcf4\uc785\ub2c8\ub2e4.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15343 size-full\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/30-day_price_of_selected_drugs_for_Part_D_price_negotiations-1.png\" alt=\"\" width=\"571\" height=\"285\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/30-day_price_of_selected_drugs_for_Part_D_price_negotiations-1.png 571w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/30-day_price_of_selected_drugs_for_Part_D_price_negotiations-1-300x150.png 300w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/30-day_price_of_selected_drugs_for_Part_D_price_negotiations-1-80x40.png 80w\" sizes=\"auto, (max-width: 571px) 100vw, 571px\" \/><\/p>\n<p style=\"font-size: 0.8em;color: #666\">\uadf8\ub9bc 1. \ud30c\ud2b8 D \uc758\uc57d\ud488 \uac00\uaca9 \ud611\uc0c1\uc744 \uc704\ud574 \uc120\ud0dd\ud55c \uc758\uc57d\ud488\uc758 30\uc77c \uac00\uaca9(\ucd9c\ucc98: Red Book, 2024\ub144 8\uc6d4 13\uc77c;CMS)<\/p>\n<p>&nbsp;<\/p>\n<p>\uc778\ud50c\ub808\uc774\uc158 \uac10\uc18c\ubc95\uc740 \uc81c\uc870\uc5c5\uccb4\uac00 R&amp;D \ube44\uc6a9\uc744 \ud68c\uc218\ud55c \uc815\ub3c4, \ud604\uc7ac \uc0dd\uc0b0 \ubc0f \uc720\ud1b5 \ube44\uc6a9, \uc758\uc57d\ud488 \uac1c\ubc1c\uc5d0 \ub300\ud55c \uc815\ubd80 \uc9c0\uc6d0, \ub9e4\ucd9c \ubc0f \ud310\ub9e4\ub7c9 \ub370\uc774\ud130\ub97c \uace0\ub824\ud558\ub3c4\ub85d <a href=\"https:\/\/www.congress.gov\/bill\/117th-congress\/house-bill\/5376\/text\" target=\"_blank\" rel=\"noopener\">CMS\uc5d0 \uba85\ub839\ud588\uc2b5\ub2c8\ub2e4<\/a>. \ub610\ud55c CMS\ub294 \ub300\uccb4 \uce58\ub8cc\ubc95\uc5d0 \uad00\ud55c \uc99d\uac70\ub97c \ud3c9\uac00\ud558\uc5ec \ud574\ub2f9 \uc758\uc57d\ud488\uc774 \uc81c\uacf5\ud558\ub294 \uce58\ub8cc\uc801 \ubc1c\uc804, \ube44\uad50 \ud6a8\uacfc, \uadf8\ub9ac\uace0 \ucda9\uc871\ub418\uc9c0 \uc54a\uc740 \uc758\ud559\uc801 \uc694\uad6c\ub97c \ud574\uacb0\ud558\ub294 \uc815\ub3c4\ub97c \ud3c9\uac00\ud588\uc2b5\ub2c8\ub2e4. \uc774\ub294 \ud074\ub798\ub9ac\ubca0\uc774\ud2b8\uc758 Access &amp; Reimbursement\u00a0\ubcf4\uace0\uc11c\uc5d0\uc11c <a href=\"https:\/\/insights.decisionresourcesgroup.com\/disease\/systemic-lupus-erythematosus\/access-reimbursement\/access-reimbursement-systemic-lupus-erythematosus-us\/section\/ar-systemic-lupus-erythematosus-us-august-2024\" target=\"_blank\" rel=\"noopener\">\uc124\ubb38\uc870\uc0ac\uc5d0 \ucc38\uc5ec\ud55c \uc57d\uad6d \ubc0f \uc758\ub8cc \ucc45\uc784\uc790\ub4e4\uc774 <\/a>\ubbfc\uac04 \ubd80\ubb38\uc5d0\uc11c\ub3c4 \ucc98\ubc29\uc804 \uad00\ub828 \uc758\uc0ac\uacb0\uc815 \uc2dc \uc774\ub7ec\ud55c \uc18d\uc131\uc744 \ud65c\uc6a9\ud558\uace0 \uc788\ub294 \uac83\uc73c\ub85c \ub098\ud0c0\ub0ac\uc2b5\ub2c8\ub2e4. (\uadf8\ub9bc 2).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15342 size-full\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/influencing_factors-1.png\" alt=\"\" width=\"587\" height=\"288\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/influencing_factors-1.png 587w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/influencing_factors-1-300x147.png 300w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/influencing_factors-1-82x40.png 82w\" sizes=\"auto, (max-width: 587px) 100vw, 587px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-size: 0.8em;color: #666\">\uadf8\ub9bc 2: SLE \ubc0f\/\ub610\ub294 LN\uc5d0 \ub300\ud55c \uc0dd\ubb3c\ud559\uc801 \ub610\ub294 \uacbd\uad6c\uc6a9 \ud45c\uc801 \uce58\ub8cc\uc81c\uc758 \ucc98\ubc29 \ubc0f \ud658\uae09\uc5d0 \uc601\ud5a5\uc744 \ubbf8\uce58\ub294 \uc694\uc778\ub4e4(\ucd9c\ucc98: \uc804\uc2e0\uc131 \ud64d\ubc18\uc131 \ub8e8\ud478\uc2a4\uc640 \uad00\ub828\ub41c Clarivate Access &amp; Reimbursement \ubcf4\uace0\uc11c;2024\ub144 4\uc6d4 \uc218\uc9d1\ub41c \uc124\ubb38\uc870\uc0ac \ub370\uc774\ud130)<\/p>\n<p>&nbsp;<\/p>\n<p>CMS\ub294 \uac80\ud1a0\ud558\uace0 \uc788\ub358 \uc694\uc18c\uc640 \ubbfc\uac04 \ubcf4\ud5d8\uc5d0\uc11c \uc774\ubbf8 \uc0ac\uc6a9\ud558\uace0 \uc788\ub294 \uc694\uc18c \uac04\uc758 \uacf5\ud1b5\uc810\uc744 \ubc1c\uacac\ud558\uace0, \uc81c\uc57d \ud68c\uc0ac \ubc0f PBM\uc73c\ub85c\ubd80\ud130 \uac00\uaca9 \ud611\uc0c1 \uacbd\ud5d8\uc774 \uc788\ub294 \ubcf4\uac74 \uacbd\uc81c\ud559\uc790 \ubc0f \uae30\ud0c0 <a href=\"https:\/\/www.wsj.com\/health\/pharma\/uncle-sam-wants-youto-fight-high-drug-prices-42b3edee\" target=\"_blank\" rel=\"noopener\">\uc778\ub825\uc744 \ubaa8\uc9d1\ud558<\/a>\uae30 \uc2dc\uc791\ud588\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc815\uac00\uc640 MFP\uc758 \ucd5c\uc885 \uac00\uaca9 \ucc28\uc774\ub294 PBM\uacfc MCO\uac00 \ubcf4\ud5d8 \uc801\uc6a9 \ub610\ub294 \uc6b0\uc120 \uc811\uadfc\uc758 \ub300\uac00\ub85c \uc81c\uc870\uc5c5\uccb4\ub85c\ubd80\ud130 \ud655\ubcf4\ud560 \uc218 \uc788\ub294 \ud560\uc778 \ubc0f \ub9ac\ubca0\uc774\ud2b8\uc758 \uc601\ud5a5\uc744 \ubaa8\ud638\ud558\uac8c \ub9cc\ub4ed\ub2c8\ub2e4. \ub2f9\ub1e8\ubcd1\uacfc \uac19\uc774 \uacbd\uc7c1\uc774 \uce58\uc5f4\ud55c \uce74\ud14c\uace0\ub9ac\uc5d0\uc11c\ub294 \uc21c\uac00\uaca9\uc774 \uc815\uac00\uc758 \uc808\ubc18\uc5d0 \ubd88\uacfc\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. <a href=\"https:\/\/insights.decisionresourcesgroup.com\/disease\/migraine\/access-reimbursement\/access-reimbursement-migraine-prophylaxis-us\/section\/access-and-reimbursement-migraine-prophylaxis-us-may-2024\" target=\"_blank\" rel=\"noopener\">\ud3b8\ub450\ud1b5\uc5d0 \ub300\ud55c A&amp;R \ubcf4\uace0\uc11c\uc5d0<\/a> \ub530\ub974\uba74 \uc815\uac00\uc5d0\uc11c \ucd5c\ub300 30% \ud560\uc778\ub41c \ub9ac\ubca0\uc774\ud2b8\uac00 \uacc4\uc57d\ub41c \ubcf4\ud5d8\uc0ac(payer) \uac04\uc5d0 \ud754\ud788 \ubc1c\uc0dd\ud558\ub294 \uac83\uc73c\ub85c \ub098\ud0c0\ub0ac\uc2b5\ub2c8\ub2e4(\uadf8\ub9bc 3).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15341 size-full alignnone\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Average_rebate_ranges-1.png\" alt=\"\" width=\"586\" height=\"265\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Average_rebate_ranges-1.png 586w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Average_rebate_ranges-1-300x136.png 300w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Average_rebate_ranges-1-88x40.png 88w\" sizes=\"auto, (max-width: 586px) 100vw, 586px\" \/><\/p>\n<p style=\"font-size: 0.8em;color: #666\">\uadf8\ub9bc 3: \uc8fc\uc694 \ud3b8\ub450\ud1b5 \uc608\ubc29 \ube0c\ub79c\ub4dc\uc758 \ud3c9\uade0 \ub9ac\ubca0\uc774\ud2b8 \ubc94\uc704(\ucd9c\ucc98: \ud074\ub798\ub9ac\ubca0\uc774\ud2b8 Access &amp; Reimbursement \ubcf4\uace0\uc11c, \ud3b8\ub450\ud1b5 \uce58\ub8cc\uc81c;2024\ub144 2\uc6d4 \uc218\uc9d1\ub41c \uc124\ubb38\uc870\uc0ac \ub370\uc774\ud130)<\/p>\n<p>\ubcf4\ud5d8\uc0ac\ub4e4\uc740 \ub9ac\ubca0\uc774\ud2b8\ub97c \uc0ac\uc6a9\ud558\uc5ec \ud604\uc7ac \ud658\uae09\uccb4\uacc4\ub97c \uc6b4\uc601\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \u00a0\ud074\ub798\ub9ac\ubca0\uc774\ud2b8\uc758 <a href=\"https:\/\/clarivate.com\/ko\/products\/biopharma\/market-access\/fingertip-formulary\/\">Fingertip Analytics<\/a>\u00a0\ub97c \uc0ac\uc6a9\ud55c \ucc98\ubc29\uc804 \ubc1c\uae09 \ubd84\uc11d\uc5d0 \ub530\ub974\uba74 \ud30c\ud2b8 D \ud50c\ub79c\uc740 \uc774\ubbf8 \uc5ec\ub7ec \uce58\ub8cc\uc81c\uc5d0 \ub300\ud574 \uc0c1\ub2f9\ud55c \uaddc\ubaa8\uc758 \ub9ac\ubca0\uc774\ud2b8\ub97c \ubc1b\uace0 \uc788\ub294 \uac83\uc73c\ub85c \ub098\ud0c0\ub0ac\uc2b5\ub2c8\ub2e4. 95% \uc774\uc0c1\uc758 \ub3c5\ub9bd\ud615 \ud30c\ud2b8 D \uc218\ud61c\uc790\ub97c \ubcf4\uc7a5\ud558\ub294 \ud50c\ub79c\uc740ELIQUIS\u00ae, JARDIANCE\u00ae, XARELTO\u00ae, JANUVIA, ENTRESTO\u00ae\ub97c \uc774\uc6a9\ud560 \uc218 \uc788\uc5b4 \uc81c\uc870\uc5c5\uccb4\uc640 \ud30c\ud2b8 D \ud50c\ub79c \uac04\uc5d0 \ud65c\ubc1c\ud55c \uacc4\uc57d\uc774 \uc774\ub8e8\uc5b4\uc9c0\uace0 \uc788\uc74c\uc744 \ubcf4\uc5ec\uc90d\ub2c8\ub2e4. \ub610\ud55c, \ud30c\ud2b8 D \ubcf4\ud5d8\uc758 46%\uc640 80%\ub97c \ucee4\ubc84\ud558\ub294 \ud50c\ub79c\uc740 \uac01\uac01 NovoLog FlexPen\uacfc FARXIGA\u00ae\uc5d0 \ub300\ud574 \uc720\uc0ac\ud55c \uc6b0\uc120 \uc811\uadfc\uad8c\uc744 \uc81c\uacf5\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ub2e4\ub9cc, NBREL\u00ae, IMBRUVICA\u00ae, STELARA\u00ae\uc640 \uac19\uc740 \uc758\uc57d\ud488\uc740 2024\ub144 \uae30\uc900\uc73c\ub85c <a href=\"https:\/\/www.cms.gov\/files\/document\/final-cy-2024-part-d-bidding-instructions.pdf\" target=\"_blank\" rel=\"noopener\">30\uc77c\ubd84\uc5d0\u00a0 950\ub2ec\ub7ec\ub97c \ub118\ub294 <\/a>\ub192\uc740 \uc6d4 \ube44\uc6a9\uc774 \ubc1c\uc0dd\ud558\uae30 \ub54c\ubb38\uc5d0, \ud30c\ud2b8 D \ud50c\ub79c\uc5d0\uc11c \ud658\uc790\uac00 \ub354 \ub9ce\uc740 \ubcf8\uc784 \ubd80\ub2f4\uae08\uc744 \ub0b4\uc57c\ud558\ub294 \uc2a4\ud398\uc15c\ud2f0 \ud2f0\uc5b4\uc5d0 \ud574\ub2f9\ud558\ub294 \uacbd\uc6b0\uac00 \uc788\uc5c8\uc2b5\ub2c8\ub2e4.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15340 size-full\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs-1.png\" alt=\"\" width=\"583\" height=\"296\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs-1.png 583w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs-1-300x152.png 300w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs-1-79x40.png 79w\" sizes=\"auto, (max-width: 583px) 100vw, 583px\" \/><\/p>\n<p style=\"font-size: 0.8em;color: #666\">\uadf8\ub9bc 4: \ub3c5\ub9bd\ud615 \ud30c\ud2b8D\ud50c\ub79c\uc758 \uc8fc\uc694 \uc758\uc57d\ud488 \uc801\uc6a9 \uc0c1\ud0dc (\ucd9c\ucc98: \ud074\ub798\ub9ac\ubca0\uc774\ud2b8, Fingertip Analytics; 2024\ub144 7\uc6d4 1\uc77c \ucd94\ucd9c \ub370\uc774\ud130)<\/p>\n<p>\uc774\ub7f0 MFP\ub294 \ubd80\ubd84\uc801\uc73c\ub85c Medicare Advantage\ud558\uc5d0\uc11c \uc81c\uc870\uc5c5\uccb4\uc640 \ubbfc\uac04 \ubcf4\ud5d8\uc0ac \uac04\uc5d0 \uc774\ubbf8 \uc874\uc7ac\ud588\ub358 \ub9ac\ubca0\uc774\ud2b8 \uacc4\uc57d\uc744 \ub300\uccb4\ud558\uba70, \ubcf4\ub2e4 \ud070 \ud560\uc778 \ud61c\ud0dd\uc744 \uc81c\uacf5\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. MFP\uac00 \uc2dc\ud589\ub418\uba74 \ud30c\ud2b8 D\ud50c\ub79c \uc2a4\ud3f0\uc11c\uc5d0\uac8c\ub294 \ub3d9\uc77c\ud55c \uc218\uc900\uc758 \ub9ac\ubca0\uc774\ud2b8\uac00 \uc81c\uacf5\ub418\uc9c0 \uc54a\uc744 \uac00\ub2a5\uc131\uc774 \ub192\uc544\uc9d1\ub2c8\ub2e4. \uc774\ub85c \uc778\ud574 \uc774\ub7f0 \uce58\ub8cc\uc81c\uc5d0 \ub300\ud55c \ud658\uae09\uc0c1\ud0dc\uac00 \ubcc0\uacbd\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ubcf4\ud5d8\uc0ac\ub294 \uc6b0\uc120 \uc811\uadfc\uc744 \uc704\ud574 \uc120\uc815\ub41c 10\uac1c \uc758\uc57d\ud488\uc758 \uacbd\uc7c1\uc0ac\uc640\uc758 \uacc4\uc57d\uc744 \ub298\ub9ac\ub294 \ub3d9\uc2dc\uc5d0, \ub35c \uc120\ud638\ub418\ub294 \uacc4\uce35\uc73c\ub85c \uc774\ub3d9\ud574 \ud658\uc790 \ubcf8\uc778 \ubd80\ub2f4\uae08\uc744 \uc99d\uac00\uc2dc\ud0ac \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15339 size-full\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs_Medicare-1.png\" alt=\"\" width=\"596\" height=\"294\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs_Medicare-1.png 596w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs_Medicare-1-300x148.png 300w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/08\/Coverage_status_of_key_drugs_Medicare-1-81x40.png 81w\" sizes=\"auto, (max-width: 596px) 100vw, 596px\" \/><\/p>\n<p style=\"font-size: 0.8em;color: #666\">\uadf8\ub9bc 5: Medicare Advantage \ud50c\ub79c\uc758 \uc8fc\uc694 \uc57d\ubb3c \ubcf4\uc7a5 \ubc94\uc704 \ud604\ud669(\ucd9c\ucc98: \ud074\ub798\ub9ac\ubca0\uc774\ud2b8, Fingertip Analytics; 2024\ub144 7\uc6d4 1\uc77c \ucd94\ucd9c \ub370\uc774\ud130)<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>\uc774\ud574 \uad00\uacc4\uc790\ub97c \uc704\ud55c \uc55e\uc73c\ub85c\uc758 \uc5ec\uc815<\/strong><\/h5>\n<p>\ubc1c\ud45c\ub41c MFP\ud560\uc778\uc740 CMS\uac00 \uac1c\ubcc4 \ud30c\ud2b8 D \ub610\ub294Medicare Advantage \ud50c\ub79c \uc2a4\ud3f0\uc11c\ubcf4\ub2e4 \ube44\uc2b7\ud558\uac70\ub098 \ub354 \ub098\uc740 \uc870\uac74\uc744 \uc5bb\uc744 \uc218 \uc788\uc74c\uc744 \uc2dc\uc0ac\ud569\ub2c8\ub2e4. \ud504\ub85c\uadf8\ub7a8\uc5d0 \ub354 \ub9ce\uc740 \uc758\uc57d\ud488\uc774 \ucd94\uac00\ub428\uc5d0 \ub530\ub77c, \ubbfc\uac04 \uba54\ub514\ucf00\uc5b4 \ubcf4\ud5d8\uc0ac\ub4e4\uc740 \uba54\ub514\ucf00\uc5b4 \ubcf4\uc7a5 \uc758\uc57d\ud488\uc5d0 \ub300\ud55c \ub9ac\ubca0\uc774\ud2b8 \uc790\uae08\uc744 \uc783\uac8c \ub418\uba70, \uac00\uaca9 \ud611\uc0c1 \ub300\uc0c1\uc774 \uc544\ub2cc \uc81c\ud488\uc5d0 \ub354 \ub9ce\uc740 \uad00\uc2ec\uc744 \uae30\uc6b8\uc774\uace0 \uadf8\uc5d0 \ub530\ub77c \ud658\uae09 \uc804\ub7b5\uc744 \uc870\uc815\ud574\uc57c \ud560 \uac83\uc785\ub2c8\ub2e4.\uc81c\uc57d\uc0ac\ub4e4\uc740 \uc774\ub7f0 \ud560\uc778\uc744 \ud45c\uc900\uc0ac\uc5c5\ube44\uc6a9\uc73c\ub85c \ubc1b\uc544\ub4e4\uc774\uac70\ub098,\uac00\uaca9 \ud611\uc0c1 \ub300\uc0c1\uc73c\ub85c \uc120\uc815\ub420 \uc704\ud5d8\uc744 \uc644\ud654\ud558\uae30 \uc704\ud574 \uc804\ub7b5\uc744 \uc218\uc815\ud560 \uac83\uc73c\ub85c \uc608\uc0c1\ub429\ub2c8\ub2e4.<\/p>\n<p>11\uc6d4\uc758 \uc120\uac70\ub294 \ubbf8\uad6d\uc758 \ud5a5\ud6c4 \uc57d\uac00 \ud611\uc0c1 \ubc29\ud5a5\uc744 \uacb0\uc815\ud560 \uc911\uc694\ud55c \uc2dc\uc810\uc774 \ub420 \uac83\uc785\ub2c8\ub2e4<a href=\"https:\/\/www.washingtonpost.com\/business\/2024\/08\/16\/kamala-harris-2024-policy-child-tax-credit\/\" target=\"_blank\" rel=\"noopener\">. \ud574\ub9ac\uc2a4 \ubd80\ud1b5\ub839\uc740 \uc57d\uc81c\ube44 \ubd80\ub2f4\uc744 \ub0ae\ucd94\uae30 \uc704\ud55c \ucd94\uac00 \uc815\ucc45\uc744 \ucd94\uc9c4\ud558\uaca0\ub2e4\uace0<\/a> \ubc1d\ud78c \ubc18\uba74, \ud2b8\ub7fc\ud504 \uc804 \ub300\ud1b5\ub839\uacfc \uadf8\uc758 \uc9c0\uc9c0\uc790\ub4e4\uc740 \ubc95\uc548\uc5d0 \ud3ec\ud568\ub41c \uae30\ud6c4 \uad00\ub828\uacc4\ud68d\uc5d0 \ub300\ud55c \uc6b0\ub824\ub97c \uc774\uc720\ub85c \uc778\ud50c\ub808\uc774\uc158 \uac10\uc18c\ubc95\uc5d0 \ubc18\ub300\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>&nbsp;<\/p>\n<p>\ud074\ub798\ub9ac\ubca0\uc774\ud2b8\uac00 \ube60\ub974\uac8c \ubcc0\ud558\uace0 \uc788\ub294 \uc0dd\uba85\uacfc\ud559 \uc0b0\uc5c5\uc5d0\uc11c \uc2dc\uc7a5 \uc811\uadfc \ud658\uacbd\uc744 \ud0d0\uc0c9\ud558\ub294 \ub370 \uc5b4\ub5a4 \ub3c4\uc6c0\uc744 \uc8fc\ub294\uc9c0 \uc54c\uc544\ubcf4\uace0 \uc2f6\uc73c\uc2e0 \ubd84\ub4e4\uc740 <a href=\"https:\/\/clarivate.com\/ko\/products\/real-world-data\/market-access\/\">\uc774\uacf3<\/a>\uc744 \uc0b4\ud3b4 \ubd10\uc8fc\uc2ed\uc2dc\uc624.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Roy Moore \ud5ec\uc2a4\ucf00\uc5b4 \uc5f0\uad6c \ubc0f \ub370\uc774\ud130 \uc2dc\ub2c8\uc5b4 \ubd84\uc11d\uac00 \ud074\ub798\ub9ac\ubca0\uc774\ud2b8 CMS(Centers for Medicare &amp; Medicaid Services: \uba54\ub514\ucf00\uc5b4 \ubc0f \uba54\ub514\ucf00\uc774\ub4dc \uc11c\ube44\uc2a4\uc13c\ud130)\uc640 \uc81c\uc57d \uc81c\uc870\uc5c5\uccb4 \uac04\uc758 \uac00\uaca9 \ud611\uc0c1 \uacb0\uacfc\ub97c \ubc1c\ud45c\ud558\uba74\uc11c, \uc5f0\ubc29\uc815\ubd80\ub294 \uce58\ub8cc\uc758 \uc21c\uc218\uac00\uaca9\uc744 \ub0ae\ucd94\ub294&#8230;<\/p>\n","protected":false},"author":207,"featured_media":15356,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_links_to":"","_links_to_type":0,"footnotes":""},"categories":[1315,1544],"tags":[1383,2011,1401],"class_list":["post-15338","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-life-sciences-healthcare","category-evidence-value-and-access","tag-regulation","tag-marketaccess","tag-pharmaceutical","clarivate-industry-life-sciences-and-healthcare","clarivate-product-biopharma"],"acf":[],"lang":"ko","translations":{"ko":15338,"en":272579},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/15338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/users\/207"}],"replies":[{"embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/comments?post=15338"}],"version-history":[{"count":1,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/15338\/revisions"}],"predecessor-version":[{"id":310373,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/15338\/revisions\/310373"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media\/15356"}],"wp:attachment":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media?parent=15338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/categories?post=15338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/tags?post=15338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}