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Reportlinker Adds The Impact of US Healthcare Reform on Pharma: Analyzing the Effects
Date:9/21/2010

Effects on the generics market 63

Medicare 63

Medicaid 63

Pay-for-delay changes 64

Effects on drug promotion 64

Compliance burden rising 66

Volume increase to drive contract manufacturing 67

Chapter 4 Future trends and outlook 68

Summary 68

Introduction 69

Regulatory environment 69

Changes at the CMS 69

Medicare 69

Effects on R&D 70

Program prioritization 71

Cures Acceleration Network 71

Coverage of clinical trial costs 73

Tax credits/grants for small companies 73

Increasing importance of effectiveness 73

Private health insurance market changes 75

Transparency is the new watchword 77

Conclusions 77

Appendix 79

Primary research methodology 79

Business Insights healthcare reform model 79

Industry fees 79

Biosimilars 79

Doughnut hole discounts 79

Medicaid rebates 79

US market projections 80

Doughnut hole upside 80

Increase due to extra insured parties 80

Glossary 81

Bibliography 82

Table of figuresFigure 1: Healthcare reform timeline, 1912-2010 17

Figure 2: Healthcare spend as a percentage of GDP, 2008 20

Figure 3: US healthcare providers by ownership status 28

Figure 4: Key stakeholders of the US healthcare system 29

Figure 5: Age profile of the insured and uninsured in the US, 2008 31

Figure 6: Private health insurance applicants refused cover by age (%), 2008 32

Figure 7: Medicare Part D benefits and out-of-pocket expenses, 2010 40

Figure 8: Medicare Part D benefits and out-of-pocket expenses, 2020 41

Figure 9: Pay-for-delay deals, 2006-2010 48

Figure 10: Increase in number of insured people (m), 2010-2019 53

Figure 11: US pharma market with and without healthcare reform ($bn), 2010-2019 56

Figure 12: Branded and generic market share in the US by
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