Oct
24

Finding good companies

There is quite a bit of interest among private equity and venture capital firms in the work comp managed care “space”. These investors seek to buy into companies that are poised for growth, that have a “sustainable competitive advantage”, solid management, long term contracts with customers, and a profitable business model.
A key to success for these investors is to find these firms before the other investors do, which means identifying good companies quickly. Analysts spend lots of time, energy, and brain power analyzing, assessing, and interpreting data. looking for the wheat among the chaff.
A much faster, and probably more accurate way, is to pick up the phone and call the company. Talk to the receptionist, someone in customer service and someone in billing. What they say doesn’t matter nearly as much as how they say it.
Good companies have energy, enthusiasm, and a desire to help that comes through the phone. Not so good ones have none of the above.


Oct
23

Drug-induced dissonance

I’m suffering from a severe case of cognitive dissonance, brought on by completely conflicting statements in articles from a single source, the New York Times. In Friday’s business section, Alex Berenson notes that big pharma, led by Pfizer, Lilly, Novartis and Wyeth all enjoyed strong profit gains (free registration required) in the third quarter.
The profits were generated, in large part, by price increases in the US, where Lilly’s prices were up 11%, contributing to a 14% gain in US revenues. Fair enough, prices went up, so did profits.
In the next (virtual) breath, another NYT article quotes the Congressional Budget Office’s as concluding that a Democratic Congress’ efforts to reduce Medicare drug spending by negotiating directly with pharmaceutical manufacturers will not work because private industry is so darn good at negotiating prices. (polemics are mine, but you get the point)

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Oct
20

Big sale on drugs!

If this continues, big box and discount retailers will be giving drugs away. With the recent announcements that Target is matching Wal-Mart’s $4 drug price deal, Wal-Mart is speeding up the roll-out of their $4 script program, and K-Mart has had a 90 day supply of 184 generics for $15 offer since May, the price war has started.
Among the criticisms of the Wal-Mart initiative is that only one of the 20 drugs most commonly prescribed is on the discount list. Regardless, the Wal-Mart move has shaken up the pharma market, and forced retail outlets to quickly figure out their stance.

Continue reading Big sale on drugs!


Oct
2

Drugstore.com’s consumerism efforts

As a drugstore.com customer, I received an email (along with a few hundred thousand other folks) from the company’s CEO last week. The email was their response to the recent announcement by Wal Mart that they were cutting prices to below $4 for a month’s supply of almost three hundred generic drugs.
The net is the folks at drugstore.com claim to provide prices that are already lower than Wal Mart’s for the equivalent supply.

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Sep
27

Workers comp’s top problem drug

Actiq, the lollypop pain killer, is rapidly becoming the biggest problem drug in workers comp. FDA approved only for treating cancer pain, the potent narcotic is now on most payers’ top 5 drug list (ranked by dollars spent).
There are likely several factors that have enabled a drug clearly not approved for musculo-skeletal conditions to achieve this high “honor”.

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Sep
10

Part D – where next?

Part D’s implications will be many, far-reaching, and complex. Why? the sheer size of the market…One-twelfth of all scripts dispensed in retail pharmacies were for Part D recipients.
Here’s a snapshot of the crystal ball.

Continue reading Part D – where next?


Sep
6

McClellan’s legacy

Mark McClellan is leaving his post as head of the Center for Medicare and Medicaid Services. He served long and loyally, sticking to the Administration’s line even when facts indicated otherwise, remaining a calming force when Part D enrollment was going nowhere. McClellan is also known for listening hard to suggestions and criticism from all sides, and working diligently to address problems.
Here’s what’s happened during his tenure.
Part D was passed, implemented, and operational. This was a monumental task, and one McClellan was instrumental in accomplishing. It’s not his fault it is a fatally flawed program; well, maybe it is, in some small part, as he was probably involved in writing/editing/opining on the legislation. Nevertheless, under McClellan the program became reality, with the initial enrollment problems addressed (in large part).

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