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Welcome to the Empowered Patient Podcast with Karen Jagoda.  This show is a window into the latest innovations in applying generative AI, novel therapeutics and vaccines, and the changing dynamics in the medical and healthcare environment. One focus is on how providers, pharmaceutical companies, and payers are empowering patients.  In addition, conversations are often about how providers, care facilities, pharmaceutical companies, and payers are being empowered by technology to improve patient outcomes and reduce friction across the healthcare landscape.

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  • Virtual and digital health
  • Use of AI, ML, and LLM in healthcare and drug discovery, development, trials
  • Value-based healthcare 
  • Precision and stratified medicine
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  • Next-generation immuno, cell, and gene therapies
  • Vaccines
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  • Rare diseases
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  • Addressing Social Determinants of Health
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  • Clinician and staff burnout

The audience includes life science leaders, researchers, medical professionals, patient advocates, digital health entrepreneurs, patients, caregivers, healthcare solution providers, students, journalists, and investors. 

 

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Empowered Patient Solutions

Jun 21, 2023

Jared Crapo, Head of Product and Technology at Kalderos, focuses on drug discounts paid by drug manufacturers to pharmacy benefit managers, commercial or government payers, and healthcare providers. Congress created the 340B Drug Discount Program and the Medicaid Drug Rebate Program to support healthcare for underserved patients. While these programs have dramatically grown, so too have the complexities and confusion about discounts and disagreements about payments.

Jared explains, "The 340B program was created by Congress, and it's a subsidy from drug manufacturers to underserved healthcare providers. The Medicaid Drug Rebate Program is a similar program created by Congress that is a source of financial support for state Medicaid agencies, also provided by drug manufacturers. So drug manufacturers give a discount to state Medicaid agencies for drugs prescribed to Medicaid patients."

"One way to think about it is there's a lot of information asymmetry, which means some stakeholders have access to a lot more data than other stakeholders. And without a shared common understanding of which discounts are available, which discounts are compliant, and which ones aren't, it's really difficult for these various stakeholders to understand what their obligations are and what they should be doing. That leads to the dysfunction that you've mentioned."

"What Kalderos does to reduce this dysfunction is compile and curate data from dozens of different sources, to try and create a common understanding of what actually happened on a particular prescription. This is so that all stakeholders have access to the same information, which then reduces the disagreements about what should actually happen from a discount and a rebate perspective."

@KalderosInc #DrugDiscountPrograms #340BDrugDiscountProgram #MedicaidDrugRebateProgram #MDRP

kalderos.com

Download the transcript here

Kalderos