Cost Per Claim For Medicaid FFS Specialty Drugs Rose 20% In 2016
Fee-for-service (FFS) Medicaid specialty drug net cost per claim increased by more than 20% from 2015 to 2016. The average gross cost per specialty drug claim was $1,786.17 in 2015; and $2,194.27 in 2016, an increase of 22.8%. The average net cost per claim was $942.72 in 2015; and $1,136.60 during 2016, an increase of 20.5%.
In the aggregate for both specialty and non-specialty drugs, the Medicaid FFS trend for all drugs increased 5.2% ($5.29) at the gross cost per claim …
Disclaimer: PsychU is supported by Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC) and Otsuka America Pharmaceutical, Inc. (OAPI). Specific PsychU programs may be supported by OPDC, OAPI and other committed supporters of the mental health treatment community. The opinions expressed by PsychU’s contributors are their own and are not endorsed or recommended by PsychU or its sponsor or the sponsors of the specific PsychU program in which such opinions are expressed. The information provided through PsychU is intended for the educational benefit of mental health care professionals and others who support mental health care. It is not intended as, nor is it a substitute for, medical care, advice, or professional diagnosis. Health care professionals should use their independent medical judgement when reviewing PsychU's educational resources. Users seeking medical advice should consult with a health care professional. No CME or CEU credits are available through any of the resources provided by PsychU. Some of the contributors may be paid consultants for OPDC and OAPI.