Consumer Impact of the Prescription Drug Market

Pharmaceutical manufacturers use a variety of methods beyond simply targeting physicians to promote their products and gain market share. Direct-to-consumer advertising, drug manufacturer coupons, copay assistance programs, and drug rebates are strategies frequently employed to gain name recognition and address affordability concerns among consumers and gain access to a health plan's formulary. This session will explore the impact these strategies have had on consumers and their drug utilization patterns. In addition, it will highlight the government and health plans' responses to these strategies and why actuaries should be paying attention. At the conclusion of this session, attendees will be able to: • Understand the impact of direct-to-consumer advertising, drug manufacturer coupons, copay assistance programs and drug rebates on consumer behavior • Describe the government and health plans' responses to these strategies and potential impact • Explain why actuaries should be concerned with pharmaceutical manufacturers' methods for promoting their products

Johnathan Gray, ASA, CERA

Sarah Hellems, FSA, MAAA, CERA

Actuary with pharmacy and medical health experience in assumption and model development, trending, and forecasting. Develops financial and market projection models based on historical medical and pharmacy data and financial risk. Current focus is on pharmaceutical financial and market modeling.

Karen Nixon

Founder & CEO, Nixon Benefits

Karen Nixon is a Partner and CEO of Nixon Benefits, a leader in cost reduction and pricing transparency for employer-sponsored health plans.

Prior to founding Nixon Benefits in 2001, Karen held senior management positions with two major health insurers. This experience incited Karen to create a unique broker/consulting firm, providing employers the financial advantages of a truly transparent market approach.

Karen is often asked to speak on the future of employer-sponsored healthcare and ways employers can control their insurance costs. In 2018, Nixon Benefits’ was invited on behalf of the Society of Actuaries to participate in Initiative 18 / 11, a collaborative effort to reduce healthcare costs in the U.S.

Ms. Nixon received her BA and MBA from U.C. Irvine.

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Webcast Session
07/21/2020 at 3:00 PM (EDT)  |  75 minutes
07/21/2020 at 3:00 PM (EDT)  |  75 minutes
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