The Denver Post

Hospitals to form own pharma

Here’s a new prescripti­on to deal with cost of drugs

- By John Ingold

Tired of paying high prices for common drugs and still facing shortages, a group of hospitals across the country say it is teaming up to do the unpreceden­ted: form its own pharmaceut­ical company.

The effort has attracted the support of five health systems, representi­ng more than 450 hospitals nationwide. No Colorado hospitals have announced that they are joining the plan, though some say they are watching its developmen­t with interest.

“We are closely monitoring that and keeping an eye on it,” said Jennifer Wills, a spokeswoma­n for Centura Health, which operates hospitals in Colorado and Kansas.

The new not-for-profit company will focus on producing generic versions of drugs — which, though they should be far cheaper than their brand-name equivalent­s, can still see big price fluctuatio­ns and be hard to find. The company must receive FDA approval, and the precise details of its structure are still being worked out. Its formation was announced last month.

“It’s an ambitious plan,” Dr. Marc Harrison, the CEO of Salt Lake City-based hospital system Intermount­ain Healthcare, which is leading the effort, said in a statement. “but health care systems are in the best position to fix the problems in the generic drug market.”

Joining Intermount­ain in forming the new company will be Ascension and SSM Health, both based in Missouri, and Michiganba­sed Trinity Health. The group says it is also working “in consultati­on” with the U.S. Department of Veterans Affairs, though the VA has made no financial commitment.

Drug prices are a frequent source of concern and complaint for both hospitals and patients.

Two years ago, EpiPen price spikes caused stress for parents of kids with severe allergies. A surge in the price of insulin led some patients to ration their supplies, with deadly consequenc­es.

Driven by gains in insurance coverage after the implementa­tion of the Affordable Care Act, the percentage of Coloradans who said they skipped filling a prescripti­on because of cost hit its lowest level in at least six years in 2015, according to a statewide Colorado Health Institute survey. But the percentage climbed in the 2017 survey, to 10.8 percent.

Still, large Colorado hospital systems contacted by The Denver Post said they were taking a waitand-see approach on the new drug company. In addition to Centura, representa­tives from UCHealth and HealthOne both said their companies are not involved in the project — at least

not so far.

Leaders of the original five health systems forming the new company say they expect more hospitals to join them soon. And, even if obstacles land in their path, they say they are committed to going forward with the idea.

“For people in the United States, there is a dangerous gap today between the demand and supply of affordable prescripti­on drugs,” Dr. Richard Gilfillan, the CEO of Trinity Health, said in a statement. “If the only way to provide our communitie­s with affordable drugs is to produce them ourselves, then that is what we will do.”

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