innovation and pharmacy crime

• wholesale acquisition cost (new law)

  • still - it's a big policy talking point: this year, first time... federal government will negotiate pricing for 10 popular drugs like eliquis
  • scenario:
  • one patient, Mark Vogelzand in Vegas, pays $341 for a 90 day supply of eliquis
  • via Med part D plan (that he pays a monthly premium for ~ $175 or more)
  • usual eliquis price is $594/month after 6% increase
  • but because of discounts and rebates paid by Bristol Myers Squibb and Pfizer will be flat --> half of pts pay $40 per month
• whole acquisition cost (WAC) (cont.)

  • what is cost? what is price?
  • the measuring used something called WAC
  • oh... about 25 drugs had a price decline
  • a very rare happening... more than 10%
  • like: advair diskus... insulin from novo, lantus, from sanofi and novolog from novo dropped 70%
• designer drugs

  • pharma research companies are designing/working with psychedelic compounds
  • to develop new drugs
  • to treat depression and other mental health conditions
• magic mushrooms

  • dozens of companies re-making structure of drugs like:
  • MDMA (ecstasy)
  • magic mushrooms
  • LSD
  • --> to utilize their therapeutic properties
• delix therapeutics (quotes in regards to findings in field)

  • "we have to create medicines that are safe enough that people can take them home and put them in their medicine cabinet."
  • David Olson, chief innovation officer
  • "we don't know if the mechanism of healing from the classical psychedelic's has anything to do with the experience."
  • Dan Karlin, MCO, mind medicine, inc.
  • the experimental effects of the psychedelic compounds in addressing depression were greater than many current approved drugs
  • Brian Soichet, UCSF School of Pharmacy
• to what purpose?

  • some studies show that psychedelic drugs, when administered under professional health care supervision
  • cause pts to grow new neural connections
  • together w/ therapy, help people change their mindset
  • help people process past experiences
  • change their "go forward" outlook
• ok, so what?

  • some of you will lead teams at manufacturer's labs; possibly working w/ these types of compounds or their next generation
  • making sure they are safe, effective and can properly labeled
  • some of you will collaborate w/ doctors or other professionals in dispensing and monitoring
  • remember, one goal is to put these drugs "in the medicine cabinet" at home
• pharmacy tech and crime

  • if someone breaks in and steals drugs, or a natural disaster occurs, or has a weapon
  • let them take whatever they want
  • you report it to the police, the state board, and your insurance company
  • your supplier can re-plenish you quickly
• but what about tech crimes?

  • healthcare tech crimes are growing
  • recent civil unrest
  • pharmacies looted
  • but not just drugs
• medical and patients records - why?

  • criminals are looking for:
  • credit card information
  • social security information
  • ransom weapons
• just so you know...

  • from 2009 to 2019
  • 1500 data breaches at US healthcare facilities
  • only 22 involved breached of sensitive medical records, personal Rx information
  • 1042 were for identity theft or financial fraud
• trends in healthcare data breach statistics

  • our healthcare data breaches statistics clearly show there has been upward trend in data breaches over the past 14 yrs, w/ 2021 seeing more data breaches reported than any other year since records first started being published by OCR
  • there are slight decrease in reported data breaches in 2022 - only the second time that there has been a year-over-year decrease in reported healthcare data breaches, although it is naturally too early to tell if this is a blip or the start of a trend that will see healthcare date breaches decline
• who is doing this?

  • surprisingly - most are "insider jobs"
  • current or former employees
  • a large number were "accidental"
  • where an employee did not follow protocol or policy
• who you gonna' call?

  • your employer
  • your employer's HR department and security department

  and

  • for incidents involving 500 or more records, contact the department of health and human services
• types of breaches

  • unauthorized disclosure of pt health information - 25%
  • mailing errors, disclosing social security numbers or things like HIV status - ~11%
  • taking pt info home or mailing to a personal server - ~7%
  • sending to a wrong email site - ~3%
  • paper records lost or displaced - ~7%
  • improper disposal of paper records or devices - ~3&
  • hacking or IT breach - 20%
• ok - how do I manage this?

  • basic training of employees on email and cyber security
  • double check accuracy of email addresses or hard copy mail address
  • no one gets improperly cc'd on emails
  • minimize amount of data stored on mobile devices: like USB or laptop
  • more then 50% of the breached data was on a mobile device
  • store pt personal ID and financial record separately from medical records