DiscoverTurn on the Lights PodcastThe economics of medication - with Vinay Patel
The economics of medication - with Vinay Patel

The economics of medication - with Vinay Patel

Update: 2025-09-26
Share

Description

One of the biggest drivers of high drug prices in America is the opaque rebate system between pharmaceutical companies and insurance providers, where savings rarely reach the patient.


In this episode, Vinay Patel explains how drug prices are formed, from R&D and manufacturing to complex negotiations involving insurers and pharmacy benefit managers. He breaks down the mechanics of rebates, formulary restrictions, and the consolidation of power among PBMs, showing how these hidden forces raise prices and limit access. He also offers promising alternatives like cost-plus pricing models and calls on employers to take control of their health care contracts to cut costs.


Tune in and learn how this broken system works, and what it might take to fix it!

Learn more about your ad choices. Visit megaphone.fm/adchoices

Comments 
loading
In Channel
loading
00:00
00:00
1.0x

0.5x

0.8x

1.0x

1.25x

1.5x

2.0x

3.0x

Sleep Timer

Off

End of Episode

5 Minutes

10 Minutes

15 Minutes

30 Minutes

45 Minutes

60 Minutes

120 Minutes

The economics of medication - with Vinay Patel

The economics of medication - with Vinay Patel

Brought to you by the Institute for Healthcare Improvement (IHI)