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Hepatitis c, diabetes and oncology are the primary drivers of the spending growth. Prescription growth is 1. 2 for the year. That is a substantial reduction from last year. The primary effect is the rescheduling of hydrocodone to more restrictive schedule which cut that market by 30 . And also you have more chronic care prescriptions are 90day prescriptions. 75 is on specialists. You cant look at that market here or everywhere around the World Without talking specialty. And next year we expect crestor to go off. So these are whats driving spending growth. You can see hepatitis at the top followed by diabetes, oncology, autoimmune, multiple sclerosis, hiv, respiratory, nervous system, and so forth. Almost all of the big five are in the specialty area. And if you look closely at the slide, and i assume youll get copies of this later, what the significant impacts are in each of these things and we break it down by new brands, whats go ....
Case is quite a limitation that you cant get the full picture of what the physician is doing. In doing. In the commercial, private sector we might find a physician expending a great deal of resources in the office, but if you look at total cost of care they are actually quite efficient. The reason is, you reason is, you wont see that without the ability to integrate a combined data source. The healthcare cost, that is why we thought it was so important to contribute data as a multiplayer effort to bring transparency to the private sector market. And that is an interesting example and a couple of levels. Levels. It originally started as an effort to be a tracker and private sector cost trend data and utilization data. As was mentioned, once they got together in pairs started putting the data and they said, we could actually use this for transparency purposes, start to look at quality data. As some of you may know, that is an effort that has been announced and will be deployed. To sum up ....
Well, this is not a medicare ise because a medicare physician, i guess their very limited and cop strained about what constrained about what they can charge, so i guess its more of a question about private insurance. You want to talk that, lou . Yeah. The question reflects, again, the desire to have greater and Greater Transparency in all aspects of health care, including what providers charge. Two things. First, even though theres no national requirement, i know at least in massachusetts if theres anyone here from massachusetts, there is a new law that requires exactly what you suggest, which is the posting of prices. So thatll be an interesting experiment to see what impact that has. There may be other states, im just not aware of it. Well hear from the Consumer Panel after us, i think what Consumers Want to know ....
I think this will move it forward. If youre a patient, you care about your metric. Its wonderful were monitoring if doctors give quit smoking advice to patients. Im not a smoker so it doesnt matter to me. What you want to know is i know somebody whos about to have heart valve surgery. They want to know which doctor in their city performs the most heart valve cities and how many patients are alive a year after that. The fact we cannot answer that for that patient today or tomorrow or even next year, like, thats the question we want to answer. Its not like, do your diabetics have their a1c under control . Im not a diabetic, but if im diabetic and its under control for me, i dont care if your other patients are, i care about me. Were a me culture but we have to make sure the data releases can be customizable so the person interested in their own health and their own situation can get some answers from it. Charlie, at the same time, patients are complaining all the time about high copays, ....
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