#360it: Medicare Drug Price Negotiation: How Will it Affect Patient Access?
AiArthritis Voices 360, 360it from Episode 88
Air Date: December 27 , 2023
This episode is a 360it revisiting the topics put on the table during Episode 88 : Biosimilars - Interchangeability & Switching 2023
Join us in this breakout conversation (called a 360it) that spun off from Episode 88 Biosimilars : Interchangeability & Switching 2023. In this spin off segment, we dissect the Inflation Reduction Act (IRA) and its potential fallout on patient access to diverse treatment plans. Tracing the historical trajectory of the IRA, we uncover its role in price negotiations and the concerning shift in investments away from critical drugs tailored for specific diseases. This reallocation poses a tangible threat to the availability and diversity of treatments, including for those living with AiArthritis diseases. As we dive into the landscape of healthcare policy, the discussion emphasizes the pressing need for IRA improvements to consider the long term well-being of patients. Without these crucial enhancements, we will have a future with not only fewer innovative treatments but potentially less treatment options available.
Join us in fighting for improvements to the IRA and patient involvement in treatment access.
Episode Highlights:
- The history of Medicare Part D and its positive impact on healthcare
- What is the Inflation Reduction Act
- Why the IRA price negotiations are important to understand and how it will affect your treatment access
- How healthcare R&D will be negatively impacted by the IRA price negotiations
- Consequences to Patients of Drug Price-Setting Policies for patients
- How can patients get involved in the IRA price negotiations
- How the IRA will disincentivize small molecule drugs and indications for treatment plans
AiArthritis Voices 360 is produced by the International Foundation for Autoimmune and Autoinflammatory Arthritis. Visit us on the web at
www.aiarthritis.org/talkshow. Find us on Twitter, Instagram, TikTok, or Facebook (@IFAiArthritis) or email us (podcast@aiarthritis.org). Be sure to check out our top-rated show on
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Who is at the table?

Tiffany Westrich=Roberson, CEO and person living with Axial Spondyloarthritis.
Andrew Spiegel, an active advocate for health care policies both in the US and now worldwide
Michael Reilly, Executive Director of Alliance for Safe Biologic Medicines
Charles M Clapton, has nearly two decades of Capitol Hill experience,
Thomas R Barker, is one of the authors of the firm's Medicaid & the Law blog
All our main 1st Sunday of the month episodes are either an initial "put the topic on the table" episode (Step 2 in our organization's 6-step problem solving process) or a "revisit to the table" episode (Step 6 in our organization's 6-step process), where we build on a past show because we have moved forward in developing help, tools, or projects around the issue (Step 5 in our organization's 6-step process).
After each show airs we spin off the conversation into many discussions over various formats, which we now call #360its (new in 2022)!
Your Host: Who is at the Table this Episode?
Tiffany Westrich-Robertson
Tiffany is the CEO at International Foundation for AiArthritis and uses her professional expertise in mind-mapping and problem solving to help others, like her, who live with AiArthritis diseases work in unison to identify and solve unresolved community issues.
Connect with Tiffany:
- Facebook: @tiffanyAiArthritis
- Twitter: @TiffWRobertson
- LinkedIn: @TiffanyWestrichRobertson
Andrew Spiegel
Andrew Spiegel
has nearly two decades of experience in the patient advocacy arena. Spiegel co-founded the Colorectal Cancer Alliance and was longtime board member of the Alliance became CEO in January of 2008 and ran the CCA for nearly 5 years, before undertaking his next venture, the Global Colon Cancer Association (GCCA).In addition to his work in the colon cancer community, Spiegel is an active advocate for health care policies both in the US and now worldwide. He is a co-founder and currently serves on the steering committee of the Alliance for Safe Biologic Medicines (ASBM). He is on the Board of Directors, and in December 2014 was elected to Chair, of the Digestive Disease National Coalition (DDNC),a founding member of the Coalition to Increase Clinical Trial Participation and in May of 2016 he began a three year term as a member of the Board of Directors of the International Alliance of Patient Organizations (IAPO) where he chaired the fundraising committee. Spiegel has won multiple awards for his work in patient advocacy.
Michael Reilly
Michael Reilly, Executive Director of Alliance for Safe Biologic Medicines, has served as the executive director of ASBM since its inception in 2010. He has more than a decade of experience in the federal government developing and implementing healthcare policy. Mr. Reilly served as the associate deputy secretary at the U.S. Department of Health and Human Services (HHS) from 2005-2008 responsible for policy development and implementation, as well as regulatory oversight for issues involving CMS and the FDA. In addition to serving as the associate deputy secretary, Mr. Reilly served as a senior advisor to the assistant secretary for public affairs and the assistant secretary for planning and evaluation at HHS from 2002-2005. Mr. Reilly has been quoted in a series of FDA publications and co-authored many articles on biosimilars for the Generics and Biosimilars Initiative Journal. He has also presented to health regulators worldwide, including the Australian TGA, Health Canada and the World Health Organization (WHO).
Charles M Clapton
Charles M Clapton. Mr Clapton has nearly two decades of Capitol Hill experience, Notably, he served as health policy director for the Senate Committee on Health, Education, Labor, and Pensions, aiding the passage of the FDA Safety and Innovation Act (2012). He also played a pivotal role as a lead Republican staffer during the Affordable Care Act's congressional deliberations. He also impacted the House Ways & Means and Energy & Commerce Committees by shaping Medicare Part D prescription drug benefits, revise drug payment methods for Medicare Part B, and Medicaid changes in the Deficit Reduction Act of 2005.
Thomas Barker
Thomas Barker
Representa a proveedores y pagadores de atención médica ante los Centros de Servicios de Medicare y Medicaid (CMS) y otros componentes del Departamento de Salud y Servicios Humanos (HHS), el Congreso y el Departamento de Trabajo. Tom es excomisionado de la Comisión de Pago y Acceso de Medicaid y CHIP (MACPAC), un organismo asesor que brinda asesoramiento político al Congreso y a los estados sobre los programas Medicaid y CHIP. Es uno de los autores del blog de la firma Medicaid & the Law.www.medicaidandthelaw.com, que destaca y explica los problemas legales y políticos actuales del programa Medicaid.
Pull up your seat at the table
Now it's YOUR TURN to join the conversation!
What do you think about this episode?
We want to know what you think! By continuing the conversation with your opinions and perspectives - we all get a better understanding of the problems facing our community. Better yet, through these conversations we can start working and developing solutions.
We mean it when say 360. Not only do we want your input anytime and anywhere, but we also are eager to see where the conversation will take us. So please, "pull up a seat at the table" and let's start talking!
Email us at podcast@aiarthritis.org, message us on social media (find us by searching for @IFAiArthritis)
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