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                                                                                                  business Saturday 9 april 2022
            Medicare weighs premium cut after limiting Alzheimer’s drug




            By    RICARDO     ALONSO-                                                              That  was  not  the  case  left  the  company  with
            ZALDIVAR  and  MATTHEW                                                                 with  Aduhelm.  It  received  just  $3  million  in  sales  from
            PERRONE                                                                                what’s known as “acceler-    Aduhelm last year. Doctors
            Associated Press                                                                       ated”  approval  last  year  have been hesitant to pre-
            WASHINGTON (AP) — Medi-                                                                because  of  its  potential  scribe  it,  given  weak  evi-
            care said Thursday it’s con-                                                           promise.  But  manufacturer  dence that the drug slows
            sidering  a  cut  in  enrollee                                                         Biogen  is  required  to  con-  the progression of Alzheim-
            premiums,  after  officials                                                            duct  a  follow-up  study  to  er’s. Insurers have blocked
            stuck  with  an  earlier  deci-                                                        definitively answer whether  or restricted coverage over
            sion  to  sharply  limit  cover-                                                       Aduhelm  truly  slows  the  the  drug’s  high  price  tag
            age  for  a  pricey  new  Al-                                                          progression  of  Alzheimer’s.  and uncertain benefit.
            zheimer’s  drug  projected                                                             If  that  study  is  successful,  The  CMS  decision  means
            to drive up program costs.                                                             FDA  would  grant  full  ap-  that  for  Medicare  to  pay,
            The  agency  “is  looking                                                              proval.                      patients  taking  Aduhelm
            at  that,  and  is  still  go-                                                         That  would  also  open  up  will have to be part of clini-
            ing  through  the  process,”   The Biogen Inc., headquarters, Wednesday, March 11, 2020, in   Medicare coverage.    cal trials to assess the drug’s
            spokeswoman  Beth  Lynk      Cambridge, Mass.                                          Dr. Lee Fleisher, chief medi-  safety and effectiveness in
            said  of  a  potential  reduc-                                        Associated Press  cal  officer  of  the  Centers  slowing  the  progression  of
            tion  in  premiums,  as  Medi-                                                         for  Medicare  &  Medicaid  early-stage dementia.
            care  announced  its  final  Medicare recipients signed  promises  to  cut  prescrip-  Services, said “there will be  Tamara Syrek Jensen, head
            coverage     decision   for  up  for  the  program’s  out-  tion drug costs, unless they  quick access for Medicare  of  CMS’s  coverage  and
            Aduhelm,  a  drug  whose  patient  coverage  benefit.  can overcome internal dis-      beneficiaries”  for  Alzheim-  analysis unit, said “it’s status
            benefits have been widely  Lawmakers have called for  agreements.  Most  Medi-         er’s drugs that receive the  quo” as far as limitations the
            questioned  in  the  medical  a rollback and Health and  care  recipients  have  their  traditional  FDA  approval,  agency initially imposed on
            community.                   Human  Services  Secretary  premiums  deducted  from  after demonstrating a clear  Aduhelm in January.
            Officials  said  Medicare  will  Xavier  Becerra  already  di-  their  monthly  Social  Secu-  benefit.             The limits stayed on despite
            keep  coverage  restrictions  rected  Medicare  to  reas-  rity  checks.  And  despite  a  Aduhelm hit the market as  a massive lobbying push by
            imposed  earlier  on  the  sess.                          big  cost-of-living  increase,  the  first  new  Alzheimer’s  the Alzheimer’s Association
            $28,000-a-year medication,  Thursday’s  coverage  deci-   they’re  feeling  the  bite  of  medication  in  nearly  two  to change Medicare’s po-
            paying  for  Aduhelm  only  sion  illustrates  the  impact  inflation.                 decades. Initially priced at  sition,  including  outreach
            when it’s used in clinical tri-  that  a  single  medication  Medicare’s  determination  $56,000  a  year,  it  was  ex-  to  members  of  Congress,
            als  approved  by  the  Food  can  have  on  the  budgets  on  Aduhelm  included  an  pected to quickly become  online  advertising  and  so-
            and  Drug  Administration  of  individuals  and  taxpay-  important  caveat.  Officials  a  blockbuster  drug,  gen-  cial  media  campaigns  di-
            or the National Institutes of  ers.  It  comes  as  legislation  said  that  if  it  or  any  other  erating  billions  for  Cam-  rected at the agency.
            Health.                      to  authorize  Medicare  to  similar drug in its class were  bridge,  Mass.-based  Bio-  The  association,  the  larg-
            The  projected  cost  of  negotiate prescription drug  to  receive  what’s  called  gen.                            est group of its kind, has re-
            Aduhelm was a major driv-    prices remains stuck in the  “traditional” FDA approval,  But  although  the  com-     ceived  contributions  from
            er behind a $22 increase in  Senate,  part  of  President  then Medicare would open  pany  slashed  the  price  in  drugmakers,  including  Bio-
            Medicare’s  Part  B  premi-  Joe  Biden’s  stalled  social  up  broader  coverage  for  half — to $28,000 a year —  gen.
            um this year, boosting it to  and climate agenda.         patients.  Such  approval  is  Aduhelm’s rollout has been  The  group’s  CEO  said  he
            $170.10 a month. That price  That’s  left  Democrats  with  granted  when  a  medica-  disastrous.                  was  “very  disappointed”
            hike  is  already  being  paid  nothing  to  show  on  their  tion  shows  a  clear  clinical  Pushback  from  politicians,  after reviewing Medicare’s
            by  more  than  56  million  midterm       election-year  benefit.                     physicians   and   insurers  decision.q

            McDonald’s investors will consider civil

            rights audit



            By DEE-ANN DURBIN            provide  recommendations  the company of discrimina-
            AP Business Writer           for improvement.             tion.
            McDonald’s  investors  will  SOC backed a similar pro-    SOC also faulted the com-
            consider  a  proposal  for  a  posal  at  Apple’s  annual  pany for reporting diversity
            civil rights audit of the com-  meeting  in  March.  Apple  data only for its company-
            pany after the federal gov-  shareholders voted in favor  owned  U.S.  stores,  even
            ernment  denied  McDon-      of  a  civil  rights  audit  over  though 95% of its stores are
            ald’s request to remove the  the  Cupertino,  California-  owned  and  operated  by
            proposal from the agenda  based  company’s  objec-        franchisees.
            at its annual meeting.       tions.  McDonald’s  annual  “We  urge  McDonald’s  to
            SOC  Investment  Group,  meeting  hasn’t  yet  been  assess its behavior through
            a  shareholder  advocacy  scheduled  but  is  generally  a  civil  rights  lens  to  obtain   In  this  April  20,  2006  file  photo,  a  McDonald’s  restaurant  logo
                                                                                                   and golden arch is lit in Chicago’.
            group  that  supports  union  held in May.                a complete picture of how                                             Associated Press
            pension  funds,  submitted  In  its  proposal,  SOC  noted  it contributes to social and
            the  proposal  for  a  vote  at  more  than  50  complaints  economic inequality,” SOC  ly reporting on its civil rights  franchisees from historically
            McDonald’s  annual  meet-    and lawsuits alleging sexu-  wrote  in  the  proxy  state-  record could harm its legal  underrepresented  groups
            ing.  The  proposal,  which  is  al harassment at the com-  ment.                      defense in multiple lawsuits.  and  new  requirements  for
            one of 10 listed on McDon-   pany’s restaurants over the  In a letter sent in January to  The  Chicago-based  com-  anti-harassment training at
            ald’s proxy statement, asks  last  six  years.  It  also  said  the  U.S.  Securities  and  Ex-  pany  also  noted  its  ongo-  its stores worldwide.
            McDonald’s board to over-    multiple  lawsuits  against  change  Commission,  Mc-     ing  efforts  to  promote  di-  The  company  said  it  has
            see a third-party audit that  the  company  have  been  Donald’s asked to remove  versity,  including  a  $250  also  set  a  goal  of  gender
            would analyze the compa-     filed  by  Black  franchisees  the proposal from its proxy  million   commitment   to  parity in its leadership posi-
            ny’s  civil  rights  record  and  and  executives  accusing  statement because public-  increase  the  number  of  tions by the end of 2030.q
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