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Eyes On Pharma Blog 

Robin Bateman

Patient Volumes Recovering + Aduhelm




This week the team has been keeping their eyes on 1Q22 Patient Volume/Procedure Updates and the Aduhelm CMS Decision.


Elective Surgical Procedures Increasing in 1Q22


We were interested to see that one of the tracking surveys in the hospital sector showed improvement in numbers of patients and procedures in the first quarter of the year. Both in-patient and out-patient hospital Non-COVID volumes are recovering and physicians are optimistic that this will continue. The respondents noted an improvement in patients who are scheduling both inpatient and outpatient elective procedures.


The research also showed positive trends for CROs as new patient recruitment improved 25% over the previous quarter with rates nearing pre-COVID levels. The survey also noted that Labor continues to be an issue that could impact the speed of recovery. Clients can access the full report here.


CMS Issues Final NCD for Aduhelm


CMS released their final NCD proposal (here) for Aduhelm reimbursement. They will limit reimbursement to patients in clinical trials. This confirms previous drafts and has already been factored into most forecasts (here).


The impact on other products in development such as those by Lilly, Eisai, and Roche is not yet clear – they are still continuing development of their candidates. The CMS stated they would cover approved antibodies based on direct clinical benefit — such as proof of slowing cognitive decline — in CMS-approved prospective comparative studies. The CMS suggested that such studies could include real-world data from a broader range of patients such as from routine clinical practice or a patient registry. So, there may be a way forward for new / developing Alzheimer's Drugs to gain coverage.



Tip of the Week

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