Policy Research Grants

Funding For:

Price Benchmarks and Limits for Biologics and Specialty Drugs

Health Care Costs & Quality


Recipient:

James Robinson, University of California, Berkeley

Grant Period:

Jan 01, 2026 - Dec 31, 2026

AMOUNT:

$50,000.00

Summary of the Project:

Medicare limits its exposure to drug prices through payment formulas and ceilings; however, private insurers do not have similar authority. This study will use claims data from Blue Cross and Blue Shield plans nationwide to develop four sets of benchmarks for assessing and limiting drug prices charged by hospitals to private insurers for complex specialty and biologic drugs, and estimate potential savings for purchasers and insurers if prices are limited to benchmarks.
 

Research Team: 
James Robinson, University of California, Berkeley
Christopher Whaley, Brown University

Grantee Publications

March 11, 2026

Hospital Adoption and Pricing for Oncology Biosimilars

Learn More

Author: James C. Robinson, PhD, Ari D. Kosorukov, BA, Christopher M. Whaley, PhD