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Related Experiment Videos

Coverage with Evidence Development: applications and issues.

Paul Trueman¹, David L Grainger, Kristen E Downs

¹Health Economics Research Group, Brunel University, Uxbridge, Middlesex UB8 3PPH, UK. Paul.Trueman@brunel.ac.uk

International Journal of Technology Assessment in Health Care

|January 12, 2010

Summary

Coverage with Evidence Development (CED) allows patient access to new technologies while collecting data. Balancing access and uncertainty is key for this innovative conditional coverage approach.

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Area of Science:

Health Technology Assessment
Health Economics
Health Policy

Background:

Coverage with Evidence Development (CED) involves restricted coverage for new technologies alongside targeted research.
The goal of CED research is to gather definitive evidence on the clinical and cost-effectiveness of new technologies.

Purpose of the Study:

To describe current issues related to Coverage with Evidence Development (CED).
To differentiate CED from other conditional coverage agreements.
To propose criteria for appropriate CED implementation.

Main Methods:

Synthesized information from the 2008 Health Technology Assessment International (HTAi) meeting.
Reviewed additional medical literature.
Analyzed real-world CED examples and stakeholder consensus.

Main Results:

Payers' interpretation of CED evidence can vary, impacting technology reimbursement.
Balancing timely access to new technologies with existing uncertainties presents a significant challenge.
CED represents an innovative form of conditional coverage.

Conclusions:

CED can facilitate patient access to promising innovative medicines, procedures, or devices.
Selective application in appropriate disease areas is recommended.
Data collection under CED helps minimize uncertainty regarding new technologies.