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Published on: August 9, 2024
[Trust-based economics with medicine outcome-based pricing]
1Université Paris Descartes, 12, rue de l'École-de-Médecine, 75006 Paris, France; CEPS, ministère des affaires sociales et de la santé, 14, avenue Duquesne, 75350 Paris 07 SP, France.
Pharmaceutical industry trust is challenged by scandals and economic pressures. Performance agreements, linking drug reimbursement to real-world outcomes, offer a solution to restore confidence.
Area of Science:
- Pharmaceutical industry
- Health economics
- Drug development
Context:
- Declining public trust in the pharmaceutical sector due to scandals.
- Increased payer expectations for demonstrated clinical value and cost-effectiveness.
- Economic pressures demanding justification for high-cost medications.
Purpose:
- To explore a novel economic model for pharmaceutical market access.
- To address the challenge of value uncertainty and payer expectations.
- To propose a mechanism for restoring confidence in the pharmaceutical industry.
Summary:
- The pharmaceutical industry faces declining trust and heightened payer demands for proven value.
- A new market access model involves performance agreements for expensive drugs.
- Reimbursement is tied to real-world effectiveness, with refunds for failures.
Impact:
- Restores payer confidence through outcome-based agreements.
- Aligns drug value with patient benefit and economic realities.
- Promotes greater accountability and transparency in the pharmaceutical market.
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