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Published on: September 10, 2018
ASSESSING VALUE, BUDGET IMPACT, AND AFFORDABILITY IN ASIA
Grace Hampson1, Chris Henshall2, Adrian Towse3
1Office of Health Economicsghampson@ohe.org.
Health technology assessment (HTA) in Asia struggles with defining value and managing costs for high-value therapies. Collaboration is needed to ensure equitable patient access to innovative treatments within budget constraints.
Area of Science:
- Health Economics
- Health Technology Assessment
- Pharmaceutical Policy
Background:
- Defining value in healthcare is complex, especially for high-cost technologies in the Asia region.
- Budget impact and affordability are critical considerations in health technology assessment (HTA).
Purpose of the Study:
- To explore definitions of value in HTA within the Asia region.
- To examine the use of budget impact and affordability considerations in HTA for high-cost technologies.
Main Methods:
- A 2016 meeting of the HTAi Asia Policy Forum (HAPF) involved senior representatives from HTA and payer systems, industry delegates, and experts.
- A pre-meeting survey gathered data on value assessment, budget impact calculations, and affordability management strategies.
Main Results:
- Health benefit is universally considered the core component of value, with limited consensus on broader elements.
- Budget impact is used in decision-making, but accurate estimation poses challenges.
- Affordability strategies include coverage restrictions, discounts, and revenue caps, potentially leading to inequitable access and reduced innovation rewards.
Conclusions:
- Continued collaboration between decision-makers, HTA agencies, and industry is essential.
- Mutually agreeable solutions are required to ensure equitable patient access to effective therapies.
- Affordability must be balanced with rewarding innovation across the Asia region.
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