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Are Global Health Systems Ready for Transformative Therapies?
Eric Faulkner1, Daryl S Spinner2, Moira Ringo2
1Precision and Transformative Medicine Center of Excellence, Evidera, Durham, NC, USA; Genomics Biotech and Emerging Medical Technology Institute, National Association of Managed Care Physicians, Glen Allen, VA, USA; Institute for Pharmacogenomics and Individualized Therapy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Advancements in health technologies challenge current value assessment models. Global health systems struggle to recognize and reward innovation, necessitating a reconsideration of reward structures for breakthrough therapies.
Area of Science:
- Health Technology Assessment
- Innovation in Healthcare
- Value-Based Healthcare
Background:
- Significant advancements in health technologies offer transformative and curative potential.
- Global health systems face challenges in recognizing and rewarding healthcare innovation.
- Current frameworks may not adequately capture the value of novel health technologies.
Purpose of the Study:
- To examine transformative health technologies and their ecosystem effects.
- To understand challenges in assessing transformative therapies.
- To explore how health systems recognize and reward innovation.
Main Methods:
- Systematic review of 2012-2018 publications on value assessment and health system effects.
- Analysis of 100 health technology assessments (HTAs) from five markets.
- Evaluation of global sales and utilization data for patient access and commercial impact insights.
Main Results:
- Uncertainties exist regarding efficacy, safety, and duration of effect for breakthrough therapies.
- Health technology assessment (HTA) approaches varied across technology categories, despite similar safety parameter evaluations.
- Global HTA and payer systems are unprepared for emerging technology impacts on care delivery and payment models.
Conclusions:
- Rapid evolution of breakthrough therapies necessitates rethinking conventional value assessment and reward models.
- Existing health system measurement and management processes have not kept pace with technological advancements.
- Adaptation of value assessment and reward mechanisms is crucial for integrating novel health technologies.
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