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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Facilitating [corrected] More Efficient Negotiations for Innovative Therapies: A Value-Based Negotiation Framework.

Amanda Whittal1, Claudio Jommi2, Gérard De Pouvourville3

  • 1Dolon Ltd., London, United Kingdom.

International Journal of Technology Assessment in Health Care
|March 11, 2022
PubMed
Summary
This summary is machine-generated.

Managed entry agreements (MEAs) facilitate patient access to innovative therapies. A new value-based negotiation framework streamlines MEA discussions between manufacturers and payers, improving transparency and efficiency.

Keywords:
Innovative therapiesManaged entry agreementsNegotiation framework

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Area of Science:

  • Health economics and outcomes research
  • Pharmaceutical policy
  • Healthcare access and innovation

Background:

  • Innovative therapies like gene and cell treatments face access delays due to differing manufacturer and payer perspectives on value and uncertainty.
  • Managed entry agreements (MEAs) offer a pathway for reimbursement when conventional methods are insufficient.
  • Current MEA processes lack a structured approach for decision-making and implementation.

Purpose of the Study:

  • To propose a conceptual value-based negotiation framework to structure MEA discussions.
  • To facilitate systematic identification and prioritization of concerns for both manufacturers and payers.
  • To enable selection of MEA terms that address concerns with minimal implementation burden.

Main Methods:

  • Development of the framework through iterative scientific literature review.
  • Incorporation of expert input throughout the framework development process.

Main Results:

  • A structured framework designed to systematically identify and prioritize concerns.
  • Tools to support the selection of mutually acceptable MEA terms.
  • Focus on minimizing implementation burden for selected MEA terms.

Conclusions:

  • The proposed framework aims to support more structured and transparent negotiations between payers and manufacturers.
  • It seeks to balance the needs of both parties, leading to quicker MEA negotiations.
  • Ultimately, the framework intends to improve patient access to innovative treatments.