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Balancing Innovation and Access: Insights from AIM's Fair Pricing Model and Its Current and Future Applications
Jocelijn Stokx1, Anne Hendrickx2, Kärt Veliste3
1CM Health Insurance Fund, Brussels, Belgium.
Pharmacoeconomics
|April 16, 2026
Summary
The International Association of Mutual Benefit Societies (AIM) Fair Pricing Model found that fair prices for new medicines could be significantly lower than market prices. Applying this model could lead to substantial savings for European healthcare systems.
Area of Science:
- Health Economics
- Pharmaceutical Policy
- Drug Pricing
Background:
- Escalating drug prices pose a significant challenge to national healthcare systems.
- Affordable medicine access is crucial for equitable healthcare.
- Cost-based pricing models can complement value-based approaches.
Purpose of the Study:
- To assess the feasibility and impact of the AIM Fair Pricing Model.
- To compare calculated fair prices with actual market prices for new medicines in Europe.
- To estimate potential budgetary savings for healthcare systems.
Main Methods:
- Applied the AIM Fair Pricing Model to ten market-protected medicines (2015-2018).
- Analyzed data across six European countries: Belgium, Estonia, Germany, Netherlands, Slovenia, and Switzerland.
- Calculated fair prices using a standardized R&D cost (€800 million) with sensitivity analyses and compared them to 2020 list and net prices.
Main Results:
- Fair prices were up to 97% lower than list prices and 53% lower on average.
- Even considering confidential discounts, fair prices averaged 33% below net prices.
- Potential European annual net savings of €27 billion for new medicines were estimated.
Conclusions:
- The AIM model provides a framework for transparent and fair medicine pricing.
- Current medicine prices are not justified by R&D costs or therapeutic value.
- Implementing the AIM model can generate significant savings for European health systems.
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