使用以患者为中心的价值评估来优化通货膨胀减少法案的医疗保险药品价格谈判计划的公平价格
Nabin Poudel1, Surachat Ngorsuraches2
1University of Maryland School of Pharmacy, Baltimore, MD.
Journal of managed care & specialty pharmacy
|December 23, 2023
概括
医疗保险和医疗补助服务中心 (CMS) 应该将患者的偏好纳入药品价格谈判. 使用以患者为中心的价值评估方法,如离散选择实验,可以优化医疗保险药物的最大公平价格 (MFP).
科学领域:
- 卫生经济学 卫生经济学
- 医疗服务研究 医疗服务研究
- 制药政策 制药政策
背景情况:
- 联邦机构在医疗保健决策中支持患者的观点.
- 医疗保险药品价格谈判计划是通货膨胀减缓法案的一部分,包括以患者为中心的会议.
- 在CMS指南中,缺乏关于患者的意见将如何确定最高公平价格 (MFP) 的明确性.
研究的目的:
- 倡导在医疗保险药品价格谈判计划中使用以患者为中心的价值评估方法.
- 提出离散选择实验作为优化MFP的工具.
- 用Jardiance作为一个例子来说明离散选择实验的应用.
主要方法:
- 审查当前的CMS指导和支持患者输入的支持.
- 专注于声明偏好方法,特别是离散选择实验 (DCE).
- 应用DCEs来评估患者的价值和愿意支付药品的意愿.
主要成果:
- 目前的CMS关于患者在药品价格谈判中的投入计划缺乏关于MFP决定的具体细节.
- 离散选择实验为量化患者偏好和价值提供了一种可靠的方法.
- DCE可以提供经验数据,以告知和优化选择药物的MFP.
结论:
- CMS应采用以患者为中心的价值评估方法,如DCE,以加强医疗保险药品价格谈判计划.
- 使用患者观点优化MFP可确保价格反映了真正的治疗价值和患者报告的价值.
- 实施DCE可以导致更公平,更有效的药物定价策略.
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