Risk sharing arrangements for pharmaceuticals: potential considerations and recommendations for European payers
| Autor: | Brian Godman, Jakub Adamski, Kamila Wendykowska, Catherine Sermet, Corrine Zara, Saira Jan, Roland Gustafsson, Gabriella Ofierska-Sujkowska, Marija Kalaba, Kristina Garuoliene, Harald Herholz, Silvio Garattini, Alan Haycox, Bogusława Osińska, Ott Laius, Lars L. Gustafsson |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Public economics
Drug Industry Health Planning Guidelines business.industry lcsh:Public aspects of medicine Health Policy Nursing research lcsh:RA1-1270 Insurance Pharmaceutical Services Health informatics Terminology Health administration Risk Sharing Financial Europe Reimbursement Mechanisms Pharmaceutical Services Health care Correspondence Risk sharing Medicine Humans medicine.symptom business Drug industry Confusion |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 10, Iss 1, p 153 (2010) |
| ISSN: | 1472-6963 |
| Popis: | Background There has been an increase in 'risk sharing' schemes for pharmaceuticals between healthcare institutions and pharmaceutical companies in Europe in recent years as an additional approach to provide continued comprehensive and equitable healthcare. There is though confusion surrounding the terminology as well as concerns with existing schemes. Methods Aliterature review was undertaken to identify existing schemes supplemented with additional internal documents or web-based references known to the authors. This was combined with the extensive knowledge of health authority personnel from 14 different countries and locations involved with these schemes. Results and discussion A large number of 'risk sharing' schemes with pharmaceuticals are in existence incorporating both financial-based models and performance-based/outcomes-based models. In view of this, a new logical definition is proposed. This is "risk sharing' schemes should be considered as agreements concluded by payers and pharmaceutical companies to diminish the impact on payers' budgets for new and existing schemes brought about by uncertainty and/or the need to work within finite budgets". There are a number of concerns with existing schemes. These include potentially high administration costs, lack of transparency, conflicts of interest, and whether health authorities will end up funding an appreciable proportion of a new drug's development costs. In addition, there is a paucity of published evaluations of existing schemes with pharmaceuticals. Conclusion We believe there are only a limited number of situations where 'risk sharing' schemes should be considered as well as factors that should be considered by payers in advance of implementation. This includes their objective, appropriateness, the availability of competent staff to fully evaluate proposed schemes as well as access to IT support. This also includes whether systematic evaluations have been built into proposed schemes. |
| Databáze: | OpenAIRE |
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