Policy perspectives on alternative models for pharmaceutical rebates: a report from the Institute for Clinical and Economic Review Policy Summit.

Abstract:

:Alternative approaches to the current rebate system are being considered by policymakers and stakeholders in the private insurance market. This paper presents an analysis of three alternative options to the current rebate model: retaining retroactive rebates but requiring 100% pass-through of rebates and fees to plan sponsors; retaining retroactive rebates but requiring that patients share in rebates at the point of sale; and eliminating retroactive rebates and replacing the current structure with upfront discounts. Each alternative approach presents a balance of potential advantages and disadvantages. Policymakers should not assume that switching to an alternative rebate model will deliver unalloyed benefits for patients and the health system.

journal_name

J Comp Eff Res

authors

Pearson SD,Segel C,Cole A,Henshall C,Towse A

doi

10.2217/cer-2019-0094

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

1045-1054

issue

13

eissn

2042-6305

issn

2042-6313

journal_volume

8

pub_type

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