Access with evidence development schemes: a framework for description and evaluation.

Abstract:

:There is an inevitable tension between robust reimbursement processes and providing speedy access to new and novel technologies, given uncertainties about key pieces of evidence and subsequent concerns regarding their overall efficiency. The public perception of these treatments as 'breakthrough', combined with substantial clinical pressure, has led to healthcare payers looking for schemes that allow the new technology to be made available to (some) patients, while (at least partially) protecting the principles of their reimbursement decision-making processes. Current literature on these schemes is almost completely descriptive and provides little help in planning future schemes. We propose a framework for evaluating current schemes and informing the design of future schemes. We examine the value of the framework using the UK Multiple Sclerosis Risk-Sharing Scheme as a case study.

journal_name

Pharmacoeconomics

journal_title

PharmacoEconomics

authors

McCabe CJ,Stafinski T,Edlin R,Menon D,Banff AED Summit.

doi

10.2165/11530850-000000000-00000

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

143-52

issue

2

eissn

1170-7690

issn

1179-2027

journal_volume

28

pub_type

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