Skip to main content
Erschienen in: Eurasian Business Review 1/2019

13.06.2018 | Regular Article

Money back guarantee? A cost–benefit framework of performance-based agreements (PBAs) for the reimbursement of pharmaceuticals

verfasst von: A. Carletto, A. Cicchetti, S. Coretti, V. Moramarco, M. Ruggeri

Erschienen in: Eurasian Business Review | Ausgabe 1/2019

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

The aim of this paper is to provide an empirical framework based on a discrete-time Markov chain to assess the costs and benefits of Performance Based Agreements (PBAs) for the reimbursement of pharmaceuticals. We provide an empirical testing using a case study referring to a treatment recently approved for reimbursement in Italy. The implementation of this framework is challenging for the agencies dealing with pricing and reimbursement decisions given the uncertainty associated with the treatment effectiveness and safety. On the other hand, empirical evidence shows that the awareness of the expected costs associated with different reimbursement schemes is necessary to inform decision-makers.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Fußnoten
1
When probability of progression and death considerably changes over time, time-varying transition matrices should be applied at different model cycles, otherwise probabilities can be assumed to be constant in all model cycles.
 
Literatur
Zurück zum Zitat Adamski, J., Godman, B., Ofierska-Sujkowska, G., Osińska, B., Herholz, H., Wendykowska, K., et al. (2010). Risk sharing arrangements for pharmaceuticals: Potential considerations and recommendations for European payers. BMC Health Services Research, 10, 153. https://doi.org/10.1186/1472-6963-10-153.CrossRef Adamski, J., Godman, B., Ofierska-Sujkowska, G., Osińska, B., Herholz, H., Wendykowska, K., et al. (2010). Risk sharing arrangements for pharmaceuticals: Potential considerations and recommendations for European payers. BMC Health Services Research, 10, 153. https://​doi.​org/​10.​1186/​1472-6963-10-153.CrossRef
Zurück zum Zitat Associazione Italiana di Economia Sanitaria, gruppo di lavoro coordinato da Giovanni Fattore. (2009). Proposta di linee guida per la valutazione economica degli interventi sanitari. Politiche sanitarie, 10(2), 91–99. Associazione Italiana di Economia Sanitaria, gruppo di lavoro coordinato da Giovanni Fattore. (2009). Proposta di linee guida per la valutazione economica degli interventi sanitari. Politiche sanitarie, 10(2), 91–99.
Zurück zum Zitat Atella, V. (1999). Drug cost containment policies in Italy: Are they really effective in the long-run?-The case of minimum reference price. Health Policy, 50(3), 197–218.CrossRef Atella, V. (1999). Drug cost containment policies in Italy: Are they really effective in the long-run?-The case of minimum reference price. Health Policy, 50(3), 197–218.CrossRef
Zurück zum Zitat Caro, J. J., Briggs, A. H., Sieber, U., & Kuntz, K. M. (2012). Modeling good research practices—overview: A report of the ISPOR-SMDM modeling good research practices task force-1. Value in Health, 15, 796–803.CrossRef Caro, J. J., Briggs, A. H., Sieber, U., & Kuntz, K. M. (2012). Modeling good research practices—overview: A report of the ISPOR-SMDM modeling good research practices task force-1. Value in Health, 15, 796–803.CrossRef
Zurück zum Zitat Claxton, K., Briggs, A., Buxton, M. J., Culyer, A. J., McCabe, C. J., Walker, S., et al. (2008). Value based pricing for NHS drugs: An opportunity not to be missed? BMJ British Medical Journal, 336, 251–254.CrossRef Claxton, K., Briggs, A., Buxton, M. J., Culyer, A. J., McCabe, C. J., Walker, S., et al. (2008). Value based pricing for NHS drugs: An opportunity not to be missed? BMJ British Medical Journal, 336, 251–254.CrossRef
Zurück zum Zitat Espín, J., Rovira, J., & García, L. (2011). Experiences and impact of European risk-sharing schemes focusing on oncology medicines. EmiNet, Andalusian School of Public Health. Espín, J., Rovira, J., & García, L. (2011). Experiences and impact of European risk-sharing schemes focusing on oncology medicines. EmiNet, Andalusian School of Public Health.
Zurück zum Zitat Garrison, L. P., Towse, A., Briggs, A., de Pouvourville, G., Grueger, J., Mohr, P. E., et al. (2013). Performance-based risk-sharing arrangements-good practices for design, implementation, and evaluation: Report of the ISPOR good practices for performance-based risk-sharing arrangements task force. Value in Health, 16(5), 703–719. https://doi.org/10.1016/j.jval.2013.04.011.CrossRef Garrison, L. P., Towse, A., Briggs, A., de Pouvourville, G., Grueger, J., Mohr, P. E., et al. (2013). Performance-based risk-sharing arrangements-good practices for design, implementation, and evaluation: Report of the ISPOR good practices for performance-based risk-sharing arrangements task force. Value in Health, 16(5), 703–719. https://​doi.​org/​10.​1016/​j.​jval.​2013.​04.​011.CrossRef
Zurück zum Zitat Ghislandi, S., Krulichova, I., & Garattini, L. (2005). Pharmaceutical policy in Italy: Towards a structural change? Health Policy, 72(1), 53–63.CrossRef Ghislandi, S., Krulichova, I., & Garattini, L. (2005). Pharmaceutical policy in Italy: Towards a structural change? Health Policy, 72(1), 53–63.CrossRef
Zurück zum Zitat Jommi, C., Costa, E., Michelon, A., Pisacane, M., & Scroccaro, G. (2013). Multi-tier drugs assessment in a decentralised health care system. The Italian case-study. Health Policy, 112(3), 241–247. Jommi, C., Costa, E., Michelon, A., Pisacane, M., & Scroccaro, G. (2013). Multi-tier drugs assessment in a decentralised health care system. The Italian case-study. Health Policy, 112(3), 241–247.
Zurück zum Zitat Jommi, C., & Minghetti, P. (2015). Pharmaceutical pricing policies in Italy. In Z.-U.-D. Babar (Ed.), Pharmaceutical prices in the 21st century (pp. 131–150). New York: Springer. Jommi, C., & Minghetti, P. (2015). Pharmaceutical pricing policies in Italy. In Z.-U.-D. Babar (Ed.), Pharmaceutical prices in the 21st century (pp. 131–150). New York: Springer.
Zurück zum Zitat Lilico, A. (2003). Risk-sharing pricing models in the distribution of pharmaceuticals. Europe Economics Staff Working Paper (No. 1). Lilico, A. (2003). Risk-sharing pricing models in the distribution of pharmaceuticals. Europe Economics Staff Working Paper (No. 1).
Zurück zum Zitat Peiró, R. P., Ferrandiz, J. M., Sussex, J., Towse, A., & Economics, H. (2011). Literature review on patient access schemes, flexible pricing schemes and risk sharing agreements for medicines. In PPRI Conference, 29–30 September 2011. Vienna, Austria. Peiró, R. P., Ferrandiz, J. M., Sussex, J., Towse, A., & Economics, H. (2011). Literature review on patient access schemes, flexible pricing schemes and risk sharing agreements for medicines. In PPRI Conference, 2930 September 2011. Vienna, Austria.
Zurück zum Zitat Stafinski, T., Mccabe, C. J., & Menon, D. (2010). Funding the unfundable. PharmacoEconomics, 28(2), 113–142.CrossRef Stafinski, T., Mccabe, C. J., & Menon, D. (2010). Funding the unfundable. PharmacoEconomics, 28(2), 113–142.CrossRef
Metadaten
Titel
Money back guarantee? A cost–benefit framework of performance-based agreements (PBAs) for the reimbursement of pharmaceuticals
verfasst von
A. Carletto
A. Cicchetti
S. Coretti
V. Moramarco
M. Ruggeri
Publikationsdatum
13.06.2018
Verlag
Springer International Publishing
Erschienen in
Eurasian Business Review / Ausgabe 1/2019
Print ISSN: 1309-4297
Elektronische ISSN: 2147-4281
DOI
https://doi.org/10.1007/s40821-018-0107-y

Weitere Artikel der Ausgabe 1/2019

Eurasian Business Review 1/2019 Zur Ausgabe