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- Title
Access with Evidence Development Schemes.
- Authors
McCabe, Christopher J.; Stafinski, Tania; Edlin, Richard; Menon, Devidas
- 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.
- Subjects
UNITED Kingdom; HEALTH insurance reimbursement; HEALTH services accessibility; MEDICAL care costs; HEALTH insurance; INSURANCE policies; MEDICAL care marketing
- Publication
PharmacoEconomics, 2010, Vol 28, Issue 2, p143
- ISSN
1170-7690
- Publication type
Article
- DOI
10.2165/11530850-000000000-00000