HTA (private)

Question 1

how do payers incorporate hta into the industry?

Answer 1

1. delaying market entry
2. not reimbursing companies for use on time
3. limit use of drugs with clinical protocols / prescribing controls
4. paying less for drugs

Question 2

what comprises value

Answer 2

Value of comparator,
improvement in clinical outcome (longer lives)
patient outcomes benefits (eg QoL)
Productivity gains
Healthcare costs avoid

Question 3

main heor tools

Answer 3

burden of disease,
patient reported outcomes,
clinical effectiveness,
economic modelling/effectiveness

Question 4

types of markets

Answer 4

1. clinical effectiveness,
2. cost effectiveness,
3. decentralisation and budget optimisation,
4. free market (do not need to justify for cost effectiveness)

Question 5

types of MEA

Answer 5

financial
outcome
evidence development

Question 6

main consideration in choosing MEA

Answer 6

budget impact

Question 7

what is price volume agreement

Answer 7

the more u buy, the more discount u get

Question 8

what is portfolio agreement

Answer 8

Provide discount/rebate on a single product/group of products to enable better conditions for another product (drug X).

Question 9

cost sharing agreement

Answer 9

first few months free, then no more discount. but pts might drop off after if no discount