Outcomes-based risk-sharing schemes : is there a potential role in the Asia-Pacific markets?

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dc.contributor.authorCoulton, Lisbet
dc.contributor.authorAnnemans, Lieven
dc.contributor.authorCarter, Rob
dc.contributor.authorBaltazar Herrera, Maya
dc.contributor.authorThabrany, Hasbullah
dc.date.accessioned2015-03-06T14:34:31Z
dc.date.available2015-03-06T14:34:31Z
dc.date.copyright2012
dc.date.issued2012-11
dc.description.abstractOBJECTIVES : To provide a commentary on outcomes-based risk-sharing schemes in Europe and the US, and to assess characteristics of such schemes and whether they have a potential role in the Asia-Pacific markets. This commentary also examines current experience in the Asia-Pacific markets and considers criteria for such agreements as they might relate to the different health care environments. SUMMARY : Future opportunities for patient access schemes, and specifically, a role for outcomesbased risk-sharing schemes, exist in the Asia-Pacific markets. Four types of agreements across the Asia-Pacific markets were identified that are not purely outcomes-based or risk-sharing, but cover innovative high-cost medicines, areas of high unmet need, areas affecting small patient populations, and medicines where the evidence is uncertain. Key factors for consideration are the public environment and the general acceptance of such agreements; the level of available resources that impact the health care priorities in each market and the public demand for access to medicines and to innovation. The ability to undertake such agreements appears to depend significantly on the degree of centralized decision-making and the dominance of a “single payer” for negotiation; the ability to manage data e both to undertake health technology assessments and to have systems/infrastructure to collect data and demonstrate outcomes; the nature of local health care structures and the capabilities to implement schemes where the financing is linked to outcomes. Caution was shared across markets with a trend to “watch and wait” while evidence emerges elsewhere.en
dc.formatTexten
dc.format.extent1 digital file (p. e205-e219)en
dc.format.mimetypeapplication/pdf
dc.identifier.citationCoulton, L., Annemans, L., Carter, R., Baltazar Herrera, M., Thabrany, H., Lim, J. et al. (2012). Outcomes-based Risk-sharing Schemes: Is There a Potential Role in the Asia-Pacific Markets?. Health Outcomes Research in Medicine, 3(4): e205-e219.en
dc.identifier.urihttp://hdl.handle.net/10625/53825
dc.language.isoen
dc.publisherElsevieren
dc.subjectACCESS TO HEALTH CAREen
dc.subjectASIAen
dc.subjectASIA AND THE PACIFICen
dc.subjectCONDITIONAL COVERAGEen
dc.subjectCONDITIONAL EVIDENCE DEVELOPMENTen
dc.subjectCONDITIONAL TREATMENT CONTINUATIONen
dc.subjectCOVERAGE WITH EVIDENCE DEVELOPMENTen
dc.subjectDIFFERENTIAL PRICINGen
dc.subjectFINANCE BASED SCHEMESen
dc.subjectHEALTH TECHNOLOGY ASSESSMENTen
dc.subjectINNOVATIVE PRICINGen
dc.subjectMANAGED ENTRYen
dc.subjectOUTCOMES-BASEDen
dc.subjectOUTCOMES-BASED SCHEMEen
dc.subjectOUTCOMES GUARANTEEen
dc.subjectPATIENT ACCESSen
dc.subjectPERFORMANCE BASEDen
dc.subjectPRICEen
dc.subjectREIMBURSEMENTen
dc.subjectRISK SHARINGen
dc.subjectSOUTHEAST ASIAen
dc.subjectVALUE BASED PRICINGen
dc.subjectMEDICAL RESEARCHen
dc.subjectOUTCOME ASSESSMENT (HEALTH CARE)en
dc.subjectASIA AND THE PACIFICen
dc.subjectRISK ASSESSMENTen
dc.titleOutcomes-based risk-sharing schemes : is there a potential role in the Asia-Pacific markets?en
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderElsevier Inc.
idrc.dspace.accessIDRC Onlyen
idrc.noaccessDue to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d'auteur, le texte intégral de cet extrant de recherche n'est pas accessible dans la Bibliothèque numérique du CRDI, et il n'est pas possible d'en faire la demande à la Bibliothéque du CRDI.en
idrc.project.componentnumber106439003
idrc.project.number105309
idrc.project.number106439
idrc.project.titleEquity in Health and Health Financing: Building and Strengthening Developing Country Networksen
idrc.recordsserver.bcsnumberIC01-4451-51
idrc.rims.adhocgroupIDRC SUPPORTEDen

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