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Risk Sharing Agreements What Lessons From Italy

Antonanzas F, Juarez-Castello C, Rodriguez-Ibeas R. Should health authorities offer risk-sharing contracts to pharmaceutical companies? A theoretical approach. Health Econ Policy Law. 2011;6 (3):391-403. Mahjoub R. Evaluation of a pharmaceutical risk-sharing agreement when patients are subject to a review of the likelihood of success. Econ Health. 2018;27 (1):e15-25. Nazareth T, Ko JJ, Sasane R, Frois C, Carpenter S, Demean S, et al. Contractual experience based on results: results of research conducted by US and European stakeholders. J Manag Care Spec Pharm.

2017;23(10):1018-26. As of October 2012, 29 MEAs were in force for 25 drugs [5]. Three types of agreements can be concluded with pharmaceutical companies: (1) cost-sharing (CS, No. 11), (2) risk sharing (RS, No. 2) and (3) payment method (PbR, n -16). CS only involves a remission, usually limited to the first 2-3 months or treatment cycles. These discounts are usually monaceous and producers are expected to refund. The other two contracts are based on « non-respondent » rates. The manufacturer should refund a portion of (RS) or the total price (PbR) for each patient who does not react. If a patient meets the non-response criteria, the hospital pharmacist should ask the manufacturer for a refund by the end of the year; the manufacturer may accept or reject the proposal (arbitration requires an arbitration procedure) [5]. Adamski J, Godman B, Ofierska-Sujkowska G, Osinska B, Herholz H, Wendykowska K, et al.

Risk-sharing regimes for medicines: potential reflections and recommendations for European payers. BMC Health Serv Res. 2010;10:153. Soini E, Asseburg C, Taiha M, Puolakka K, Purcaru O, Luosujarvi R. Economic health effects of a hypothetical risk-sharing system certolizumab pegol for patients with moderate to severe rheumatoid arthritis in Finland. Adv Ther. 2017;34 (10):2316-32. Kanavos P, Ferrario A, Tafuri G, Siviero P. Managing risks and uncertainty in the introduction of health technologies: the role of managed entry agreements. The Glob Directive. 2017;8( S2):84-92.

Makady A, van Veelen A, de Boer A, Hillege H, Klungel OH, Goettsch W. Implementation of managed entry agreements in practice: the Dutch reality check.