The Reality of Market Access in Europe: the role of Health Technology Assessment
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Published by FirstWord Pharma: 10 Mar 2014 | 105 | In Stock
Related Topics: Technology
Faced with slipping or negligible GDP growth and an economic crisis, Eurozone countries are drilling down into healthcare budgets as a means of controlling expenditure.
From price cuts, tighter reimbursement criteria and greater patient co-payments to the wider use of generics and manufacturer risk-sharing agreements, the largest markets are examining ways to balance the public good with fiscal goals.
Set against that background is Health Technology Assessment (HTA). Widely used as part of the pricing and reimbursement process in Europe, HTA is nevertheless still in the early stages of being coordinated into a system across Europe.
In The Reality of Market Access in Europe: the role of Health Technology Assessment, FirstWord skilfully addresses the issues surrounding HTA, both for its potential to rationalise treatment on economic grounds and as a means to assess the cost effectiveness of new products. Focused on the agencies, procedures and approaches of HTA in the six largest EU markets, the report provides a coherent and current overview of pricing and reimbursement, controversies over issues like rule-making and individual product cases, and what the future of HTA will look like.
Attitudes to drug reimbursement have been shaped by economics. In The Reality of Market Access in Europe: the role of Health Technology Assessment, you will:
Filled with compelling and important insights into an evolving market, the report offers:
Key Questions Answered
Pharmaceutical manufacturers are increasingly faced with changing rules and practices on reimbursement. In this report, you will discover:
Table of Contents
for The Reality of Market Access in Europe: the role of Health Technology Assessment
2.Drivers for cost-containment: economic background
2.1.1.Effects on public spending
3.1.Rising hospital spending in France, Spain and the UK
3.2.Germany, rising prominence of cancer medicines
4.Activity at European level
4.1.An overview of the European drug approval process
4.2.Pricing and reimbursement at European level
4.2.1.European pricing and reimbursement directive
4.2.2.Directive 2011/24/EU on patients’ rights in cross border healthcare
4.3.HTA collaboration: EUnetHTA
4.3.1.Activities and development
5.Country focus: France
5.1.Pricing and Reimbursement in France
5.2.The Transparency Committee
5.4.ASMR level I to III: CEESP review
5.5.Reform plans: ITR to replace SMR/ASMR?
6.Country focus: Germany
6.1.Pricing and reimbursement in Germany
7.HTA in Germany: The role of IQWIG
7.1.How is a benefit assessment conducted according to EBM criteria?
7.4.Access to data: the case of reboxetine
7.5.Effects of AMNOG on the market
8.Country focus: Italy
8.1.1.Reimbursement process and criteria
8.3.Conduct of HTA
9.Country focus: Poland
9.1.Pricing and reimbursement in Poland
188.8.131.522 Reimbursement Act
9.2.Agency for Health Technology Assessment in Poland (AHTAPol)
10.Country focus: Spain
10.1.Pricing and Reimbursement in Spain
10.2.HTA in Spain
10.2.1.National level: ISCIII
10.2.2.1.An example: Catalonia
10.2.3.Reforms, a single appraisal system?
11.Country focus: United Kingdom
11.1.Pricing and reimbursement in the UK
11.2.Health Technology Assessment in England & Wales
11.2.1.What does NICE do?
11.2.2.NICE Assessment process and criteria
11.2.3.Review of recent activity
11.2.4.Assessing the impact of NICE on prescribing
11.2.5.Parliamentary review of NICE, 2007
11.2.6.Data availability: the case of Tamiflu
11.2.7.National Institute for Health Research
11.3.Health Technology Assessment in Scotland
Number of Pages
This report is published by FirstWord Pharma
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