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Why licensing authorities need to consider the net value of new drugs in assigning review priorities: Addressing the tension between licensing and reimbursement

Published online by Cambridge University Press:  09 April 2008

Christopher McCabe ,
Karl Claxton  and
Anthony O'Hagan
Christopher McCabe
Affiliation:
Leeds Institute of Health Sciences
Karl Claxton
Affiliation:
University of York
Anthony O'Hagan
Affiliation:
University of Sheffield
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Abstract

Pharmaceutical regulators and healthcare reimbursement authorities operate in different intellectual paradigms and adopt very different decision rules. As a result, drugs that have been licensed are often not available to all patients who could benefit because reimbursement authorities judge that the cost of therapies is greater than the health produced. This finding creates uncertainty for pharmaceutical companies planning their research and development investment, as licensing is no longer a guarantee of market access. In this study, we propose that it would be consistent with the objectives of pharmaceutical regulators to use the Net Benefit Framework of reimbursement authorities to identify those therapies that should be subject to priority review, that it is feasible to do so and that this would have several positive effects for patients, industry, and healthcare systems.

Keywords

Public healthLicensingCost effectiveness analysisReimbursement
Type
GENERAL ESSAYS
Information
International Journal of Technology Assessment in Health Care , Volume 24 , Issue 2 , April 2008 , pp. 140 - 145
Copyright
Copyright © Cambridge University Press 2007

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