Currently Viewing:
AMCP 2017
Currently Reading
Dr Jennifer Graff on How Payers Make Decisions
August 01, 2017
Dr Jacqueline Glover: Financial Knowledge Is Part of Informed Consent
July 10, 2017
Laura Topor Explains the Value of Real-Time Benefit Transactions
June 27, 2017
Dr Jacqueline Glover: Clinicians' Obligations of Justice Regarding Costs of Care
June 24, 2017
Dr Lou Garrison Discusses Challenges of Working With Real-World Data
June 16, 2017
Dr Neil Minkoff Explains How 340B Impacts Pharmacies and Payers Differently
June 15, 2017
Dr Matthew Pickering on Working With Health Plans on Measure Implementation
June 09, 2017
Laura Topor: Clearing Up Misconceptions About e-Prescribing
June 07, 2017
Dr Jacqueline Glover Discusses the Complicated Balance of Ethics in Drug Trials
June 05, 2017
Dr Richard J. Willke Discusses Challenges of Working With Real-World Data
June 02, 2017
Susan A. Cantrell Explains the Necessity of Pre- and Post-Approval Communications
May 31, 2017
Dr Neil Minkoff Discusses Evolution and Consequences of 340B Programs
May 30, 2017
Dr Doug Hillblom Discusses Legislative Pushes Toward e-Prescribing
May 25, 2017
Dr Matthew Pickering Describes Challenges of New Measure Implementation
May 24, 2017
Dr Aimee Tharaldson Discusses the Orphan Drug Approval Trend
May 22, 2017
Dr Gail Bridges on the Importance of Real-World Results Matching Clinical Trial Outcomes
May 21, 2017
Dr Liz Zhou Discusses Real-World Implications of Toujeo Switching Trial
May 19, 2017
Dr Richard J. Willke on the Value of Real-World Data for Health Plans
May 18, 2017
Dr Lou Garrison on the Discussions Surrounding Outcomes-Based Arrangements
May 17, 2017

Dr Clifford Goodman Outlines Takeaways From a Health Economic Case Study on Repatha

During an industry workshop at the Academy of Managed Care Pharmacy Annual Meeting in Denver, Colorado, Cliff Goodman, PhD, of the Lewin Group, moderated a session that provided a health economic case study on cardiovascular outcome data for Repatha (evolocumab), the PCSK9 inhibitor from Amgen.
Stakeholders have different ideas of what value is, so what factors should drive value assessments?
We must recognize that different stakeholders necessarily have different economic perspectives; there is no one right perspective on value. Value looks different form the standpoint of a patient, a healthcare provider, a payer, and society.
 
Every stakeholder should consider their own perspectives regarding clinical impact, economic impact, and other implications. Every stakeholder should consider: Who are my target users? What information do they need to make a well-founded decision? And with regard to clinical impacts, maybe we care about individual and/or population clinical impact.
 
With regard to economic impacts, we care about anything ranging from patient out-of-pocket costs to national healthcare expenditures. So there’s a range of clinical-economic impacts, as well as certain other implications about which we care.
 
By the way, other implications may include such matters as equity, impact on the broader strength of a regional or national economy, and potential impact on willingness to innovate. So those may be taken into account as well. And also, another implication to put in there is ability to meet unmet medical need.
 
What is industry's role in identifying value and cost-effectiveness?
As was made clear from this session, it is increasingly apparent that industry needs to be smart about anticipating the decision-making needs of its markets. And by doing that, industry can think early about what types of clinical and economic data need to be generated to influence, to inform and favorably influence, key decision makers.
 
Furthermore, in addition to this anticipation function, industry can, in some instances, help to educate and help inform decision makers about various biomedical, economic, and analytical matters that decision makers may not otherwise have known. So there’s the anticipation function: who’s going to want what evidence, when?
 
And the other thing is, in some instances, industry can help educate informed decision makers so they will make better evidence-based decisions.
 
How do you expect the new administration in the White House will impact the move to value in healthcare?
I cannot speak to the specifics of the new administration on this issue; however, we see that leaders in the executive and legislative branches are calling attention to and scrutinizing some high-profile costs in healthcare and healthcare technology, including pharma and bio. And these leaders may benefit greatly from taking a broadly informed view about multi-stakeholder perspectives on value as opposed to only price tags on individual products and technologies. It’s not just about the price tag; it’s certainly relevant, but it’s certainly one in multiple dimensions of healthcare.
 
Any last points from the workshop?
The session helped demonstrate that industry is listening and learning about what its markets value and is, by example, hearing in this session, is indeed generating primary and secondary data, including clinical economic, to help suppose those value assessments—industry is already responding.
 
Furthermore, we are seeing that the organizations in the United States that are taking different approaches to assessing value are increasingly aware of the need to modify, and continue to approve their methodologies for value assessment, including making certain improvements that had been suggested by industry.
 
The session helped illustrate that industry and value assessors are listening to each other and are trying to improve their approaches accordingly.




 
Copyright AJMC 2006-2017 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up
×

Sign In

Not a member? Sign up now!