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The payers’perspective
on access to innovation
Brussels, 10 May 2017
Solidarity
based health
systems
Broad and
equal access
to healthcare
Access to
medicines
with patient
relevant
benefit
Sustainable
health systems
Our 5 priority areas
Steering R&D to public health needs
Ensuring the evidence base for innovation
through strengthened HTA
Strengthening national P&R mechanisms in the
interests of patients, payers and society
Increasing transparency around innovative
pharmaceuticals
Supporting innovation in the context of
sustainable healthcare systems
Steering R&D to public health needs
Ensuring the evidence base for innovation through strengthened HTA
Strengthening national P&R mechanisms in the interests of patients, payers &
society
Increasing transparency around innovative pharmaceuticals
Supporting innovation in the context of sustainable healthcare systems
WHO Priority
Medicines Report
2013: chronic
diseases, cancer…
Public investment
reflected in the
price
Steering R&D to public health needs
Ensuring the evidence base for innovation through
strengthened HTA
Strengthening national P&R mechanisms in the interests of patients, payers &
society
Increasing transparency around innovative pharmaceuticals
Supporting innovation in the context of sustainable healthcare systems
Transparent HTA
tools and
processes to
support national
P&R decisions
along the
lifecycle
EU-level
cooperation:
exchange of
information, re-
use of joint work
(voluntary)
Cooperation
regulatory-HTA:
early dialogue,
early access to
clinical data
Steering R&D to public health needs
Ensuring the evidence base for innovation through strengthened HTA
Strengthening national P&R mechanisms in the interests of
patients, payers & society
Increasing transparency around innovative pharmaceuticals
Supporting innovation in the context of sustainable healthcare systems
Voluntary
collaboration
between
Member States:
price
negotiations &
procurement
Flexible P&R as
part of a
transparent and
well-regulated
early access
only in case of
unmet need
Affordable
prices to allow
access to all
Reimbursement
based on
proven patient
relevant benefit
(HTA)
Steering R&D to public health needs
Ensuring the evidence base for innovation through strengthened HTA
Strengthening national P&R mechanisms in the interests of patients, payers &
society
Increasing transparency around innovative
pharmaceuticals
Supporting innovation in the context of sustainable healthcare systems
Clinical trial
data
Cost of R&D
Pharmaceutical
prices &
expenditures
(Council
Conclusions
June 2016)
Steering R&D to public health needs
Ensuring the evidence base for innovation through strengthened HTA
Strengthening national P&R mechanisms in the interests of patients, payers &
society
Increasing transparency around innovative pharmaceuticals
Supporting innovation in the context of sustainable
healthcare systems
Promoting
generics &
biosimilars
Controlling
anti-
competitive
behavior:
national & EU
level
Ensuring
supply of
medicines of
proven value
to patients and
health systems
Thank you for your attention!

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Arnaud Emerieu, President of the European Social Insurance Platform, Belgium

  • 1. The payers’perspective on access to innovation Brussels, 10 May 2017
  • 2. Solidarity based health systems Broad and equal access to healthcare Access to medicines with patient relevant benefit Sustainable health systems
  • 3. Our 5 priority areas Steering R&D to public health needs Ensuring the evidence base for innovation through strengthened HTA Strengthening national P&R mechanisms in the interests of patients, payers and society Increasing transparency around innovative pharmaceuticals Supporting innovation in the context of sustainable healthcare systems
  • 4. Steering R&D to public health needs Ensuring the evidence base for innovation through strengthened HTA Strengthening national P&R mechanisms in the interests of patients, payers & society Increasing transparency around innovative pharmaceuticals Supporting innovation in the context of sustainable healthcare systems WHO Priority Medicines Report 2013: chronic diseases, cancer… Public investment reflected in the price
  • 5. Steering R&D to public health needs Ensuring the evidence base for innovation through strengthened HTA Strengthening national P&R mechanisms in the interests of patients, payers & society Increasing transparency around innovative pharmaceuticals Supporting innovation in the context of sustainable healthcare systems Transparent HTA tools and processes to support national P&R decisions along the lifecycle EU-level cooperation: exchange of information, re- use of joint work (voluntary) Cooperation regulatory-HTA: early dialogue, early access to clinical data
  • 6. Steering R&D to public health needs Ensuring the evidence base for innovation through strengthened HTA Strengthening national P&R mechanisms in the interests of patients, payers & society Increasing transparency around innovative pharmaceuticals Supporting innovation in the context of sustainable healthcare systems Voluntary collaboration between Member States: price negotiations & procurement Flexible P&R as part of a transparent and well-regulated early access only in case of unmet need Affordable prices to allow access to all Reimbursement based on proven patient relevant benefit (HTA)
  • 7. Steering R&D to public health needs Ensuring the evidence base for innovation through strengthened HTA Strengthening national P&R mechanisms in the interests of patients, payers & society Increasing transparency around innovative pharmaceuticals Supporting innovation in the context of sustainable healthcare systems Clinical trial data Cost of R&D Pharmaceutical prices & expenditures (Council Conclusions June 2016)
  • 8. Steering R&D to public health needs Ensuring the evidence base for innovation through strengthened HTA Strengthening national P&R mechanisms in the interests of patients, payers & society Increasing transparency around innovative pharmaceuticals Supporting innovation in the context of sustainable healthcare systems Promoting generics & biosimilars Controlling anti- competitive behavior: national & EU level Ensuring supply of medicines of proven value to patients and health systems
  • 9. Thank you for your attention!