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Performance-based managed entry agreements for new medicines in OECD countries and EU member states : how they work and possible improvements going forward / Martin Wenzl, Suzannah Chapman

Wenzl, Martin ; Chapman, Suzannah, co-autor

[Paris] : OECD, 2020

OECD Health Working Paper ; 115

This paper presents findings of an OECD review of managed entry agreements in OECD countries and EU member states conducted in 2018 and 2019. Findings are based on discussions with the OECD Expert Group on Pharmaceuticals and Medical Devices, responses by experts from 12 OECD countries to a survey and semi-structured interviews (see Annex A), and on the literature as well as information published by national authorities responsible for coverage and pricing of medicines. § Managed entry agreements (MEAs) are arrangements between firms and healthcare payers that allow for coverage of new medicines while managing uncertainty around their financial impact or performance. Financial agreements, which can reduce prices and/or budget impact of medicines without disclosing price concessions to third parties and without linking them to product performance, are currently used or were used in the past in at least two-thirds of OECD countries and EU member states. [Da introd.]

custo da saúde; proteção do consumidor; material médico-cirúrgico; países OCDE; Estado-Membro UE; política de saúde; nova tecnologia

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