Interactions between health technology assessment, coverage, and regulatory processes: emerging issues, goals, and opportunities.

TitleInteractions between health technology assessment, coverage, and regulatory processes: emerging issues, goals, and opportunities.
Publication TypeJournal Article
Year of Publication2011
AuthorsHenshall C, Mardhani-Bayne L, Frønsdal KB, Klemp M
JournalInternational journal of technology assessment in health care
Volume27
Issue3
Pagination253-60
Date Published2011 Jul
ISSN1471-6348
KeywordsDevice Approval; Goals; Government Regulation; Insurance Coverage; Policy Making; Problem Solving; Technology Assessment, Biomedical
AbstractBACKGROUND: The relationship between regulatory approval on the one hand and health technology assessment (HTA) and coverage on the other is receiving growing attention. Those responsible for regulatory approval, HTA, and coverage have different missions and their information requirements reflect these. There is nonetheless an increasingly popular view that improved communication and coordination between these functions could allow them all to be undertaken effectively with a lower overall burden of evidence requirements, thus speeding patient access to new products and reducing unnecessary barriers to innovation. This study summarizes the main points emerging from a recent discussion of this topic at the HTAi Policy Forum. RESULTS AND CONCLUSIONS: After considering the roles of the various bodies, stakeholder perspectives and some current practical initiatives, those present at the Forum meeting discussed possible goals and challenges for improved interactions-in general and at specific stages of the product development life cycle. Opportunities for progress were seen in: continuing the dialogue to promote understanding and interaction between the different bodies and stakeholders; working to align scientific advice for manufacturers on the design and data requirements of pre- and post-marketing evaluation of products (specifically phase 2/3 and phase 4 trials for drugs); and extending the current dialogue to include discussion of product development to address unmet health needs.
URLhttp://journals.cambridge.org/policyforum2011
DOI10.1017/S0266462311000262
Alternate JournalInt J Technol Assess Health Care