Assessing the added value of health technologies: reconciling different perspectives.

TitleAssessing the added value of health technologies: reconciling different perspectives.
Publication TypeJournal Article
Year of Publication2013
AuthorsDrummond M, Tarricone R, Torbica A
JournalValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
Volume16
Issue1 Suppl
PaginationS7-13
Date Published2013 Jan-Feb
ISSN1524-4733
KeywordsBiomedical Technology; Comparative Effectiveness Research; Health Policy; Health Services Accessibility; Humans; Insurance, Health, Reimbursement; Patient Participation; Quality-Adjusted Life Years; Technology Assessment, Biomedical
AbstractProviding universal access to innovative, high-cost technologies leads to tensions in today's health care systems. The tension becomes particularly evident in the context of scarce resources, where the risk of taking contentious coverage decisions increases rapidly. To ensure economic sustainability, the payers of health care think that the benefits from the use of the new technologies need to be commensurate with the costs. Therefore, many jurisdictions have programs of health technology assessment, which often results in restrictions of access to care, either through complete refusal to reimburse the technology or its restriction of use to only a subset of the eligible patient population. However, manufacturers feel that they should be adequately rewarded for their innovations and require sufficient funds to invest in further research. Finally, patients perceive these technologies to have added benefits, and so they are concerned when they are denied access. If sustainable access to health care is to be maintained in the future, approaches are needed to reconcile these different perspectives. This article explores the approaches, in both methods and policy, to help bring about this reconciliation. These include rethinking the notion of social value (on the part of payers), aligning manufacturers' research more closely with societal objectives, and increasing patient participation in health technology assessment.
DOI10.1016/j.jval.2012.10.007
Alternate JournalValue Health