The gap between European and US reimbursement may be narrowing,
according to recent analysis by pharmaceutical intelligence firm Cutting
managed market payers are generally more flexible than those in
Europe. While European countries demand steep discounts for products to
qualify for formulary, the US has steered clear of these types of
Cutting Edge Information's recent study, "US Managed Markets: Driving
Commercial Success through Outcomes-Based Reimbursement," found that US
managed markets teams should pay careful attention to global trends.
Aggressive pricing is on the rise in Europe. The UK's government price
control agency, NICE, reduced drug prices through value-based pricing
and risk-sharing agreements. Germany's new AMNOG law implements
similarly rigorous value-based pricing.
"Many European countries are becoming even more aggressive at
controlling prices," said Michelle Vitko, senior research analyst at
CuttingEdge Information. "As the gap between prices in the US and
Europe widens, the likelihood that Medicare will clamp down on those
Some companies, seeing how low prices in one country can lead to lower
prices everywhere, have ceased marketing new products in some European
countries, including Greece and even Germany. So far, the US has not
followed this same trend. Even now, Medicare and other US payers cannot
look to findings from the Patient Centered Outcomes Research Institute
(PCORI) to bargain for lower prices or mandate that physicians prescribe
certain treatments. However, PCORI is in a position to informally exert
control over the US market. If this agency positions itself to influence
physician behavior, drug makers may find that market
access and premium pharmaceutical
pricing are increasingly more difficult to achieve.
"US Managed Markets: Driving Commercial Success through Outcomes-Based
provides best practices and benchmarks to enable managed markets teams
to perform in the current US reimbursement environment. The study helps
For more information about managed markets and market access
benchmarking, contact Cassie Demeter at 919-403-6583.
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