Pharmaceutical Pricing and Reimbursement - Adoption of Health Technology Assessments (HTA) Optimizes Drug Pricing and Accelerates Reimbursement Decision-Making - GBI Research Reports

Pharmaceutical Pricing and Reimbursement - Adoption of Health Technology Assessments (HTA) Optimizes Drug Pricing and Accelerates Reimbursement Decision-Making

Pharmaceutical Pricing and Reimbursement - Adoption of Health Technology Assessments (HTA) Optimizes Drug Pricing and Accelerates Reimbursement Decision-Making - GBI Research Reports
Pharmaceutical Pricing and Reimbursement - Adoption of Health Technology Assessments (HTA) Optimizes Drug Pricing and Accelerates Reimbursement Decision-Making
Published Sep 01, 2012
68 pages — Published Sep 01, 2012
Price US$ 3,500.00  |  Buy this Report Now

About This Report

  
Abstract:

Summary

GBI Research, leading business intelligence provider has released its latest research report, entitled Pharmaceutical Pricing and Reimbursement - Adoption of Health Technology Assessments (HTA) Optimizes Drug Pricing and Accelerates Reimbursement Decision-Making. The report provides a comprehensive overview of the healthcare system and pricing and reimbursement process in the US, top five countries of Europe (the UK, Germany, France, Spain and Italy), Japan, Australia and China, with a detailed analysis of the different regulatory mechanisms used in these countries. The report closely scrutinizes the major changes in pharmaceutical pricing and reimbursement in these nations in the recent past and their impact in the near future.

Pricing and reimbursement issues are geography-specific and mostly depend upon the economic conditions of the country in question. Governments in the different countries of Europe have been adopting various measures to bring uniformity to the prices of pharmaceuticals by introducing measures such as international price referencing, pharmacoeconomic evaluations, value-based pricing, internal price referencing, price capping, risk sharing models, and positive and negative price lists. The Value Based Pricing System (VBPS), which is in the process of being adopted by the UK, will only reimburse drugs that provide value to patients. In addition, there are issues with respect to orphan drugs since there are no specific regulations governing their pricing, and pharmaceutical companies are exploiting patients by aggressively pricing these therapeutics. Pricing and reimbursement affects many players in the economic environment such as political parties, pharmaceutical companies, regulatory authorities, and patients. This report analyzes the impact of pricing and reimbursement issues on the concerned stakeholders. The report provides information on the economic situation of different countries with statistical graphs and graphs that represent the expenditure made by respective governments with respect to GDP. The report also provides information on the different pricing and reimbursement mechanisms that are being used in the current environment.

Scope

- A detailed study of the healthcare systems and roles of the key players in the respective pharmaceutical systems in the US, top five countries of Europe (the UK, Germany, France, Spain and Italy), Japan, Australia and China.
- Analysis of the major pricing and reimbursement mechanisms in each country.
- Key trends that have emerged from the recent changes brought about in pricing and reimbursement mechanisms.
- Possible major challenges brought about by the enactment of changes in the pricing and reimbursement scenes in the countries covered.

Reasons to buy

- Build an understanding of the key pricing and reimbursement mechanisms for pharmaceuticals in the key markets of Europe.
- Optimize your investment through the identification and understanding of the changes in the regulatory mechanisms for pharmaceuticals in the economies covered.
- Develop effective business strategies related to new drug launches through the analytical insight gained from key trends in the pricing and reimbursement scene for the countries covered.

  
Source:
Document ID
GBIHC210MR
Industry
Format:
PDF Adobe Acrobat
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Sections

TitleStarting PageNumber of Pages
Table of Contents55
  List of Tables71
  List of Figures82
Pharmaceutical Pricing and Reimbursement Introduction101
Pharmaceutical Pricing and Reimbursement Global Economic Issues116
  Trend in Global Pricing and Reimbursement Regime111
  Trend Analysis of Healthcare Expenditure Per Capita121
  Public Health Expenditure as a Percentage of Total Health Expenditure132
  Out-of-Pocket Health Expenditure as a Percentage of Private Expenditure on Health151
  Healthy Life Years beyond the Age of 65161
Pharmaceutical Pricing and Reimbursement Global Issues173
  Reference Prices171
  International Price Referencing Adopted to Contain Healthcare Expenditure171
  Pharmaceutical Price Capping to Encourage the Use of Generic Drugs171
  Positive and Negative Price Formulary to Provide More Clarity on Drugs Covered by Health Insurance171
  Value-Based Pricing Systems and Risk-Sharing Models Evaluate Drugs Based on Value and Not Cost181
  Single Pricing Strategy in the European Union is a Debatable Issue191
  Faster Pricing and Reimbursement Decisions Ensure Quicker Medicine Access and Return on Investments191
  Issues in Pricing and Reimbursement in Orphan Drugs191
  Difficulty in Economic Evaluation of Orphan Drugs191
Pharmaceutical Pricing and Reimbursement Pricing and Reimbursement by Geography205
  The US201
    Macroeconomic Factors (PEST Analysis)201
    Healthcare System in the Country201
    Healthcare Expenditure as a Percentage of GDP211
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure221
    Drug Pricing and Reimbursement Authorities231
    Issues in Pricing and Reimbursement231
      Manufacturers of Branded Drugs Increase Price before Patent Expiry to Fund R&D231
      Retail Sector has been Witnessing a Generic Price War231
      Unnecessary Healthcare Expenditure Resulted in a Loss of $800 $900 Billion in 2011241
      Donut Hole to Affect Patient Healthcare Spending until 2020241
      Proposal to Save Expenditures by Designing Innovative Policies241
      Medicare Part B Drug Pricing Does Not Reflect Market Price Accurately241
Top Five Countries of Europe2526
  Proposal to Speed Up Pricing and Reimbursement Decisions in Europe251
  The UK251
    Macroeconomic Factors (PEST Analysis)251
    Healthcare System in the Country261
      NHS Authorities and Trusts261
    Healthcare Expenditure as a Percentage of GDP271
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure281
    Drug Pricing and Reimbursement Authorities291
    Trends in Pricing and Reimbursement291
      New Recommendations in 2009 for the Pharmaceutical Pricing and Regulation Scheme292
      Value-Based Pricing to Replace the Pharmaceutical Price Regulation Scheme311
  France311
    Macroeconomic Factors (PEST Analysis)311
    Healthcare System in the Country321
      Austerity Measures in 2012321
    Total Expenditure on Healthcare as a Percentage of GDP331
    Private Expenditure and General Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure341
    Drug Pricing and Reimbursement Authorities351
    Trends in Pricing and Reimbursement361
      Drug Price Cuts Affecting Profitability of Parallel Importers361
      Economic Committee for Healthcare Products to Change Pricing of Drugs361
      Economic Committee for Healthcare Products Imposed Reference Prices on Antihypertensives from 2011361
      Reimbursement Cuts for Drugs with Moderate Clinical Benefit and an End to Reimbursement of Drugs that Offer Minimal Clinical Benefit361
  Germany371
    Macroeconomic Factors (PEST Analysis)371
    Healthcare System in the Country381
    Total Expenditure on Healthcare as a Percentage of GDP391
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure401
    Drug Pricing and Reimbursement Authorities411
    Trends in Pricing and Reimbursement411
      Discounts in Branded Products to Reduce the Pharmaceutical Expenditure of Insurance Agencies411
      Act on the Reform of the Market for Medicinal Products Prevents Pharmaceutical Players from Fixing Drug Prices411
      Expansion of the Reference Pricing System411
      Health Insurance Funds to Have Rebate Contracts with Manufacturers of Generics421
      Reimbursement Prices in Germany421
  Spain421
    Macroeconomic Factors (PEST Analysis)421
    Healthcare System in the Country431
    Total Expenditure on Healthcare as a Percentage of GDP431
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure441
    Drug Pricing and Reimbursement Authorities451
    Trends in Pricing and Reimbursement451
      Spain s Austerity Measures are a Major Blow to the Pharmaceutical Industry451
      Increased Price Reduction to be Imposed on Drugs That have been Marketed for More Than 10 Years451
      Strong Protests from Patients and Patient Communities461
      Prescription of Generics Rather than Branded Products Wherever Possible461
  Italy461
    Macroeconomic Factors (PEST Analysis)461
    Healthcare System in the Country471
    Total Expenditure on Healthcare as a percentage of GDP471
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure481
    Drug Pricing and Reimbursement Authorities and Procedures491
    Trends in Pricing and Reimbursement491
      Decision to Lower the Prices of Generics will Result in Substantial Savings for the Government491
      Margins of the Wholesalers Cut by 3.6%491
      Italian Medicines Agency Publishes List of Important Drugs501
Pharmaceutical Pricing and Reimbursement Asia-Pacific518
  China511
    Macroeconomic Factors (PEST Analysis)511
    Healthcare System in China511
    Total Expenditure on Healthcare as a Percentage of GDP521
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure531
    Pricing and Reimbursement Approval Process541
      Pricing Approval Process541
      Reimbursement Process541
  Japan551
    Macroeconomic Factors (PEST Analysis)551
    Healthcare System in the Country551
    Total Expenditure on Healthcare as a Percentage of GDP561
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure571
    Revisions to the National Health Insurance Drug Price List581
    Trends in Pricing and Reimbursement581
Pharmaceutical Pricing and Reimbursement Australia595
  Macroeconomic Factors (PEST Analysis)591
  Healthcare System in the Country601
    Expenditure on Healthcare as a Percentage of GDP601
    Private and Government Expenditure on Healthcare as a Percentage of Total Healthcare Expenditure611
  Flow Chart for Flow of Funds in Australia621
  Trends in Pricing and Reimbursement621
    Remuneration Issues of Section 94 Private Hospitals621
    Pharmacy Mark-Up Charts631
Pharmaceutical Pricing and Reimbursement Appendix645
  Market Definitions641
  Abbreviations641
  Bibliography652
  Research Methodology671
  Healthcare System671
  Pricing and Reimbursement Process671
  Key Trends671
  Contact Us681
  Disclaimer681

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Cite this Report

  
MLA:
GBI Research Reports. "Pharmaceutical Pricing and Reimbursement - Adoption of Health Technology Assessments (HTA) Optimizes Drug Pricing and Accelerates Reimbursement Decision-Making" Sep 01, 2012. Alacra Store. May 05, 2025. <http://www.alacrastore.com/storecontent/GBI-Research-Reports/Pharmaceutical-Pricing-and-Reimbursement-Adoption-of-Health-Technology-Assessments-HTA-Optimizes-Drug-Pricing-and-Accelerates-Reimbursement-Decision-Making-2115-482>
  
APA:
GBI Research Reports. (2012). Pharmaceutical Pricing and Reimbursement - Adoption of Health Technology Assessments (HTA) Optimizes Drug Pricing and Accelerates Reimbursement Decision-Making Sep 01, 2012. New York, NY: Alacra Store. Retrieved May 05, 2025 from <http://www.alacrastore.com/storecontent/GBI-Research-Reports/Pharmaceutical-Pricing-and-Reimbursement-Adoption-of-Health-Technology-Assessments-HTA-Optimizes-Drug-Pricing-and-Accelerates-Reimbursement-Decision-Making-2115-482>
  
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