کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
10484979 935414 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Sharing Risk between Payer and Provider by Leasing Health Technologies: An Affordable and Effective Reimbursement Strategy for Innovative Technologies?
ترجمه فارسی عنوان
به اشتراک گذاری خطر بین پرداخت کننده و ارائه دهنده توسط لیزینگ فن آوری های بهداشتی: یک استراتژی بازپرداخت مقرون به صرفه و موثر برای فن آوری های نوآورانه؟
کلمات کلیدی
هزینه بهره وری، عدم اطمینان تصمیم، خطر، قیمت گذاری مبتنی بر ارزش،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی
The challenge of implementing high-cost innovative technologies in health care systems operating under significant budgetary pressure has led to a radical shift in the health technology reimbursement landscape. New reimbursement strategies attempt to reduce the risk of making the wrong decision, that is, paying for a technology that is not good value for the health care system, while promoting the adoption of innovative technologies into clinical practice. The remaining risk, however, is not shared between the manufacturer and the health care payer at the individual purchase level; it continues to be passed from the manufacturer to the payer at the time of purchase. In this article, we propose a health technology payment strategy-technology leasing reimbursement scheme-that allows the sharing of risk between the manufacturer and the payer: the replacing of up-front payments with a stream of payments spread over the expected duration of benefit from the technology, subject to the technology delivering the claimed health benefit. Using trastuzumab (Herceptin) in early breast cancer as an exemplar technology, we show how a technology leasing reimbursement scheme not only reduces the total budgetary impact of the innovative technology but also truly shares risk between the manufacturer and the health care system, while reducing the value of further research and thus promoting the rapid adoption of innovative technologies into clinical practice.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Value in Health - Volume 17, Issue 4, June 2014, Pages 438-444
نویسندگان
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