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http://bura.brunel.ac.uk/handle/2438/11189
Title: | Reimbursement-based economics - What is it and how can we use it to inform drug policy reform? |
Authors: | Coyle, D Lee, KM Mamdani, M Sabarre, KA Tingley, K |
Keywords: | Cost-effectiveness;Drug reimbursement;Triptan |
Issue Date: | 2015 |
Publisher: | Wiley |
Citation: | Headache: The Journal of Head and Face Pain, 55: 236–247, (2015) |
Abstract: | BACKGROUND: In Ontario, approximately $3.8 billion is spent annually on publicly funded drug programs. The annual growth in Ontario Public Drug Program (OPDP) expenditure has been limited to 1.2% over the course of 3 years. Concurrently, the Ontario Drug Policy Research Network (ODPRN) was appointed to conduct drug class review research relating to formulary modernization within the OPDP. Drug class reviews by ODPRN incorporate a novel methodological technique called reimbursement-based economics, which focuses on reimbursement strategies and may be particularly relevant for policy-makers. OBJECTIVES: To describe the reimbursement-based economics approach. METHODS: Reimbursement-based economics aims to identify the optimal reimbursement strategy for drug classes by incorporating a review of economic literature, comprehensive budget impact analyses, and consideration of cost-effectiveness. This 3-step approach is novel in its focus on the economic impact of alternate reimbursement strategies rather than individual therapies. RESULTS: The methods involved within the reimbursement-based approach are detailed. To facilitate the description, summary methods and findings from a recent application to formulary modernization with respect to the drug class tryptamine-based selective serotonin receptor agonists (triptans) used to treat migraine headaches are presented. CONCLUSIONS: The application of reimbursement-based economics in drug policy reforms allows policy-makers to consider the cost-effectiveness and budget impact of different reimbursement strategies allowing consideration of the trade-off between potential cost savings vs increased access to cost-effective treatments. |
URI: | http://onlinelibrary.wiley.com/doi/10.1111/head.12585/abstract http://bura.brunel.ac.uk/handle/2438/11189 |
DOI: | http://dx.doi.org/10.1111/head.12585 |
ISSN: | 1526-4610 |
Appears in Collections: | Institute for the Environment |
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