Instead of focusing on individual drug prices, the health system needs to pay attention to the value of care for patients, according to a host of stakeholders, including a BIO expert.
What is value-based care? It seeks to ensure that “hospitals and physicians are paid based on patient health outcomes,” says a New England Journal of Medicine brief cited by Bio.News.
The U.S. COVID-19 vaccine campaign was a good value. With roughly $12 billion worth of vaccine doses, we saved 2 million lives and $900 billion in health care costs while preventing 17 million hospitalizations and ending lockdowns.
Drug price controls, on the other hand, have a negative value for society. Controlling prices, which are already growing slower than inflation, will reduce revenue—meaning that fewer new drugs are developed. Ultimately, the quality of health care will suffer.
Artificial efforts to quantify value can miss the mark, Bio.News explains. The QALY (quality-adjusted life-year) measure is considered discriminatory for giving a lower rating to the disabled.
How do we achieve real high-value care? By focusing on the diverse needs of patients, as well as carers and society. We should promote representative clinical trials and obtain input from patients.
Dan’s Deep Dive: “Consider the impact of government-mandated price controls from a patient’s point of view: What does the prospect of reduced revenue do for the future of investment and future development?” asks Dan Durham, Senior Health Policy Advisor at BIO. “How many therapies won’t be developed now that could cure patients?”
Read the full article in Bio.News.
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