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Rebuilding	
  Trust	
  
Lessons	
  from	
  PharmaDiplomacy	
  
Becky	
  Buell	
  
Partner,	
  Meteos	
  Ltd	
  
8	
  November,	
  CEPHT	
  Conference,	
  Toronto	
  
PharmaDiplomacy	
  Dialogue	
  	
  
Aims:	
  	
  
•  IdenGfy	
  primary	
  sources	
  of	
  mistrust	
  and	
  
their	
  causes	
  	
  
•  Define	
  what	
  it	
  would	
  take	
  to	
  achieve	
  
breakthrough	
  agreements	
  	
  
•  Develop	
  new	
  mechanisms	
  for	
  collaboraGon	
  
	
  
PharmaDiplomacy	
  Group	
  	
  
•  Senior	
  execuGves	
  from	
  health	
  systems	
  in	
  the	
  EU	
  
and	
  US	
  
– NICE,	
  MEDEV,	
  RIZIV,	
  United	
  Health,	
  Geisinger	
  
•  MulG-­‐naGonal	
  pharmaceuGcal	
  companies	
  
– GSK,	
  J&J,	
  Novo	
  Nordisk	
  
•  PaGent	
  groups;	
  bioethicists;	
  investors	
  	
  and	
  health	
  
system	
  experts	
  	
  	
  
Pricing:	
  a	
  Focal	
  Point	
  of	
  Mistrust	
  
Factors	
  Undermining	
  Trust	
  on	
  Pricing	
  
•  How	
  prices	
  are	
  determined	
  
•  Price	
  inflaGon	
  
•  Value	
  versus	
  affordability	
  
•  Cost	
  versus	
  efficiency	
  
•  FragmentaGon	
  
PharmaDiplomacy	
  
Principles	
  
	
  
	
  
	
  
	
  
	
  
	
  
Available	
  at:	
  
	
  
www.meteos.co.uk/
projects/
pharmadiplomacy/	
  
The	
  Principles	
  	
  
•  IdenGfy	
  issues	
  for	
  discussion	
  at	
  3	
  key	
  touch-­‐
points	
  
	
   Pre/During	
  Phase	
  II	
  	
   Launch/Post-­‐Approval	
  	
   On-­‐Market	
  Review	
  	
  
•  Emphasise	
  value	
  of	
  ongoing	
  dialogue	
  
•  Rank	
  issues	
  for	
  discussion	
  by	
  difficulty	
  	
  
•  Accommodate	
  difference	
  (systems,	
  payer	
  
prioriGes	
  and	
  TAs)	
  
	
  
Next	
  Steps	
  
•  DistribuGon	
  of	
  Principles	
  
•  Integrate	
  in	
  exisGng	
  processes	
  (companies,	
  payers)	
  
•  Apply	
  to	
  new	
  product	
  at	
  pre-­‐Phase	
  II	
  (2	
  companies)	
  
•  Engagement	
  with	
  regulators	
  (US)	
  
•  Tool	
  for	
  paGent	
  engagement	
  
•  Progress	
  review	
  –	
  2017	
  
www.meteos.co.uk	
  
@meteosfutures	
  
PharmaDiplomacy:  Principles for Collaborative Mutually Acceptable Drug Pricing: Becky Buell (Meteos)

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PharmaDiplomacy: Principles for Collaborative Mutually Acceptable Drug Pricing: Becky Buell (Meteos)

  • 1. Rebuilding  Trust   Lessons  from  PharmaDiplomacy   Becky  Buell   Partner,  Meteos  Ltd   8  November,  CEPHT  Conference,  Toronto  
  • 2. PharmaDiplomacy  Dialogue     Aims:     •  IdenGfy  primary  sources  of  mistrust  and   their  causes     •  Define  what  it  would  take  to  achieve   breakthrough  agreements     •  Develop  new  mechanisms  for  collaboraGon    
  • 3. PharmaDiplomacy  Group     •  Senior  execuGves  from  health  systems  in  the  EU   and  US   – NICE,  MEDEV,  RIZIV,  United  Health,  Geisinger   •  MulG-­‐naGonal  pharmaceuGcal  companies   – GSK,  J&J,  Novo  Nordisk   •  PaGent  groups;  bioethicists;  investors    and  health   system  experts      
  • 4.
  • 5. Pricing:  a  Focal  Point  of  Mistrust  
  • 6. Factors  Undermining  Trust  on  Pricing   •  How  prices  are  determined   •  Price  inflaGon   •  Value  versus  affordability   •  Cost  versus  efficiency   •  FragmentaGon  
  • 7. PharmaDiplomacy   Principles               Available  at:     www.meteos.co.uk/ projects/ pharmadiplomacy/  
  • 8. The  Principles     •  IdenGfy  issues  for  discussion  at  3  key  touch-­‐ points     Pre/During  Phase  II     Launch/Post-­‐Approval     On-­‐Market  Review     •  Emphasise  value  of  ongoing  dialogue   •  Rank  issues  for  discussion  by  difficulty     •  Accommodate  difference  (systems,  payer   prioriGes  and  TAs)    
  • 9.
  • 10. Next  Steps   •  DistribuGon  of  Principles   •  Integrate  in  exisGng  processes  (companies,  payers)   •  Apply  to  new  product  at  pre-­‐Phase  II  (2  companies)   •  Engagement  with  regulators  (US)   •  Tool  for  paGent  engagement   •  Progress  review  –  2017   www.meteos.co.uk   @meteosfutures