title: Feasibility and attractiveness of indication value-based pricing in key EU countries.
abstract: Indication value-based pricing (IBP) has been proposed in the United States as a tool to capture the differential value of drugs across indications or patient groups and is in the early phases of implementation. In Europe, no major country has experimented with IBP or is seriously discussing its use. We assessed how the reimbursement and pricing environment allows for IBP in seven European countries, evaluating both incentives and hurdles. In price setting countries such as France and Germany, the Health Technology Assessment and pricing process already accounts for differences of value across indications. In countries where differential value drives coverage decisions such as the United Kingdom and Sweden, IBP is likely to be used, at least partially, but not in the short-term. Italy is already achieving some form of differential value through managed entry agreements, whereas in Spain the electronic prescription system provides the infrastructure necessary for IBP but other hurdles exist.
authors.affiliation: Kassenärztliche Vereinigung Westfalen-Lippe, Dortmund, Germany.
authors.forename: Mathias
authors.initials: M
authors.lastname: Flume
authors.affiliation: CIC INSERM 1432, CHU du Bocage, Dijon, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Bardou
authors.affiliation: School of Economics and Management, Cattaneo-LIUC University, Castellanza, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Capri
authors.affiliation: Health Innovation Technology Transfer, Barcelona, Spain.
authors.forename: Oriol
authors.initials: O
authors.lastname: Sola-Morales
authors.affiliation: NHS South East Commissioning Support Unit, London, UK.
authors.forename: David
authors.initials: D
authors.lastname: Cunningham
authors.affiliation: Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
authors.forename: Lars-Ake
authors.initials: LA
authors.lastname: Levin
authors.affiliation: groupH, London, UK.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Touchot
keywords: drug value; indication based pricing; pricing and reimbursement