Drivers of Non-medical Rx Switching
|促使處方藥（Rx）轉換為非處方藥（非醫療）的因素 Drivers of Non-medical Rx Switching|
|出版日期: 2020年04月21日||內容資訊: 英文||
The strategies that are promoting wider use of biosimilars
Payers are highly motivated to realise the cost savings of biosimilars, but what strategies are they using to reassure and encourage physicians and patients? Budget impact models, establishing targets, real world evidence, guidelines and sharing savings between hospitals and payers all play a role. Biosimilar developers need to understand the trends and identify where they can positively engage.
Biosimilar switching is variable across the globe and this offers the opportunity to learn from those markets where switching is high and apply those lessons in markets where switching is low. That is why, in ‘Drivers of Non-medical Rx Switching’, we interviewed payer and industry experts who reveal the techniques and strategies that are being used to propel wider biosimilar adoption and use.
"When it's biologics to biosimilars, it's clearly driven by cost. It's the biggest argument used by payers who are pushing for switching. Even biosimilar companies, when they launch their biosimilars, they do the health economic studies to show that with a biosimilar they can save a great amount for the healthcare system. So cost, definitely, is the biggest driver." Global Portfolio Manager , Germany.
"We were able to do those budget impact models like that and see significant savings. But now as you start seeing the agents that are used more in the outpatient setting, it's very difficult to do those analyses because you do see the cost savings when you just look at the cost and model that out, but it's offset by what your reimbursement and what your payer mix is. If your payer mix is primarily the state - so Medicare, Medicaid - then you might be okay switching to the biosimilar because that would be the preferred product, and the government has incentivised the use of those products and so you get additional reimbursement. But if your primary payer mix is private insurance, they may or may not have negotiated an additional rebate contract with the originator, and even though you do those cost analyses and assume that you'd be saving a significant amount of money by switching to the biosimilar, if you look at the reimbursement side, you're actually losing." Manager of Medication Policy and Formulary Management , US.
"Gain share agreements work particularly well. A proportion of the savings go back into the hospital. So, you might go for a 50:50 gain share between CCGs and hospitals - so 50 percent of the savings back to the hospital, 50 percent to the CCG. I know of one hospital where they were discussing over a three-year period where they would get 70 percent of the savings in the first year, then get 40 percent in the second, and then 10 percent in the third. The hospital will want to maximise its savings as quickly as possible and so will move patients over as quickly as possible." Biosimilar Account Manager , UK.
A detailed expert report exploring the drivers of biosimilar switching and the financial, physician and patient issues that biosimilar developers need to understand and engage with:
The experts selected for this report all had relevant experience, including:
To ensure candid views were expressed we have agreed to keep their identities anonymous.
FirstWord's ExpertViews reports reveal the real world insights of knowledgeable experts to analyse in detail key commercial and market trends that pharma management need to understand if they are to effectively respond to critical developments. These highly-focussed reports: