Curative Gene Therapy Coverage May Need Government-Funded Risk Pools
Former US FDA commissioner Scott Gottlieb makes a case for regional or national risk pools to ensure pediatric patients get timely access to gene therapy like the upcoming treatments for sickle cell disease.
You may also be interested in...
COVID-19 Economic Fallout May Delay Cell And Gene Therapy Reimbursement Solutions
The economic stress on payers caused by the pandemic will cause a setback in the development of payment approaches for regenerative therapy, Blue Cross Blue Shield executive warns.
Progress Being Made With Cell And Gene Therapy Market Access, But Challenges Remain
Drug developers and payers are coming together long before product approvals to work out payment options for high-cost, high-impact cell and gene therapies, but challenges like portability of commercially insured patients and Medicaid best price requirements remain.
Value-Based Contracts: Medicaid Best Price Concerns Could Be Eased With CMS Guidance
Absent any legislative remedy, an administrative fix could provide manufacturers with confidence that value-based arrangements won’t trigger a new best price, Duke Margolis policy experts propose.