End of life or end of the road? Are rising cancer costs sustainable? Is it time to consider alternative incentive and funding schemes?

TY - JOUR

T1 - End of life or end of the road? Are rising cancer costs sustainable? Is it time to consider alternative incentive and funding schemes?

AU - McGuire, Alistair

AU - Drummond, Michael

AU - Martin, Monique

AU - Justo, Nahila

PY - 2015/7/15

Y1 - 2015/7/15

N2 - The number of cancer therapies is increasing. Treatment costs, largely reflecting increasing prices, are also increasing. The regulatory process is increasing in intensity. Countries have initiated risk sharing agreements and/or special cancer funds to accommodate this expenditure growth. Given increasing pressures elsewhere on healthcare budgets, even this response is not sustainable. With many more cancer drugs in the pipeline and the prospects of combination therapy, it is unlikely that the existing policies being applied by payers can maintain budget constraints. Unless payers increase reimbursement and/or extend flexible reimbursement schemes, solutions will be required to ensure access to new cancer therapies - this includes looking at ways of reducing R&D costs. This perspective outlines the problems faced and suggests some solutions.

AB - The number of cancer therapies is increasing. Treatment costs, largely reflecting increasing prices, are also increasing. The regulatory process is increasing in intensity. Countries have initiated risk sharing agreements and/or special cancer funds to accommodate this expenditure growth. Given increasing pressures elsewhere on healthcare budgets, even this response is not sustainable. With many more cancer drugs in the pipeline and the prospects of combination therapy, it is unlikely that the existing policies being applied by payers can maintain budget constraints. Unless payers increase reimbursement and/or extend flexible reimbursement schemes, solutions will be required to ensure access to new cancer therapies - this includes looking at ways of reducing R&D costs. This perspective outlines the problems faced and suggests some solutions.

KW - Current reimbursement strategies

KW - Increasing treatment costs

KW - Oncology

KW - Patents and prizes

KW - R&D costs

UR - http://www.scopus.com/inward/record.url?scp=84945952921&partnerID=8YFLogxK

U2 - 10.1586/14737167.2015.1039518

DO - 10.1586/14737167.2015.1039518

M3 - Article

AN - SCOPUS:84945952921

SN - 1473-7167

VL - 15

SP - 599

EP - 605

JO - Expert Review of Pharmacoeconomics and Outcomes Research

JF - Expert Review of Pharmacoeconomics and Outcomes Research

IS - 4

ER -