The role of Health Technology Assessment in reimbursement decisions and pricing of new medicines across diverse healthcare systems

Perin, Fernanda Steiner (2025) The role of Health Technology Assessment in reimbursement decisions and pricing of new medicines across diverse healthcare systems. Working Paper. Birmingham City University. (Submitted)

[thumbnail of WP_HTA medicine reimbursement and pricing.pdf]

Preview

Text
WP_HTA medicine reimbursement and pricing.pdf - Accepted Version
Download (413kB)

Abstract

The rising costs of innovative medicines present a major challenge for public healthcare systems, particularly in countries striving for universal health coverage. Health Technology Assessment (HTA) is critical in guiding reimbursement decisions and negotiating medicine prices, particularly in monopoly markets where pharmaceutical companies hold exclusive rights due to patent protection. This study examines how eight healthcare systems – England, Australia, Canada, Germany, Colombia, Mexico, India, and Brazil – utilise HTA in price negotiations for new medicines. By analysing the integration of HTA into pricing mechanisms, decision-making criteria, and economic evaluation methods, this research highlights significant disparities in terms of socioeconomic context, healthcare system management, and HTA maturity. These insights offer valuable policy recommendations for optimising HTA’s role in controlling medicine prices and ensuring sustainable healthcare financing.

Item Type:	Monograph (Working Paper)
Dates:	Date Event 1 June 2025 Completed
Uncontrolled Keywords:	Health Technology Assessment, medicine pricing, reimbursement decisions, universal health coverage, price negotiation, public healthcare systems, monopoly markets
Subjects:	CAH15 - social sciences > CAH15-02 - economics > CAH15-02-01 - economics CAH15 - social sciences > CAH15-04 - health and social care > CAH15-04-03 - health studies
Divisions:	Faculty of Business, Law and Social Sciences > College of Accountancy, Finance and Economics
Depositing User:	Fernanda Perin
Date Deposited:	24 Jun 2025 13:31
Last Modified:	25 Jun 2025 08:46
URI:	https://www.open-access.bcu.ac.uk/id/eprint/16438