Evidence map›Paper›PMID 32232611›Full record

ArticleHealth care analysis : HCA : journal of health philosophy and policy2020

When are Pharmaceuticals Priced Fairly? An Alternative Risk-Sharing Model for Pharmaceutical Pricing.

Fanor Balderrama, Lisa J Schwartz, Christopher J Longo

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Article in Health care analysis : HCA : journal of health philosophy and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Fanor BalderramaDepartment of Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. balderrf@mcmaster.ca.
Lisa J SchwartzDepartment of Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Christopher J LongoDepartment of Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The most common solutions to the problem of high pharmaceutical prices have taken the form of regulations, price negotiations, or changes in drug coverage by insurers. These measures for the most part transfer the burden of drug expenditures between pharmaceutical companies and payers or between payers. The aim of this study is to propose an alternative model for the relationship between the main stakeholders (the pharmaceutical companies, third party payers, and the public) involved in the price setting and purchasing of pharmaceuticals, one that encourages a more cooperative approach. We draw from principles of ethics and health economics and apply them to the context of the pharmaceutical industry. The model prioritises two objectives, (1) to make drugs financially accessible to the patients who need them, and (2) to keep pharmaceutical companies viable and profitable. It is centered around the sharing of financial risk between the main stakeholders, which we describe as 'enlightened risk sharing'. After establishing the foundations of this model, we expand on the type of policies that can follow these principles with current day examples.

Indexed as

Costs and Cost AnalysisDrug CostsRisk Sharing, FinancialDrug IndustryGovernment RegulationHumansInsurance, Health, ReimbursementModels, EconomicBusiness ethicsFair pricingHealth economicsPharmaceutical pricingPolicy

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.