Evidence map›Paper›PMID 40964890›Full record

ArticleJournal of managed care & specialty pharmacy2025

AMCP real-world evidence standards: Overcoming barriers to using real-world evidence in US payer decision-making.

Catherine M Lockhart, Elizabeth Powers, Brian Sweet, Patrick P Gleason, Diana Brixner

Abstract read
In one paragraph

Article in Journal of managed care & specialty pharmacy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

5 authors.

Catherine M LockhartAMCP Research Institute, Alexandria, VA.
Elizabeth PowersIQVIA, New York, NY.
Brian SweetGeron Corporation, Menlo Park, CA.
Patrick P GleasonPrime Therapeutics, LLC, Eagan, MN, and Department of Pharmaceutical Care & Health Systems, College of Pharmacy, University of Minnesota, Minneapolis.
Diana BrixnerDepartment of Pharmacotherapy, University of Utah, Salt Lake City.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUS payers are interested in incorporating real-world evidence (RWE) into their pharmaceutical coverage and reimbursement decisions. One barrier to using RWE to inform decisions is the lack of standards for RWE assessment and interpretation specific to US payer needs.

objectiveTo develop RWE standards supporting US payer decision-making through a framework outlining study types and potential endpoints important to US payers throughout a product's life cycle and a set of criteria, tailored to US payer needs, for assessing and applying RWE.

methodsThe Academy of Managed Care Pharmacy (AMCP) Research Institute, in partnership with IQVIA, convened a multistakeholder group of RWE experts to complete a survey and participate in a series of workshops with the goal of developing RWE standards tailored to payer decision-making needs. Informed by a targeted literature search, we created an initial list of RWE assessment criteria relevant to payers and refined by consensus and a framework describing RWE appropriate to different product life cycle stages from pre- to postapproval.

resultsA total of 36 payers completed the survey, and few (18%) reported regularly using RWE as part of their decision process; however, most (80%) were interested in using it. There was consensus on the need for a set of payer-specific standards. Through 2 focus groups and an AMCP Partnership Forum, participants vetted, refined, and finalized this payer-specific framework and developed a checklist that comprised a total of 29 RWE assessment criteria across 6 categories. This framework and set of criteria became the final AMCP RWE standards.

conclusionsThe AMCP RWE standards provide a tool to facilitate payer-specific assessments of RWE and guidance for designing RWE studies and communicating results that will be most impactful for payer formulary and coverage decisions.

Indexed as

Decision MakingEvidence-Based MedicineInsurance, Pharmaceutical ServicesManaged Care ProgramsHumansSurveys and QuestionnairesUnited States

Identifiers

PMID40964890
PMCPMC12653624

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.