AJMC February 21, 2021
Jennifer Bright, MPA

A German-style fair value/pricing committee may be in the works for the United States. However, government payers still have work to do before implementing a value assessment system.

The adoption of a German-style drug pricing panel – which relies heavily on comparative clinical research conducted during the first year a drug or other treatment hits the market ­­– is an idea that has captured the interest of President Biden’s health team. While this notion of injecting additional clinical and economic analyses into Medicare’s purchasing decisions is gaining currency, a vital question is left unanswered: What factors are essential to determining a therapy’s fair value?

Knowing whether we are getting the best outcome for the price of any...

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