Cornerstones of ‘Fair’ Drug Coverage

from OHE News at https://bit.ly/3cKNvmU on September 30, 2020 at 05:15PM

In the focus on US drug prices, ICER has contributed thinking on determining when price aligns with patient benefits. Less debated is whether insurance coverage provides patients with fair access to a drug with a fair, value-based price. But how do we define fair access? This paper from ICER and OHE authors develops a fair access framework, proposing Ethical Goals for Access and Fair Design Criteria for cost sharing and prior authorization protocols.