How can value-based pricing drive access, sustainability, and innovation in healthcare?
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OHE Bulletin

Matthias Hofer

Guest editor: Matthias Hofer | Principal Economist

HTA and Value-Based Pricing: What Does “Value” Mean?

 

Warren Buffet once said, "Price is what you pay. Value is what you get." While Buffet isn't a health economist, this principle seems highly relevant in healthcare. It is important to ensure that the price paid for health technologies reflects their “value”. But what does “value” really mean in this context?

In OHE’s most recent publication, we discuss how health technologies improve patient health, but also have the

potential to provide so called “broader value” benefiting healthcare systems, society, and the economy. We analysed the status of incorporating broader value elements in HTA decision-making in the Asia-Pacific region, which faces socio-economic challenges due to an ageing population and rising chronic disease burden and healthcare capacity challenges. The report provides a framework and recommendations to improve broader value recognition and promote innovation, addressing both clinical and societal needs.

Our spotlight publication provides an overview of value-based approaches to HTA and pricing of health innovations. It describes how a value-based approach can deliver a "triple win," where patients gain access to effective technologies, healthcare systems remain financially sustainable, the full socio-economic value of innovation is well-understood, and can be rewarded appropriately.

Both OHE publications highlight the need for stakeholder collaboration for policy change. Increased collaboration in HTA decision-making is also the theme of our spotlight Insight, addressing how collaborative initiatives can help overcome challenges.

Lastly, in OHE’s "Around the World in HTAs" series, we visit Canada, where the CDA-AMC explicitly considers five ‘domains of value’: clinical value, unmet clinical need, social and ethical considerations, economic considerations, and impacts on health systems.

OHE remains committed to continuing research and debate on the “value” of health technologies. Stay tuned for upcoming panels, presentations, and posters by OHE at ISPOR and IHEA conferences 2025 on incorporating broader value elements in development and HTA decision-making. 

New Publication: Rethink HTA in APAC

The BRAVER Roadmap to Broader Assessment of the Value of Health Interventions in the Asia-Pacific Region

The BRAVER Roadmap to Broader Assessment of the Value of Health Interventions in the Asia-Pacific Region

 

As health systems in the Asia-Pacific region face growing challenges, integrating a broader societal perspective in Health Technology Assessment (HTA) could be a game-changer. This report introduces the BRAVER framework and examines how equity, informal care, and productivity can reshape HTA decision-making. Are we ready to adopt these changes?

Discover the BRAVER approach

Must Read: Transforming Healthcare with Value-Based Pricing

Delivering the Triple Win: A Value-Based Approach to Pricing

Delivering the Triple Win: A Value-Based Approach to Pricing

 

Value-based pricing has the potential to revolutionise the pharmaceutical industry by aligning drug prices with their value to patients, healthcare systems, and society. In this report, we analyse how this pricing model can create a triple win—improving patient access, ensuring healthcare system sustainability, and driving innovation. 

Read the published research

The Evolution of Canada's HTA: A Look at Value and Access

Around the World in HTAs: Canada – Autonomous yet Collaborative

Around the World in HTAs: Canada – Autonomous yet Collaborative

 

Canada’s HTA agencies are adapting to ensure that health technologies are assessed fairly and equitably, but there’s more to be done to address challenges in cost-effectiveness analysis and broader health outcomes. With growing pressure on healthcare systems, how is HTA in Canada evolving to deliver value for patients and society?

Insight into Canada’s HTA

Spotlight Insight: Collaboration in regulatory and HTA

Is collaboration between and across regulatory and HTA agencies the answer to access challenges?

Is collaboration between and across regulatory and HTA agencies the answer to access challenges?

 

With evolving healthcare demands, partnerships between regulatory bodies and HTA agencies are gaining momentum. This insight discusses the growing trend of collaboration and how it could reshape the landscape of patient access to new treatments, while tackling some of the most pressing healthcare system challenges.

Read more on key collaborations
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