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Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience
This systematic study aims at analyzing the differences between the approach of the European healthcare systems to the pharmaceutical market and the American one. This paper highlights the opportunities and the limitations given by the application of managed entry agreements (MEAs) in European count...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914690/ https://www.ncbi.nlm.nih.gov/pubmed/36767022 http://dx.doi.org/10.3390/healthcare11030447 |
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author | Ciulla, Michele Marinelli, Lisa Di Biase, Giuseppe Cacciatore, Ivana Santoleri, Fiorenzo Costantini, Alberto Dimmito, Marilisa Pia Di Stefano, Antonio |
author_facet | Ciulla, Michele Marinelli, Lisa Di Biase, Giuseppe Cacciatore, Ivana Santoleri, Fiorenzo Costantini, Alberto Dimmito, Marilisa Pia Di Stefano, Antonio |
author_sort | Ciulla, Michele |
collection | PubMed |
description | This systematic study aims at analyzing the differences between the approach of the European healthcare systems to the pharmaceutical market and the American one. This paper highlights the opportunities and the limitations given by the application of managed entry agreements (MEAs) in European countries as opposed to the American market, which does not regulate pharmaceutical prices. Data were collected from the Organisation for Economic Co-operation and Development (OECD), the European Medicines Agency, and the national healthcare agencies of US and European countries. A literature review was undertaken in PubMed, Scopus, MEDLINE, and Google for a period ten years (2010–2019). The period 2020–2021 was considered to compare health expenditure before and after the SARS-CoV-2 pandemic. Scarce information from national agencies has been given in terms of MEAs related to the COVID-19 pandemic. The comparison between the United States approach and the European one shows the importance of a market access regulation to reduce the cost of therapies, increasing the efficiency of national healthcare systems and the advantages in terms of quality and accessibility to the final users: patients. Nevertheless, it seems that the golden age of MEAs for Europe was during the examined period. Except for Italy, countries will move to other forms of reimbursements to obtain higher benefits, reducing the costs of an inefficient implementation and outcomes in the medium term. |
format | Online Article Text |
id | pubmed-9914690 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99146902023-02-11 Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience Ciulla, Michele Marinelli, Lisa Di Biase, Giuseppe Cacciatore, Ivana Santoleri, Fiorenzo Costantini, Alberto Dimmito, Marilisa Pia Di Stefano, Antonio Healthcare (Basel) Article This systematic study aims at analyzing the differences between the approach of the European healthcare systems to the pharmaceutical market and the American one. This paper highlights the opportunities and the limitations given by the application of managed entry agreements (MEAs) in European countries as opposed to the American market, which does not regulate pharmaceutical prices. Data were collected from the Organisation for Economic Co-operation and Development (OECD), the European Medicines Agency, and the national healthcare agencies of US and European countries. A literature review was undertaken in PubMed, Scopus, MEDLINE, and Google for a period ten years (2010–2019). The period 2020–2021 was considered to compare health expenditure before and after the SARS-CoV-2 pandemic. Scarce information from national agencies has been given in terms of MEAs related to the COVID-19 pandemic. The comparison between the United States approach and the European one shows the importance of a market access regulation to reduce the cost of therapies, increasing the efficiency of national healthcare systems and the advantages in terms of quality and accessibility to the final users: patients. Nevertheless, it seems that the golden age of MEAs for Europe was during the examined period. Except for Italy, countries will move to other forms of reimbursements to obtain higher benefits, reducing the costs of an inefficient implementation and outcomes in the medium term. MDPI 2023-02-03 /pmc/articles/PMC9914690/ /pubmed/36767022 http://dx.doi.org/10.3390/healthcare11030447 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ciulla, Michele Marinelli, Lisa Di Biase, Giuseppe Cacciatore, Ivana Santoleri, Fiorenzo Costantini, Alberto Dimmito, Marilisa Pia Di Stefano, Antonio Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience |
title | Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience |
title_full | Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience |
title_fullStr | Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience |
title_full_unstemmed | Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience |
title_short | Healthcare Systems across Europe and the US: The Managed Entry Agreements Experience |
title_sort | healthcare systems across europe and the us: the managed entry agreements experience |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914690/ https://www.ncbi.nlm.nih.gov/pubmed/36767022 http://dx.doi.org/10.3390/healthcare11030447 |
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