Progress Being Made With Cell And Gene Therapy Market Access, But Challenges Remain

Drug developers and payers are coming together long before product approvals to work out payment options for high-cost, high-impact cell and gene therapies, but challenges like portability of commercially insured patients and Medicaid best price requirements remain.

Drugs in capsules, DNA and medicine, 3d rendering - Illustration
Payers see value in gene therapies, but capacity for mutiple products is limited. • Source: Shutterstock

Engaging with payers early and often about potential payment models for cell and gene therapies has given drug developers reason to be optimistic about pricing and reimbursement, but they acknowledge many challenges are ongoing when it comes to covering the cost of high-cost, high-impact medicines.

Both manufacturers and payers noted the progress and remaining struggles during panel discussions and in interviews during the Cell and Gene Therapy Meeting on the Mesa, hosted by the

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