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Reimbursement

Spanish Health Ministry Targets Efficiency With New Medicine Pricing Rules

A draft royal decree would pave the way for more transparency in pricing and reimbursement decision-making processes and boost competition to increase the participation of generic medicines.

Swiss Move To Prioritize Ambulatory Care In Healthcare Reform

Medtechs will be indirectly affected by a new law in Switzerland that unifies the amount of funding allocated to inpatient and ambulatory care.

Opinion: AI Use In Rebate Management

Pharmaceutical manufacturers face unique challenges, particularly when it comes to managing thousands of complex rebate contracts and connecting the dots between contract agreements and business performance.

Neurocrine’s Crenessity Is The First New Drug For CAH In 70 Years

Neurocrine will launch Crenessity for adults and children with classic congenital adrenal hyperplasia in less than a week, with pricing available then, adding its second commercial product.

Blow For Sandoz And Boehringer As PBM OptumRx Deletes Humira Biosimilars

A pair of Humira biosimilars, including one from Sandoz, will no longer be covered on one of OptumRx’s 2025 US commercial formularies.

Canadian HTA Agency Consults On First Methods Guideline

A new methods guide from Canada’s health technology assessment agency should help drug sponsors generate and report appropriate clinical evidence.

English NHS Failing To Meet Targets For Availability Of NICE-Approved Cancer Drugs

England’s National Health Service has yet to meet targets for speedy availability of anticancer drugs that have gone through an early access scheme and then been green-lit by NICE.

Medicare, Medicaid Coverage Of Obesity Drugs Would Add $40bn In Government Spending

The proposal states that Part D plans could define "obesity" for coverage determination, but CMS said overly restrictive criteria would be inconsistent with formulary review requirements and step-therapy would not be allowed.

Germany’s DRGs And Hospital Reform Cleared For January Launch

Germany’s governing coalition may have folded, but embattled health minister Lauterbach has championed his hospital reform bill to the last. Now voted through in the upper house of parliament, the bill to reform diagnosis related groups and hospital care delivery will come into force on 1 January.

HTA Bodies In England, US and Canada Collaborate On Developing Health Economic Methods

A new, international group of health technology assessment agencies will work together on topics related to health economic methods that could include dynamic pricing and non-traditional ways of evaluating value in cost-effectiveness analyses.