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It may also make a case for considering looking a dynamic cost- effectiveness when assessing the introduction of new therapies." VM GALBRAITH LCWIGHT^, Market Access Source: Cost-effectiveness of statins revisited: lessons learned about the value of innovation. Eur J Health Econ (2012) 13:445-450 Innovative Pricing - some potential ideas Medicines, (and the package of care around them), could be priced according to 'value' which would mean by indication Issues such as fraud prevention can be managed through already existing Registries or other independent patient tracking measures These patient tracking methods would also allow the prospective gathering of health outcomes & PROMs data, which could be of great importance to Payers, Patients & industry for future value assessments These patient tracking methods can be managed by some of the innovative approaches of the supply chain companies such as Celesio & Alliance Boots/Walgreens TA GALBRAITH ** ^WIGHTRet^p Market Access Solutions already discount tramadol overnight delivery exist - in concept Healthcare systems already conduct differential pricing by intervention - through DRGs Hospitals routinely charge different amounts for the same operating theatre, using the same surgical team, but differentiated on the procedure, through the DRG system VA GALBRAITH \A/1 G H TRO thr+inp We need to forge Price based on value in terms of delivering Health Outcomes - which evolves over time A pricing & value discount tramadol overnight delivery strategy which recognises the many unknowns at launch, but is based upon delivering improvement in health outcomes, not Kg of chemical. A healthcare system which realises value is not all delivered at launch, that health outcomes take time to show, and that value changes over time - parametric evaluation is required Patients, Healthcare Professionals & Payers want to pay for health outcomes, not 'pills'!

Pharma industry still making too many discount tramadol overnight delivery unforced errors 6 Same old commercial model GALBRAITH LCWIGHT^B Same old commercial model - still "All big pharma sales force models are the same and have not changed since 1935 - it's time they did," Andrew Witty, CEO, GSK Financial Times global Pharmaceuticals and Biotechnology pharmacy tramadol 120 Conference 2006 GALBRAITH \A/1G H TRC tht+ing "Every new launch is the opportunity to experiment with a new commercial model" Pharma industry still making too many unforced errors 7 Industry has to clonazepam lexapro overcome its mind set problem with Payer customers GALBRAITH LCWIGHT^B r Pharma industry still making too many unforced errors discount tramadol overnight delivery - which would you vote is the worst issue?

1Most market access work starts much too late as Senior Managers do not yet fully appreciate the timing and investment needs 2Market access capabilities are siloed and too limited - some companies believe HEOR is market access - with no clear hydrocodone inhaled amount definitions & performance standards 3Most market access value propositions fail to address the issue of existing economic conditions 4R&D focus is still marketing authorisation, not reimbursement 5Our pricing strategies are stuck in the dark ages when we used to be chemical manufacturers 6Same old commercial model buy xanax echeck L A GALBRAITH WIGHTR*^, 7Industry has to overcome its mind set problem with Payer customers Agenda 1 Removing 'unforced errors' from market access discount tramadol overnight delivery planning & implementation 2 Focusing beyond achieving national pricing & reimbursement 3 Focusing on all healthcare costs, not just medicines GALBRAITH WIGHTF*^ Achieving national pricing & reimbursement approval are just two steps in the process & are no guarantee of success The ABPl (Mi ivelramatf rht piihlkjniaih of [be [tilru updare al 'lllCE Ttchntn&jy Appraisals In (he-NMS in England Innovation 5ooreco"3!ion Centra |HSCIC), on behaff of NHS England.



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