Plenary Session: Innovative Pricing Pricing Models: The Future is Now, 2016 MassBio Annual Meeting 03/31/2016 8:00 AM – 04/01/2016 3:00 PM Royal Sonesta Hotel, Cambridge, MA
Leaders in Pharmaceutical Business Intelligence (LPBI) Group, Boston
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2016 MassBio Annual Meeting 03/31/2016 8:00 AM – 04/01/2016 3:00 PM Royal Sonesta Hotel, Cambridge, MA
In Attendance, steaming LIVE using Social Media
Aviva Lev-Ari, PhD, RN
Editor-in-Chief
http://pharmaceuticalintelligence.com
Director & Founder
Leaders in Pharmaceutical Business Intelligence (LPBI) Group, Boston
https://www.massbio.org/events/2016-massbio-annual-meeting-1120
2016 MassBio Annual Meeting 03/31/2016 8:00 AM – 04/01/2016 3:00 PM Royal Sonesta, Cambridge MA
Plenary Session: Innovative Pricing Pricing Models: The Future is Now
- Laurie Bartlett Keating, Senior Vice President, Counsel, Alnylam
- Pioneed in value-based Pricing models
- innovating approaches
- facilitate access for Total value
- Ecosystem: Payers, payers, transformative medicine
- simplification
- Payers want dialog, variability in outcome
- experiments free trial fro all MS no inclusion of MedicCare and MedicAid – 60 days Payers did not pay, 60% converted into paying Patient – extended access not shared costs
- 3 Parts of Phase I – inhibitory antibodies developed
- target reimbursement – businesses can’t get broke, ObamaCare brought some player to hard time
- engagement with Payer on Endpoints publish data vs Sales force of Pharme going to Prescribers
- Novartis access Payers before the drug is available $5 Billion drug to benefit patients
- consolidate view on Patient vs. FDA reviewer
- Grants from Public Institutions, Hoe benefits are quantified by European vs US regulatory — What is success Pain tolerance, age,
- Adherence with protocol of treatment if 4 times a year, deliver better care and capture data simultaneous with quality of life for the Patient
- bring transformative medicine forward vs me too
- Vertex – HCV drug, CF via acquisition in San Diego
- Genomics date will bring smarter therapies, small molecure – exclusivity during Patent then becomes generics for generation and other regions on the Globe
- Sue Hager, Vice President, Corporate Communications and Government Affairs, Foundation Medicine
- molecular information company – molecular alteration affecting tumor by genomics permutation molecular thumb print
- 70,000 molecules for precision diagnostics affecting diagnostics and pricing
- Patient is the center develop models for optimizinf outcomes,
- last 5 yeard progress in Cancer outcome more significant than the ones in last 50 years
- big data, bioinformatics Big Pharma looks at Probabilities in populations of patients
- Pharma extract costs
- Payers want to own the dat that belong to the Patient
- information silos, genomics is the holy grail, unite payers and Pharma keep Patient in the middle around the data
- Foundation Medicien – releases data tostimulate research and Patient access
- Oncology Payer are innovatintor in Big Data and reimbursement of targeted treatment
- Cancer care onlabel off laber – seismic change genomics signature vs histology, genomics signature in lang cancer shows in other types of cancer, no access to drug if no same genomic signature
- Steven Hass, Vice President for Patient Outcomes and Medical Economics, Sanofi Genzyme
- data for performing devision improved
- Celll theraphy with long term benefit
- observing benefits – pay for performance
- Clinical Trial Design – Innovated designs
- data collection – what is collected and how
- What can be shared, penalty on what you do not say
- big data has benefits for all players
- 1960 and 1013 same % US spent on Healthcare
- Roger Longman, CEO, Real Endpoint
- Payers are many and make money differently: Exchange vs HMO
- United HealhtCare is five comapnies each has different models for reimbursement
- Outcome based Pricing as off label promotion, only id end point is not in the label
- Cholestrol – Lower LDL nor Lower Cardiac event, No Paye rknown the LDL numbers
- GSK cannot go to Payers make arguement on economics, unsolicited request by Payers from GSK
- Economics not on label now allowed to be discussed with Payers
- Payers are creating options
- migraine – $ drugs at the same time – contracting strategy? label indication woith advantage on indication
- Payers driven short term less expensive product Payer will change
- economically driven organization in Healthcre – Price decrease like generic than cancer drugs looks like
- Value of drug – how customer looks at value elements
- Peter Pitts, President and Co-Founder, CPMI (Moderator)
- How is Clinical success been defined
- innovating pricing model impact clinical trial designed
- SMDA – last image
- FDA has Program on success beyond the label
- Revolving tiering for Pricing
- deliver innovation and relations to Price
- SMDA exclusivity for 5 years only
Questions from the Audience
- Outraged public on drug pricing
- Patent law: Europe vs US
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