Case Study

Innovative Financing for Novel Therapies

Innovative Financing for Novel Therapies

Innovative Financing for Novel Therapies Isha Bangia PhamD MBA Ulrich Neumann FRSA, MBA, MSC MA We would like to acknowledge the research of Maximilian Vargas, PhD MBA. Email: eva-bd@certara.com The Advent of Transformative Medicines as a Driver for Payment Innovation • The advent of transformative and gene therapies has amplified affordability concerns among payers, providers and patients. Stakeholders agree that both funding and delivery systems are inadequate to deal with a wave of future cures. Until recently, little had changed in the thinking about how to pay for and deliver these therapeutic innovations. • With respect to gene therapies, different US payer types are variably exposed to three core risks: • Actuarial uncertainty (how many eligible patient

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