Scoring Value: New Tools Challenge Pharma's US Pricing Bonanza

Tools that provide transparent, comparative information about the efficacy, drawbacks and costs of a range of treatment options are helping patients, clinicians and payers choose drugs wisely. They're also forcing pharma to link price more explicitly to value.

The National Institute of Health and Care Excellence (NICE), the cost-effectiveness watchdog for health systems in England and Wales, is renowned for rejecting drugs it deems as poor value for the money, based on a well-known cost-effectiveness threshold. Many disagree with its approach, and with its threshold. But by and large pharmaceutical manufacturers know what they’re up against.

Most US payers have, for a variety of reasons, until recently resisted the health technology assessment (HTA) approach. Medicare can’t,...

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