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Regenerative Medicine Is Here: New Payment Models Key To Patient Access

Moving From Chronic Therapies To Cures - Creating A Pathway To Enable New Payment Models

 
• By Francesca Cook, Ted Slocomb, Michael Werner, Ted Haack, Donald Han, and Faraz Ali

Potentially curative regenerative medicine therapies are no longer theoretical, but instead have become reality. As more and more gene, cell and tissue-based therapies reach the market, the need for payment solutions is becoming more pressing. The Alliance for Regenerative Medicine has consulted with payers and other stakeholders to consider the barriers to alternative payment models and look at possible solutions.

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Regenerative Medicine: overcoming market barriers • Source: Shutterstock

Many regenerative medicines seek to provide a transformative and long-lasting effect with a single treatment, potentially enabling a shift from a focus on chronic therapy to possible cures. Patient access to these transformative therapies will be hindered, however, if the health care system is not prepared for the implications of such medical innovation.

This is the third part of an annual review of issues facing the regenerative medicine field by the Alliance for Regenerative Medicine. The first article considered the prospects for...

The current system is organized around paying for chronic interventions based on episodes of care rather than based on value and patient outcomes. The political and payer uproar associated with...

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