Some Value(Able) Thoughts

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Presentation transcript:

Some Value(Able) Thoughts Robert W. Dubois, MD, PhD Chief Science Officer rdubois@npcnow.org

Value Frameworks Are Proliferating RD

Take-Home Messages Value equation only looks simple (value = benefits/costs) Today’s frameworks have much to teach, but improvements needed Frameworks should align with guiding practices Value assessments should not be nationally determined No free lunch: balance access today with innovation tomorrow

1. Value Equation Only Looks Simple (value = benefits/costs) Include all outcomes that matter View over a long enough time interval Consider individual treatment effects Costs Include all costs that matter Use accurate costs Incorporate productivity impact Account for caregiver burden

2. Today’s Frameworks Have Much To Teach, But Improvements Needed Lessons Varying approaches Differing audiences Many considerations Guiding Practices Needed improvements Full transparency Stakeholder involvement Validation/vetting

3. Frameworks Should Align With Guiding Practices* *selection from NPC’s 35 Guiding Practices

4. Value Assessment Should Not Be Nationally Determined Patients differ (can’t just use the “average”) Preferences differ Value assessment needs to have flexibility by: Population Condition Region of care

5. No Free Lunch: Balance Access Today With Innovation Tomorrow Price Controls Creates Greater Access Today Fewer Innovative Therapies Tomorrow

Take-Home Messages Value equation only looks simple (value = benefits/costs) Today’s frameworks have much to teach, but improvements needed Frameworks should align with guiding practices Value assessments should not be nationally determined No free lunch: balance access today with innovation tomorrow

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