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Alan Franciscus

Editor-in-Chief

HCV Advocate



Showing posts with label Policy. Show all posts
Showing posts with label Policy. Show all posts

Tuesday, March 31, 2015

Pakistan: Thousands of Pakistan made anti Hepatitis C injections expire

Islamabad- About 10000 injections developed by Punjab University (PU) for treatment of Hepatitis-C have gone redundant, due to negligence of provincial and federal governments.

The government has shifted all the burden of this scam to the shoulders of former PPP led government. PU medical experts had developed 100000 injections for cure of Hepatitis-C at the cost of Rs 7 million, but these have gone time barred while lying in stores, due to non-granting of permission by ministry of health and regulation for conducting laboratory test.

PU Molecular Biology department worked out plan to develop cheap Interferon injection for treatment of Hepatitis C and funds were also provided to the experts of the respective department. The said injection was developed within the span of 5 years time. The permission was sought from federal ministry for health and regulation for laboratory test of these injections. This application was kept unattended in Islamabad secretariat, for two years. These 100000 injections which were prepared for poor patients were wasted, for want of permission by the then minister of health Ejaz Jakhrani and secretary health Khushnood Lashari.

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Tuesday, February 3, 2015

How Hepatitis C Is Shining A Light On Critical Gaps In Payment Reform

In this blog post, we consider alternative payment policies that could help to ensure that—despite their potentially high cost—breakthrough treatments are consistently delivering value to patients and that the health care system is addressing inefficiencies in the delivery and total costs of care.

Paying for Value and Outcomes: Alternative Provider Payment Models
Over the last several decades, payers and providers have taken significant steps to move coverage and reimbursement from fee-for-service (FFS) payments that incentivize higher volume and intensity to a focus on achieving better results and lower overall costs for patients. Such payment reforms have important implications for breakthrough treatments, as they allow treatment access while also ensuring care coordination and more efficient total spending.

Paying for Value and Outcomes: Outcomes-based Reimbursement
A further extension of payment reforms that shift from volume and intensity to value is tying payments for the treatment itself to outcomes or other measures of performance. Outcomes-based contracting, in which manufacturers share the risk of a treatment outcome, could help alleviate concerns that high-cost treatments actually lead to patient improvement or cures in practice. At their most basic, outcomes-based reimbursement agreements establish defined payment for defined outcomes: a manufacturer shares in the cost of failure in practice through larger rebates, discounts, or refunds if a product does not achieve the performance or outcomes goals agreed to by the payer.

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