Real Endpoints (RE), a leading boutique life science consultancy focused on market access, today announced it has hired Robert O’Brien as Vice President, Specialty to further expand its abilities to gain access and coverage for its clients’ medical innovations.
read full article ›Ryan Walsh from Real Endpoints has been accepted as one of the prestigious 2020 PharmaVOICE 100 recipients, which recognizes the most inspiring people in the life-sciences industry as leaders in research and development, marketing, technology, creativity, strategy, medicine, etc., positively impacting their peers, colleagues, companies, and communities, as well as the industry at large through their actions.
read full article ›Expert perspectives on reimbursement for high-cost therapies, both chronic and curative, were discussd at the recent Biotechnology Innovation Organization virtual international convention. The panel discussion, moderated by Real Endpoints CEO Jeff Berkowitz, focused on pharmacy benefit manager and payer concerns with affordability, the role of patient advocacy, value-based purchasing, and ICER value assessments
read full article ›Insurers have been playing a beneficial role in the pandemic crises by expanding access to, and cutting patient costs of, Covid-related diagnosis and treatment. How might insurer’s apply the COVID-19 cost-share initiatives to other population-wide problems?
read full article ›Pharmacy workers are the unsung heroes of the COVID-19 crisis, and they are becoming much more important to the pharmaceutical industry, considering that retail pharmacies have drastically lowered the cost of healthcare by making vaccines available at virtually no cost.
read full article ›The reimbursement of emerging durable and potentially curative cell and gene therapies challenge U.S. payers due to their high upfront costs. In addition, the lack of long-term clinical durability data amplifies uncertainties which complicate payer coverage and reimbursement determinations. These cell and gene therapy characteristics could negatively impact patient access and ultimately, future developer innovation. The Financing and Reimbursement of Cures in the U.S. (FoCUS) project was launched in 2016 by MIT with the objective of elucidating the challenges and financial impact created by durable/potentially curative therapies and providing implementable models to manage the financial impact on the U.S. healthcare system.
read full article ›Research conducted by the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences provides evidence to support expansion of insurance plan coverage of noninvasive prenatal testing (NIPT), to women under the age of 35. It represents a first-of-its-kind published analysis of results from a risk-sharing agreement between biotechnology company Illumina, Inc. and insurer Harvard Pilgrim Health Care, conducting the research in partnership with advisory firm Real Endpoints to evaluate the impacts of the agreement.
read full article ›Real Endpoints (RE), an advisory and analytics firm entirely focused on enhancing appropriate access to healthcare innovation, announced today that its president, Susan Raiola, has been named to the PharmaVOICE 100 list of the most inspiring people in the life sciences industry. Susan was honored for her innovations in understanding what works among the plethora of patient and provider support programs and Hubs – and then crafting effective strategies specific to the client’s medicine.
read full article ›As effective as new gene therapy treatments may be, high setup costs, variable clinical responses, and issues with reimbursement and coding have resulted in significant losses for some manufacturers and providers. “The one-time administration for these therapies introduces a mismatch with benefits” said Jane F. Barlow, Real Endpoints Chief Clinical Officer. “The cost is front-loaded, but benefits accrue over time, creating a challenge as patients move in and out of plans. This is very different than what we see with chronic medications.”
read full article ›The industry has plenty of ways to define value. Thousands of academic and corporate health economists busily grind out cost-effectiveness analyses. CMS has designated five "compendia" as guides for reimbursable value, despite bizarrely opaque decision-making behind the compendias' choices.
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