• Health policy · Jan 2012

    How innovative are pharmaceutical innovations?: the case of medicines financed through add-on payments outside of the French DRG-based hospital payment system.

    • Inna Gridchyna, Marine Aulois-Griot, Catherine Maurain, and Bernard Bégaud.
    • Droit et économie pharmaceutiques (DEPH), Université Bordeaux Segalen, France. inna.gridchyna@etud.u-bordeaux2.fr
    • Health Policy. 2012 Jan 1; 104 (1): 69-75.

    ObjectiveTo analyze the characteristics of inpatient medicines placed on the list of innovative high-cost medicines funded in addition to DRG-based payment, and to identify whether they really are innovative and/or high-cost.MethodologyThe medicines placed on the list of innovative and high-cost medicines were analyzed on the basis of criteria describing their innovative nature and cost. They were categorized as innovative and high-cost, only high-cost, only innovative and neither innovative nor high-cost.ResultsAmong the medicines financed in addition to DRG-based payment, 25.5% were classified as innovative and high-cost, 23.5% only high-cost, 22.9% only innovative and 28.1% neither innovative nor high-cost.ConclusionsThe list of innovative and high-cost medicines contains medicines other than innovative and high-cost medicines. Stricter criteria for placing medicines on this list should be considered in order to limit the increase in expenditure.Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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