Towards implementing new payment models for the reimbursement of high-cost, curative therapies in Europe: insights from semi-structured interviews
Thomas Desmet, Sissel Michelsen, Elena Van den Brande, Walter Van Dyck, Steven Simoens, Isabelle Huys · 2025
Read Towards implementing new payment models for the reimbursement of high-cost, curative therapies in Europe: insights from semi-structured interviews by Thomas Desmet, Sissel Michelsen, Elena Van den Brande, Walter Van Dyck, Steven Simoens, Isabelle Huys (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11788164.txt.
Description
Some new therapies cure in a single dose but carry a price no health budget can pay at once. Six authors studied one proposed answer in Belgium: outcome-based spread payments, where the cost is paid in installments and continued payment depends on the results patients actually get. They interviewed 33 people across the system, from doctors and hospital pharmacists to policymakers, insurers, industry, and patient representatives.
The interviews, held in 2020, mapped what must be in place before such deals can work. The list runs from agreed pricing and payment logistics to data systems that track outcomes for years. It also covers clear contract terms, long-term follow-up of patients, and an outside body to govern the deals openly. Interest is high, the authors find, but progress stalls for lack of agreement on making the model sustainable. Their framework names the conditions that could unblock it.
Catalog record
| CREATOR | Thomas Desmet, Sissel Michelsen, Elena Van den Brande, Walter Van Dyck, Steven Simoens, Isabelle Huys |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 70 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |