Outcomes-Based Pricing Agreements Between Pharma and Managed Care Organizations Are on the Rise, Says Cutting Edge Information


RESEARCH TRIANGLE PARK, NC--(Marketwire - May 14, 2009) - The recent agreements between Merck and Cigna, as well as Sanofi-Aventis, Procter & Gamble and Health Alliance, signify a major shift in the pharmaceutical industry's approach to gathering and using health outcomes data, according to Cutting Edge Information.

These agreements allow for more flexible, cost-effective drug pricing. In the Merck deal, Cigna will price two diabetes drugs partially based on whether health outcomes data show that patients can better control their blood sugar levels. In the Sanofi-Aventis/Procter & Gamble-Health Alliance deal, the drug makers agreed to reimburse health insurance companies for patients who suffer a non-spinal bone fracture while taking their drug Actonel.

These recent deals indicate that pharma companies are gathering and using more health outcomes data to set pricing strategies. For years, drug makers relied on contracting negotiations to gain a strategic reimbursement advantage. Now they can no longer compete on contracting alone. Payers, health insurance companies, and reimbursement plans call for drug manufacturers to provide proof that their products will be cost-effective compared to drugs already on the market.

Drug companies have known for years that outcomes-based pricing strategies are inevitable. Developing those strategies and making them profitable has been the challenge. Drug manufacturers have been reluctant, for example, to initiate comparator studies that may prove that a competitor drug is more cost effective or has more favorable outcomes.

"In today's environment, companies can no longer avoid collecting health outcomes data," said Elio Evangelista, research manager at Cutting Edge Information.

Cutting Edge Information's study "Outcomes-Based Pharmaceutical Pricing: Meeting Stakeholder Needs" provides recommendations for improving pricing strategies, implementing best practices and meeting payer needs. The report shows companies how to incorporate outcomes data collection into clinical development processes.

The report contains 400+ metrics, data focusing on pricing teams' structures, phase-by-phase pricing processes and methodology, and spending and staffing resources.

Metrics include:

--  Resource support, innovative versus me-too drugs
--  Cross-functional involvement in pricing decisions
--  Share of companies with dedicated pricing departments
--  Lifecycle entry and exit points for functions involved in the pricing
    process
--  2008 pricing budgets and headcounts, by company size
--  2008 headcounts broken down by geographic market and by company size
    

Download a report brochure at http://www.PharmaPricingStrategy.com.

Contact Information: CONTACT: Elio Evangelista: (919-433-0214)