Pricing and Reimbursement Policies in New EU Accession Countries

Author(s):  
Rossen Kazakov

This paper aims to provide an informative and analytical view on healthcare policies on pricing and reimbursement in new accession countries, their reflection by the new national drugs legislations, and pricing and reimbursement policies, constraints and opportunities for the EU generic medicines producers. It is driven by the belief that having a greater understanding will help the pricing and reimbursement strategy planning process, and will enhance companies' performance while achieving greater awareness of the influence of the health policy factors in the region. A major stress is put on the process of change and the need for reformation of the healthcare policies on pricing and reimbursement, coming out of the EU enlargement process and legislation harmonisation. A snapshot is given of current pricing and reimbursement models together with a look at the Central and Eastern Europe drugs markets recent figures. Cost containment measures like economic evaluation of drugs, cross-countries price comparisons and parallel trade, and the slide from a branded to unbranded generics market are highlighted as the major factors that generic companies should take into account in the near future.

2014 ◽  
Vol 11 (1) ◽  
pp. 49-68
Author(s):  
Aleksandra Čavoški

Although the implementation of the acquis is a crucial element of the EU integration process, it is recognised as its ‘weakest link’. The implementation deficit is especially apparent with the EU environmental acquis, both in the existing member states and the accession countries. Most recently, following the accession of Croatia, the EU faces prospective enlargement to other Western Balkans countries. The author argues that there are specific problems in implementing the environmental acquis in accession countries and that the case of Serbia, or other countries of the Western Balkans, is not particularly unique. The case study used to support this argument is the implementation of the waste acquis in Serbia as it represents a highly demanding and costly policy area for national authorities and the country faces extensive legal, institutional, economic and financial challenges in implementing the environmental acquis.


2021 ◽  
Vol 1 ◽  
pp. 37-58
Author(s):  
Marina Matić Bošković ◽  
Jelena Kostić

The rule of law is incorporated in the EU Founding Treaties and case-law of the Court of Justice of the EU and was included as a key requirement already in 1993 Copenhagen accession criteria. The EU enlargement is not only territorial increase, but also transposition of EU acquis to third countries. Since 1993, the monitoring mechanism of the rule of law reform in the EU accession countries was enhanced, including two specific negotiation chapters, Chapter 23 – judiciary and fundamental rights and Chapter 24 – justice, freedom and security. Over the last two decades, the EU was struggling to develop an adequate mechanism in this area, from mechanism for coordination and verification, to action plans for Chapter 23, to more specific tools like perception and experience surveys of the judiciary and functional reviews. Due to the challenges to measure progress and track record in the rule of law, in February 2020 the European Commission presented the new approach to EU Enlargement that aims to push reforms forward. The intention is to make the accession negotiations more credible, predictable and dynamic and criteria for assessing reforms in the accession countries will be based on the clearer criteria and more concise EU requirements. The article examines how EU enlargement policies influenced the rule of law reforms in Western Balkan countries over the years and what could be expected from the new approach. The research hypothesis is based on the correlation between Enlargement strategy towards the Western Balkans and its impact on rule of law in countries of the mentioned region. The methodological approach applied in the assessment is based on analysis of Enlargement strategy and other EU and national documents, as well as results of the work of judicial institutions in order to provide insight into the bottlenecks of the state rule of law in Western Balkan countries and enable identification of recommendations for improvement. The authors concluded that the new methodology would improve the measurability of the achieved results in the rule of law area, however, the approach might slow down the accession process of Serbia and Montenegro as a frontrunners in the process.


2019 ◽  
Vol 27 (2) ◽  
pp. 63-85
Author(s):  
József Golovics

In the 1970s Jagdish Bhagwati proposed the introduction of a brain drain tax to compensate less developed countries for the welfare losses they suffered as a result of outward skilled migration, but the proposal was never implemented. In light of tensions in Europe caused by the mobility of highly-skilled labour from ‘East’ to ‘West’ following the 2004 EU enlargement, this paper re-examines the feasibility of such a proposal within the Union. The disparity between levels of income and economic development in (some of) the ‘new’ and ‘old’ member states, combined with the specific European institutional environment to trigger a brain drain from the accession countries to the EU-15. Mindful of the values and specificities of the EU, I address the question of whether Bhagwati's brain drain tax could provide a solution to this problem in the European context. Combining empirical research with EU integration theory, I argue that it cannot: implementation would face obstacles even in the limited context of the EU because of the lack of appropriate supranational competences; moreover, the tax – as a compensation mechanism - could not reduce the major differences in development levels, which is the underlying cause of the problem. Nonetheless, addressing this question illuminates broader issues of the politics of enlargement and the inequities of the current EU, in spite of the benefits it has brought to its 2004 and 2007 entrants.


2005 ◽  
Vol 50 (165) ◽  
pp. 33-53
Author(s):  
Miroslav Prokopijevic

In this paper I will try to show that the EU enlargement from 2004 is not a good economic move for eight newcomers from Central and Eastern Europe (CEECs). It is unlikely that newcomers will get larger FDI, speed up their economic growth and catch up with richer EU countries, although this was broadly advertised both academically and by the EU "propaganda for happiness." The EU subsidies, intended to offset accession costs, turn out to be useless if not damaging for acceding economies, because they change the structure of incentives. So, instead of being rewarded for accession accession countries are going to be punished twice. Firstly, by lower FDI and a persisting GDP gap. Secondly, by getting subsidies which worsen the situation. CEECs would be better off staying outside the EU and continuing to improve economic freedom and the rule of law. But even after they have acceded, there is still some space for reasonable objectives of the CEECs due to unintended consequences of the socialist enlargement design.


2007 ◽  
Vol 26 (3) ◽  
pp. 217-227
Author(s):  
Ming-Hon Hwang ◽  
Hsin Rau

In the industrial economy, evaluating company performance based on financial results was good enough. However, in the current globalized and highly competitive environment, maintaining long term competitiveness requires companies to engage in overall strategic planning and performance evaluation. The balanced scorecard is a tool or method for balancing an organization's performance and can react to situations where a company's direction becomes disoriented. This approach assists in strategy planning, process management, and performance evaluation from four perspectives, including financial, customer, internal process, and learning and growth. Good strategy planning provides companies with a correct management direction, correct process management ensures the efficient execution of plans, and correct performance evaluation illustrates the execution results. This study mainly focuses on how a large rubber company in Taiwan utilizes the balanced scorecard in its organization. As the technical perspective is important in the rubber keypad industry, besides the four above perspectives, this company has added the technical perspective. By introducing this company and its progress in implementing the balanced scorecard, this study hopes to provide other companies, especially rubber companies, with a planning direction and reference for the future implementation of the balanced scorecard.


2004 ◽  
Vol 37 (4) ◽  
pp. 509-522 ◽  
Author(s):  
Victor D. Bojkov

The article analyses the process of EU enlargement with reference to the progress that Bulgaria and Romania have made within it. It is argued that leaving them out of the wave of accession finalised in May 2004 for ten of the candidate states, has placed them in a situation of double exclusion. Firstly, their geographical belonging to the region of Southeast Europe has been rendered non-essential by their advanced position within the EU enlargement process. Secondly, their achievement in economic and political transition has been removed from the progress of the ten states, which joined the EU in May 2004 by delaying the time of their accession. As a result, any efforts in regional cooperation and integration between Bulgaria and Romania on one hand, and other Southeast European states on the other, have been effectively cancelled. Moreover, in current European politics, the two countries have come to serve the unenviable role of exemplifying on the part of the European Union how progress is being awarded and hesitation punished.


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