scholarly journals Value-based tiered pricing for universal health coverage: an idea worth revisiting

2020 ◽  
Vol 4 ◽  
pp. 16
Author(s):  
Kalipso Chalkidou ◽  
Karl Claxton ◽  
Rachel Silverman ◽  
Prashant Yadav
Keyword(s):  
Universal Health Coverage ◽  
Health Coverage ◽  
Middle Income ◽  
Middle Income Countries ◽  
Tiered Pricing ◽  
Health Products ◽  
Enhance Efficiency ◽  
The Right ◽  
Universal Health ◽  
Local Value

The pricing of medicines and health products ranks among the most hotly debated topics in health policy, generating controversy in richer and poorer markets alike. Creating the right pricing structure for pharmaceuticals and other healthcare products is particularly important for low- and middle-income countries, where pharmaceuticals account for a significant portion of total health expenditure; high medicine prices therefore threaten the feasibility and sustainability of nascent schemes for universal health coverage (UHC). We argue that a strategic system of value-based tiered pricing (VBTP), wherein each country would pay a price for each health product commensurate with the local value it provides, could improve access, enhance efficiency, and empower countries to negotiate with product manufacturers. This paper attempts to further understanding on the potential value of tiered pricing, barriers to its implementation, and potential strategies to overcome those.

scholarly journals Value-based tiered pricing for universal health coverage: an idea worth revisiting

2020 ◽  
Vol 4 ◽  
pp. 16
Author(s):  
Kalipso Chalkidou ◽  
Karl Claxton ◽  
Rachel Silverman ◽  
Prashant Yadav
Keyword(s):  
Universal Health Coverage ◽  
Health Coverage ◽  
Middle Income ◽  
Middle Income Countries ◽  
Tiered Pricing ◽  
Health Products ◽  
Enhance Efficiency ◽  
The Right ◽  
Universal Health ◽  
Local Value

The pricing of medicines and health products ranks among the most hotly debated topics in health policy, generating controversy in richer and poorer markets alike. Creating the right pricing structure for pharmaceuticals and other healthcare products is particularly important for low- and middle-income countries, where pharmaceuticals account for a significant portion of total health expenditure; high medicine prices therefore threaten the feasibility and sustainability of nascent schemes for universal health coverage (UHC). We argue that a strategic system of value-based tiered pricing (VBTP), wherein each country would pay a price for each health product commensurate with the local value it provides, could improve access, enhance efficiency, and empower countries to negotiate with product manufacturers. This paper attempts to further understanding on the potential value of tiered pricing, barriers to its implementation, and potential strategies to overcome those.

scholarly journals Value-based tiered pricing for universal health coverage: an idea worth revisiting

2020 ◽  
Vol 4 ◽  
pp. 16 ◽  
Author(s):  
Kalipso Chalkidou ◽  
Karl Claxton ◽  
Rachel Silverman ◽  
Prashant Yadav
Keyword(s):  
Universal Health Coverage ◽  
Health Coverage ◽  
Middle Income ◽  
Middle Income Countries ◽  
Tiered Pricing ◽  
Health Products ◽  
Enhance Efficiency ◽  
The Right ◽  
Universal Health ◽  
Local Value

The pricing of medicines and health products ranks among the most hotly debated topics in health policy, generating controversy in richer and poorer markets alike. Creating the right pricing structure for pharmaceuticals and other healthcare products is particularly important for low- and middle-income countries, where pharmaceuticals account for a significant portion of total health expenditure; high medicine prices therefore threaten the feasibility and sustainability of nascent schemes for universal health coverage (UHC). We argue that a strategic system of value-based tiered pricing (VBTP), wherein each country would pay a price for each health product commensurate with the local value it provides, could improve access, enhance efficiency, and empower countries to negotiate with product manufacturers. This paper attempts to further understanding on the potential value of tiered pricing, barriers to its implementation, and potential strategies to overcome those.

scholarly journals Infertility policy analysis: a comparative study of selected lower middle- middle- and high-income countries

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Bahar Morshed-Behbahani ◽  
Minoor Lamyian ◽  
Hassan Joulaei ◽  
Batool Hossein Rashidi ◽  
Ali Montazeri
Keyword(s):  
Supportive Care ◽  
Policy Analysis ◽  
Universal Health Coverage ◽  
High Income ◽  
Financial Protection ◽  
Health Coverage ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Services ◽  
Universal Health

Abstract Background Infertility has recently become a salient but neglected global issue. Policies to address the sexual and reproductive health and rights (SRHR) are vital, especially in lower middle and middle-income countries (LMICs). Hence, the aim of this study was to compare the national infertility policies in the selected countries (LMICs comparing with high-income) to determine gaps or to confirm desirable policies in the given health systems. Methods This study has executed a comparative policy analysis of infertility services using the universal health coverage framework (financial protection, population coverage, and service features) in three scopes (prevention, treatment, and supportive care). Seven countries that had infertility programs in their health sectors were selected. Results The results showed that financial protection was good in high and middle-income countries, but in a lower middle income, and in one high-income country was poor. The findings also showed that health systems in the same countries had no infertility services for men. Preventive and supportive care services were neglected in LMICs by governments. Conclusion The findings indicate that income is not the only factor that fulfills universal health coverage for infertility care services. Perhaps to achieve equity in infertility care services, it should be seen as a universal human right to accomplish the right to have a child and to have a life with physical and mental health for all men and women.

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