Advances in Cardiovascular Care: How to Stimulate Innovation While Controlling Cost
- PMID: 30062198
- PMCID: PMC6058936
- DOI: 10.1016/j.jacbts.2017.12.001
Advances in Cardiovascular Care: How to Stimulate Innovation While Controlling Cost
Abstract
There is increasing concern over the cost of pharmaceuticals. An approach to assessing the value of new pharmaceuticals compared with previous standards is cost-effectiveness analysis. Although cost-effectiveness analysis may not be able to directly answer societal questions about new drugs, it can make the underlying assumptions clear. As new pharmaceuticals are becoming more expensive, the issues concerning societal willingness-to-pay become more critical. This is especially true of biologics, where the cost of manufacture is much higher than for small molecules. Indeed, new biologics have gone from being unusual to dominating the market for new pharmaceuticals. Efficiency in manufacturing will need to be gradually addressed to make these life-saving therapies more widely available.
Keywords: biologics; cost-effectiveness; innovation.
References
-
- Nabel E.G., Braunwald E. A tale of coronary artery disease and myocardial infarction. N Engl J Med. 2012;366:54–63. - PubMed
-
- Ford E.S., Ajani U.A., Croft J.B. Explaining the decrease in U.S. deaths from coronary disease, 1980–2000. N Engl J Med. 2007;356:2388–2398. - PubMed
-
- Weintraub W.S., Daniels S.R., Burke L.E., for the American Heart Association Advocacy Coordinating Committee. Council on Cardiovascular Disease in the Young. Council on the Kidney in Cardiovascular Disease. Council on Epidemiology and Prevention. Council on Cardiovascular Nursing. Council on Arteriosclerosis. Thrombosis and Vascular Biology. Council on Clinical Cardiology, and Stroke Council Value of primordial and primary prevention for cardiovascular disease: a policy statement from the American Heart Association. Circulation. 2011;124:967–990. - PubMed
-
- Hlatky M.A., Kazi D.S. PCSK9 inhibitors: economics and policy. J Am Coll Cardiol. 2017;70:2677–2687. - PubMed
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