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Editorial
. 2024 Feb;25(1):1-5.
doi: 10.1007/s10198-023-01640-4. Epub 2023 Oct 25.

Recovery of suspended reimbursements of high-cost drugs subjected to monitoring registries and negotiated agreements (MEAs): a tool for governance and clinical appropriateness in the Italian reality

Maurizio Capuozzo #  1 , Venere Celotto  2 , Andrea Zovi  3 , Roberto Langella  4 , Francesco Ferrara #  5
Affiliations
Editorial

Recovery of suspended reimbursements of high-cost drugs subjected to monitoring registries and negotiated agreements (MEAs): a tool for governance and clinical appropriateness in the Italian reality

Maurizio Capuozzo et al. Eur J Health Econ. 2024 Feb.

Abstract

The Monitoring Registries and negotiated agreements (MEAs) established by the Italian Medicines Agency (AIFA) exemplify a pinnacle of excellence in Italian healthcare governance, playing a pivotal role in achieving economic sustainability and ensuring judicious allocation of financial resources. Within a local territorial health company catering to a populace of around 1 million individuals in Italy, an assessment of the meticulous implementation of all negotiation procedures was carried out by scrutinizing the monitoring records. This examination served to pinpoint and address potential issues in the platform management executed by healthcare professionals, including physicians and pharmacists. Such issues had the potential to result in economic setbacks owing to the non-reimbursement from pharmaceutical companies. Through diligent verification undertaken by the pharmacists, a financial recovery amounting to approximately €579,443.4 for the fiscal year 2022 was achieved. The essence of this analysis is to underscore how collaborative, multidisciplinary efforts between physicians and pharmacists yield tangible economic advantages. This collaborative approach ensures a streamlined healthcare system characterized by efficiency, devoid of unnecessary expenditures, and marked by the highest standards of care appropriateness, ultimately serving the best interests of the citizens.

Keywords: Appropriateness; Governance; Healthcare; Negotiated agreements; Sustainability.

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References

    1. Vogler, S., Vitry, A., Babar, Z.U.: Cancer drugs in 16 European countries, Australia, and New Zealand: a cross-country price comparison study. Lancet Oncol. 17(1), 39–47 (2016). https://doi.org/10.1016/S1470-2045(15)00449-0 - DOI - PubMed
    1. Pauwels, K., Huys, I., Vogler, S., Casteels, M., Simoens, S.: Managed entry agreements for oncology drugs: lessons from the european experience to inform the future. Front. Pharmacol. 4(8), 171 (2017). https://doi.org/10.3389/fphar.2017.00171 - DOI
    1. Adamski, J., Godman, B., Ofierska-Sujkowska, G., Osińska, B., Herholz, H., Wendykowska, K., Laius, O., Jan, S., Sermet, C., Zara, C., Kalaba, M., Gustafsson, R., Garuolienè, K., Haycox, A., Garattini, S., Gustafsson, L.L.: Risk sharing arrangements for pharmaceuticals: potential considerations and recommendations for European payers. BMC Health Serv. Res. 7(10), 153 (2010). https://doi.org/10.1186/1472-6963-10-153 - DOI
    1. Ciulla, M., Marinelli, L., Di Biase, G., Cacciatore, I., Santoleri, F., Costantini, A., Dimmito, M.P., Di Stefano, A.: Healthcare systems across Europe and the US: The managed entry agreements experience. Healthcare (Basel). 11(3), 447 (2023). https://doi.org/10.3390/healthcare11030447 - DOI - PubMed - PMC
    1. Dabbous, M., Chachoua, L., Caban, A., Toumi, M.: Managed entry agreements: policy analysis from the European perspective. Value Health. 23(4), 425–433 (2020). https://doi.org/10.1016/j.jval.2019.12.008 - DOI - PubMed

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