International Experience and Controversies

Tuesday, September 25th, 2007

14:00

Welcome and introduction to the program
    Michael Schlander

14:30

Economic welfare theory and health economics
    Friedrich Breyer

15:30

The logic of cost-effectiveness ("extra-welfarism")
    Martin J. Buxton

16:30

Coffee Break

17:00

The ethics of priority setting in health care
    Sören Holm

18:00

Re-interpreting health economics
    Jeff Richardson

19:00

Supper Break

20:00

Roundtable discussion:
The "dismal science" revisited:
Normative foundations of health economic analysis

     Friedrich Breyer
     Martin J. Buxton
     Sören Holm
     Jeff Richardson
     Michael Schlander



Wednesday, September 26th, 2007

9:00

National Institute for Health and Clinical Excellence (NICE)
    Martin J. Buxton

  • Mission and roles of NICE
  • The NICE reference case
  • NICE processes and procedures
  • How does NICE come to its decisions?
  • How do NICE and the Scottish Medicines Consortium (SMC) relate?

10:30

Coffee Break

11:00

NICE and the National Health Service (NHS)
    Martin J. Buxton

  • Implementation issues
  • Is the current ICER threshold right?
  • Value-based pricing - possible future developments

12:30

Lunch Break

14:00

The Australian experience
    Rosalie Viney and Jeff Richardson

  • Pharmaceutical Benefits Scheme (PBS) in Australia
  • Pharmaceutical Benefits Advisory Committee (PBAC)
  • Quality of submissions to PBAC - common flaws
  • Can the system be "played" by companies?

15:30

Coffee Break

16:00

The Canadian experience
    Andreas Laupacis

  • The Canadian Common Drug Review (CDR)
  • CDR appraisal processes
  • Canadian Expert Drug Advisory Committee (CEDAC) Canadian Agency for Drugs and Technologies in Health (CADTH)
  • Provincial formulary listing in Canada

17:30

Break

19:00

Social program & dinner



Thursday, September 27th, 2007

9:00

Economic analysis and medical decision-making: help or hindrance? A North American perspective
    Andreas Laupacis

  • Prescription creep and implementation issues
  • Usefulness of economic evaluations
  • Canadian drug policy and pharmacoeconomics
  • Expensive drugs for rare diseases in Canada
  • Recent trends in the United States

10:30

Coffee Break

11:00

Health Technology Assessments in Europe
    Panos Kanavos

  • Assessment procedures and methods in Europe
  • HTAs and decision-making in Europe
  • Evidence and innovation in health care
  • Interface between HTAs and innovation

12:30

Lunch Break

14:00

Pharmaceutical price regulation in the UK
    Panos Kanavos

  • Reforming the UK Pharmaceutical Price Regulation Scheme (PPRS)
  • Moving towards value-based pricing in the UK?
  • Implications for stakeholders

15:00

The Swedish experience
    Ulf Persson

  • The Pharmaceutical Benefits Board (LNF)
  • Applying the cost-effectiveness principle
  • Experience, issues and debate in Sweden

16:30

Coffee Break

17:00

The German approach to economic evaluation
    Peter Kolominsky-Rabas

  • Legal and regulatory environment
  • Mission and roles of IQWiG
  • HTAs in Germany
  • Objectives of health economic evaluations by IQWiG

18:30

Supper Break

20:00

Roundtable discussion:
Value-based pricing: a NICE approach?

     Andreas Laupacis
     Panos Kanavos
     Peter Kolominsky-Rabas
     Ulf Persson
     Michael Schlander



Friday, September 28th, 2007

9:00

Stakeholder expectations I
    Koen Torfs

  • A research-based pharmaceutical corporation’s view

10:00

    Christine Lavery

  • The perspective of patients

11:00

Coffee Break

11:30

Stakeholder expectations II
    Wolfgang Kaesbach

  • The perspective of payers in the regulatory context

12:30

Discussion

13:00

Which way forward?
    Michael Schlander

  • What have we learnt?
  • Concluding remarks

13:30

Lunch (optional)



Disclaimer

Please note that situations may arise in the future that require change and revision of the program.