PMID: 24340892Dec 18, 2013Paper

Risk sharing schemes--what does foreign experience tell us?

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
Katarzyna Kolasa

Abstract

A new healthcare act dated from 2011 has introduced risk sharing instruments into the Polish reimbursement system. It is a form of pricing and reimbursement (P & R) arrangement. The reimbursement is granted provided that certain conditions are met. To perform the systematic review to identify publications presenting different P & R arrangements implemented in foreign jurisdictions. 876 articles were reviewed based on predefined inclusion criteria. In total, 22 publications were included. Results. As many as 33 different sort of P&R arrangements were identified. The systematic review revealed variety approaches to P & R arrangements. The most advanced forms included the collection of real life data, the least advanced were based on financial measures. Based on preformed systematic review, a list of recommendations for further incorporation of P & R arrangements into the Polish environment were elicited for the Polish decision makers.

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