Health & Economic Impact Program

Gene, cell and tissue therapies (CGTx) offer the potential to dramatically change treatment options, patient outcomes and healthcare costs for a multitude of diseases. Many of these therapies are one-time, single administration treatments that have the potential to cure or significantly improve health for patients presenting with the most intractable – and costly — conditions. If similar results are achievable across multiple disease categories, the accelerated introduction and broader access to these therapies will have a huge impact on the healthcare economy.

But how can we quantify it?

The Foundation for Cell & Gene Medicine has made understanding the economic impact of regenerative medicine a key priority, and in Spring 2018 it established the Health & Economic Impact (HEI) Program as one of its three core initiatives to address this challenge.

This program, led by a Steering Committee, works closely with health economics and outcomes research experts drawn from drug developers, patient groups, providers, payers, academic institutions, and others to ensure a diverse and inclusive base for the HEI Program. Collectively, these stakeholders share an interest in accurately modeling the economic and societal impact CGTx could have on healthcare systems in the U.S. and worldwide.

The Foundation recognizes that presently there is no framework commonly accepted among health technology assessment agencies (“HTAs”), payers, and other stakeholders for modeling the burden of disease and clinical value as it relates to the therapeutic potential of cell and gene medicine. Further, many disease groups and companies are challenged by the need to develop their own disease models without clear guidance as to the type of model or framework that would most accurately reflect the relevant elements and metrics of disease burden and potentially corresponding CGTx value.

The HEI Program Steering Committee believes it is possible to create a consensus framework for modeling burden of disease that could be addressed by CGTx using modeling tools accepted by the HTAs and validated through a series of pilot projects under the auspices of the HEI Program. To that end, the Steering Committee has worked with Evidera, the leading pharmacoeconomic modeler in North America and Europe, to develop a modeling method and platform

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The HEI Model will be strong and persuasive support for healthcare systems and markets to adopt and integrate these therapies into mainstream medicine.

The results of the HEI Program may also serve as a platform for making a globally relevant value case for cell and gene therapies intended to help advance patient access solutions in a coherent and credible manner. Currently, the value discussion about innovative solutions is driven by individual product launches. In the absence of an integrated stakeholder effort, necessary value demonstration, market access and policy changes may be realized more slowly, impacting our ability to bring transformative therapies to the patients who need them.

Click here to view the landscape analysis that was completed as part of Phase I of the HEI Program.

Health & Economic Impact Program Steering Committee

Jaime Caro
Chief Scientist, Evidera

Lynsey Chediak
Project Lead, World Economic Forum

John Doyle, PhD
Vice President, Global Healthcare Innovation Lead, Pfizer

Matthew Durdy
Chief Executive Officer, Cell and Gene Therapy Catapult

Eric Faulkner

Jose Gomez
SVP, Global Patient Access and Value, HE/OR, AVROBIO

Brett Kopelan
Executive Director, debra of America

Mohit Jain
Vice President, Market Access EUMEA, BioMarin Pharmaceutical Inc.

Adrian McKemey, PhD
R&D Strategy Solutions, IQVIA

Clark Paramore
Head of Value Demonstration, bluebird bio

 

Dennis Purcell
Founder and Senior Advisor, Aisling Capital

Brock Reeve
Executive Director, Harvard Stem Cell Institute

Morrie Ruffin
Managing Partner, Adjuvant Partners

David Smith
Counsel, Troutman Pepper, Inc.

Jennifer M. Smoter
Senior Vice President, Chief Communications Officer at UnitedHealth Group

Ipek Ozer Stillman
Head, Global Health Economics, Payer Value and Patient Access

Suzana Vallejo-Heligon, PhD
Head of Strategy and Initiatives, IQVIA

Jie Zhang, PhD
Head of Global Value and Access, Cell & Gene Unit, Oncology Novartis

Frank Zhang
VP, Head of Market Access and Policy, uniQure