FAS: the health system is not ready for the risk-sharing drug supply systems

The national health care system requires drastic changes in terms of clinical recommendations, interactions between medical doctors and pharmaceutical companies as well as creating a uniform system of implementing and objective evaluation of the efficiency of medicinal drugs under a risk-sharing model

“Launching a pilot project on sharing the risks / costs of treatment between pharmaceutical companies and drug ordering parties requires that the health system should have the basis without which drug provision under the risk-sharing system would not generate the expected results. Furthermore, executing the pilot project without taking into consideration FAS comments can restrict competition on the relevant markets and even facilitate breaching the law on public procurement and the antimonopoly law. The first sets of documents that we that we received, unfortunately, fully confirm our concerns”, stated Head of FAS Department for Control over Social Sphere and Trade Timophey Nizhegorodtsev at a special session “Risk-sharing and Value-based models. Regional projects” during Russian Pharmaceutical Forum.

According to Head of the specialized FAS Department, first of all, it is necessary to ensure regulatory and professional support to the institution of clinical recommendations. Second, strengthen the system of medical law, and create working mechanisms based on responsible cooperation between medical doctors and pharmaceutical companies. Third, establish collection and analysis of objective independent information about efficacy and side-effects of medicinal drugs.

“FAS and the Ministry of Health Care are discussing the pilot project. It is not rejected. Nevertheless, if we would like to summarize a particular practice, it should be done under the common standards and efficiency criteria”, clarified Timophey Nizhegorodtsev. “Before moving to the modern drug provision model, we must do lots of routine work. Also it is important that the pilot project is based on the principle of participant responsibility rather than abstract suggestions to its participants”.