Trump’s MFN Drug Pricing Policy Is Reshaping Pharmaceutical Markets
The United States is seeking to curb pharmaceutical expenditure by incorporating international price referencing into public health insurance programs.
Demonstrating that a health technology, e.g. a product, procedure or any intervention, is worth its cost is in a pivotal role to support access to market, adaptation and positioning. Data on health effects and resources needed to gain those are required to evaluate the efficacy, i.e., cost-effectiveness of new and existing health technologies.
Clinical trials provide information on efficacy and safety profiles of health technologies in controlled trial setting, prior to marketing authorization and real-life use. However, effectiveness and safety in real-life clinical practice and in different patient groups may remain uncertain, or even unknown.
The accumulation of real-world data starts after adaptation of health technologies to clinical practice allowing the identification of patient demographics, treatment pathways, safety profiles, effectiveness and resource use related to disease of interest and its treatments. Using real-world data, subsequently refined into real-world evidence, provides an opportunity to demonstrate the value of health technologies to the patients, health care providers and health care system, and the whole society. Real-world evidence reduces uncertainty related to health technology assessments to the minimum at any stage of the life cycle of the intervention, both pre and post market entry (Figure 1.).

Medaffcon’s Health Economists, Tatu Sainio and Mikko Kosunen, spoke about how real world evidence (RWE) can be utilized in a health technology assessment (HTA) in our annual customer evening. Watch a recording of the speech below.
The United States is seeking to curb pharmaceutical expenditure by incorporating international price referencing into public health insurance programs.
Medaffcon brings to the health technology market the kind of effectiveness and cost-conscious thinking well established in the pharmaceutical industry.
While the majority of Medaffcon’s revenue comes from the pharmaceutical industry, the company’s activities are not limited only to commercial projects. At any given time, several academic projects may be ongoing.