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Innovative Contracting & VBA
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South Korea: The evolution of risk-share agreements (RSA)
South Korea has recently shown enthusiasm towards innovative contracting and risk-sharing agreements in healthcare, with the National Health Insurance Service actively discussing a more adaptive framework. A notable global influence in these discussions is the UK's NICE International institution, which is extending its reach beyond European markets, offering infrastructure capability development and sharing methodologies with countries like South Korea. As a result, South Korea is adapting and evolving its contracting models, particularly in oncology, to better fit its market while also benefiting from the expertise of international institutions like NICE.
Spain: Is this the end for IPT plans?
Spain's plans to consolidate its IPT assessment arrangements faced delays due to legal challenges, reflecting difficulties in changing infrastructure. The intention was to introduce a formal economic analysis combined with clinical appraisals, similar to other established models. However, despite setbacks, there remains a shift towards emphasizing cost-effectiveness data and exploring innovative contracting, like risk-sharing outcome-based agreements, for medicines in Spain.