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Pharma Pricing and Reimbursement Outlook: Optimizing price and market access in a recessionary climate
Date:10/27/2011

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Introduction 19

Healthcare cost containment 19

Declining R&D productivity levels 24

Patent expiries and the impact of generics 28

The trickle-down effect of global recession 30

Pharmaceutical pricing and reimbursement outlook 32

Chapter 2 US pricing and reimbursement trends 36

Summary 36

Introduction 37

US pricing and reimbursement regulations 37

Private healthcare insurance 38

Medicare 40

Medicaid 42

Key pricing and market access issues 44

Patent expiries and generics 44

Follow-on biologics 45

Cost-effectiveness and budget impact 47

Innovative pricing agreements 48

Medicare part D impact and funding 49

President Obama's healthcare reform plans 51

Economic recession 52

Future trends in US pricing and reimbursement 53

Most likely scenario 55

Best case scenario 55

Worst case scenario 56

Chapter 3 European pricing and reimbursement trends 58

Summary 58

Introduction 59

European pricing and reimbursement regulations 59

French pricing and reimbursement regulations 62

German pricing and reimbursement regulations 65

Italian pricing and reimbursement regulations 67

Spanish pricing and reimbursement regulations 73

UK pricing and reimbursement regulations 76

Key pricing and market access issues 78

Decentralization 78

Generics 79

Parallel trade 80

Cost-effectiveness studies 81

Innovative pricing agreements 81

Economic recession 82

Future trends in European pricing and reimbursement 83

Most likely scenario 85

Best case scenario 86

Worst case scenario 86

Chapter 4 Pricing and reimbursement trends in Japan and the rest of the world 90

Summary 90

Introduction 91

Japanese pricing and reimbursement regulations 91

Key pricing and market a
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