1、?Market?Access?in?US?and?EU?An?Overview杨眉（Mei Yang）Ph.D.VP of iHS Global,开心生活科技（Happy Life Tech）2Content?What is market access!#$%&!#$%&03HTAs in Europe Countries()*+,-./012()*+,-./0120402US payers&ICER 3*4563*456789:;789:;01Future of market access$%&,=$%&,=Economic?Evaluation?in?Drug?Development?an

2、d?Market?Access?LicensingPricing/ReinbursementMarket AccessEvidenceQualitySafetyEfficacyCost-effectivenessTHERE WAS GENERAL AGREEMENT THAT THE FORTH HURDLE WAS THE ONE TO LOOK OUT FORSource:Cai J.Real World Evidence&Market Access Summit 2015Forth Hurdle!#$%$%&$&$()()*+,-*+,-./01./0123234 4565617/817

3、/8What?is?Market?Access?Definition!Market access is about getting the right treatment to the right patient at theright time,and at the right price.#$%&()*+,-#$%&()*+,-./)0+1/)0+122.34)56+789:*;+?34)56+789:*;+?AB%AB%CD!1CD!1E EFGFGHIJKLMNOHIJKLMNOPQR78STPQR78ST+UV!+UV!Communicating value to healthcar

4、e stakeholdersOverview?of?America?s?Multi-Payer?Landscape?Health care in the United States is currently a unique,hybrid,multiple-payer system.!#$%&()*+,-./0%123%14567%*+8!#$%&()*+,-./0%123%14567%*+8Public Payers 9:5679:567 Medicare(14.2%)Medicaid(19.8%)Military(1.4%)Private Insurers;Employer-Sponsor

5、ed(49.6%)Fully Insured or Self InsuredIndividual Market.?.?Non-Group(5.9%)Uninsured(9.2%)Public-Private Programs9;3A!9;3A!Medicare Advantage Medicaid Managed CareState and Federal Exchanges BCDEFGBCDEFG Affordable Care Act HealthInsurance MarketplaceSource:1.https:/nam.edu/health-care-payers-covid-1

6、9-impact-assessment-lessons-learned-and-compelling-needs/US?Prescription?Drug?Spending?Spending by private health insurance,Medicare,and Medicaid accounts for more than 80%of total retail prescription drug spending in the US in 2017.!#$%#$%&()*+,-.&()*+,-./0123450/012345066/0123421/0123421789:;?AB78