Scientific advances in basic disease and systems biology, genomics, proteomics, metabolomics, and immunology are driving a robust drug and therapeutic development pipeline that increasingly includes targeted, more effective and even curative specialty therapies, as well as more advanced medical devices. At the same time, biomedical Innovation is challenged by many of the same forces driving the need to reassess delivery and payment models, including the high prices of many new therapies.
Many chronic diseases and acute conditions lack adequate therapies and cures, forcing policy makers to grapple with practical approaches for encouraging innovation and development while facilitating access to leading-edge medical technologies in ways that maximize value and outcomes. Better approaches are needed for encouraging investment in areas of unmet need, reducing the time and cost of medical product development, and supporting high value evidence-based uses of drugs, devices, and other technologies.
Duke-Margolis is focused on increasing the value of biomedical innovation to patients – including both better health outcomes and lower overall health care costs. Policy solutions are needed to gain ground in implementing drug development tools such as biomarkers and clinical outcome assessments, and to adopt methods incorporating the voice of the patient in both drug development and regulatory decision-making. development and evaluation of new payment models and contracting approaches related to innovative biomedical projects that support better outcomes and higher value care to patients.
Current Focus Areas
Advancing Value-Based Payment Arrangements for Pharmaceuticals, Medical Devices and Innovative Gene Technologies
Assessing the Value of Health Technologies
Improving the Science of Development and Review