Types Of Risk Sharing Agreements

Garattini L, Curto A, van de Vooren K. Italian agreements on drug risk sharing: do they pay off? Eur J Health Econ. 2015;16:1–3. The list of relevant keywords and databases was identified in a three-step process. A number of keywords used to define ASRs have been identified by the first literature review mentioned above. Then there was a list of databases that were only looking for peer review articles. The keywords were then entered individually into each database to validate the choice of keyword and database. For all predefined filters (see for example “appendix”), the number of “results” was taken into account in the choice of keywords and databases. The following keywords and terms were retained and used in the research: patient access scheme, pharmaceutical risk sharing, risk sharing, risk sharing system, risk sharing agreement, entry into force agreement, pay-by-result, performance-based risk-sharing agreement, risk evolution coverage and price volume agreement.

Chapman S, Reeve E, Rajaratnam G, Neary R. Setting an outcomes guarantee for pharmaceuticals: new approach to risk sharing in primary care. BMJ. 2003;326 (7391): 707-9. RSAS are complex agreements that take a long time to develop. An important first step is to achieve internal direction on the objectives of the initiative, namely who will be involved in the approval process and when go-go decisions will be made. Sometimes manufacturers are approached with an opportunity and start working on achieving them without first reaching an internal agreement that the effort is justified. The result is unnecessary time and resources. It can also harm the customer relationship.

Risk sharing occurs when two parties identify and agree to share the loss as a result of the loss due to risk. This is typically the case for joint ventures (where owners share the shares of losses relative to their shares in the business), new businesses, and relationships in which each party shares effective operational control. Risks can be divided pro-rated, pro-rated beyond a threshold, into successive layers or in combination with these “rigging” methods.. . . .