This session provides an overview of how HTA is run specifically focusing on how to deal with and make judgements on the quality of both clinical and economic evidence presented and how to arrive at recommendations as part of the deliberative process. Will highlight the role and organizational implications for each section.

Assessment phase

• Clinical evidence – efficacy, effectiveness, and safety
• Economic evaluation and budget impact
• Organizational considerations
• Submission tips for manufacturers

Appraisal phase

• Uncertainty of (clinical and economic) evidence
• Restrictions in use
• Relevance of other considerations

How to use HTA reports from other recognized agencies

• Country examples – highlight key differences in agency reporting
• Implications for Greece

(Panos Kanavos & Aris Angelis, LSE)

Positional and collaborative negotiations – The Seven Elements Framework, including topics with relevant examples (in/outside of healthcare):

• Negotiation as a competitive process (video and interactive discussion)
• Creating and distributing value
• Alternatives, Commitment and BATNAs
• The ladder of inference
• The Four Quadrants Framework

(Panos Kanavos, LSE)

Medicines budgets can be determined through a centralized or decentralized procedure with different approaches for inpatient and outpatient medicines. The actual budget allocation can be based on multi-year agreements that manages year over year expenditure growth. As such, countries may not have specific budgets for each therapy area, but instead have specialized groups to manage high cost medicines.

(Panos Kanavos & MacKenzie Mills, LSE)

• Introduce case studies and mock negotiation process
• Key components of
• Discuss case study objectives and expectations
• Discuss focus of the group preparation process
• Separate workshop participants into groups
• Distribute case study with confidential instructions to all groups
• Explain worksheets

(Panos Kanavos, Aris Angelis, Mackenzie Mills, LSE)

• Product value assessment based on dossier provided
• Preview and refine negotiations strategy, BATNA, value proposition and contract options.
• Identify speakers to present arguments and conduct negotiations
• Review/rehearse negotiation arguments and their strength in each team

Group work guided and coached by Panos Kanavos, Aris Angelis and Mackenzie Mills