Rapid development of medical devices introduces the concern of value uncertainty, and payment for performance risk-sharing arrangements (RSA) can help address uncertainty concerns of payers and medical institutions. This study summarized the payment for performance RSA cases for medical devices both at home and abroad, and analyzed key elements to be considered in medical devices payment for performance, including closely combining with healthcare policies, satisfying key stakeholders’ needs, selecting proper medical devices and scope, and establishing RSA scheme design and implementation. Based on local and global experience as well as current policy, this paper analyzed the application and prospect of payment for performance RSA to support the value access for medical devices and promote the use of innovative medical devices in the context of DRG/DIP in China.
Key words
pay for performance /
risk-sharing agreements /
medical device /
value access
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