12 Sep 2022 | 02:45 PM GMT
Past Meeting

Evidence Requirements for DTx vs Drugs

About this Meeting

Are you targeting payers as part of your market access strategy? What do you need to know about their evidence requirements for DTx? 

Due to the lack of industry-wide frameworks for DTx evidence, payers' requirements are usually the same as drugs. However, drugs and DTx are very different in nature, and it is often hard to fit DTx into the traditional evidence standards. Even when DTx solutions have proven effective and safe, some payers have refused to continue covering them (for example, Aetna news). This aligns with a point raised in many HealthXL meetings; payers are sometimes more demanding with DTx compared to drugs due to the novelty of these therapies and the lack of knowledge, making it harder for DTx companies to get buy-in. Join this meeting to have a peer-to-peer conversation about: 

  • Clinical evidence payers’ expectations and how to address them efficiently. 
  • What health economics results do DTx companies need to show to convince payers? Most payers look at health economics data and get interested when healthcare costs reduce. What are their expectations from DTx solutions?  
  • Many startups don’t have much evidence at the beginning, but this doesn’t mean they will not be able to work with payers. How do the evidence requirements change according to DTx product maturity? 
  • There is a gap in the DTx industry in terms of criteria on evidence for DTx, hence the standards used are the ones for drugs, which are usually too high for digital solutions. How can the industry work together to provide a guidance/framework widely used by the different stakeholders, including payers?

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