And at AIFA the Italian HTA used a pay per performance scheme for our Targeted Therapies :
Then the great Dutch Melanoma Registry - gathering all the Patient data to really be able to make clever decisions on what works for who (less wasteful and painful treatments given un-necessarily) and then clever payer decisions !
Why are we not all doing this in europe - this is quality data collection, best patient care and cheaper for our countries to afford !
Let us avoid this :
We really be EXPECTING our countries to use these tools rather than hold back access - they EXIST let us share experiences and collaborate !