Risk-sharing agreement

A risk-sharing agreement is a contractual arrangement in which a pharmaceutical company and payer share financial or clinical risk based on treatment outcomes.

What is a risk-sharing agreement?

Risk-sharing agreements link payment for a product to its real-world performance. If the therapy does not meet predefined clinical or economic outcomes, the company may provide discounts, rebates, or other concessions. Agreements can be financial, outcome-based, or a combination of both.

Why are risk-sharing agreements important in Market Access?

They align stakeholder incentives and support access to high-cost or innovative treatments. These agreements demonstrate confidence in a product’s value and can facilitate reimbursement when uncertainty about effectiveness or budget impact exists. They also promote the use of real-world data in ongoing evaluation.

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