{"id":436054,"date":"2026-06-03T08:12:52","date_gmt":"2026-06-03T08:12:52","guid":{"rendered":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/?p=436054"},"modified":"2026-06-03T08:12:52","modified_gmt":"2026-06-03T08:12:52","slug":"the-market-access-sweet-spots-where-payers-reimburse-more-convenient-therapies","status":"publish","type":"post","link":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/blog\/the-market-access-sweet-spots-where-payers-reimburse-more-convenient-therapies\/","title":{"rendered":"\u652f\u4ed8\u65b9\u613f\u610f\u4e3a\u4fbf\u5229\u6027\u4e70\u5355\u7684\u5e02\u573a\u51c6\u5165\u201c\u6700\u4f73\u5207\u5165\u70b9\u201d"},"content":{"rendered":"<p>\u7f8e\u56fd\u652f\u4ed8\u65b9\u5e38\u8bf4\u4ed6\u4eec\u201c\u4e0d\u4e3a\u4fbf\u6377\u6027\u4e70\u5355\u201d\uff0c\u7136\u800c\u5728\u591a\u4e2a\u6cbb\u7597\u9886\u57df\uff0c\u957f\u6548\u6ce8\u5c04\u5242\uff08LAIs\uff09\u5374\u80fd\u83b7\u5f97\u9ad8\u6602\u5b9a\u4ef7\u548c\u5e7f\u6cdb\u7684\u8986\u76d6\u8303\u56f4\u3002\u5728 HIV \u9884\u9632\u548c\u963f\u7247\u7c7b\u836f\u7269\u4f7f\u7528\u969c\u788d\u7b49\u9886\u57df\uff0c\u652f\u4ed8\u65b9\u7684\u8986\u76d6\u51b3\u7b56\u5728\u5f88\u5927\u7a0b\u5ea6\u4e0a\u53d7\u5230\u653f\u7b56\u548c\u8054\u90a6\u5f3a\u5236\u89c4\u5b9a\u7684\u5236\u7ea6\u3002\u5728\u8fd9\u4e9b\u6cbb\u7597\u9886\u57df\uff0c\u652f\u4ed8\u65b9\u7684\u5f71\u54cd\u529b\u66f4\u4e3a\u6709\u9650\u3002\u91cd\u8981\u7684\u662f\uff0c\u4e0d\u8981\u60f3\u5f53\u7136\u5730\u8ba4\u4e3a\u540c\u6837\u7684\u51c6\u5165\u903b\u8f91\u4e5f\u9002\u7528\u4e8e\u60a8\u7684\u6cbb\u7597\u9886\u57df\u3002<\/p>\n<h3>\u6848\u4f8b\u7814\u7a76 1\uff1aHIV \u66b4\u9732\u524d\u9884\u9632\uff08APRETUDE vs. \u6bcf\u65e5\u53e3\u670d\u4eff\u5236\u836f TDF\/FTC\uff09<\/h3>\n<p>APRETUDE \u662f\u4e00\u6b3e\u7528\u4e8e HIV \u66b4\u9732\u524d\u9884\u9632\uff08PrEP\uff09\u7684\u957f\u6548\u6ce8\u5c04\u5242\u3002\u5176\u5e74\u5ea6\u76ee\u5f55\u4ef7\u683c\u7ea6\u4e3a 25,000 \u7f8e\u5143\uff0c\u5927\u7ea6\u662f\u53e3\u670d\u4eff\u5236\u836f TDF\/FTC \u7684 70 \u500d\u3002\u5c3d\u7ba1\u5b58\u5728\u4ef7\u683c\u5dee\u8ddd\uff0c\u4f46\u7531\u4e8e\u8054\u90a6\u5f3a\u5236\u89c4\u5b9a\uff0c\u652f\u4ed8\u65b9\u5bf9 APRETUDE \u7684\u8986\u76d6\u4e0e\u53e3\u670d\u4eff\u5236\u836f\u65b9\u6848\u76f8\u5f53\u3002<\/p>\n<p>\u6839\u636e\u300a\u5e73\u4ef7\u533b\u7597\u6cd5\u6848\u300b\uff08Affordable Care Act\uff0cACA\uff09\uff0cPrEP \u88ab\u7f8e\u56fd\u9884\u9632\u670d\u52a1\u5de5\u4f5c\u7ec4\uff08U.S. Preventive Services Task Force\uff0cUSPSTF\uff09\u6307\u5b9a\u4e3a A \u7ea7\u670d\u52a1\u3002<sup><a href=\"#_edn1\" name=\"_ednref1\">[1]<\/a><\/sup> \u8fd9\u8981\u6c42\u5927\u591a\u6570\u5546\u4e1a\u548c ACA \u5065\u5eb7\u8ba1\u5212\u5fc5\u987b\u8986\u76d6\u6240\u6709 FDA \u6279\u51c6\u7684 PrEP \u4ea7\u54c1\uff08\u5305\u62ec APRETUDE\uff09\u4e14\u4e0d\u8bbe\u7f6e\u4efb\u4f55\u60a3\u8005\u81ea\u4ed8\u8d39\u7528\u3002<sup><a href=\"#_edn2\" name=\"_ednref2\">[2]<\/a><\/sup> \u8ba1\u5212\u4e0d\u80fd\u5f3a\u5236\u5b9e\u65bd\u9636\u68af\u6cbb\u7597\u3001\u4e8b\u5148\u6388\u6743\u6216\u57fa\u4e8e\u4f9d\u4ece\u6027\u7684\u9650\u5236\u3002\u56e0\u6b64\uff0c\u6839\u636e\u8be5\u5f3a\u5236\u89c4\u5b9a\uff0cAPRETUDE \u6309\u5176\u65e2\u5b9a\u4ef7\u683c\u83b7\u5f97\u62a5\u9500\uff0c\u800c\u4e0d\u53d7\u652f\u4ed8\u65b9\u504f\u597d\u7684\u5f71\u54cd\u3002<\/p>\n<h3>\u6848\u4f8b\u7814\u7a76 2\uff1a<strong>\u963f\u7247\u7c7b\u836f\u7269\u4f7f\u7528\u969c\u788d \uff08SUBLOCADE \u548c BRIXADI vs. \u6bcf\u65e5\u53e3\u670d\u4eff\u5236\u836f\uff09<\/strong><\/h3>\n<p>\u957f\u6548\u4e01\u4e19\u8bfa\u5561\u6ce8\u5c04\u5242 SUBLOCADE\uff08\u6bcf\u6708\u4e00\u6b21\uff09\u548c BRIXADI\uff08\u6bcf\u5468\u6216\u6bcf\u6708\u4e00\u6b21\uff09\u7684\u5e74\u5ea6\u76ee\u5f55\u4ef7\u683c\u4e3a 20,000-25,000 \u7f8e\u5143\uff0c\u800c\u6bcf\u65e5\u7528\u836f\u7684\u4eff\u5236\u4e01\u4e19\u8bfa\u5561\u7684\u5e74\u5ea6\u76ee\u5f55\u4ef7\u683c\u7ea6\u4e3a 1,000 \u7f8e\u5143\u3002\u5c3d\u7ba1\u5b58\u5728\u4ef7\u683c\u5dee\u8ddd\uff0c\u4f46\u6839\u636e\u300a\u652f\u6301\u6cd5\u6848\u300b\uff08SUPPORT Act\uff09\uff082018\uff09\uff0c\u533b\u7597\u8865\u52a9\u8ba1\u5212\uff08Medicaid\uff09\u5fc5\u987b\u8986\u76d6\u6240\u6709 FDA \u6279\u51c6\u7684\u7528\u4e8e\u6cbb\u7597\u963f\u7247\u7c7b\u836f\u7269\u4f7f\u7528\u969c\u788d\u7684\u836f\u7269\u3002<sup><a href=\"#_edn3\" name=\"_ednref3\">[3]<\/a><\/sup>\u6839\u636e\u79d1\u777f\u552f\u5b89 Fingertip Formulary \u6570\u636e\uff0cSUBLOCADE \u548c BRIXADI \u5728\u5305\u542b\u836f\u623f\u548c\u533b\u7597\u798f\u5229\u7684\u5546\u4e1a\u3001<strong>\u8054\u90a6\u533b\u7597\u4fdd\u9669<\/strong>\u4f18\u52bf\uff08Medicare Advantage\uff09\u8ba1\u5212\u548c\u533b\u7597\u8865\u52a9\u8ba1\u5212\u4e2d\u5b9e\u73b0\u4e86\u8d85\u8fc799%\u7684\u8986\u76d6\u7387\u3002<\/p>\n<h3>\u7ed3\u8bba<\/h3>\n<p>\u5728 HIV\u548c\u963f\u7247\u7c7b\u836f\u7269\u4f7f\u7528\u969c\u788d\u9886\u57df\uff0c\u957f\u6548\u6ce8\u5c04\u5242\u901a\u5e38\u80fd\u83b7\u5f97\u66f4\u9ad8\u7684\u4ef7\u683c\u548c\u5e7f\u6cdb\u7684\u8986\u76d6\uff0c\u56e0\u4e3a\u5728\u8fd9\u4e9b\u6cbb\u7597\u9886\u57df\uff0c\u652f\u4ed8\u65b9\u7684\u5f71\u54cd\u529b\u6709\u9650\u3002<strong>\u8fd9\u4e9b\u9886\u57df\u4ee3\u8868\u4e86\u201c\u6700\u4f73\u5207\u5165\u70b9\u201d\uff0c\u5728\u8fd9\u4e9b\u9886\u57df\uff0c\u652f\u4ed8\u65b9\u57fa\u672c\u4e0a\u4e0d\u52a0\u5e72\u9884\uff0c\u800c\u8986\u76d6\u8303\u56f4\u5219\u7531\u653f\u7b56\u9a71\u52a8\u3002\u5c55\u671b\u672a\u6765\uff0c\u4ef7\u503c\u6846\u67b6\u5e94\u660e\u786e\u533a\u5206\u4f9d\u4ece\u6027\u9a71\u52a8\u7684\u83b7\u76ca\u548c\u653f\u7b56\u5f3a\u5236\u7684\u8986\u76d6\uff0c\u4ee5\u66f4\u597d\u5730\u53cd\u6620\u771f\u5b9e\u7684\u652f\u4ed8\u65b9\u51b3\u7b56\u52a8\u6001\u3002<\/strong><\/p>\n<p><i>\u79d1\u777f\u552f\u5b89\u7ecf\u9a8c\u4e30\u5bcc\u7684\u5e02\u573a\u51c6\u5165\u548c\u5b9a\u4ef7\u4e13\u5bb6\u53ef\u4ee5\u5e2e\u52a9\u60a8\u5206\u6790\u3001\u4f18\u5316\u548c\u5b9a\u5236\u7b56\u7565\uff0c\u4ee5\u5b9e\u73b0\u5546\u4e1a\u6210\u529f\u7684\u6700\u5927\u5316\u3002\u8bbf\u95ee\u6211\u4eec\u7684\u7f51\u7ad9\u4ee5\u4e86\u89e3\u66f4\u591a\u4fe1\u606f\u6216\u4e0e\u6211\u4eec\u7684\u4e13\u5bb6\u8054\u7cfb\uff1a<a href=\"https:\/\/clarivate.com.cn\/life-sciences-healthcare\/consulting-services\/commercial-consulting-services\/\">\u533b\u7597\u5065\u5eb7\u5546\u4e1a\u5316\u6218\u7565\u54a8\u8be2\u670d\u52a1 | \u79d1\u777f\u552f\u5b89<\/a><\/i><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><small><a href=\"#_ednref1\" name=\"_edn1\">[1]<\/a> <a href=\"https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/prevention-of-human-immunodeficiency-virus-hiv-infection-pre-exposure-prophylaxis\" target=\"_blank\" rel=\"noopener\">USPSTF\u5bf9PrEP \u7684 A \u7ea7\u63a8\u8350\u3002<\/a><\/small><br \/>\n<small><a href=\"#_ednref2\" name=\"_edn2\">[2]<\/a> <a href=\"https:\/\/www.kff.org\/womens-health-policy\/preventive-services-covered-by-private-health-plans\/\" target=\"_blank\" rel=\"noopener\">KFF\u300a\u5e73\u4ef7\u533b\u7597\u6cd5\u6848\u300b\u4e0b\u79c1\u4eba\u5065\u5eb7\u8ba1\u5212\u8986\u76d6\u7684\u9884\u9632\u6027\u670d\u52a1\u3002<\/a><\/small><br \/>\n<small><a href=\"#_ednref3\" name=\"_edn3\">[3]<\/a><a href=\"https:\/\/www.cms.gov\/newsroom\/news-alert\/cms-issues-guidance-about-expanded-medicaid-coverage-treatment-opioid-use-disorders\/\" target=\"_blank\" rel=\"noopener\">CMS \u5173\u4e8e\u6269\u5927\u533b\u7597\u8865\u52a9\u8ba1\u5212\u5bf9\u963f\u7247\u7c7b\u836f\u7269\u4f7f\u7528\u969c\u788d\u6cbb\u7597\u8986\u76d6\u8303\u56f4\u7684\u6307\u5357\u3002<\/a><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7f8e\u56fd\u652f\u4ed8\u65b9\u5e38\u8bf4\u4ed6\u4eec\u201c\u4e0d\u4e3a\u4fbf\u6377\u6027\u4e70\u5355\u201d\uff0c\u7136\u800c\u5728\u591a\u4e2a\u6cbb\u7597\u9886\u57df\uff0c\u957f\u6548\u6ce8\u5c04\u5242\uff08LAI\uff09\u5374\u80fd\u83b7\u5f97\u9ad8\u6602\u5b9a\u4ef7\u548c\u5e7f\u6cdb\u7684\u8986\u76d6\u8303\u56f4\u3002\u5728HIV\u9884\u9632\u3001A\u578b\u8840\u53cb\u75c5\u548c\u963f\u7247\u7c7b\u836f\u7269\u4f7f\u7528\u969c\u788d\u7b49\u9886\u57df\uff0c\u652f\u4ed8\u65b9\u7684\u8986\u76d6\u51b3\u7b56\u5728\u5f88\u5927\u7a0b\u5ea6\u4e0a\u53d7\u5230\u653f\u7b56\u548c\u8054\u90a6\u5f3a\u5236\u89c4\u5b9a\u7684\u5236\u7ea6\u3002\u5728\u8fd9\u4e9b\u6cbb\u7597\u9886\u57df\uff0c\u652f\u4ed8\u65b9\u7684\u5f71\u54cd\u529b\u66f4\u4e3a\u6709\u9650\u3002\u91cd\u8981\u7684\u662f\uff0c\u4e0d\u8981\u60f3\u5f53\u7136\u5730\u8ba4\u4e3a\u540c\u6837\u7684\u51c6\u5165\u903b\u8f91\u4e5f\u9002\u7528\u4e8e\u60a8\u7684\u6cbb\u7597\u9886\u57df\u3002<\/p>\n","protected":false},"author":7,"featured_media":436056,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_links_to":"","_links_to_type":0,"footnotes":""},"categories":[3,43],"tags":[61,62,69,50,55,56],"class_list":["post-436054","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-life-sciences-healthcare","category-biopharma","tag-medical-insurance","tag-pricing","tag-market-access","tag-real-world-data","tag-us-market","tag-pharmaceutical-regulations"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-10 19:57:07","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/436054","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/comments?post=436054"}],"version-history":[{"count":7,"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/436054\/revisions"}],"predecessor-version":[{"id":436066,"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/posts\/436054\/revisions\/436066"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/media\/436056"}],"wp:attachment":[{"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/media?parent=436054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/categories?post=436054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/wp-json\/wp\/v2\/tags?post=436054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}