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Rob Abbott, CEO, ISPOR, highlights how uniting regulators, payers, and academic leaders worldwide can accelerate access to innovative treatments and strengthen evidence-based healthcare.
In a recent interview with Pharmaceutical Executive, Rob Abbott, CEO of ISPOR, discussed how health economics and outcomes research (HEOR) is transforming the way health systems and governments around the world address rising drug prices. Abbott highlighted the growing importance of real-world evidence, patient-centered approaches, and artificial intelligence in shaping value-based healthcare decisions. He also emphasized the critical role of cross-sector collaboration among regulators, payers, academia, and industry in advancing evidence-based policies and improving patient access to innovative therapies.
Pharmaceutical Executive: What collaborations or partnerships are most critical right now—across government, academia, or industry—to advance evidence-based health policy and access globally?
Rob Abbott: Let me start with ISPOR, because it’s central to how I think about this question. Healthcare is incredibly complex—it’s an ecosystem with many stakeholders, and we have to understand how those players interact.
ISPOR is the global society for health economics and outcomes research, with more than 20,000 members in over 100 countries. Our members represent academia, government, patient groups, NGOs such as the Institute for Clinical and Economic Review in the United States, as well as investors and payers. What’s most important is the dynamic interaction among these groups.
We’ve found it crucial to bring regulators, payers, and health technology assessment (HTA) agencies together. In fact, we’re launching a pilot project in Europe this fall to do exactly that. We chose Europe intentionally, given that the European Union’s new HTA regulation—officially in effect this year—has the potential to be a real game changer for patient access to innovative medicines.
The key is not to operate in silos. Collaboration across the ecosystem is essential. At ISPOR, we are working closely with the FDA, the European Medicines Agency, and leading academic institutions worldwide. These partnerships ensure we have access to cutting-edge thought leadership on where healthcare is heading, and how health economics and outcomes research can guide that path.
At the end of the day, collaboration and cooperation are vital if we want to navigate the maze of complexity, costs, and challenges in healthcare.
Full Interview Summary: Health economics and outcomes research (HEOR) is increasingly shaping how health systems and governments address rising drug prices. HEOR integrates clinical trial results, real-world data, patient experiences, and economic analysis to evaluate medical interventions. By assessing a treatment’s cost-effectiveness and real-world value, HEOR informs value-based pricing and decision-making, going beyond traditional clinical trial data to determine how drugs perform in everyday patient care.
A key trend highlighted in ISPOR’s 2024–2025 Top 10 Trends report is the growing importance of real-world evidence. Unlike clinical trials, real-world evidence captures patient outcomes, side effects, and overall cost-effectiveness after drugs enter the market, making it critical for both policy and clinical decisions. Another transformative trend is the accelerated adoption of artificial intelligence (AI) and digital health tools. AI is being used to synthesize literature, analyze complex data sets, and tailor treatment protocols efficiently. However, experts caution that while AI offers significant potential, human oversight remains essential to ensure patient-centered care.
From a global perspective, US healthcare excels in certain areas, such as cancer screening, vaccination rates, and advanced medical technology, but faces challenges including high per-capita costs, lack of universal coverage, and suboptimal outcomes in chronic disease and life expectancy. These issues highlight the universal challenge of managing rising costs amid increasing complexity.
Collaboration across government, academia, and industry is critical to advance evidence-based health policy and patient access. Organizations like ISPOR, with its global membership spanning regulators, payers, patient organizations, and academics, are fostering these partnerships. Initiatives, such as pilot projects aligning regulators and health technology assessment agencies in Europe, illustrate how coordinated efforts can improve patient access to innovative therapies while navigating the complexities of cost, efficacy, and healthcare delivery.
Overall, HEOR, real-world evidence, AI, and multi-stakeholder collaboration are central to shaping efficient, patient-centered, and cost-conscious healthcare systems worldwide.
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