Pay for Innovation Observatory
The Pay for Innovation Observatory is an online tool that collects and organizes information about different pricing and payment models used for health technologies around the world. It helps policymakers and manufacturers understand which models have been tried, how they work, and when they might be useful, especially when there's uncertainty about a technology’s value or cost.
At a glance
Use when
Designing or evaluating pricing and reimbursement strategies for innovative health technologies, especially under uncertainty; comparing international approaches to risk-sharing and performance-based payments.
Avoid when
Need for prescriptive guidance on which scheme to adopt in a specific context; when detailed cost-effectiveness analysis is required rather than scheme typology; when focused on non-economic HTA domains like clinical safety alone.
Inputs
User-defined criteria such as scheme objective, technology type, implementation status, outcome measures, and risk-sharing mechanism.
Outputs
Catalogue of pricing and payment schemes with detailed descriptions, classification tags, real-world examples, and implementation insights.
How it works
Developed under the Horizon Europe HI-PRIX project, the Pay for Innovation Observatory is based on a PRISMA-ScR-compliant scoping review of literature (2010–2023) from PubMed, Web of Science, Scopus, and grey sources. It identifies 70 unique pricing and payment scheme types, with 60 detailed in the tool and over 150 real-world applications documented. Schemes are classified by objective, outcome component, payment timing/modalities, and evidence requirements. The Observatory provides a flexible, need-driven classification framework rather than a rigid taxonomy, supporting decision-making in health technology reimbursement and access.
- Project
- HI-PRIX
- Funding
- Horizon Europe
- Project status
- Ongoing
- HTA domains
- Aspects Beyond HTA
- Categories
- Pricing/Payer
- Technology
- Non-specific
- Assumptions
- Pricing and payment schemes can be meaningfully categorized by functional characteristics rather than rigid typologies; decision-makers benefit from flexible, objective-driven selection of schemes.
- Strengths
- Comprehensive coverage of 70 scheme types with real-world implementation data; flexible, user-centered classification; publicly accessible web interface; based on systematic review methodology.
- Limitations
- Some schemes are only described in principle without practical implementation data; limited focus on non-drug technologies; classification does not prescribe optimal choices but supports informed decision-making.
- Also known as
- HI-PRIX Observatory, Pay-for-Innovation Observatory (HI-PRIX)
Questions this answers
- › What pricing and payment models exist for new health technologies?
- › Which models have actually been used in practice?
- › How do different payment schemes handle uncertainty about a technology’s effectiveness?
- › What kind of data is needed to implement a given pricing or payment scheme?
- › How are risks shared between payers and manufacturers in different models?
- › Which schemes are most suitable for innovative or high-cost treatments?
References & sources
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