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Earlier patient access to beneficial therapeutics that addresses unmet need is one of the main requirements of innovation in global healthcare systems already burdened by unsustainable budgets. "Adaptive pathways" encompass earlier cross-stakeholder engagement, regulatory tools, and iterative evidence generation through the life cycle of the medicinal product. A key enabler of earlier patient access is through more flexible and adaptive payer approaches to pricing and reimbursement that reflect the emerging evidence generated.

Original publication





Clinical pharmacology and therapeutics

Publication Date





730 - 742


Centre for Advancement for Sustainable Medical Innovation (CASMI), University of Oxford, Oxford, United Kingdom.


Humans, Time Factors, European Union, Diffusion of Innovation, Costs and Cost Analysis, Budgets, Reimbursement Mechanisms, Health Services Needs and Demand, Delivery of Health Care, Health Services Accessibility, United States