Stakeholder insights on cost, quality, and incorporating patient voice in managed care decisions on neovascular (wet) age-related macular degeneration: Findings from the AMCP Market Insights program

J Manag Care Spec Pharm. 2024 Nov;30(11-a Suppl):S1-S9. doi: 10.18553/jmcp.2024.30.11-a.s1.

Abstract

Wet age-related macular degeneration (AMD) is an acquired degeneration of the retina that can lead to central vision impairment. It is primarily treated with intravitreal injections of vascular endothelial growth factor inhibitors. Although vascular endothelial growth factor inhibitors can effectively prevent progression of vision loss in many patients, they require ongoing regular administration and are therefore associated with considerable treatment burden. To gain insights into the impact of wet AMD and its treatment, AMCP convened an expert panel of managed care stakeholders in April 2024 through its Market Insights program. Key issues related to wet AMD identified by participants included cost and affordability, provider-related considerations, biosimilar adoption, measuring and improving quality, and incorporating the patient voice. Suggested payer best practices related to these issues in wet AMD also emerged from the discussion.

MeSH terms

  • Angiogenesis Inhibitors* / administration & dosage
  • Angiogenesis Inhibitors* / economics
  • Angiogenesis Inhibitors* / therapeutic use
  • Cost-Benefit Analysis
  • Humans
  • Intravitreal Injections
  • Managed Care Programs* / economics
  • Quality of Health Care
  • Stakeholder Participation
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors
  • Wet Macular Degeneration* / drug therapy
  • Wet Macular Degeneration* / economics

Substances

  • Angiogenesis Inhibitors
  • Vascular Endothelial Growth Factor A

Grants and funding

Dr Flavin received payment from AMCP for the preparation of this manuscript. Drs Schimel, Contreras, Shannon, and Bioc received an honorarium from AMCP for participation in this Market Insights program. Dr Schimel also discloses payment from Regeneron for participation in a speakers bureau. AMCP conceptualized this supplement, and funding was provided by Regeneron Pharmaceuticals.