AMCP real-world evidence standards: Overcoming barriers to using real-world evidence in US payer decision-making

Catherine M. Lockhart; Elizabeth Powers; Brian Sweet; Patrick P. Gleason; Diana Brixner

doi:10.18553/jmcp.2025.25108

September 18, 2025Journal of Managed Care & Specialty PharmacyOpen Access

AMCP real-world evidence standards: Overcoming barriers to using real-world evidence in US payer decision-making

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Key Points

Real-world evidence standards could facilitate better pharmaceutical coverage decisions by US payers.
Current barriers include insufficient guidance and assessment standards specific to payer needs.
Developing workable standards for real-world evidence is essential for enhancing reimbursement strategies.
This initiative highlights the importance of integrating real-world evidence into payer decision-making processes.

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Implication

Analyzing barriers impacting payer decisions on pharmaceutical reimbursement, suggesting standards for real-world evidence use.

Abstract

US payers are interested in incorporating real-world evidence (RWE) into their pharmaceutical coverage and reimbursement decisions. One barrier to using RWE to inform decisions is the lack of standards for RWE assessment and interpretation specific to US payer needs.

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Cite This Study

Lockhart et al. (2025) studied this question.

synapsesocial.com/papers/68d46fbd31b076d99fa696d9 https://doi.org/10.18553/jmcp.2025.25108

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AMCP real-world evidence standards: Overcoming barriers to using real-world evidence in US payer decision-making

Key Points

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Implication

Abstract

Discussion

Cite This Study

AMCP real-world evidence standards: Overcoming barriers to using real-world evidence in US payer decision-making

Key Points

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Implication

Abstract

Discussion

Cite This Study

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