Gabriela Restovic

Gabriela is an economist with more than 10 years of experience in health economic evaluation, business plans development and market access plans design for medicines and health technologies innovations.
Gabriela has held different positions both in the pharmaceutical industry and in strategic consulting, where she has managed strategic projects in the healthcare setting, developing economic assessment, business analysis, financial models (P&L and cash flow) and establishing market access plan for each innovation with focus in different healthcare areas including, recently, apps for Health. She has projects published in several journals and has participated in different congress as a speaker with oral presentation and posters.
Gabriela is currently working as a health economist in the Department of Innovation and Research at the Hospital Clinic.

value-based procurement
This blog is part 10 of a series on the MEAT value-based procurement project, an initiative that advocates towards a shift from price-based procurement towards value-based procurement. It does so by defining a Most Economically Advantageous Tendering (MEAT) framework that includes the value of medical technologies, services and solutions in procurement processes across Europe. Read part 1 , part 2 , part 3 , part 4 , part 5 , part 6 , part 7 , part 8 and part 9 . The EU Directive on public procurement came into force in Spain earlier this year. It opens the door to applying value-based healthcare in procurement and promises to be a driver of innovation in healthcare. This is a welcome development. Innovation is not reaching patients in Europe as quickly as in the US or Asia. The Directive fosters innovation by allowing authorities to call for tenders to solve specific problems without pre-empting the solution and emphasises the importance of innovation partnership. By encouraging authorities to select the most economically advantageous tender (MEAT), the directive emphasises the need to go beyond price-only criteria. It specifically points to cost-effectiveness, life-cycle costing and the best price-quality ratio as important considerations. MEAT in hospital procurement At the recent HTAi conference in Vancouver, Canada , I outlined how our hospital in Barcelona has been testing a new framework for achieving the MEAT. This initiative stems from a project with MedTech Europe, BCG and other procurement stakeholders. Together, we have been working on an approach that uses a holistic definition of value, based on a scheme with three main layers (outcomes & costs, other benefit for key stakeholders, and broader impact on society). While this approach has some overlap with existing hospital-based-HTA thinking, it goes beyond considering the value to the hospital and looks at...

Gabriela Restovic

Innovation and Research Department at the Hospital Clinic Barcelona