The Payer Exchange Podcast Episode 5: SPAIN - Jaime Espín on Regulatory Reform, Transparency, and Outcome-Based Payment
Listen and subscribe
In this final episode of Series 1, Omar Ali speaks with Jaime Espín, health economist, former advisor to the Spanish Ministry of Health, and one of Spain’s most well-known payer figures.
Jaime discusses the ongoing regulatory reforms reshaping the Spanish access environment, including efforts to modernise outdated decision-making processes. The conversation also explores moves toward greater pricing transparency and Spain’s experience with outcome-based payment models—including the practical and economic barriers to implementing staged payments in a system under pressure.
This episode brings the series to a close with a clear-eyed look at how one of Europe’s most complex markets is evolving in response to innovation, cost, and political scrutiny.
“We’re seeing a real shift in Spain—more transparency, clearer decisions, and new models for how we pay over time.”
About The Payer Exchange
The Payer Exchange is a podcast from Verpora that explores how payers around the world are navigating complex pricing and access decisions. Hosted by Omar Ali, Verpora’s Head of Payers, each episode features a one-to-one conversation with a payer from a different healthcare system—offering direct insight into the practical realities of drug funding, reimbursement, and health system sustainability.
Listen and subscribe
Disclaimer: This presentation is for educational and informational purposes only, and is not intended as legal or policy advice. This presentation is based on non-confidential intelligence. Views expressed by the speakers are personal opinions and should not be attributed to anyone else. No part of this presentation may be reproduced for commercial purposes without the express permission of Verpora.
