Healthcare spending poses a huge challenge, and while national health systems are primarily the responsibility of member states, the EU has an important role to play in encouraging smarter spending, heard participants in this CHES Policy Dialogue with Servaas Deroose, Deputy Director-General, DG Economic and Financial Affairs, European Commission; Tony O’Brien, Director General Designate of the Health Service Executive in Ireland; Sarah Wamala, Director General, Swedish National Institute of Public Health; Herb Riband, Vice President for Value, Access and Policy, Amgen; and Donal O’Connell, Vice President for Finance EMEA, Johnson & Johnson.