Patient safety is paramount when deciding how to roll out a new program or even if a program should be developed or not, said Jeremy Whalen, PharmD, BCOP, specialty clinical program director for oncology at Prime Therapeutics.
Patient safety is paramount when deciding how to roll out a new program or even if a program should be developed or not. After that, the consideration would be what impact the program will have on total cost of care for that member, said Jeremy Whalen, PharmD, BCOP, specialty clinical program director for oncology at Prime Therapeutics.
Transcript
How has cost-effectiveness impacted medication prescriptions as healthcare transitions to a more value-based model?
Costs will still be a driver within a value-based care model, and I think it’ll become a bigger component of it. As providers are more engaged within what the cost of care is, and they're having those conversations with the patients up front—that now is becoming a part of the decision on what care is being delivered. When we have equally efficacious or similarly efficacious medications or regimens to treat the patient, cost will now be kind of a driving factor in a value-based model on what therapies patients receive.
What are the various benchmarks that decision makers consider when deciding whether to implement or test certain strategies or policies?
Patient Safety is kind of paramount when we're deciding how to roll out a new program or even if a program should be developed or not. After that, it [would] really be also what impact the program will have on total cost of care for that member—will it increase it? Will it decrease it? Then, also I kind of say tongue-in-cheek is will this program get us on the Wall Street Journal? Will that be a positive thing or a negative thing on that front page?
As we look at oncology and the cost within that system, the total cost of care is really becoming paramount. One thing that we're really striving and are successful with at Prime Therapeutics is doing integration of health and benefits. So, both on the medical and pharmacy side, to really look at what that impact is on the patient and that total cost so then we can help make better decisions and support our patients.
Frameworks for Advancing Health Equity: Urban Health Outreach
May 9th 2024In the series debut episode of "Frameworks for Advancing Health Equity," Mary Sligh, CRNP, and Chelsea Chappars, of Allegheny Health Network, explain how the Urban Health Outreach program aims to improve health equity for individuals experiencing homelessness.
Listen
Tackling Health Inequality: The Power of Education and Experience
April 30th 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our final episode of this limited series and our conversation with Janine Jelks-Seale, MSPPM, director of health equity at UPMC Health Plan.
Listen