IVBM

Supplemental Process Can Aid in Assessing Value of Rare Disease Treatments

July 25, 2020

Article

A study looking at the ways in which different countries handle appraisal and reimbursement processes for rare disease treatments (RDTs) revealed that implementing supplemental processes can aid in patient and physician decision making.

How Can Integrating Data, Population Health Optimize Employer Health Care Delivery Amid COVID-19?

July 24, 2020

Video

In addressing the COVID-19 pandemic, a more active-based approach is warranted among employers to optimize care. Through detailed databases and a greater focus on population health, Paladina Health has promoted this transition to a more informed, value-based health care delivery system, said Kirk Rosin, chief revenue officer of Paladina Health.

Is Home Care Going Mainstream in the United States?

June 22, 2020

Article

Technology has made it easier to deliver health care in the home in recent years, but the financing models have not caught up just yet.

What Are the Barriers to Choosing Wisely in Hematology Care?

June 19, 2020

Article

The American Society of Hematology has adopted 10 of the recommendations from Choosing Wisely to encourage more high-value care, but barriers to adoption remain.

CMS Issues Rules to Promote Value-Based Contracting, Pay for High-Cost Therapies in Medicaid

June 18, 2020

Article

Administrator Seema Verma said the proposal would create opportunities "for drug manufacturers to have skin in the game through payment arrangements that challenge them to put their money where their mouth is."

Lili Brillstein Discusses Incorporating Social Determinants of Health Into Value-Based Care

June 05, 2020

Video

Unlike in fee-for-service, we have an amazing opportunity to begin to understand and build in factors that will keep patients healthy and give them the best outcomes possible, said Lili Brillstein, CEO of Brillstein Collaborative Consulting, and former Director for Episodes of Care at Horizon Blue Cross Blue Shield of New Jersey.

Lili Brillstein on Mandatory, Voluntary Payment Models

May 29, 2020

Video

There will never be all mandatory payment models or all value-based models, but we can craft a value-based model around just about anything as long as everybody agrees on what the criteria is, said Lili Brillstein, CEO of Brillstein Collaborative Consulting, and former Director for Episodes of Care at Horizon Blue Cross Blue Shield of New Jersey.

Linking Opportunity Costs and Value Assessments for State and Commercial Payers

May 20, 2020

Article

When deciding which treatments to cover, states and commercial payers must wrestle with opportunity costs as new therapeutics come to market. A panel at Virtual ISPOR 2020 discussed some of the factors that go into those decisions.