Value Based Care

Xcenda Report Shows Biosimilar Competition Lowered Drug Prices of Reference Oncology Biologics

June 23rd 2021, 4:01pm


A report from Xcenda showed that biosimilars for 8 blockbuster reference biologics have successfully kept drug prices from increasing by an average of 56%, restoring the possibility that biosimilars could achieve significant discounts despite facing several barriers to uptake.

Use of Evidence and Technology to Improve Quality and Eliminate Low-Value Care

June 23rd 2021, 1:00pm


One-third of health care in the United States is wasted. Despite this recognition, solutions are sparse. The Optimal Care model combines evidence-based medicine, patient-centered technology, and outcomes reporting to transform health care.

MedPAC to Congress: Change MA Benchmarks, Slow Down on APMs

June 18th 2021, 12:15pm


The Medicare Payment Advisory Commission (MedPAC) suggested several changes to Medicare Advantage (MA) plan benchmark calculations, with the intent to generate yield savings for Medicare, and urged CMS to streamline alternative payment model (APMs) where it can.

Supreme Court Tosses Challenge to ACA for Lack of Standing

June 17th 2021, 4:23pm


In a 7 to 2 decision, the Supreme Court ruled Thursday that the Affordable Care Act (ACA) will stand, as plaintiffs seeking to declare the law unconstitutional did not have standing.

Association of Co-pay Elimination With Medication Adherence and Total Cost

June 15th 2021, 1:00pm


This study evaluated cost and utilization attributed to members enrolled in a health care program with no pharmacy co-pay. Health care savings were identified in addition to medication adherence improvements.

Value-Based Management of Specialty Drugs: Practical Considerations and Implications for Pharmacy

May 13th 2021, 4:00pm


Policy makers and health plans seek value-based management of specialty drugs. This study examines real-world factors that favor some approaches over others and their potential impact.

A 10-Step Program to Successfully Reduce Low-Value Care

May 7th 2021, 1:00pm


The frequency of low-value care can be reduced by a respectful, data-driven process anchored in nonjudgmental communication and explicit core values.

Future of CKD Care Remains Focused on Value, Even With CMMI Delay

May 1st 2021, 12:30pm


Although the Center for Medicare and Medicaid Innovation (CMMI) has delayed the start of payment models for kidney care, one dialysis provider says it remains committed to the concept.

IVI to Hold Second Methods Summit to Drive Patient-Centered Value Assessment

April 27th 2021, 1:00pm


The summit will address priority patient inputs for comparative effectiveness research and health technology assessments.

Oncology Care Pathways Launched by Payers: What Are the Trends?

April 26th 2021, 7:15pm


Quantifying the return on investment came up for both those implementing an oncology care pathway (as a potential barrier) as well as for payers still not convinced it is a way to go.