The Path Forward for Value-Based Payment for Transformative Therapies

11:00 AM - 12:15 PM, Tuesday, June 4,2019 ・ 111AB, Level 100
Value-based payment (VBP) arrangements, which align payments to observed value and outcome in a population, can be critical tools to improve patient outcomes and lower overall healthcare costs. VBP creates a unique approach to financing curative or transformative therapies, which are highly effective but could also impose considerable costs and uncertainties on the US healthcare system. This panel will describe unique issues in applying VBP arrangements in the transformative therapy space, with a focus on distinct issues in “single administration” therapies; distinctive barriers to implementing new payment models within the single-administration therapy context, current efforts to implement VBP arrangements for transformative therapies, characteristics of new technologies that may be best suited for VBP arrangements and changes needed to facilitate new payment models in this context.
Speakers
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Chief Medical Officer & Senior Vice President
Harvard Pilgrim Health Care
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Research Director
Duke-Robert J. Margolis, MD, Center for Health Policy
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Chief Medical Officer
Express Scripts