Chief Pharmacy Officer, MassHealth Massachusetts Medicaid South Grafton, MA
With the growth of the specialty drug pipeline and the expected increase in healthcare spending, there is a need to manage rising drug costs. Value-based contracts (VBCs) are a potential tool to use with innovative products that may have some degree of uncertainty. This becomes especially important as the healthcare system looks to shift from fee-for-service payment models to value-based payment or performance-based payment models. This interactive session will introduce the fundamental principles, key components, and practical implications of VBCs in the evolving landscape of managed care pharmacy.
Learning Objectives:
At the completion of this activity, participants should be able to:
Define value-based contracting and differentiate it from traditional fee-for-service models
Summarize the landscape of outcomes-based contracting in the United States and the impact of government programs on national trends
Describe the benefits and challenges of value-based contracts
Using a case study, design a value-based contract and propose actionable strategies for implementation