Undermining Value-Based Purchasing — Lessons from the Pharmaceutical Industry

Although it's not yet clear how health care providers will respond to value-based payment models, an examination of pharmaceutical industry practices can provide insights into problems that may arise — and practices to avoid. In 2015, the U.S. Department of Health and Human Services announced a...

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Vydáno v:The New England journal of medicine Ročník 375; číslo 21; s. 2013 - 2015
Hlavní autoři: Dafny, Leemore S, Ody, Christopher J, Schmitt, Matthew A
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Massachusetts Medical Society 24.11.2016
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ISSN:0028-4793, 1533-4406
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Shrnutí:Although it's not yet clear how health care providers will respond to value-based payment models, an examination of pharmaceutical industry practices can provide insights into problems that may arise — and practices to avoid. In 2015, the U.S. Department of Health and Human Services announced a goal of linking at least 50% of Medicare spending to value-based payment models such as accountable care organizations. 1 Health care providers are now scrambling to reorganize in a way that delivers value while preserving or enhancing commercial success. Although it’s not yet clear how providers will respond to value-based payment models, an examination of pharmaceutical industry practices can provide insights into problems that may arise — and practices to avoid. Value-based plan design — a term that describes payers’ efforts to align consumer cost sharing with the value . . .
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ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMp1607378