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Is the U.S. Ready for Value-based Pricing of Drugs?
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Is the U.S. Ready for Value-based Pricing of Drugs?

Knowledge at Wharton·Knowledge at Wharton Staff·about 1 month ago
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#search#drugs#based#patients#outcomes#health
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A U.S. government proposal to introduce value-based pricing of drugs has the potential to change the business fundamentals for health insurance companies, drug makers and physicians, and what patients pay for their treatments. In a model where patients pay for drugs based on health outcomes, insurers must renegotiate what they pay drug companies, and pass on discounts or rebates to patients, which could include lower-priced health plans, say experts at Wharton and Georgetown University. On March 8, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to test new models to improve how Medicare Part B pays for prescription drugs and supports physicians and other clinicians in delivering higher quality care. The initiative “is designed to test different physician and patient incentives to do two things: drive the prescribing of the most effective drugs, and test new payment approaches to reward positive patient outcomes,” according to CMS.…

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