News and Insights

Defining and Demonstrating Value

Engaging in Value-Based Contracts with Providers

Pharmaceutical Executive

With spiraling cost inflation and outcomes that lag many other developed economies, the US government’s healthcare insurance authority (CMS), is driving reform aimed at better quality and lower cost, and private payers are following suit. Both state and private payers are moving toward alternative payment models, like value-based payments, that…

Building Value Considerations into R&D


With spiraling cost inflation and lagging quality indicators driving a transition to a value-based system, public and private payers are using sophisticated tools, including health technology assessment (HTA), to evaluate the benefits of the products they buy. In this environment, companies must demonstrate both clinical efficacy and differentiated economic value…

Transparency Around Value to Support Rational Pricing Discussions


The issue of drug pricing has become a staple of the news cycle, with fresh headlines every few weeks spotlighting either the high cost of new breakthrough drugs, or jaw-dropping price hikes for established products. While these examples represent two very different sets of issues, in the minds of consumers,…

Taking the Leap into Provider-Owned Health Plans

Trustee Magazine

Provider-owned health plans are commanding a larger share of the strategic dialogue in hospital boardrooms. POHPs aren’t a new phenomenon. Emerging from a history of mixed success in the 1980s and ’90s, they have gained popularity as the industry moves from volume- to value-based payment and as risk shifts from…

Barriers to Realizing Biosimilars’ Potential


For quite some time, providers, public and private payers, policy-makers, pharmacy benefit managers and patients have hoped the arrival of biosimilars would usher in a new era of competitive drug prices. However, as the U.S. market prepares to welcome its second biosimilar, Celltrion’s Inflectra, the future of biosimilars in this…

Risk-Sharing Agreements in the EU and Considerations for Moving Forward

Pharmaceutical Technology Europe

Payers across the globe are becoming increasingly assertive regarding products whose costs aren’t in line with perceived performance—a trend that shows no signs of slowing down. In fact, Express Scripts, one on the largest pharmacy benefit managers (PBMs) in the United States, recently announced a plan that would link the…