Value-Based Contracts Are Evolving

US Payers Turn To High Cost, Curative Therapies

Value-based contracting in the US is moving toward high-cost drugs for rare disease and away from lower cost chronic treatments as payers plan for the coming pipeline of cell and gene therapies. Marketed gene therapies all have some kind of risk sharing deal in place but further progress on the most innovative payment models is hampered by regulatory and operational challenges.

Square changing shape
Payers Redirecting Focus Of Value-Based Agreements • Source: Shutterstock

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