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Incorporating Pharmacy Spending In Value-Based Payment Models Remains Challenging

 
• By Tim Casey

Various government and private payer initiatives are good steps forward, but lack coordination. Payers continue to face perverse incentives to use high-cost drugs because of rebates in 340B, while providers don’t have enough incentives to use cost-saving clinical decision tools.

medicine with money and red graph
Involving specialists in ACOs could help reduce spending, an NAACO representative said. • Source: Shutterstock

Payers face challenges incorporating drug spending into value-based payment models, making it difficult to reduce overall health care costs, according to panelists who participated in a session at the recent Value-Based Payment Summit.

Key Takeaways

  • Various government and private payer initiatives are good steps forward on accountable care, but will not be as effective as possible because of a lack of...

The speakers were encouraged by the increased attention being paid to expensive medications and difficulties in ensuring people take their prescriptions. However, they stressed that more needs to be done...

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