Published in This Way In·Dec 22, 2020CMS arms Medicaid with a new drug payment programValue-based purchasing elevates state contracts for manufacturers — On December 22, 2020, CMS issued a final rule entitled “Medicaid Program; Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements.” This final rule further arms state Medicaid programs…Product Value2 min readProduct Value2 min read
Published in This Way In·Oct 22, 2020Provider visits return to pre-pandemic level for some specialtiesTargeted engagements help patients move forward — The dramatic drop in in-person ambulatory patient visits to primary care and specialty providers was one of the most immediate impacts of COVID-19. …Product Value2 min readProduct Value2 min read
Published in This Way In·May 27, 2020Diverse COVID-19 vaccines advance toward marketA glance at the strategies and pricing behind vaccine contenders — The recent release of preliminary Phase 1 results from Moderna/National Institute for Allergy and Infectious Diseases spurred hope for the development of a successful COVID-19 vaccine. …Product Value3 min readProduct Value3 min read
Published in This Way In·Apr 16, 2020Managing conflicting cancer care preferences during COVIDValuateHealth.com | EntreeHealth.com — Cancer care delivery has arrived at yet another crossroads, and per usual, external forces are driving change. Divergence exists between providers who embrace home infusion of chemotherapy and those refuse to even consider at-home infusion as a treatment option. Last year the University of Pennsylvania piloted a program called Cancer…Population Health2 min readPopulation Health2 min read
Published in This Way In·Feb 4, 2020CAR T Conundrum: Reimbursement Shadows Clinical ValueValuateHealth.com | EntreeHealth.com — CAR T Conundrum: Reimbursement Shadows Clinical Value Some providers have touted CAR T-cell therapy (CAR T) as the most innovative treatment of the last decade. Although CAR T offers new promise for patients with cancer, high costs, cash flow issues, and lack of real-world evidence have stunted aggressive CAR T…Product Value3 min readProduct Value3 min read
Published in This Way In·Jan 8, 2020Include Patients, Improve OutcomesValuateHealth.com | EntreeHealth.com — INCLUDE PATIENTS, IMPROVE OUTCOMES The impact of patient-reported outcomes (PROs) on improving quality is a recent but rapidly advancing story. How we got here At the 2017 ASCO annual meeting, Ethan Basch, M.D. demonstrated that a cohort of patients in a PRO intervention arm extended survival by 5 months versus control…Product Value2 min readProduct Value2 min read
Published in This Way In·Dec 11, 2019The OCM CrossroadsValuateHealth.com | EntreeHealth.com — THE OCM CROSSROADS A look back at OCM Medicare accounts for approximately 50% of the payer mix for all oncology coverage in the US. As such, Medicare is in a strong position to influence and incentivize value-based care (VBC). …Oncology2 min readOncology2 min read
Published in This Way In·Nov 26, 2019Price Transparency in Real TimeValuateHealth.com | EntreeHealth.com — PRICE TRANSPARENCY IN REAL TIME Health systems continue to respond to Executive Order Last year, President Trump called for greater price and quality transparency to allow consumers to make more informed healthcare decisions. Executive Order: On a mission to improve price and quality transparency 1. Empower patients with information 2. Increase transparency…Healthcare3 min readHealthcare3 min read
Published in This Way In·Nov 12, 2019Migraine Management on the MoveValuateHealth.com | EntreeHealth.com — MIGRAINE MANAGEMENT ON THE MOVE Migraines are a leading cause of disability across the United States and affect approximately 39 million Americans. Despite this clinical significance, research and development for migraine disease has lagged behind. Until now. The patient and provider push for novel migraine treatment has propelled multiple manufacturers…Population Health2 min readPopulation Health2 min read
Published in This Way In·Oct 16, 2019Creating 21st Century HCEIValuateHealth.com | EntreeHealth.com — CREATING 21ST CENTURY HCEI Healthcare Economic Information (HCEI) — an expanding, critical tool Payers and organized customers are responsible for evaluating the cost impact on clinical outcomes. HCEI is the vessel that connects care to cost. Today, analyzing, interpreting, and predicting healthcare costs is inextricably linked to product value — and…Health Economics3 min readHealth Economics3 min read
