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Focus on Managed Care Pharmacy

(M5) Optimizing Value Assessment Tools for Coverage and Reimbursement Decisions: Promises and Pitfalls

Wednesday, October 18, 2023
2:45 PM – 4:00 PM East Coast USA Time
Location: Crystal H
CPE
ACPE UAN:0233-0000-23-060-L04-P | Contact Hours: 1.25 | Activity Type: Knowledge-based
In response to rising costs, health care decision-makers are increasingly looking to value assessment frameworks to evaluate the value of health care treatments. Over time, U.S. payers have increasingly used value assessment tools to inform pricing negotiations and formulary decisions. To help ensure that value assessment tools are used as intended and support optimal patient care, it is important that managed care pharmacy professionals have a comprehensive understanding of different U.S. value assessment tools, methodologies, and their respective strengths and limitations.

This session will review how U.S. payers are integrating value assessment tools in their decision-making and identify opportunities and challenges associated with applying global health technology assessment (HTA) methods to the U.S. health system.

Learning Objectives::

At the completion of this activity, participants should be able to:
  1. Identify current sources of value assessment information and US-focused value assessment tools.
  2. Summarize key considerations for applying ex-US HTA approaches to the US health care system.
  3. Describe how US value assessment tools can be used to inform healthcare payer decision-making.