Justin Smerker, PharmD, MSPBA: Challenges for Value-Based Contracting in Specialty Pharmacy

1. anti-kickback statutes create uncertainty between manufacturers and payers
2. data elements required would need to be specific to each type of drug therapy
3. lack of technology that allows manufacturers and payers to communicate effectively during the prior authorization and maintenance process for specialty medications
4. health plans would have to share data about their members with manufacturers
5. firewalls in place to prevent a health plan from acquiring patient specific information
6. a number of HIPAA laws in place that may prevent or complicate the sharing of information

Source: Specialty Pharmacy Times, May 1, 2017
Source URL: https://www.specialtypharmacytimes.com/news/challenges-for-v...

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