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Fact Based List:
Justin Smerker, PharmD, MSPBA: Challenges for Value-Based Contracting in Specialty Pharmacy
Submitted By Charlene Ice, Created 05/05/2017 - 11:35
- anti-kickback statutes create uncertainty between manufacturers and payers
- data elements required would need to be specific to each type of drug therapy
- lack of technology that allows manufacturers and payers to communicate effectively during the prior authorization and maintenance process for specialty medications
- health plans would have to share data about their members with manufacturers
- firewalls in place to prevent a health plan from acquiring patient specific information
- 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...