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Medicaid Outcome-Based Drug Contracts Plagued By Data Snags

Oct. 4, 2019, 9:38 AM

Some states looking to cut prescription drug costs have turned to “value” as their savior through outcome-based contracts, but state governments are hitting data snags as they try to negotiate agreements.

For over a year leaders of federal health programs have touted “value-based care” as the next step toward better care and lower costs. They wanted to expand the notion of paying for outcomes not only to hospitals and nursing facilities, but for drugs as well. Consequently the federal Centers for Medicare & Medicaid Services gave the green light on outcome-based contracts for Medicaid programs in several states, including Michigan,...

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