It has now become abundantly clear that healthcare is in need of significant change. In response to soaring healthcare costs and rapidly increasing premiums, payers are actively exploring ways to "bend the cost curve” across the system. This includes shifting payments to provider organizations as well as limiting market access and reimbursement for drugs, treatments, and therapies where compelling economic and clinical value are not adequately demonstrated.
Authors: Kimberly E. White, M.B.A. and Rita E. Numerof, Ph.D.
Date: Summer 2015