A Blog by AMCP CEO Susan Cantrell


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Leading on Today’s Most Pressing Challenges: AMCP Partnership Forum Develops Action Plan for Advancing Value-Based Contracting

 

 Value Forum Photo 
 

June 29, 2017 

One of the many things that I’m proud of at AMCP is our role as a convener. We bring together several times a year key stakeholders representing a diverse range of positions to address common health care challenges.

We fulfilled that role recently at our Partnership Forum on Advancing Value-Based Contracting.

The June 20-21 event in Arlington, Va., brought together nearly 40 experts from managed care pharmacy, provider groups, integrated delivery systems and the biopharmaceutical industry to discuss strategies for expanding the use value-based contracting. The two-day event resulted in important consensus on how to address the operational, legal and regulatory changes needed to fully leverage the potential of value-based contracting. 

Value-based contracting, as many know, is a model that moves away from payments based solely on volume or market share and towards payments based on pre-approved criteria aimed at improving patient outcomes and ensuring appropriate use of health care resources.

A decade ago, the idea of linking the cost of a therapy to its performance was considered revolutionary. Today, value-based care is considered a key solution to improving patient care while better managing costs. In fact, in this era of fierce debate over the future of our health care system, one area of agreement is that we develop models to pay for products and services based on how well they perform.

Our forum on this topic comes at an opportune time. The White House reportedly is expected to issue an executive order on pharmaceutical pricing that will encourage the use of value-based contracts. And recent Congressional scrutiny on escalating drug costs underscores the urgency we face in increasing the value that pharmaceuticals deliver to patients.

AMCP is taking a leadership role to ensure that all stakeholders who have a role in value-based contracting will be able to support and/or implement the model.

But as with many things in health care, getting to this new model will be a challenge. AMCP forum participants considered such complex topics such developing a definition for value-based contracting; understanding performance metrics and measures for value; developing solutions for patient management-related hurdles; identifying therapeutic areas that represent “early adoption” opportunities; and addressing legal and regulatory changes that would drive the adoption of these contracts, including those related to anti-kickback laws and Medicaid best price requirements.

The recommendations that emerged from this forum will be published in the fourth quarter 2017 in AMCP’s Journal of Managed Care and Specialty Pharmacy and presented during a webinar in October.

I am proud that AMCP is at the forefront of this effort. We don’t have 10 years to build new processes and systems to move toward value-based care, we must drive these changes today.


Susan A. Cantrell, RPh, CAE is CEO of the Academy of Managed Care Pharmacy 


 


My Recent "Field Trip" to Arizona Highlights AMCP's Breadth and Depth

 

May 31, 2017 

One maxim I hold dear is the value of getting out of the office now and then to see how things are working in the field. I had that opportunity recently with a “field trip” to the beautiful state of Arizona, where I participated in several events: a workshop on strategies to strengthen association governance, a conference on integrating data in pharmacy practice, a visit with student pharmacists, and a tour of an innovative MTM service center. ... Read more


 


AMCP Nexus 2017 Theme Announced: “Changing the Way We Pay for Health Care”

 

May 2, 2017 

Volume to value, quantity to quality: such transitions in health care today are like a rock tossed in a pond. The ripple effects are far-reaching and unstoppable. So important is this transformation that we’re dedicating a significant amount of programming to the topic at our fall conference in Dallas (Oct. 16-19). In fact, we’re calling it “AMCP Nexus 2017: Changing the Way We Pay for Health Care.” ... Read more.


 


Eye on the Hill: AMCP Sees Progress in PIE Bill and Will Continue to Promote Comprehensive Pharmacy Benefit in Health Care Reform Efforts

 

April 11, 2017 

Whoever said, “May you live in interesting times,” could have been talking about Congressional health care policy debates circa 2017. Never a dull moment!

Many things are happening on the health care legislative front, and AMCP has been in the thick of it. ... Read more.


 


AMCP Celebrates Early Win: FDA Issues Draft Guidance to Improve Communications Between Biopharmaceutical Companies and Population Health Decision Makers

 

March 1, 2017 

Every morning — like many of you — I settle behind my desk, take a sip of coffee and read the AMCP Daily Dose. This publication, full of valuable news and information, frequently highlights issues and individuals we’re featuring at our Annual Meeting, March 27-30, in Denver. Several caught my eye recently. ... Read more.


 


AMCP Celebrates Early Win: FDA Issues Draft Guidance to Improve Communications Between Biopharmaceutical Companies and Population Health Decision Makers

 

February 1, 2017 

Sometimes the best laid plans are upended when you least expect it!

In mid-January, the FDA released draft guidance to facilitate the sharing of information between biopharmaceutical companies and population health decision makers. To say we were pleasantly surprised is an understatement. ... Read more.


 


Making PIE to Better Serve Patients

 

January 11, 2017 

Let’s imagine you’re a big city mayor and it’s time to order a new fleet of police cars for next year. Applying due diligence, you set out to compare various models from a variety of manufacturers. ... Read more.


 


Century Cures Act Advances AMCP's FDAMA Goals, Improves Value-Based Communications Between Manufacturers and Managed Care Pharmacy

 

December 22, 2016 

Who says Congress can’t get anything done…and with bipartisan support to boot? With impressive speed and purpose, the House and Senate overwhelmingly passed the 21st Century Cures Act in the waning days of the 114th Congress, followed by President Obama’s prompt signature. ... Read more.


 


Pharmacy Profession Comes Together to Help Document and Improve Patient Outcomes Through Medication Therapy Management

 

November 7, 2016 

People can accomplish remarkable things when they work toward a common goal. That’s what happened recently when a diverse group of pharmacy stakeholders gathered to develop standardized terms for medication therapy management (MTM) services. ... Read more.


 


AMCP really knows how to get things done!

 

October 13, 2016 

Not long ago a respected individual in the health care arena told one of my senior staff: “Compared to other associations I work with, AMCP really knows how to get things done.” You cannot imagine how proud I felt ... Read more.


 


AMCP Volunteers Are a Happy Lot

 

September 20, 2016 

There are many ways to measure the health and vitality of a professional association. The most crucial indicators, I’ve found, center on the engagement of an organization’s volunteers. This can be measured in the number of volunteer opportunities provided, the number of members who sign up, and the level of satisfaction they get from volunteering. ... Read more.


 


The Post Cites Pharmacists’ Expanding Role on Medical Teams

 

August 26, 2016 

Last week I saw a headline that jumped off the page: “America’s other drug problem: Giving the elderly too many prescriptions” (Washington Post, Aug. 15). I couldn’t read it fast enough and encourage members to do likewise, as it highlights two of the most important developments in health care. ... Read more.


 


Seizing Opportunity: AMCP Nexus 2016 Offers Knowledge, Advancement and More

 

August 3, 2016 

“Healing is a matter of time, but it is sometimes also a matter of opportunity,” said the great Hippocrates, father of western medicine.

Opportunity, in fact, is a crucial element in the work that managed care pharmacy professionals engage in every day to improve the health, wellbeing and “healing” of millions of patients. We seize opportunities to find the right medicines for the right patients at the right time. ... Read more.


 


BRC Now Lets You Look It Up

 

July 13, 2016 

It was only ten years ago when biosimilars were so new that the New York Times described them as “so-called.” As late as five years ago newspapers put quotation marks around the term, as in “biosimilars.” At the time some still called them “follow-on” biopharmaceutics. ... Read more.


 


Is FDAMA Section 114 Finally Ready for Prime Time?

 

June 24, 2016 

Information is the life blood of managed care pharmacy. Of the “competent and reliable scientific” variety, that is.

Our profession operates best when we have broad access to the latest evidence-based data on the multitude of products coming to market today. We can plan, we can assess. With this information, managed care pharmacy professionals can help health care providers and patients select the right drug for the right patient at the right time, while making appropriate use of our scarce health care dollars. ... Read more.


 


Getting it straight with the updated AMCP Format!

 

May 19, 2016 

Using the best evidence possible to make informed health care decisions is a hallmark of managed care pharmacy. But making sense of the data often is no easy task, especially when it comes to analyzing pharmaceuticals and the value they bring to patients and the health care system... Read more.


 


CEO Susan Cantrell Addresses AMCP Annual Meeting

 

May 10, 2016 

New&Views announces a new monthly column by CEO Susan A. Cantrell, RPh, CAE, on breaking news and critical issues. Her first column presents her recent address―her first to the membership―at AMCP’s recent Annual Meeting.

“It is truly an honor to be standing before you today as the Academy’s new CEO. While new to the AMCP staff, I’ve been an observer and at times a participant in the terrific work of this organization. ..." Read more.