Strategies in Today’s Market for Pricing and Reimbursement Models

In this episode, the panelists provide a candid look at how payers are increasingly open to innovative reimbursement structures—but only if the groundwork is thoughtfully laid. It’s not enough to pitch a novel payment model; manufacturers must bring solutions tied to the payer’s biggest challenges and be ready to share risk.

Key discussion topics include:

• Designing outcome-based contracts aligned with payer data systems.
• When and how to engage payer medical directors in model design.
• Differences in feasibility across pharmacy and medical benefit products.
• Why a strong value proposition must precede any innovative contract.