Smart Money Bets on Value | Predictions for 2025
Kimberly Westrich, M.A., chief strategy officer of National Pharmaceutical Council, shares her prediction for 2025.
My big prediction for 2025 is that value will play an increasingly important role in healthcare conversations. One place this will play out is in conversations about the Medicare Prescription Drug Negotiation Program. They will center not only around the unintended consequences of the program for patients but also about whether CMS is thinking about value as [it implements] the program and particularly as CMS releases the concise justifications for the first round of set prices.
Westrich
What evidence they say they considered may impact the incentives for generating value-related, real-world evidence in the future. Another area is that researchers will continue to explore and develop alternative methods that seek to better incorporate the full spectrum of value.
Finally, employers will continue to consider value as they select pharmacy benefits. Data from this year show that those with value-based formularies saved three times as much as those with rebate-based agreements.
Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
Listen
Breaking Down Health Plans, HSAs, AI With Paul Fronstin of EBRI
November 19th 2024Featured in this latest episode of Tuning In to the C-Suite podcast is Paul Fronstin, director of health benefits research at EBRI, who shed light on the evolving landscape of health benefits with editors of Managed Healthcare Executive.
Listen
Medicaid Expansion Linked To Timelier Lung Cancer Surgery and Access to High-Volume Hospitals
April 17th 2025New research shows that Medicaid expansion was linked to a 2.1% increase in timely lung cancer surgeries and a 2.8% rise in procedures at high-volume hospitals, highlighting how policy changes can impact cancer care access.
Read More
