Paying for Pills or Paying for Outcomes: Wither US Policy?


Health care is undergoing a monumental shift as payers move to aggressively reward value defined by lower costs and better outcomes. Bundled payments, accountable care organizations, evidence-based medicine, and value-based insurance design (VBID) have become key tools in a system-wide movement away from traditional volume-based, fee-for-service payment models. In such value-based systems, payment for a service or treatment is linked to real medical outcomes, rewarding lower cost and higher quality – not quantity. Current law has inhibited this move in the prescription drug space, however.

This course will explore recent trends in value based payment arrangements for biopharmaceuticals and the overarching trend in pay for value models in US health care. Participants will learn more about the laws and regulations inhibiting the use of VBAs in Medicare and Medicaid and how new reimbursement structures may incorporate pharmacists in patient care.

Learning Objectives

At the completion of this activity, participants will be able to:

  • Understand different types of value based payment arrangements (VBAs) and the prevalence of their use in the market and in state/federal programs
  • Learn about the various laws and regulations governing VBAs
  • Understand proposed state and federal reforms related to VBAs and how VBAs might accelerate
  • Learn how different providers, including pharmacists, might participate in, and benefit from, VBAs
  • Understand different ways the pharmacy community can engage with federal and state decision makers to accelerate VBAs


  • Joel White, Council for Affordable Health Coverage

Continuing Pharmacy Education

The California Pharmacists Association (#0113) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. Upon completing an evaluation form, participants will be awarded 1.25 hours (0.125 CEUs) of Continuing Pharmacy Education Credit. A statement of credit will not be issued. Participants may log onto the CPE monitor website using their individual log in to download their statement of credit. Please allow 4 weeks for processing of CPE credits to the CPE monitor. UAN: 0113-0000-18-031-H03-P; 0113-0000-18-031-H03-T

Target Audience:  Pharmacists and Technicians in all practice settings
Release Date: 4/11/2018
Expiration Date: 4/11/2021

What To Expect After Registration

Registration Fees**
CPhA Member $99
Non-Member $199

After registration, you will receive a confirmation email with instructions on how to participate in the webinar.

2018 Western Pharmacy Exchange Package Deal: $1,000 (CPhA Members), $2,000 (CPhA Non-Members)
*This session is 1 of 24 sessions in the package deal.

***No cancellations or refunds will be issued once user login information has been sent. Unfortunately, due to the online format of this program we are unable to offer exceptions to this policy. It’s recommend that each registrant review the course content prior to submitting payment to ensure the content meets individual educational needs. User has 30 days to complete the on-demand program from registration. If you have questions regarding course content or cancellation policy please contact CPhA at (916) 779-4524.

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