Value-based Healthcare in a Digital World 2020
COVID-19 has radically increased the use of digital technology by patients and HCPs but how does that play into the trend to value-based healthcare (VBHC)? Establishing appropriate VBHC metrics that provide evidence and prove value has proved challenging, but the answers may be in the wealth of patient data in institutional databases and data generated from connected devices and health apps. AI driven insights from big data from multiple sources can influence treatment, drive behavioral change and demonstrably deliver better patient outcomes. But how can pharma harness digital technology to inform its VBHC strategy, what are the long term benefits and what practical real-world initiatives can pharma put in place to really influence the VBHC agenda?
To explore how digital technology is transforming the delivery of healthcare and the implications for pharma's business we interviewed, in July 2020, digital health experts from leading pharma and healthcare companies. In ‘Value-based Healthcare in a Digital World ’ they examine the latest digital health applications and examine the wider challenges around key areas such as data security, regulatory guidance and successful tech partnering, which are shaping their approach to VBHC.
"We need to recognise the value isn't necessarily in the drug, it's in the data and pharma really struggle with this concept. The future healthcare's all going to be data driven, we need to start thinking about introducing diagnostic tools on other medical devices that capture data, and then validating it to develop physician support tools and personal life care tools. We can think about integrating the data within healthcare systems itself and analysing it for patterns to reduce exacerbations, or, the number of inhaler uses. That's valuable data but then how do you reimburse that? These are all of the challenges that we're facing at the moment but very much the future of where we are all trying to move towards. It's all value based. The biggest challenge pharma will find is how are they going to get reimbursement for that? How are they going to demonstrate the value and reduction in hospital admissions? Who's going to pay for that? Is it insurance based? It's an interesting area at the moment that everyone's exploring." European Expert Leading Pharma Company.
"The adoption of value-based healthcare in the U.S. is low, but gradually we're migrating towards it. Right now, we are putting processes in place so that we can migrate towards value-based care. Given the whole situation with COVID I think you will see a rapid adoption. When we talk about value-based care, you have to say, "my product's going to deliver on these particular agreed outcomes". That puts quite a lot of onus on the pharma companies to have systems in place that they can actually monitor all these outcomes effectively. Payers like the concept but if they impose all these systems to monitor outcomes it's very onerous. That is something pharma has to consider if and when they implement value-based care. There are a lot of other challenges, firstly creating the tools that will be able to actually monitor results and provide a quick picture of what you're offering, selecting the KPIs that you want to measure. If it's evidenced-based you must be able to clearly show the value that your technologies bring. One of the major pushbacks has been the quality of the data, a lot of companies will tell you that it's evidence-based but so far most of the data is used in marketing. We need to see indicators that ensure a digital solution is evidence based and that's a huge challenge." Innocent Clement Digital Therapeutic Company.
"In pharma specifically, we need to move away from being a drug provider to being a service provider. To do much more than just monitoring a patient at certain times in their therapy, but making it much broader and providing a service because that seems to be the model that tech are taking. If you look at Amazon Care and Apple Health, these are all service providers with user-friendly platforms that patients can go on, making it more convenient for the customer to navigate, and giving them control and insights, enabling them to prevent and predict. That's where it's going to go and if we don't start thinking like that, then they are going to take a chunk of the market, and rightly so." European Expert Leading Pharma Company.
A detailed report exploring, through digital health experts' insights, how digital technology is driving new thinking and solutions for the delivery of VBHC:
Value-based Healthcare in a Digital World is delivered as:
To ensure the full and frank expression of opinions we have agreed to keep some of the contributors to this report anonymous.
FirstWord's ExpertViews reports reveal the real world insights of knowledgeable experts to analyze in detail key commercial and market trends that pharma management need to understand if they are to effectively respond to critical developments. These highly-focussed reports: