EP435: Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care, With Dan Mendelson

Optimizing Pharmacy Benefits in Value-Based Care: A Conversation with Dan Mendelson In Episode 435 of 'Relentless Health Value,' Stacey Richter hosts Dan Mendelson from Morgan Health to discuss the importance of integrating pharmacy benefits into the broader context of value-based care. The conversation stems from a LinkedIn post by Mendelson outlining five key considerations for optimizing pharmacy benefits. Topics include the total cost of care, the need for value-based decision-making in pharmacy benefits, the integration of clinical teams in formulary development, and the critical role of patient engagement. The episode also explores how employers can better manage healthcare costs by aligning incentives and navigating the complexities of the pharmaceutical landscape. Key advice for various healthcare stakeholders, including pharma companies, hospitals, and primary care doctors, is also provided. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP435 ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 🎤 Listen on Apple Podcasts https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1 🎤 Listen on Spotify https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b 📺 Subscribe to our YouTube channel https://www.youtube.com/@RelentlessHealthValue === CONNECT WITH THE RHV TEAM === ✭ LinkedIn https://www.linkedin.com/company/relentless-health-value/ ✭ Threads https://www.threads.net/@relentlesshealthvalue/ ✭ Bluesky https://bsky.app/profile/relentleshealth.bsky.social ✭ X https://twitter.com/relentleshealth/ 00:00 Introduction 00:28 The Intersection of Pharmacy Benefits and Value-Based Care 00:57 The Critical Role of Pharmacy in Healthcare Outcomes 03:16 Exploring Pharmacy Benefits Optimization with Dan Mendelson 03:39 Morgan Health's Mission and Healthcare Innovation 04:46 The Conversation with Dan Mendelson: Deep Dive into Pharmacy Benefits 06:13 Strategies for Optimizing Pharmacy Benefits in Value-Based Care 11:19 The Future of Pharmacy Benefits and Employer Concerns 12:40 Advice for Pharma Companies in a Value-Based Healthcare System 16:13 Innovative Approaches to Managing Pharmacy Benefits 16:56 Engaging Patients in Pharmacy Benefit Decisions 18:06 Experimental Drug Tiers and Formulary Design 21:49 The Importance of Value-Based Contracting for Pharma 31:23 Lightning Round: Advice for Various Healthcare Stakeholders 34:47 Closing Thoughts and Invitation to Engage Further