[M5] Optimizing Value Assessment Tools for Coverage and Reimbursement Decisions: Promises and Pitfalls

Pricing: Free for Members and $30 for Non-Members

Course Description

In response to rising costs, health care decision-makers are increasingly looking to value assessment frameworks to evaluate the value of health care treatments. Over time, U.S. payers have increasingly used value assessment tools to inform pricing negotiations and formulary decisions. To help ensure that value assessment tools are used as intended and support optimal patient care, it is important that managed care pharmacy professionals have a comprehensive understanding of different U.S. value assessment tools, methodologies, and their respective strengths and limitations.

This session will review how U.S. payers are integrating value assessment tools in their decision-making and identify opportunities and challenges associated with applying global health technology assessment (HTA) methods to the U.S. health system.

Target Audience

Pharmacists who practice in managed care settings.

Learning Objectives

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

  1. Identify current sources of value assessment information and US-focused value assessment tools.
  2. Summarize key considerations for applying ex-US HTA approaches to the US health care system.
  3. Describe how US value assessment tools can be used to inform healthcare payer decision-making.
Course summary
Available credit: 
  • 1.25 ACPE
    ACPE The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
  • 1.25 Certificate of Completion
Course opens: 
Course expires: 


Jessica Hatton, PharmD, BCACP
Associate Vice President, Pharmacy

Kimberly Riggs, MPH
Vice President

Kimberly Westrich, MA
Director, Value & Access Strategy


Thomas C. Pomfret, PharmD, MPH, BCPS

Financial Relationship Disclosures



Reported Relevant Financial Relationships​

Jessica Hatton​


Disclosed no relevant financial relationships.​

Kimberly Riggs​


Employee: Cencora (formerly Amerisource Bergen/Xcenda)​

Kimberly Westrich​


Employee: Xcenda/AmerisourceBergen, Other, I am an employee of Xcenda. Our parent company, AmerisourceBergen, is a pharmaceutical sourcing and distribution services company​

Amy Lugo​


Disclosed no relevant financial relationships.​

Brooke Whittington​


Disclosed no relevant financial relationships.​

  • AMCP Staff have disclosed no relevant financial relationships.
  • If applicable, relevant financial relationships have been mitigated and documented.
  • Content has undergone a peer review to ensure content validity.

ACPE UAN:0233-0000-23-060-H04-P
Activity Type: Knowledge-Based
Contact Hours: 1.25
Release Date: November 15, 2023 •  Expiration Date: December 31, 2024
Activity Fee: Free for Members and $30 for Non-Members

Participants should claim continuing pharmacy education (CPE) credit for this home study activity only if they have not claimed credit for the live activity presented at Nexus 2023. CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.

To receive credit for an online activity you must:

  • Review the full content of the activity.
  • Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
  • Complete a specific activity evaluation.

Available Credit

  • 1.25 ACPE
    ACPE The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
  • 1.25 Certificate of Completion


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