Refund Process in Value-Based and Data-Driven Healthcare

Abstract

As an outcome of value-based and data-driven contracts in healthcare, some refund obligations from a pharmaceutical- back to an insurance company can occur. Those contracts are handled on a platform that enables creation, maintenance, and processing of those contracts. The platform considers an extension of its services to also offer the processing of the refund payment component - which is handled outside the platform today. The platform therefore aims for transparency on how this process works today and whether there may be improvement opportunities.