Harvard Pilgrim latest to ink outcomes-based deals with Eli Lilly, Novartis

Harvard Pilgrim Health Care, the second largest health insurer in New England, has reached deals with pharmaceutical-giants Novartis and Eli Lilly to pay for certain drugs based on patient outcomes, reports STAT.

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Under a contract with Novartis, Harvard Pilgrim will receive a discount from the drug company if its Ernesto treatment for congestive heart failure does not result in a specified drop in patient hospitalizations, according to the article.

Under the other contract, Harvard Pilgrim has agreed to accept a lower rebate from Eli Lilly if its diabetes drug lowers patients’ hemoglobin levels better than drug competitors.

Novartis has already struck outcomes-based contracts for Ernesto with Cigna and Aetna.

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