In the past few years, payers, providers and life sciences companies have significantly expanded their use of real-world data (RWD) in support of activities that promote the triple aim. Whether that involves care variation reduction initiatives within a regional health system or post-marketing studies to demonstrate one therapy’s improved outcomes over the current standard of care, health care organizations are embracing the potential of RWD in a variety of ways.
For Boehringer Ingelheim, a leading pharmaceutical company, it began with the goal of strengthening evidence that its sodium-glucose cotransporter-2 inhibitor (SGLT2i) for patients with Type 2 diabetes and cardiovascular disease not only helped improve patient outcomes, but also lowered the total cost of care.
The American Diabetes Association 2022 Standards of Medical Care in Diabetes already support using of a SGLT2i in the treatment of patients with Type 2 diabetes and cardiovascular disease. But not all eligible patients were receiving guideline-based treatment.
As a long-time Optum Life Sciences client, Boehringer Ingelheim’s leaders turned to our experienced consultants to help address this gap. Together, we sought to leverage our trusted RWD in ways that could support programs and contracting models to encourage more physicians and patients to discuss the recommended ADA guidelines.
This ultimately led to a value-based contract (VBC) between Boehringer Ingelheim and UnitedHealthcare® — supported by data analyses from Optum Life Sciences as a trusted third party — which has resulted in an innovative pilot aiming to scale physician and patient engagement programs to reduce gaps in care. UnitedHealth Group®, the parent company of UnitedHealthcare and Optum, is a diversified enterprise with distinct and separate business platforms.
“Optum Life Sciences has been an important collaborator in bringing together an arrangement that will ultimately benefit more patients in managing their conditions,” says Chris Marsh, senior vice president of market access at Boehringer Ingelheim.