From Signature to Settlement: What Makes These Agreements Deliver

Risk-sharing has moved from ambition to policy in Canada — yet whether these agreements deliver is decided after the signature: in the design, data, the monitoring and the reconciliation. Drawing on public value-based and rebate agreements with public and private payers around the world, this session cuts through the theory. Walk away with practical insights to:

• Evaluate which risk-sharing structures — financial and outcomes-based — are actually being signed
• Right-size the data infrastructure these agreements truly require, and work with the gaps in provincial health data
• Understand how payers define and mitigate “uncertainty” in practice, including for curative therapies
• Design for administrative feasibility, so monitoring, reconciliation and rebate recovery don’t become the reason agreements fail

Determine the core components of a value-based agreement that works for payers and manufacturers alike.