TABLE 4.

Options for Incorporating Adherence Supports in VBCs

	Options
	Consider Whole Population with an Adherence Support Program	Base Contract on Patients Who Are Adherent
Type of interventions	VBC includes adherence programs to support patients based on need Programs could provide patient incentives (e.g., movie tickets), address social determinants that affect health, and offer more comprehensive wraparound services, such as incorporation of behavioral and mental health services, transportation supports, housing assistance	Include parameters in the contract for defining which patients are adherent and persistent, including thresholds for being included in the contract and strategies for measuring adherence/persistence
Advantages	Maximizes the population of patients who potentially benefit from the medication	Less costly to implement
Disadvantages	More costly to implement	Only reaches a subset of the potential population and limits the benefit that can be derived from the medication

VBC = value-based contract.