The health insurer , Cigna , and Novartis , the Swiss drug maker , have agreed on a performance - based price for its new heart drug , Entresto . Drug prices jumped about 13 percent in the United States last year, spurring a public outcry and moving the issue onto the campaign platform of Hillary Clinton and other U.S. Presidential candidates for the November 2016 election. Payments will be based on the reduction in the proportion of Cigna customers who are admitted to hospital for heart failure . Drugmakers and some managed - care providers have made some performance - based deals to cut unnecessary drug spending after drug prices jumped 13 % in the US last year , though few have been made public .
The health insurer , Cigna , and Novartis , the Swiss drug maker , have agreed on a performance - based price for its new heart drug , Entresto . Payments will be based on the reduction in the proportion of Cigna customers who are admitted to hospital for heart failure . Drugmakers and some managed - care providers have made some performance - based deals to cut unnecessary drug spending after drug prices jumped 13 % in the US last year , though few have been made public .