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Securing Market Access: Reimbursement, Payer Relationships and Healthcare Reform

Published by: Cutting Edge Information

Published: Jun. 1, 2009 - 123 Pages


Table of Contents


Executive Summary

Study Methodology

Profiled Companies

Payer Relationship Management: Five Principles for Success

Strengthening Payer Relationships through Communication

Strategies for More Effective Payer Interfaces

Targeting Managed Care Customers

Communication Strategy and Tactics

Managed Markets Structure, Staffing and Budgets

Managed Markets Overview

Managed Markets Staffing

Managed Markets Budgets

Healthcare Reform and its Impact on Managed Markets Teams

The Potential Impact of Healthcare Reform in the United States

The Impact of European Healthcare Systems on Market Access Strategies

Abstract

Strengthen payer relationships through communication: Of all factors contributing to product success, payer access could be the most critical. Without the best reimbursement status for a drug, the investments your company made during drug development may end up as a lost cause. Securing Market Access: Reimbursement, Payer Relationships and Healthcare Reform examines the processes, strategies and best practices that industry leaders have implemented to build strong relationships and gain payer access.

This report is a tool for companies to adjust their strategies to meet growing payer demands and facilitate the reimbursement process:

Improve payer communication and formulary submission success.

Metrics on payer targeting, communication methods and timing guide the strategic recommendations leading to healthier and more lucrative relationships for pharmaceutical companies with payers.

Increase the efficiency of your managed market department:

Analyze benchmarking data from surveyed companies on organizational structure, headcount distribution for various functions within the managed markets group, account distribution and resource allocation.

Understand the impact of potential healthcare reform on managed markets teams

Although there are no clear-cut solutions to healthcare reform, this report provides recommendations for drug companies to prepare for both minor and major changes to the healthcare system. Interviewed pharmaceutical executives discuss their strategic responses to potential changes that could be on the managed markets horizon. Cutting Edge Information's analysts designed the practices contained within to help managed markets teams develop strategies to respond effectively to various scenarios that could emerge.

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