Managed Care Best Practices
Best Practices, LLC has conducted extensive research in the field of Managed Care. Browse through and sample our published Managed Care research in the topics below:
| |  | Resource Benchmarks for U.S. Pharmaceutical Managed Care Operations  
Non-members: Click here to review a complimentary excerpt from "Resource Benchmarks for U.S. Pharmaceutical Managed Care Operations"
STUDY OVERVIEW
For the pharmaceutical industry, marketplace success is tied to how successful organizations are in dealing with Managed Care. As the influence of Managed Care has grown, so too have the activities that biopharma companies carry out as part of interacting with the managed care sector. To help biopharma managed care groups more effectively conduct the many activities related to Managed Care interactions, Best Practices, LLC conducted a study to provide important benchmarks on the optimal size of U.S. Managed Care groups.
Specifically, this benchmark study provides managed care leaders with important benchmarks on the optimal size of U.S. Managed Care groups linked to activities performed to allow managed care leaders to assess their efficiency level relative to peers.
Staffing data (FTE), outsourcing, budget and efficiency metrics were gathered for the following activities performed by Managed Care groups:
Account Management
Customer Marketing Strategy (sets contract strategy, liaison to brand teams)
Contract Management (back office support)
Customer Market Research (specific to managed care customers)
Customer Program Management (e.g., disease management or value-added programs)
Pharmacy Relations
Public payer Pricing (Implementation of rebates/chargebacks for Medicare/Medicaid/DoD/VA)
Leaders of the managed care function at biopharma companies use this study to assess their efficiency levels by comparing their staffing benchmarks with those of peer organizations.
KEY TOPICS
Structure, Revenue and Brand Oversight
Staffing Profiles for U.S. Managed Care
Budget Allocation By Activity for U.S. Managed Care
Efficiency Ratios
SAMPLE KEY METRICS
Organizational structure of Managed Care resources in U.S.operations
Estimate of organizations 2010 U.S. revenues
Approximate number of brands supported by U.S. Managed Care
Activities/Services supported by U.S. Managed Care
Percentage of Managed Care activities performed by internal FTEs as to that outsourced to external FTEs
Percentage of FTEs allocated to various activities within the U.S. Managed Care function
Number of total FTEs for Account Management, Customer Marketing Strategy, Contract Management, Customer Market Research, Customer Program Management, Pharmacy Relations, Public Payor Pricing
Operational budget for U.S. Managed Care for the year 2010
Percentage of the budget that is allocated to each of the major activities within U.S. Managed Care
Budget as a percentage of total sales in 2010
Investment per FTE in 2010
Sales per Managed Care FTE in 2010
FTEs allocated per brand supported in 2010
SAMPLE KEY FINDINGS
All U.S. Managed Care Headcount is internal staff: Members of the benchmark class do not actively outsource their Managed Care activities. Almost all the activities are performed internally at the benchmark companies.
Account Management & Contract Management have the highest average headcounts: The average FTE deployed for Account Management and Contract Management activities shows the important role in overall Managed Care business in the United States. Account management is the most critical activity in U.S. Managed Care.
METHODOLOGY
The benchmark class includes 12 participants from the companies across pharmaceutical, biotech and medical device industries. Their roles ranged from senior leaders to managers of managed markets.
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