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Best Practice Database
Market Access » Managed Care Organizations and Winning Practices
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Pharmaceutical field medical team (FMT) interactions with payers have risen in importance as the influence of payers has dramatically increased. As the healthcare market shifts to a value-based system, a new product’s position on a formulary is now as important as its reception among prescribers and KOLs. Recognizing this trend, pharma is paying more attention to the roles and responsibilities of payers, especially how they relate to formulary decisions.
This study explores the key responsibilities/activities of payers in leadership positions (pharmacy directors, medical directors, etc.) and how pharma supports these payer activities.
This study engaged a total of 23 formulary leaders from at least 16 managed care organizations. Medical directors represented more than 40% of the respondents.
Insurance; Health Care; Medical
Anthem; UnityPoint Health; HCA; St. Joseph's Health; Kaiser Permanente; Ascension; Express Scripts; Cleveland Clinic; Inc.; University Hospitals; WellSpan Health; Aetna; CVS Health; Humana; DaVita; Tenet Healthcare ; MedImpact
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