Managing Healthcare Reform: Government Affairs, Public Policy, Managed Markets and Managing CMS and Internal Group Interactions to Cover the Government Ecosystem

STUDY OVERVIEW

Public sector healthcare reform is creating an even greater need for functions like Government Affairs, Managed Markets, and Public Policy to effectively monitor and engage government agencies like the Centers for Medicare & Medicaid Services (CMS). Likewise, given how the government healthcare sector is an ecosystem of interconnected agencies and committees, it's important for relevant internal stakeholder to work together to coordinate public sector coverage.

Best Practices, LLC conducted this research to help leaders across key functions evaluate their approach to monitoring and engaging critical public payers. The study identifies how companies are better positioning themselves to manage the Washington ecosystem as well as interactions with relevant internal groups.

The study includes three segments: a Large Pharma Segment, a Mid-Cap Pharma Segment, and an Emerging Pharma segment.

KEY TOPICS

• Intelligence Gathering: “The Capture” 
  • Being well-positioned to capture vital information From Within The Washington Ecosystem
• Intelligence Translation: “The Interpretation”
  • Determining what  Information Coming from the Government Ecosystem means for brands, functions & business lines

• Coverage of Federal Healthcare Groups
• Resources Dedicated to CMS
• Coverage Responsibility for CMS
• Coverage of CMS Influencing Groups
• Representation of CMS Influencing Groups
• Responsibility for Monitoring and Managing Regional CMS offices
• Key Responsibilities and Activities for Government Affairs, Policy, Managed Markets, Marketing
• Managing Regional CMS Offices
• Keeping Pace with Healthcare Change
• U.S. Public Policy and Headquarters Interactions
• Frequency of Group Interactions
• Government Affairs & Policy Sub-Group Coordination Meetings
• Improving Collaboration and Communication of Internal Groups

• Engagement Responsibility for CMS: Government Affairs and Public Policy share responsibility for engaging with CMS. In the study, 58% of participants said GA has an engaging role with CMS while 53% said policy also has that responsibility. A number of companies – 37% - also noted Managed Markets engages with CMS, although that approach is more prevalent among Mid-Cap companies.
  

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