Medicare Part D: Trends & Opportunities in Long Term Care Sales & Contracting Strategies

STUDY OVERVIEW

This study uncovers current and planned LTC sales force activities and contracting strategies that will inform pharmaceutical and biotechnology executives trying to ascertain the optimal way to proceed in the uncharted terrain of post-Medicare Part D legislation. This legislation has had and will continue to have far-reaching implications throughout the pharmaceutical and biotech industries. Many groups within the industry are scrambling to understand how to strategically respond to the new Part D environment.

This report will specifically aid industry executives in how best to direct their Long-Term Care sales forces and contracting strategies, which have been significantly impacted by the implementation of Medicare Part D. Executives can better develop their own Part D-prompted LTC strategies, by learning what other top pharmaceutical companies are doing or planning in the near future in such critical areas as field sales force structure, resource allocation, and contracting activities and strategies.

KEY TOPICS

• Executive Summary & Benchmark Class Profile
• Class Comparability Factors
• Resource Allocation Changes
• Stakeholder Relationships
• LTC Contracting Activities & Strategies
• CMS Issued Guidance Implications
• LTC Marketing
• Top LTC Challenges

KEY METRICS

• Number of Promoted LTC Products
• LTC Sales Force Size
• Plans for Change in Field-Based Responsibilities and in Sales Staff and Budget Allocations
• Sales Staffing Levels
• Sales Force Structural Changes
• Resource Shifts Following LTC Cuts
• Training Resource Allocation Changes
• LTC Internal Stakeholder Partnerships
• Stakeholder Communications Frequency
• LTC Contracting Activity Changes
• Implemented LTC Contracting Strategies
• Planned LTC Contracting Strategies
• Rates of Implementation (current and planned) for:
  • Performance-Based Contracts
  • Invoice Discount Contracts
  • Compliance-based Contracts
• Performance-based Changes last 6 months and next year
• Invoice Discount Changes--last 6 months and next year
• Segment Separation Strategies
• Impact of CMS Guidance
• Pricing Transparency
• LTC Marketing Changes
• Customer Management Programs

KEY FINDINGS

• Resource Allocation Levels: 47% of respondents have increased or plan to increase Disease State Management programs.
• Training Resource Allocation: 74% of participants are planning market segmentation training.
• Contracting Strategies: Performance-based contracts and Invoice Discounts are equally prevalent within the LTC Pharmacy provider segment, with 40% of respondents reporting utilization of either or both contract types.

METHODOLOGY