Managing Healthcare Reform: Government Affairs, Public Policy and Managing State-Level Relationships with ACOs, Medicaid, and Health Exchanges

STUDY OVERVIEW

Government Affairs and Public Policy are the key functions that interact with the government healthcare sector. As healthcare reform unfolds, it has become increasingly important to effectively monitor and manage relationships with state-level government agencies. Likewise, the emerging roles of Accountable Care Organizations (ACOs), State Health Exchanges and Medicaid mandate that organizations establish clear lines of responsibility for monitoring and managing these entities.

Best Practices, LLC conducted this research to help leaders across key functions evaluate their approach to monitoring and engaging new entities such as ACOs, State Health Exchanges and Medicaid offices. The study identifies how companies are better positioning themselves to manage the Washington ecosystem and coordinating responsibilities.

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

KEY TOPICS

• Executive Overview
• Managing State-Level Relationships
• Future Trends & Lessons Learned

• Does Organization have Engagement Strategy for ACOs
• Does Organization have Engagement Strategy for State Medicaid Offices
• Does Organization have Engagement Strategy for State Health Exchanges
• Role of Key Functions Regarding State-Level Relationship Management
• Location of Function that Handles State-Level Relationships

• A majority of study participants have an engagement strategy for state-level relationships related to state health exchanges, ACOs and state Medicaid offices. The Large Pharma Segment is particularly focused on state Medicaid offices (100% have engagement strategies) and state health exchanges (75%), but a majority also have engagement strategies for ACOs (62%). All of these entities will play a critical role in how consumers access therapies
  

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