NEW YORK, Oct. 30, 2012 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:
Pharma and Payers – Building Better Relationships
http://www.reportlinker.com/p01021205/Pharma-and-Payers-–-Building-Better-Relationships.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Drug_and_Medication
Changes in the healthcare landscape have put payers (public and private) under mounting pressure to reduce the cost of care, and given them much greater influence over market access to new medicines.
In this new environment, regulatory approval of new drugs no longer guarantees favourable pricing and formulary placement. Instead, payers focus increasingly on value to determine pricing and access.
Drug developers need to understand the value review process, and adapt their organisation to engaging payers early in the journey. More profoundly, pharma companies must find ways to evolve their current transactional, and even adversarial, relationships with payers to more collaborative ones. After all, Pharma and payers share the same ultimate goals – to lower costs and improve care.
This new report helps Pharma and payers build a "win-win" relationship; by understanding each other's needs, and by exploring new opportunities for collaboration.
Report Overview
This extensive report includes a wealth of information and tools that empower Pharma and payers to work together more effectively, with the ultimate goal of offering patients access to life-saving drugs, biologics, and vaccines.
After painting a detailed picture of the current environment (including explaining regional payer systems, and key factors driving change), the report offers a fascinating exploration of "what payers want". You'll learn about the primary ways in which payers are measuring outcomes (e.g., QALY, CER, pragmatic clinical trials), and discover best practices in resource allocation, organisation, communication, and accountability.
The report includes real case studies of successful pharma-payer partnerships (such as risk-sharing agreements, clinical outcomes studies), and draws on expert opinions and advice from more than a dozen of the world's foremost thought leaders and executives in this space.
Key Report Features
Detailed insights into what payers want from Pharma (and vice versa)
Recent case studies of collaborations between major pharma companies and payers
Practical advice on meeting payers' needs and tackling potential problems
Review of the growing influence of patients/consumers
Description of different types of payers
Guide to the payer frameworks in key markets (US, UK, and the leading European pharma markets: Germany, France)
Key Benefits
Learn from successful collaborations between payers and Pharma
Understand what payers expect and want from Pharma
Improve Pharma-payer communications
Optimise your organisational structure to meet payer needs
Be aware of potential pitfalls
Generate successful drug pricing and formulary placement discussions
Be ready for future developments
Who Should Read This Report?
Pharma executives in Market Access, Pricing, Reimbursement, Strategic Planning, and Marketing
Payer executives and representatives, including health insurance providers, government payers, pharmacists, social security, and local health authorities
Executives in Clinical Development
Health Economics and Outcomes Research leaders
Key Questions Answered
What kinds of data (e.g., around safety and efficacy) are most useful for improving market access?
What are the key differences and common denominators between the payers in the US and key European markets?
Who are the best people to represent Pharma in payer negotiations?
At what stage of drug development should the payers, or pricing and reimbursement consultants, become involved?
What kind of risk-sharing arrangements can be made between pharma and payers?
What opportunities are there for win-win collaborations?
Expert Views Include:
Steve Phillips, director, Health Policy and Reimbursement, Johnson and Johnson — government health policy leader and advisor to all J&J operating companies
Tehseen Salimi, vice president, Customer Medical Synergies, Sanofi-Aventis — payer interaction leader, scheduled to speak at Evidence Based Reimbursement Summit 2012
Dr. Marcus Wilson, vice president, WellPoint, HealthCore Inc — pioneer in real-world outcomes research
Terri Bernacchi, managed care pharmacist/consultant, engaged with several US health plans and IMS Health Managed Market Services — expert and author on payer engagement
Michael Hurwich, president, Strategic Pricing Management Group — one of the world's foremost pricing, revenue & strategy management consultants
Cyndy Nayer, president and founder, Center of Health Value Innovation (CHVI) — thought leader on value-based benefit design
And many more renowned thought leaders and senior industry executives.
Key Quotes
"It is no longer simply about drug cost but total cost of care to demonstrate a product's value. Pharma is beginning to understand that." Dr. Marcus Wilson, vice president, WellPoint, HealthCore Inc
"If drugmakers haven't got the relevant health economic data together to support the price of a new drug then it's never going to float." Michael Morgan-Curran, director, mHealth Diabetes, GSMA; director/owner, MM-C Innovative Solutions
"Each payer is different and to create and maintain long term mutually beneficial relationships, pharmaceutical companies must understand a payer's environment, the way they work, their needs and drivers." Elliot Rosen, managing director, Accession Healthcare Consultancy
Executive Summary
Introduction
> Payers: who's who
> US payers
> European payers
> Payer organisations in the UK (England and Wales)
> Scotland
> France
> Germany
Changing landscape
> Rapid growth of high-priced biologics and specialty drugs
> A shift from volume-driven contracts to value-based pricing
> Patient non-adherence: a costly problem
> Payers demand real-world data
> Health economic data: is it good enough for payers?
> Patient power
The drug manufacturer conundrum
The changing drug manufacturer-payer relationship
What payers want
> Measuring health outcomes
> QALY and ICER
> Comparative effectiveness research, pragmatic clinical trials and adoptive licensing agreements
> Improving market access via adaptive licensing
> Market access agreements: health outcomes and risk-sharing schemes
> Innovative US drug manufacturer-payer alliances and partnerships
> Building better relationships
The new drugmaker-payer relationship
> HTA and value-based pricing are here to stay
> CER is becoming the new normal
> Quality of economic modelling and health outcomes data is vital
> Cost of a drug vs cost of care
> Best-price frameworks
> When to approach payers
> Moving From transaction to collaboration builds trust
> Sharing and exchanging patient data
Opening new communication channels is essential
> Create an environment of accountability
Moving forward together
Conclusions
To order this report:
Drug_and_Medication Industry: Pharma and Payers – Building Better Relationships
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