2019 National Payer Year-in-Review Highlights
Access Experience Team member Andrew Cournoyer looks at national health plans and the growing trend toward vertical integration and management of drugs covered under the medical benefit.
2020 Medicare Formulary Predictions
Andrew Cournoyer outlines recent Medicare regulatory changes likely to influence formulary offerings and emphasizes the trend toward patient affordability and drug pricing in 2020 formulary design.
Medicare & ICER: Two Predictions for 2019
Drug costs are a main concern for both government and commercial payers. In 2018, CMS tackled drug costs in Medicare through several measures. Will the trend continue in 2019? Meanwhile, the use of ICER’s value framework to inform commercial payer decision makers is increasing. Are value- and outcomes-based strategies more important?
Attacking Drug Prices and Targeting Medicare
Recent legislative actions by CMS have taken aim at the current Medicare structure, with negotiating leverage at the center of the initiatives. Arguably the primary target of these actions is the drug manufacturer. Andrew Cournoyer addresses the need for allied partnerships between payers and manufacturers as a way to navigate the increasingly complex landscape.
Will American Patients First Deliver on Its Pledge?
What will the American Patients First initiative mean for payers? Will it deliver on lowering drug prices and improving affordability for patients? Andrew Cournoyer, Vice President, Payer Access Solutions, addresses these questions as he breaks down what we know and don’t know about the Trump administration’s recent announcement.
Payer Survey: New Findings on Formulary Decision-Making
Ami Gopalan and Andrew Cournoyer from our Payer Access Solutions team present key takeaways from their recent AMCP Nexus presentation on the variable use of external sources of data. The authors also share findings from Precision’s latest proprietary Rapid Pulse™ survey, highlighting new opportunities for both payers and manufacturers to pursue in the development and evaluation of evidence to support formulary decision-making.