Does a New Administration Translate to New Market Access Concerns?
I’m Charline Shan, Vice President, Director-Access Experience Team and editor of All Access. I hope to bring you noteworthy and groundbreaking news with Precision Value and Health’s bimonthly newsletter where we bring you the latest payer insights from our team of former access decision makers.
Though the current Trump Administration finalized orders on rebate safe harbor protection and Most-Favored Nations model, the new Biden Administration may not continue with these orders and seek new policies and regulations to control price and other healthcare-related challenges. We asked our advisors to forecast and determine what market access stakeholders should consider as potential opportunities and threats in 2021. Dan Danielson reviews the top 2 agenda items for the Biden Administration and the impact on regional health plans; Elizabeth Oyekan discusses 4 possible policies and regulations impacting IDNs; Todd Edgar examines the larger role the Federal government may play in managing healthcare and the effect on PBMs; and Andy Cournoyer determines how national health plans may react to Biden’s goal of affordability.
I think you’ll find the insights in All Access to be thought provoking and helpful in navigating the payer landscape. As always, please feel free to drop me a note and let me know if you have a topic suggestion for the payer team to address, and we’ll do our best to cover it in a future edition.
Stay safe and be well,
Charline Shan, RPh, MPH
Vice President, Access Experience Team
EMAIL CHARLINE
All Access is a bimonthly newsletter that features key insights from our team of former payers, intended specifically for market access leaders. It is published by PRECISIONvalue.
Guest Editor
Charline Shan
Executive Editor
Louis Landon
Contributors
Andrew Cournoyer
Ryan Cox
Dan Danielson
Todd Edgar
Dominic Galante
Ami Gopalan
Joe Honcz
Louis Landon
Erin Lopata
Reta Mourad
Elizabeth Oyekan
Kellie Rademacher
What Healthcare Initiatives Will the Biden Administration Consider in 2021? A Regional Health Plan Perspective
With the COVID pandemic still firmly gripping the US, developing and implementing plans to address the crisis on “day one” is a top priority agenda item. But what else makes the list? Dan Danielson reviews the top 2 agenda items for the Biden Administration and the impact on regional health plans.
Policies and Regulations Impacting IDNs in 2021
Following a tumultuous 2020, IDNs, like many other healthcare systems, are going to be impacted by several elements including an unprecedented number of current and proposed policies. Elizabeth Oyekan discusses 4 policies and regulations that we may see in 2021.
What Does 2021 Look Like for PBMs?
While campaigning, President-elect Biden laid out many proposals with respect to healthcare, most of which have in common the effect of expanding the Federal government’s role in this space. Todd Edgar explores how this expanded role will affect managing healthcare, and the effect it will have on PBMs.
Will the Biden Administration Move the Needle Toward Improving Affordability? A National Health Plan Response
The inauguration of President-elect Biden will mark the end of a tumultuous 4-year run of the Trump Administration’s failed attempts to overturn the Affordable Care Act (ACA) and find a solution to meaningfully lower drug costs for all. Andrew Cournoyer examines how national health plans may react to Biden’s goal of affordability.