Insurance and Benefit Design: Commercial

Insurance and Benefit Design: Commercial provides insights on the evolution of benefit designs in the commercial health plan channel, supporting timely, effective responses to emerging access opportunities and risks for brands.

  • What are the current and emerging trends in commercial plan benefit designs and drug management?

  • What tools are commercial plans using to control access and costs?

  • What are the trends in commercial plan benefit designs and management of drugs with coverage on the medical benefit?

Use Insurance and Benefit Design: Commercial to:

  • Stay up-to-date on benefit design and pharmacy management trends, and anticipate emerging changes
  • Educate account teams and internal colleagues on changes that affect access
  • Coverage Landscape February
    • Overview of medical and pharmacy coverage in the United States
    • Assessment of key payers across channels
    • Analysis of key trends in market
  • Pharmacy Management Trends May
    • Benefit design trends, including tiering, cost sharing, deductibles, and premiums​
    • Use of enhanced and restrictive formularies
    • Utilization management tool use​
    • Management of biosimilars
  • Medical Benefit Management Trends August
    • Medical benefit management and tactics​
    • Trends in specialty pharmacy use, buy-and-bill approval rates, preferred distribution channels, and site-of-care selection​
    • Impact of biosimilar access
  • Patient Affordability and Assistance November
    • Assessment of regulations/management of patient assistance programs​
    • Copay assistance use​
    • Accumulator/maximizer use
  • Market Alerts

    Timely analysis of payer reactions to significant market events, including:

    • FDA approvals or rejections of new products
    • Market entry of branded or generic drugs
    • Expansion of treatment guidelines or recommendations
    • Release of high-profile head-to-head trial data
This product may also include relevant market alerts, real-time assessments of recent changes, or market events. EVERSANA reserves the right to change the timing and/or topics of its syndicated research publications.

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