Payer Segmentation

One Strategy Doesn’t Fit All

Payer Segmentation: One Strategy Doesn’t Fit All

The Advantage Point Solutions team has delivered successful market shift and pull through strategies in more drug classes and payer segments than any other pharmaceutical or biotech consulting company. Success is not just about a payer access “one size does not fit all” approach, but also about manufacturers and payers partnering when negotiating pharmaceutical reimbursement strategies and managed market pull-through programs. We will guide all stakeholders to achieve long-term success.

• Define success for both payers and manufacturers
  • Payers that partner, drive share or dominate the market

• Payer access requirements in Medicare, Medicaid and Commercial markets
  • Strategies for manufacturers to maximize return on investment for rebates while payers minimize administrative cost and member disruption
  • Medicare strategy that is responsive to adapt to new requirements

• Navigation through the changing landscape in healthcare reform
  • Impact of the Health Exchanges on managed markets, rebate strategy and payer access
  • Employer and retiree demographic analysis with impact on Medicare strategy

• Comprehensive industry knowledge
  • Long standing relationships at Health Plans, Pharmacy Benefit Managers, Employers, Unions and Government Groups