KEY FINDINGS IN LATEST RESEARCH

September, 2017

A Small Number of Medicaid MCOs and PBAs Control Most of the Pharmacy Benefit

The top eight MCOs now represent over half of all managed Medicaid.

September, 2017

Ten Medicare Plans Cover 81% of Medicare Part D Lives

United, Aetna, and Kaiser experienced increases of 10% each in total covered lives in 2017.

September, 2017

Leading Plans Continue to Grow

Seven plans currently insure over half of the U.S. insured population; the top three insurers cover 36% of the insured lives in the United States.

August, 2017

Top Attributes Driving Asthma Access Decisions

Net pricing and outcomes data most drive health plan access decisions for branded asthma drugs; clinical data most drive medical group choices.

August, 2017

Commercial plans prioritize cost reduction

Biopharmaceutical companies can leverage the importance commercial plans place on clinical goals by offering compelling, clinically differentiating value propositions for their products in order to direct plans to shift their focus beyond unit product costs to total disease/care management

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