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The Managed Care Benefit Design Index: Emerging Trends in Access

The Managed Care Benefit Design Index is the most comprehensive analysis of the drivers of benefit design decisions. This research, conducted twice annually, aims to elucidate the evolving market for health benefits, the respective roles of payers and employers in benefit design decisions, and the implications for patient access to care. The study tracks changes in patient out-of-pocket costs, utilization management trends for certain therapeutic categories and products, and macroeconomic forces and legislative changes impacting benefit design decision-making. Key research questions include:

• How do payers and employers work together to craft benefit design?

• Which internal and external factors influence employers’ decisions on benefit designs? How do they differ from those that impact payers’ decisions?

• How will changes in benefit design affect overall prescription drug utilization and category-specific product utilization?

• How will healthcare reform legislation impact benefit design and how do payers and employers specifically expect to react?

• At what levels of safety, therapeutic efficacy, and cost effectiveness must new agents enter the market in order to gain formulary access?

Click on the image below to see highlights from the latest edition of the Managed Care Benefit Design Index:

 

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