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The Managed Care Benefit Design Index

The Index is the most comprehensive and up-to-date analysis of the drivers of benefit design decisions. The Zitter Group works closely with clients and subscribers to frame research questions, and to ensure that each semi-annual issue provides detailed, insightful analysis of the most important current trends.

• Will employers introduce significant changes to cost-sharing burdens?

• Will employers adopt benefit carve-outs for specialty products?

• How important to employers is the ability to link medical and pharmacy benefits?

• How do payers and employers expect rising patient cost-sharing requirements will affect utilization of targeted and biotech products? How will they affect outcomes? Productivity?

• What impact does patient willingness-to-pay have on marketing strategy and objectives?

• Do employers believe that opportunities exist to shift greater costs to patients in some categories but not others? Do payers feel differently? What implications does this have for benefit design?

• Will value based benefit designs – such as the Pitney-Bowes mode – catch on with employers? Why or why not?

Key Research Issues

The Managed Care Benefit Design Index tracks and contrasts the reported priorities of employers and payers, noting important areas of agreement and disagreement, and providing a detailed analysis of the implications.

The Index also tracks the importance accorded individual categories and conditions and investigates the identifies divergences between payers and employers. Based on the research, the Index provides a detailed analysis of the drivers behind each group’s priorities. If payers assign greater importance to high cost therapies and employers assign greater importance to categories with large productivity implications, the Index will explain this in detail.

Click on the picture below to see additional highlights from the latest version of the Managed Care Benefit Design Index:

 

 

For a product prospectus, or if you would like more information, contact us at strategy@zitter.com.