Zitter Health Insights Access Answered.

New Product Coverage Analyzer

Most marketers know that health plans typically don’t review a new product until several months after launch.

But how is the product covered during that time? The New Product Coverage Analyzer is a comprehensive report available for each payer segment (Commercial, Medicare, and Medicaid) that describes exactly how each payer will handle interim coverage of a new product until the P&T Committee reviews it – a time period that can exceed 12 months. This analysis is drawn from Zitter Health Insights’ extensive database of over 450 Commercial, Medicare and Medicaid payers.


What actions can you take?

  • Forecast for new product launches, inline, and/or competitive product launches by segment and by payer
  • Optimize payer account management resources based on timeline for decision making, course-correct messaging based on payer response (inline and competitor)
  • Focus account team to defend against competitive activity
  • Identify payers with significant short term barriers and payers where quick wins can be realized
  • Enhance market assessment of developmental compounds and in-licensing opportunities 

What insights are provided?

  • New drug coverage policies by percent of payers and covered lives prior to new drug review at the national and state level
  • Relevant new launch analog drug and individual payer response at 6, 12, and 18 months

Deliverables:

With the New Product Coverage Analyzer, clients will receive a PowerPoint and Excel sheet reporting the following:

Deliverable  Subscription
New product coverage policy prior to review in aggregate within segments

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New product coverage policy prior to review for each individual payer within each segment

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New product coverage policy prior to review by state

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Analysis of time to review and final coverage policy for analog launch drug(s)

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Excel spreadsheet containing the full data set

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