Zitter Health Insights Access Answered.

Managed Care Organizations

Managed Care Organizations use our insights to benchmark their own management efforts.

Having visibility into how other managed care organizations manage access and reimbursement by therapeutic area and specific drug therapies is helpful for making decisions and educating plan sponsors, employers and end-user customers.

For this reason, many MCOs rely on our research – which usually are based on the largest data sets available – to better understand stakeholders, track trends and benchmark their own management efforts.

  • Our Indices are used by health plans, PBMs and specialty pharmacies to track drug management policies, benchmark payer coverage, quantify trends in specialty reimbursement, and provide an overview analysis of the landscape
  • Our Policy and Access Tracking is used by MCOs to benchmark restrictions and inform policy decisions, and educate employers with external benchmarking data.  Specialty pharmacies use the research to understand PA criteria to accelerate PA approvals
  • Our Co-Pay Offset Monitor allows MCOs to track the percentage and dollar volume by co-pay offsets by drug, and understand the impact of co-pay programs by doctors and members. It enables retail and specialty pharmacies to quantify how many prescriptions were offset and by how much, and all MCOs to understand trends and counter-trends in restrictions applied to co-pay offset programs

Learn more about how our research can help your managed care organization.