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Vertical Payers: “Highly Integrated” by 2026
Welcome to our Monthly Insight Series July 2024 edition! This month we discuss our 2024 research regarding the ever-rising integration across vertical payers’ health plans, PBMs, and SPs, including around manufacturer contracting.
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Notes From ATOPP: Providing Bispecific Antibody Treatments in Community Oncology
The ATOPP Summit covered a range of cutting-edge topics, including the shift toward administering cellular therapies to patients in community oncology settings.
Emma Bijesse, Daniel Buchenberger
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Oncology Clinics Frustrated With Manufacturer Engagement Tactics
Welcome to the June 2024 edition of our Monthly Insight Series! This month we’re discussing oncology clinic concerns with existing manufacturer engagement approaches, using data drawn from our 2024 Community Oncology report, coming later in June.
Ashutosh Sheth
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When Do Payer Pathways Matter?
While provider-initiated oncology clinical pathways are regaining momentum, payer pathways struggle to find a foothold in this space. Still, they can exert impact under certain conditions.
Cindy Chen
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IDNs’ Numerous Strategies and Tools to Manage High-Cost Drugs
Welcome to the May 2024 edition of our Monthly Insight Series. This month we’re exploring the new tools IDNs have deployed to monitor high-cost drugs. This is a preview of findings from our 2024 IDN Oncology Trend Survey, coming at the end of May.
Emma Bijesse
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Following the Money: Rx Revenues Underpin Community Oncology Business Models
Welcome to the April 2024 edition of our Monthly Insight Series. This month we’re looking at community oncology practices’ reliance on buy-and-bill drug revenues.
Lee Blansett
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IDN Financial Incentives: Impact on Treatment Prices?
Navigating IDNs requires understanding their financial drivers, revenue streams, and cost management. Here, we look at IDNs' key financial aspects, such as revenue optimization strategies, and examine the potential effects of site-neutral payment reforms.
Emma Bijesse
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Provider Economics Drive Oncologist Consolidation
Welcome to the March 2024 edition of our Monthly Insight Series. This month we examine the trend of oncologists consolidating into IDNs and network aggregators.
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An Update on What You Need to Know About Pathways
Welcome to the February 2024 edition of our Monthly Insight Series, featuring key findings from our recent column in the Journal of Clinical Pathways. The column was the first in a series on oncologists' awareness and use of pathways.
Lee Blansett
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Oncology Insights: Clinical Decision Support
Welcome to the January 2024 edition of our Monthly Insight Series. This month we are discussing clinical decision support systems in oncology.
Chris Van Denburg
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Oncology Insights: Notable Quotes from Key Decision Makers
Welcome to the December 2023 edition of our Monthly Insight Series. This month we are discussing standout quotes from discussions we had this year, and how they impact our key customer segments.
Chris Van Denburg, Cindy Chen
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What's Going On with Oncology Pathways? Here's What You Need to Know
Welcome to the November 2023 edition of our Monthly Insight Series. This month we are highlighting a few key findings from our recently published report on Oncology Clinical Pathways.
Lee Blansett
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Payer Insight: It’s NOT All About Drugs
Welcome to the October 2023 edition of our Monthly Insight Series. This month we highlight a specific finding from our 2023 Payer Annual Oncology Trend Report that was just released in September: Payers’ top cancer cost targets.
Chris Van Denburg
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Summer 2023 Recap: Here’s What You Missed From MAI
Welcome to the September 2023 edition of our Monthly Insight Series. This month we are giving a quick overview of the various reports we’ve released to our clients this summer—it’s been a busy one!
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Oncology Network Aggregators: Gaining Popularity?
Welcome to the August 2023 edition of our Monthly Insight Series. This month we take a deeper look into independent community oncology practices’ evolving interest in joining oncology network aggregators.
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The Enhancing Oncology Model: What Lies Ahead for Participants?
CMMI has launched its new oncology pilot, the Enhancing Oncology Model, sparking questions about its new features vs the Oncology Care Model, the benefits and concerns for participating practices, and CMMI’s ability to successfully implement the program.
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IDN Pharmacy Performance Metrics: Opportunities for Manufacturers to Engage
Welcome to the July 2023 edition of our Monthly Insights Series. This month we want to share some more thoughts on opportunities for manufacturer engagement with IDN stakeholders—the IDN pharmacy/pharmacists, in particular.
Cindy Chen
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Clinical Pathways Impact on Treatment Selection
As more providers explore clinical pathways as a tool for increasing clinical consistency and quality, we need to examine adoption benefits and challenges, provider compliance, and potential access risks for manufacturers.
Lee Blansett
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CONFLICTED: Payer Pathways vs Their Own Coverage Policies
Welcome to the May 2023 edition of our Monthly Insight Series. This month we are examining how Payers’ oncology pathways sometimes conflict with their own coverage policies, and how they can differ but still be aligned from a Payer perspective.
Chris Van Denburg
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Medicare Advantage Growth Will Bring Changes for Cancer Drug Manufacturers
Changes to Medicare, including Medicare Advantage, have important repercussions on patient access to care, oncologists’ treatment decisions, and drug manufacturers’ processes.
Lee Blansett
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Pharmacists’ Shifting Meeting Preferences
Welcome to the April 2023 edition of our Monthly Insight Series. This month we are evaluating the desire among oncology pharmacists to return to in-person meetings.
Cindy Chen
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Humana Quits Commercial
Welcome to the March 2023 edition of our Monthly Insight Series. This month we discuss how Humana terminated its employer group line of business and the implications.
Chris Van Denburg
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HMP Global Market Access Insights’ 2023 Research Year
We want to give you a look at some of the topics we’re planning to explore this year, as we enter yet another period of rapid change, upheaval, and uncertainty in 2023-2025.
Lee Blansett
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Community Oncology Providers and Value-based Care: Here’s What You Should Know
Welcome to the February 2023 edition of our Monthly Insight Series. This month we discuss how community oncology providers are engaging in value-based care.
Lee Blansett
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Oncology Value-based Care & Private Payers: What Exactly Is Going On?
Welcome to the January 2023 edition of our Monthly Insight Series. This month we discuss value-based care in oncology from a private-payer perspective.
Chris Van Denburg, Lee Blansett
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The Inflation Reduction Act: Here's What You Need to Know
Welcome to the December 2022 edition of our Monthly Insight Series. This month we highlight the Inflation Reduction Act of 2022 (IRA).
Cindy Chen, Lee Blansett
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In Case You Missed It: “Perspectives on Vertical Payers” Is Out Now!
Welcome to the October 2022 edition of our Monthly Insight Series. This month we discuss our new Perspectives on Vertical Payers report.
Chris Van Denburg
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Payer or Provider: Two Sides of the Same Coin?
Welcome to the September 2022 edition of our Monthly Insight Series. This month we discuss our inaugural Payer Report Series, which is launching soon.
Chris Van Denburg
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IDN Readout Roundup: Controls, Controls, and More Controls
Welcome to the June 2022 edition of our Monthly Insight Series. This month we highlight several queries that have generated lively discussions thus far.
Cindy Chen
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Routine Access for Cancer Drugs in IDNs: More Than Just a Click Away
Welcome to the May edition of our Monthly Insight Series. MAI conducts a Brand Survey as part of our annual IDN Trend Survey. For 2022, we continued this tradition as we set out to understand the prescribing burden for IDN oncologists.
Cindy Chen
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Moving Forward: Engaging With Oncology Pharmacy Providers
As we busily analyze field data collected from our annual IDN survey, we would like to offer a sneak peek at how oncology pharmacists want to engage with manufacturers in 2022 and beyond.
Cindy Chen