CONTACT US


UNFOLDING THE FUTURE TOGETHER

Client Partners are seeking supplemental information and unique perspectives to take advantage of changing business models, consumer needs and uncertain legislative and regulatory environments. They are exploring alternatives to enhance or/and shift traditional approaches that are not achieving desired levels of return on investment.

+1 401 862 3325 | +1 203 952 5161

CALIFORNIA | MASSACHUSETTS | NEW JERSEY | NEW YORK | RHODE ISLAND
MAXIMIZE PATIENT ACCESS TO TREATMENT
ENHANCE VALUE OF PRODUCTS, SERVICES & FINANCING

DRIVE


SOLUTIONS THAT DELIVER RESULTS

WHAT WE DO


SOLUTIONS THAT DELIVER RESULTS

PROVIDING CLARITY THROUGH TRANSPARENCY

MINDSET

External evaluation of the status providing neutral feedback

Clean slate thinking to develop approaches reconciling myriad business, consumer and political drivers

ASSETS

Introducing new, untapped information assets to address challenges

Fusing new information with existing data to deliver fresh, executable insights

EXPERTISE

Applying cross-industry expertise to derive actionable strategies that enable desired results

Identifying new policy and research approaches by combining public and private sector experience

COMPREHENSIVE SUPPORT FOR LEADERS AND DECISION MAKERS IN A TIME OF UNCERTAINTY AND DYNAMIC CHANGE

INNOVATIVE SOLUTIONS THAT UNLEASH THE POWER OF MISSING INFORMATION, CROSS STAKEHOLDER EXPERTISE AND THINKING

MINDSET

  • External evaluation of the status providing neutral feedback
  • Clean slate thinking to develop approaches reconciling myriad business, consumer and political drivers

ASSETS

  • Introducing new, untapped information assets to address challenges
  • Fusing new information with existing data to deliver fresh, executable insights

EXPERTISE

  • Applying cross-industry expertise to derive actionable strategies that enable desired results
  • Identifying new policy and research approaches by combining public and private sector experience

COMPREHENSIVE SUPPORT FOR LEADERS AND DECISION MAKERS IN A TIME OF UNCERTAINTY AND DYNAMIC CHANGE

INNOVATIVE SOLUTIONS THAT UNLEASH THE POWER OF MISSING INFORMATION, CROSS STAKEHOLDER EXPERTISE AND THINKING

LINE OF SIGHT INTO CROSS-STAKEHOLDER THINKING,
UNTAPPED INFORMATION ASSETS AND NEW ACTIONABLE STRATEGIES

RANGE


ATTUNED TO YOUR CHALLENGES

CLIENT CHALLENGES


ATTUNED TO YOUR CHALLENGES

STRATEGY | ACCESS & CONTRACTING | FORECASTING & INVESTMENTS | SALES & MARKETING | HEALTH ECONOMICS
CHALLENGES
  • Business / Commercial models implemented are delivering wildly inaccurate projections, even for blockbuster innovations
  • Limited intel into business models and interactions between Patients, Pharma, Providers, Payers and Policy leave an incomplete and unclear picture of real market potential of product innovations and treatment options
  • Pricing, purchasing, reimbursement and rebate approaches do not reflect increasing payer market segment variations in plan designs nor patient and consumer on-the-ground experience
  • Diminishing effectiveness of Patient support programs to address affordability, adherence and disease management driven by lack of timely access to changing variables related to patient experience, coverage and requirements
  • Formulary inclusion alone is not enough – real patient access can only be assessed through a holistic look at financing, coverage, treatment, access, and market segment distribution
ACCESS | COVERAGE INSIGHTS| AFFORDABILITY | ADHERENCE | ENGAGEMENT & SUPPORT
CHALLENGES
  • Inability to reliably evaluate patient access to life altering drugs and services due to lack of centralized data and information about coverage, out of pocket expense, treatment, and restrictions
  • Those with complex medical needs continue to have difficulty accessing appropriate treatment as well as understanding key coverage exclusions and out of pocket expenses
  • More variations in coverage requirements and prerequisites are leading to ballooning patient financial “surprises”
  • Increasing differences in benefit design among consumers on employment, geography and market segments
  • Promise of “patient-centricity” has not yet been fulfilled – patients need additional support to become true partners in their care
COVERAGE BARRIERS | INFORMATION TRANSPARENCY | ADVOCACY STRATEGIES | MEMBER SUPPORT
CHALLENGES
  • More than half the population’s coverage and benefit design details across market segments have not been easily accessible
  • Patient advocates lack access to key data on coverage restrictions/exclusions, stratification of financial burdens across insurance market segments
  • Too time consuming and resource intensive to identify and analyze information from disparate sources across state, federal and public sources in order to be proactive and drive desired advocacy efforts
  • Tailored, innovative approaches and solutions are needed to enhance and expand the reach of member/consumer support services related to complex health insurance issues and decisions
  • Lack of an integrated view of the socio-economic burdens of patients with complex and/or chronic conditions to drive cross-industry support and engagement strategies as well as program and policy reforms
POLICY ASSESSMENT | IMPACT ANALYSIS | STRATEGIC ADVISORY | RESEARCH | STATE AND FEDERAL
CHALLENGES
  • Lack of access to detailed health coverage variations across market sub-segments to support and drive state and federal level policy efforts
  • Need for comprehensive evidence of real distribution of affordability and access barriers to enrich legislative strategies and advance advocacy campaigns
  • Increasing demand for supporting capabilities and intelligence along with data and information to address myriad legislative and regulatory challenges
  • Demand for timely, practical and novel research that is actionable by policy makers and healthcare stakeholders
  • Limited transparency and insight into private and public sector health care payors’ benefit design decisions, coverage policies, and requirements, contracting strategies, operational approaches and control over utilization of drugs and medical services by providers and patients

EDGE


TRANSFORMATIVE APPROACHES

WHAT WE OFFER


TRANSFORMATIVE APPROACHES

STRATEGY

PATIENT ACCESS & AFFORDABILITY

MARKET OPPORTUNITIES & INVESTMENTS

PATIENT SUPPORT & ENGAGEMENT

POLICY & ADVOCACY

LEGISLATIVE | REGULATORY

INNOVATIVE HEALTH ECONOMICS

|
STRATEGY

COMERCIAL STRATEGY

STRATEGY

|
PATIENT ACCESSS & AFFORDABILITY

PATIENT ACCESSS & AFFORDABILITY

PATIENT ACCESS & AFFORDABILITY

PATIENT SUPPORT & ENGAGEMENT
|

PATIENT SUPPORT & ENGAGEMENT

PATIENT SUPPORT & ENGAGEMENT

|
MARKET OPPORTUNITIES & INVESTMENTS

MARKET OPPORTUNITIES & INVESTMENTS

MARKET OPPORTUNITIES & INVESTMENTS

|
POLICY & ADVOCACY

POLICY & ADVOCACY

POLICY & ADVOCACY

INNOVATIVE HEALTH ECONOMICS
|

INNOVATIVE HEALTH ECONOMICS

INNOVATIVE HEALTH ECONOMICS

|
LEGAL ADVISORY

LEGAL ADVISORY

LEGAL ADVISORY

ASSETS


NOVEL CUSTOMIZABLE SOLUTIONS

INNOVATIVE SOLUTIONS


NOVEL CUSTOMIZABLE SOLUTIONS

MEDIA


UNDERSTANDING THE BIGGER PICTURE

HOW WE THINK


UNDERSTANDING THE BIGGER PICTURE

CONTACT US


GET IN TOUCH


UNFOLDING THE FUTURE TOGETHER

Client Partners are seeking supplemental information and unique perspectives to take advantage of changing business models, consumer needs and uncertain legislative and regulatory environments. They are exploring alternatives to enhance or/and shift traditional approaches that are not achieving desired levels of return on investment.

+1 401 862 3325 | +1 203 952 5161