ISPOR Podium Presentation on Affordable Care Act and Market Access: by NOVEL Health Strategies. Part of this talk was also presented at AMCP, for which NOVEL Health Strategies received Platinum and Bronze Medals.
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3/5/15 1 ISPOR PODIUM PRESENTATION ON AFFORDABLE CARE ACT QuickTakeaways Series NOVEL was selected for 20 peerreviewed presentations at ISPOR and HTAi conferences in June 2014. One of NOVEL’s presentations was a podium talk at ISPOR Montreal on Affordable Care Act. This talk reviewed the major new changes due to Affordable Care Act, which will impact the pricing, market access and health economics and outcomes research methodologies for products marketed in the United States.
Transcript
3/5/15
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ISPOR PODIUM PRESENTATION ON AFFORDABLE CARE ACT
Quick Takeaways Series
NOVEL was selected for 20 peer-‐reviewed presentations at ISPOR and HTAi conferences in June 2014. One of NOVEL’s presentations was a podium talk at ISPOR Montreal on Affordable Care Act. This talk reviewed the major new changes due to Affordable Care Act, which will impact the pricing, market access and health economics and outcomes research methodologies for products marketed in the United States.
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Topics Discussed in the Talk
2011 • People with
Medicare can get key preventive services for free
• Receive a 50% discount on brand-‐name drugs in the Medicare “donut hole”
2012 • Accountable Care
Organizations and other programs are launched and piloted
2013 • Launch of Health
Insurance Exchanges
• Open enrolment begins in the Health Insurance Marketplace
2014 § Medicaid
expansion
§ Essential Health Benefits
§ Individual mandate
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Key Implementation Areas Likely to Affect Market Access and Reimbursement
Increased Access (with Coverage of
Uninsured)
Part D Discounts (Medicare Donut hole)
Essential Health Benefits
(State Benchmark Plans for Drugs)
ACOs (Negotiated Price and Coverage Indications)
Rebates and Cost Sharing
(Rebate for Medicaid & Capped Deductibles)
Mandates (Individual and Employer
Mandates)
Feedback for NOVEL’s Podium Talk
“Thank you so much for presenting today regarding adjusting budget impact model based on ACA changes. You did an excellent job and I found your presentation to be extremely informative.”
Email from Director, New Product Planning, Top 10 Pharma
“Nice comprehensive summary of the ACA.”
Email from Director, Field HEOR, Bayer
“Your presentation was excellent. It was a great overview. It touched upon many issues that we typically do not think about in HEOR. I liked your new way of thinking about market access.”
Director, HEOR, Top 10 Pharma
3/5/15
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NOVEL was Awarded Two Medals by Academy of Managed Care Pharmacy (AMCP) for Market Access Studies
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U.S. Managed Care Pharmacy Coverage Trends for New Hepatitis C Treatments
Impact of Essential Health Benefit Benchmark Plans on Pharmacy Coverage
PLATINUM MEDAL WINNER BRONZE MEDAL WINNER
Affordable Care Act 2015-‐2020 Presenter: Saurabh (Rob) Aggarwal
