Dynamic Market Trends Create Unique Challenges and Opportunities Pharmaceutical manufacturers are already being impacted by the implementation of the ACA and its wide- ranging initiatives to broaden the scope of health insurance in the United States. HIRC’s Future Scenarios explore some of the most significant and immediate areas of the ACA’s impact while also considering how other major trends in the health care enviroment could have profound implications for the pharmaceutical industry. • Accountable Care Paradigm Shift: ACOs succeed where “managed care” often failed and become the dominant structure for health care delivery and provider payment in most regions. • Health Exchanges Flourish: “Enroll America” surpasses target enrollment goal of 2.7 million healthy lives. • High-Tech Medication Adherence and Persistency: e-Packages and bioelectronic sensors become the ultimate in high-tech, high-touch adherence interventions. • Medical Marijuana Legalization: By 2017, 30+ states with 75% of the U.S. population have legalized medical marijuana. Managed Markets & National Accounts Service Key Finding: Pharmaceutical companies must monitor, and be prepared to act upon, major market trends that could create risks and opportunities in the future.
Transcript
Dynamic Market Trends Create Unique Challenges and Opportunities Pharmaceutical manufacturers are already being impacted by the implementation of the ACA and its wide-ranging initiatives to broaden the scope of health insurance in the United States. HIRC’s Future Scenarios explore some of the most significant and immediate areas of the ACA’s impact while also considering how other major trends in the health care enviroment could have profound implications for the pharmaceutical industry.
• Accountable Care Paradigm Shift: ACOs succeed where “managed care” often failed and become the dominant structure for health care delivery and provider payment in most regions.
• Health Exchanges Flourish: “Enroll America” surpasses target enrollment goal of 2.7 million healthy lives.
• High-Tech Medication Adherence and Persistency: e-Packages and bioelectronic sensors become the ultimate in high-tech, high-touch adherence interventions.
• Medical Marijuana Legalization: By 2017, 30+ states with 75% of the U.S. population have legalized medical marijuana.
Managed Markets & National Accounts Service Key Finding:
Pharmaceutical companies must monitor, and be prepared to act upon, major market trends that could create risks and opportunities in the future.
Future Scenarios Highlight Distinct and Impactful Implications for Pharmaceutical CompaniesEach of HIRC’s unique and thought-provoking future scenarios identifies significant potential implications for pharmaceutical manufacturers ranging from the widespread emergence of Accountable Care Communities to the potential of legalized medical marijuana to impact pain and cancer treatments.
Research Methodology and Report AvailabilityHIRC's Future Scenarios were developed in the summer of 2013 through HIRC researchers’ exploration of critical market dynamics and analysis of best-case/worst-case outcomes. The HIRC Expected Scenario outlines the events that are most likely to occur in the coming five years and the strategies HIRC recommends manufacturers undertake to address the changing marketplace. The full report is available to subscribers at www.hirc.com.
The Managed Markets & National Accounts Service provides a wealth of strategic and tactical information, including benchmarking, competitive intelligence, customer needs and emerging issues within eleven separate markets; environmental assessments of market segments that influence the availability, price and utilization of pharmaceuticals; and managed markets headcounts and organizational trends based on confidential data from 30 pharmaceutical companies.
Contact Information:Dorothy Hess VP, MMNA Research Managed Markets & National Accounts Service 831.426.5260 [email protected]
HEALTH INDUSTRIES RESEARCH CENTER (HIRC) is an independent, nonpartisan organization that conducts strategic market research on trends in health care, pharmaceuticals and managed care businesses. HIRC’s benchmark studies focus on the marketing needs of pharmaceutical companies by providing research critical to the development of successful customer-focused marketing strategies.
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• Sharply reduced individual insurancecosts in California and New Yorkcause more red and blue states to geton the bandwagon
• Exchange law provisions requiringCongressmen and their staff to sign upfor insurance via exchanges brings apositive federal focus
• Exchanges become primarymarketplace for individuals and smallbusinesses
FUTURE SCENARIOS
Scenario (HIRC probability %) Implications
Health ExchangesFlourish (85%)
Medical MarijuanaLegalization (70%)
• Medical marijuana is used in manycountries for many maladies
• 20 states have approved medicalmarijuana of which two have mademarijuana completely legal while nine haveharsh penalties
• The Justice Department will now allowstates to legalize and regulate marijuana ina new "trust but verify" policy
