Expertise and Flexibility:
Managed Care and Medicaid Contract
Design and Negotiation Services

It would take your organization years and a significant financial commitment to reach the level of managed care expertise MC Access can offer you right now. With our proprietary knowledge of the managed care market, extensive industry experience, and long-established relationships, MC Access is ready to open doors for you.  

MC Access can accelerate your access with effective, independent, third-party representation that is highly respected by the key decision makers in the managed care and Medicaid markets. With this caliber of coverage and support, your organization can stay lean and flexible, without the salary and benefits overhead, and managerial demands associated with operating an internal managed care group. 

Present overview of the managed care and Medicaid markets to clients’ senior management

We work directly with managed care organizations, pharmacy benefits managers (PBMs), group purchasing organizations (GPOs), mail service pharmacies (MSPs), and individual states' Medicaid programs

We will work with you to determine how to best position your product in context of managed care and Medicaid formulary requirements

We will prepare contract templates and make pricing recommendations

As MC Access NAMs are full-time, salaried professionals, we can devote  the time essential to maintaining a strong, continuing presence for your company and products with managed care organization decision makers

We have extensive experience in presenting product information, as well as in planning and coordinating presentations by clients' clinical support professionals

We will prepare your Academy of Managed Care Pharmacy Formulary Submission Form for you

To best complement your organizational structure, MC Access can function as your full service turnkey, outsource managed care department, or provide any component of our services, as needed.

MC Action Plan

MC Access will develop a plan of action for your product that leverages our relationships with managed care decision makers, using the depth of our successful experience and big pharma best practices.

Define actionable, measurable end points, and strategies to achieve clients' objectives

Contact managed care decision makers directly for their input, leveraging our solid relationships with them

Gather and evaluate competitive market intelligence from a uniquely knowledgeable vantage point

Provide a contract template and pricing recommendations

Provide professional managed care marketing materials to support field sales and physician education programs

MC Contract Negotiation    

Armed with a full knowledge of managed care, you can entrust the MC Access NAMs to accelerate access, successfully negotiating on your company's behalf. 

MC Access and its NAMs have earned the respect of the decision makers in managed care

With an average of twenty years' experience, our national account managers have the credibility and expertise to negotiate contracts that are mutually beneficial to managed care and Medicaid providers, and the pharmaceutical clients MC Access serves

MC Access NAMs fully understand the competitive landscape, negotiating from a position of proprietary knowledge and successful experience

MC Product Adoption

At MC Access, we have the expertise it takes to accelerate formulary approval and adoption of your product in the competitive managed care market. We utilize our extensive managed care market knowledge and experience to

work with each MCO to inform its physicians of your product’s availability

provide professional managed care and pharmacist-focused marketing materials to support field sales

work with field sales force to optimize product adoption

MC Contract Support

With our full-time NAMs, MC Access can provide the ongoing support you need to keep your company name and product in front of managed care decision makers and stay abreast of market developments.

Optimize market opportunities, and address the barriers

Maintain an ongoing flow of competitive and marketing intelligence

Anticipate opportunities to add additional products to contract  

Add new products as they become available, and renegotiate contracts as they come due

Navigating the Complexities of Medicaid Contracting

With decision making protocols varying greatly from state to state, it simply doesn't pay to attempt to navigate this market without a full understanding of it. The MC Access team of seasoned National Account Managers spans the U.S. and has that Medicaid knowledge and know-how.

On behalf of its clients, MC Access NAMs are equally comfortable working directly with individual states as they are working with a state's pharmacy benefits manager (PBM). They have also developed a strong rapport with state formulary committees and their related state medical boards.

On clients' behalf MC Access works with states and pharmacy benefits managers to

assess competitive environment

develop clinical presentations for state pharmacy boards

provide product information for state pharmacy board members in advance of product presentations