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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
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We work directly with managed care organizations, pharmacy benefits managers (PBMs), group purchasing organizations (GPOs), mail service pharmacies (MSPs), and individual states' Medicaid programs
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We will work with you to determine how to best position your product in context of managed care and Medicaid formulary requirements
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We will prepare contract templates and make pricing recommendations
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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
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We have extensive experience in presenting product information, as well as in planning and coordinating presentations by clients' clinical support professionals
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We will prepare your Academy of Managed Care Pharmacy Formulary Submission Form for you
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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.
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Define actionable, measurable end points, and strategies to achieve clients' objectives
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Contact managed care decision makers directly for their input, leveraging our solid relationships with them
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Gather and evaluate competitive market intelligence from a uniquely knowledgeable vantage point
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Provide a contract template and pricing recommendations
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Provide professional managed care marketing materials to support field sales and physician education programs
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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.
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MC Access and its NAMs have earned the respect of the decision makers in managed care
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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
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MC Access NAMs fully understand the competitive landscape, negotiating from a position of proprietary knowledge and successful experience
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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
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work with each MCO to inform its physicians of your product’s availability
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provide professional managed care and pharmacist-focused marketing materials to support field sales
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work with field sales force to optimize product adoption
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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.
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Optimize market opportunities, and address the barriers
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Maintain an ongoing flow of competitive and marketing intelligence
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Anticipate opportunities to add additional products to contract
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Add new products as they become available, and renegotiate contracts as they come due
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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
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assess competitive environment
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develop clinical presentations for state pharmacy boards
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provide product information for state pharmacy board members in advance of product presentations
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