Accumulators and maximizer programs are the most recent tools pharmacy benefit managers (PBM’s) have developed to reduce costs for payers. First, here is a quick
We see many brands launching these days with copay offers which require a very small or even no out of pocket amount to be paid
Through our work doing copay program optimizations and audits, we have found there are a few key components that increase the likelihood a program will
Most brands with copay programs are stuck with only copay claims reporting from their copay vendor which only provides part of what is needed to
Our copay program optimization models, brand tracking tools and claims audits are recognized throughout the industry as the platinum standard for planning, evaluating, and optimizing copay programs. Our comprehensive approach to copay ensures program structures are optimized prior to in-market execution, reporting and analysis is streamlined, and business rules are being executed properly. As an objective third party, we provide key insights to marketers, finance and senior management teams allowing them to make more informed decisions that provide a better ROI.
We know our clients are extremely busy and that is why we provide them with “turn-key service” with all-inclusive pricing. Not only do we provide a full analysis including advanced tools, models and recommended next steps, but all engagements include our team as a resource for ongoing support.
The result is the best of both worlds. Our clients have our team working behind the scenes and they also have full access to the tools if they want to review the data on their own. To assist in the review, all tools include guides that provide an overview of the process, a definition of terms, and a synopsis of the results.
Most brands and companies today are looking to improve their brand’s profitability. Many are looking in the same old places to try and squeeze out
Brand lifecycle: The often forgotten, but major consideration when structuring your patient copay program. There are many factors influencing your copay program but a key
Situation: A major pharma company needed to trim $30MM in copay program spending company-wide and still maintain their growth. The company came to Alpha 1C to optimize their copay programs across their product portfolio. Objectives were as follows: Maintain sales growth while reducing cost by $30MM (-16.6%)…
Situation: A leading brand had recently made a change to their copay program after working with the Alpha 1C team to optimize their program. Given the visibility of the brand within the company, management was very focused on overall brand performance and tracking the results of the program change vs. the forecast…
There are many reasons to check the overall health of your patient copay program by completing a copay claims audit through a knowledgeable, objective 3rd
Most pharma companies have never done a copay claims audit looking specifically for incorrectly processed claims and pharmacy fraud. This is an interesting fact since
Our unique copay program optimization models recommend the best copay offer to meet a brand’s objectives. Our annual planning approach provides unsurpassed insights into the levers that can be changed to optimize copay program results.
Ask most pharma teams if they are doing “copay audits” today and most will say they are. Most don’t realize there are two different types
We provide the comprehensive tools and oversight to allow ongoing tracking of performance metrics across multiple data sets and vendors via customized flexible dashboards. We identify issues as they happen, and facilitate ongoing refinement.
Claims audits are a critical part of copay program optimization. We use a checks and balances approach to uncover costly waste and fraud and provide insights into whether pharmacy execution matches the program’s business rules.
These PBM programs are very confusing to everyone. Understanding each one, how they are different, and how they impact both pharma manufacturers and patients is important. Accumulator & maximizer programs may look alike, but they are not…
When we’ve worked with a launch team after their product gets through phase 2, the team often already has a TRx sales forecast and then
Monitor the most important brand results Alpha 1C’s customized reporting dashboard consolidates key metric reporting including copay claims data across brands, channels and vendors in
Plan your optimal copay offer BEFORE in-market execution Alpha 1C’s Optimal Offer Model is a customized, interactive, copay program planning tool that predicts the impact