Case Study: Assessing Reimbursement Implications for Payer and Provider with Qualitative Payer and Provider Research

Issue:

Client has one drug, but the potential for either physician-administration or oral formulation. Client hopes to receive feedback on payer and provider perspectives for deemed value of different formulations.

Strategy:

• Identified and interviewed 10 payer medical and pharmacy directors via blinded webinar technology.
• Identified and interviewed five high profile physicians related to cutting edge business models (e.g., onsite pharmacies).
• Assessed relative value of each formulation, based on hypothetical and documented data, including time to market, term of therapy, frequency of dosing and other variables.

Outcome:

• Created possible value messages for each formulation, based on key variables.
• Identified specific next step requirements to effectively position one or both formulations with payers.