The Affordable Care Act is having a major impact on the healthcare industry including the Payer-Provider relationship. The creation of large Integrated Delivery Networks comprised of hospitals and other healthcare organizations as well as Accountable Care Organizations are driving some of this change as they move from volume based care to value based care. This will become more apparent as healthcare providers begin to earn substantial income by putting in place and adhering to quality metrics.

Everyone will be looking at their formulary to lower costs and to ensure they are following the most cost-effective treatment protocols to meet required quality levels.
A majority of the Payers recently profiled in our Managed Care Panel state they are actively involved in formulary decisions at Accountable Care Organizations and Integrated Delivery Networks. This is no surprise as the success of these organizations can hinge on the healthy partnership forged between Payers and Providers to coordinate patient care, to maintain quality standards and reduce healthcare costs.
SHC Universalhas been in the forefront of providing access to Payers and other Managed Care Professionals for the research community. Over the pastyears as SurveyHealthCare, weconducted over 300 quantitative and qualitative studies with Managed Care Professionals on a variety of topics including, pricing, product introduction, competition, messaging, and branding and formulary considerations. Recognizing the importance of the Payer population, SHC has recently performed a more detailed profile of our Payer Panel to better target the appropriate groups for your research.
The SHC sample includes the key member of the P&T Formulary Committee:

  • Medical Directors
  • Pharmacy Directors
  • Purchasing Managers and other Senior Level Staff
  • Physician Specialists Actively Involved on Formulary Committees

Who work at:

  • Insurance Companies
  • Hospitals
  • Group Practices
  • Accountable Care Organizations
  • Integrated Health Networks
  • PBMs
  • Long-Term Patient Care Facilities
  • The Government

Who are profiled by:

  • Therapeutic Categories
  • Type of Plans Commercial, Medicare, National or Regional
  • Number of Lives Covered Insurance Companies
  • Number of Beds Hospitals
  • Involvement in ACOs and IDNs