Impacts of Healthcare Exchanges

Healthcare reform is bringing a major paradigm shift in the insurance market and the establishment of new healthcare exchanges. New legislation and regulatory standards are not only causing a surge in the number of people insured by commercial healthcare, but are also increasing the amount of Medicaid-covered individuals and the scope of Medicaid coverage itself. With the existence of a new national healthcare exchange marketplace and state-based exchanges, insurance shopping has a new level of accessibility that could potentially result in a board-spectrum shift of health insurance operations.

For pharmaceutical companies, this means a complete overhaul of existing standards and a forced adaptation to a new environment. Former costs, expenses, and policies will no longer function as they did, and healthcare companies need to guarantee their business and pricing models can exist in the new atmosphere. There’s no simple fix for those who decide to go it alone, but for industry-savvy executives, there are options to explore for making transitions quick and painless.

Exchange Enrollment

Continued enrollment growth in the healthcare exchange marketplace is driving the Affordable Healthcare Act forward. The open enrollment earlier this year caused a massive spike in the number of people insured in the United States, and the marketplace itself ushered in new insurance policies designed to provide coverage as required by the law. Since the penalty of fine is an ever-present deterrent from ignoring the new legislation, enrollment will continue until all citizens are covered either through commercial means or government programs. Charting enrollment progress and success can provide crucial insight into markets and customers across varying atmospheres and locations. As such, the practice allows medical companies to arm themselves with the knowledge of newly developing terrain in the healthcare landscape and use it to drive their own revenue and relevancy toward sustained growth.

The most important aspect of enrollment monitoring is casting a wide net. Since the new law affects change at the national and state levels, each state in the country will respond to and enforce change in differing ways, or at least at differing paces. As such, it is imperative to research how the market develops across the country on a state-by-state basis. Constant vigilance of the key players and major markets is the key to successful intelligence gathering that can stimulate growth and increase profit.

Never Stop Learning

Changes affected by new regulatory standards cause a need for new practices beyond market research. To fully understand the scope and impact of the Affordable Healthcare Act, education must be the primary focus. Tactical preparation for immediate changes and future shifts as a result of the initial impact provide a proactive way for addressing the new market. With workshops and seminars being made available to them, pharmaceutical executives must take advantage of resources that grant a deeper understanding of the issues and how to work around or with them.

Information is the best-suited tool for handling change. Not only is it necessary to understand and prepare for a new market, but the numbers generated by said market must be scrutinized and used to allow stronger brand identification and business strategy. Factual statistics regarding enrollment numbers, as well as Medicaid membership and impact, provide the basis for developing a marketing strategy. Education is essential to survival and any proposed system or strategy for addressing the new healthcare exchange market must be based upon informed decision making.

Full-Spectrum Coverage

The Exchanges360 suite provides comprehensive preparation for the shifting face of the healthcare industry. Through accurate, up-to-date data analysis, continued education through seminars and workshops, timely and frequent updates regarding enrollment statistics, and personalized consultation efforts toward strategy development, the package is the ultimate support for handling the new paradigm.

Daily on-going support ensures tactics never fall behind the current shape of the market, and direct consultation strategies keep businesses focused on the precise matters relevant to them while advancing new strategies for brand development and profit growth. Aptly named, the Exchanges360 suite provides full spectrum protection for pharmaceutical businesses against any and all unseen consequences of the implementation of the new healthcare market.

Drug Costs: 5 Things You Need To Know

Recently Dr. Joel Owerbach, VP of Health Policy and Strategy for Alliance, was interviewed for WebMd’s Health Reform 101 blog on the new Health Insurance Marketplaces and Exchanges. In particular, the focus was around what they mean to consumers who are planning to purchase coverage on their own, and what they can expect in the process.

This piece provides a great 5-point summary on the new programs, and is both a quick-read and must-read for those attempting to better understand what they mean to the consumer. The full article can be viewed at this link.