Managed Care Strategies

Xcenda leverages relationships with managed care decision makers through Managed Care Network, an Xcenda market research collaboration.  Our consulants help clients gain insights into a variety of access strategies.  The member advisors of Managed Care Network help inform our clients' managed care strategies in areas such as:

• Formulary penetration
• Potential coverage scenarios
• Coding options
• Trends
• Payment methodologies

Related reimbursement strategy consulting areas:

• Health policy analysis
• Reimbursement launch strategies and tactical plans
• Coding analysis, strategy, and coding applications
• Payer mix and payer segmentation analysis
• Payer policy research and analysis
• Managed care strategies
• Compendia strategy, surveillance, and submission
• Provider reimbursement analytics
• Provider coding and tools
• Part D formulary analysis
• Patient TrOOP cost modeling
• Regimen payment analysis and modeling
• Patient Assistance Program analysis and exposure modeling
• Distribution analysis and distribution strategy
• Medicare Administrative Contractor (MAC) and Recovery Audit Contractor (RAC) strategy, tracking tools, and action plans