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Post-ACA Implementation Brings Opportunity And Uncertainty To Pharmaceutical Companies Looking To Capture Growth In New Places
Date:5/8/2013

BURLINGTON, Mass., May 8, 2013 /PRNewswire/ -- Decision Resources Group, the premier provider of healthcare analysis and data globally, uses expert insight and proprietary data to anticipate and analyze implications of the coming paradigm shift in American healthcare. As ACOs continue to develop across the nation and states solidify their exchange plans for open enrollment, clarity on the true scope of market opportunity becomes critical for pharmaceutical companies.

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"ACOs and Exchanges equate to a disruption of existing business models," explains Carolyn McMeekin , Vice President at HealthLeaders-InterStudy, a Decision Resources Group company. "As the healthcare industry moves away from fee-for-service, ACOs are the next step in the continued evolution of payment reform. And as the industry accepts and even embraces healthcare reform, Exchanges will be the foundation on which future insurance models are built."

The advent of ACO formation across the US has driven a need for insight beyond raw data to achieve understanding of true ROI in resource allocation. The true functional opportunity for pharmaceutical companies should be based on the specifics of the market compared to other markets—and each is different in its dynamics and key players' ability to manage risk, implement healthcare reform, and form ACOs.  

State Exchanges have changed the way businesses look at account planning and strategy—and a clear view of the relative importance of the Exchanges has become crucial. More than just the decision to expand Medicaid, pharmaceutical companies should look at the individual and small-group market, the political affiliation of the governor and legislature…as well as profiling the largest and commercial and Medicaid MCOs.
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SOURCE Decision Resources Group
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