Managed Oncology

2017 Research

August 2017. Examines Medicare Advantage plan approaches to oncology medication management, including strategic imperatives, utilization management, and clinical pathway activity. Provides a competitive assessment of manufacturers active in oncology and identifies opportunities for partnership. 

June 2017. Reviews commercial health plan approaches to oncology management and examines the resulting market access landscape across ten cancer types.

May 2017. Examines the contracting environment and commercial health plan executive evaluations of 22 pharmaceutical manufacturers active in oncology.

2016 Research

November 2016 (Updated 2017). Reviews issues in oncology medication distribution through the specialty pharmacy provider channel. Provides pharmaceutical manufacturer "Partners of Choice" in oncology among Specialty Pharmacy Providers (SPPs) and account engagement and contracting ratings for over 20 manufacturers active in oncology.

October 2016. Provides an overview of the community oncology practice segment, including PDL and clinical pathway development by cancer type, manufacturer partner of choice and benchmark ratings, and the perceived reimbursement environment for 27 IV oncology medications.

October 2016. Reviews market trends, cancer centers' strategic imperatives driving decision making, and perceptions of manufacturers and the reimbursement environment across ten cancer types.

Managed Oncology

Research Overview

As the oncology drug pipeline continues to deliver innovative and costly therapies, payers and other health care stakeholders continue to seek strategies that increase quality of care and ensure appropriate utilization. HIRC's Managed Oncology Service examines issues in oncology medication management and distribution to assist pharmaceutical firms in developing and maintaining successful market access strategies.

HIRC utilizes a triangulated research design, combining primary survey data, interview insights, and in-depth secondary research, resulting in a deep understanding of issues related to oncology medication market access.

Cancer types analyzed:

  • Breast Cancer
  • Colorectal Cancer
  • Chronic Lymphocytic Leukemia
  • Chronic Myeloid Leukemia
  • Lung Cancer
  • Melanoma
  • Multiple Myeloma
  • Pancreatic Cancer
  • Prostate Cancer
  • Renal Cell Carcinoma

For more information or to subscribe, contact Raymond Co via email or at (408) 884-8560

Comprehensive Approach to Managed Markets Access

The service assesses, tracks, and benchmarks how health system stakeholders address the management and distribution of oncology medications across market segments. Commercial and Medicare Advantage health plans are examined, with a focus on strategic imperatives and developing management trends. Oncology provider segments are analyzed to assess key market issues and the reimbursement environment, and the specialty pharmacy provider (SPP) market is monitored.

  • Commercial Health Plans
  • Medicare Advantage Plans
  • Academic and Health System-based Cancer Centers
  • Community Oncology Providers
  • Specialty Pharmacy Providers

Bringing Value to Subscribers

HIRC's data and insights enable subscribers to understand and track market dynamics and trends critical to optimal product positioning as the managed oncology market evolves. 

Through detailed analyses, key implications, and strategic recommendations from experienced HIRC researchers, subscribers to the Managed Oncology Service are able to identify potential opportunities for partnerships and evaluate account management strategies to effectively support the oncology-specific needs of managed care.