Market Access - High Level of Proficiency (2.0)

Modulettes

PROPOSED CURRICULUMS

This curriculum is designed to certify that your key accounts, field reimbursement, and market access teams is highly proficient in all aspects of market access. By implementing this curriculum, you can ensure that your teams possess a comprehensive understanding of market access strategies, policies, and best practices. This certification program will enable your teams to effectively navigate the complexities of market access and enhance their ability to forge meaningful relationships and credibility with your important accounts.

  • Provides an in-depth review of the 340B program and its impact on reimbursement and community-based practices

  • Explanation of how insurers use these strategies to shift the cost of drugs to manufacturers and patients

  • Explains the terms end-of-life care and advanced-care planning, as well as the differences between palliative care and hospice care

  • Details the Enhancing Oncology Model, a CMS value-based payment program

  • Provides an overview of episode-based payment models piloted in oncology care

  • Explains how HEOR data may be used by payers and providers to guide decision-making processes

  • Provides a detailed view of the IRA and what it means to the delivery of cancer care, patients, and providers

  • Details MACRA and the Quality Payment Program as part of the shift towards performance-adjusted payments and away from fee-for-service payments

  • Details key information on ACOs, helping providers understand the advantages and disadvantages of different ACO structures

  • Expalins CMS-approved compendia and off-label use

  • Details the value-based Oncology Medical Home (OMH) payment model

  • Details tactics payers use to manage utilization of drugs and how payers use PBMs to contain costs and the impact this can have on patients

  • Outlines the shift to value-based care, explores care frameworks and reimbursement strategies that consider patients' outcomes

  • Explains the various incentive-based payment programs that are moving providers and healthcare teams from fee-for-service to value-based healthcare

  • Provides a high-level overview of VA and DoD policies and compares them with community care strategies