Evaluation of Indication-Based Pricing for Oncology Biologic

May 24, 2016 BACK TO RESOURCES

OBJECTIVE:

Evaluate potential strategies to implement Indication Based Pricing (IBP) and understand impact to ASP and other reimbursement/payment metrics.

APPROACH:

Identification of key operational issues related to implementing IBP
Quantitative modeling of impact of discounting to product ASP

OUTPUT:

Potential design of IBP-like test case in private payer market
Plan for approaching CMS regarding IBP demonstration
Quantified revenue impact of IBP under various scenarios

AUDIENCE:

Senior executives

USE BY CLIENT:

The client is still determining next steps with regards to pursuing two possible avenues regarding IBP.

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