Radar on Specialty Pharmacy

In 2024, Payers Refined Specialty Management Tactics By Taking More Active Role

  • Dec 12
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    Dec 12, 2024

    As more specialty drugs and cell and gene therapies launch onto the U.S. market, payers are increasingly deploying utilization management (UM) tactics in order to focus more on targeted clinical criteria to manage them. Other strategies include shifting medical benefit drugs to the pharmacy benefit and implementing value-based contracts (VBCs). AIS Health, a division of MMIT, asked industry experts about these approaches and others that payers are taking in their management of specialty drugs for our annual look back at the year. (Editor’s note: These comments have been edited for length and clarity.)  Read more
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    • Angela Maas

    Angela has an extensive background of editing, reporting and writing for trade and consumer publications. She has written Radar on Specialty Pharmacy since she joined AIS Health in 2005 and has broad knowledge of the various issues at play within the space. She also has written for Spotlight on Market Access since its 2017 launch. Before joining AIS Health, she was managing editor at Employee Benefit News and Employee Benefit News Canada and managing editor at Hem Aware (a hemophilia publication), Lupus Living and Momentum (a multiple sclerosis publication). She has a B.A. in English and an M.A. in British literature from Arizona State University.

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Lauren Flynn Kelly

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Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access

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Managing Editor, Health Plan Weekly and Radar on Drug Benefits

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Tim Casey

Reporter, Health Plan Weekly and Radar on Drug Benefits

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Carina Belles

Reporter, Radar on Medicare Advantage and Spotlight on Market Access

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Jinghong Chen

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Specialty Drugs
Benefit Design
Benefit Management
Value-Based Arrangements
PBMs/Pharmacy Benefit Managers
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