Y-mAbs Therapeutics, Inc, New York, NY, USA.
Sanofi, 55 Corporate Drive, Bridgewater Township, NJ, 08807, USA.
Ther Innov Regul Sci. 2020 Nov;54(6):1291-1295. doi: 10.1007/s43441-020-00148-w. Epub 2020 Apr 8.
The nature in which health care insurance companies have interacted with drug manufacturers has evolved over the last 50 years, demanding shifts in how the pharmaceutical industry responds. The purpose of this article is to highlight how medical groups within Pharma Collaboration for Transparent Medical Information (phactMI™) member companies respond to requests from health care decision makers (HCDMs) and to understand the similarities and differences among drug manufacturers (DMs) in this evolving climate of information exchange.
As health care insurance companies transition towards a managed care model and began assessments of both the clinical and economical aspects of drug products, DMs began to respond to requests from HCDMs. An anonymous 16-question survey was conducted to evaluate how 27 Medical Information departments (MIDs) respond to payer requests for information, and to identify payer needs in order to provide a better overall customer experience.
The results from this survey provided insight into the overall management of payer unsolicited medical requests (PUMRs) and focused on a few different areas, including how requests are received, what materials are requested and which are sent, online availability, and availability of materials for products in the pipeline.
Further discussion is recommended to ensure a focused approach in developing tools and identifying appropriate resources are available to address inquiries from HCDMs.
在过去的 50 年里,医疗保险公司与制药商的互动方式发生了变化,这要求制药行业做出相应的转变。本文的目的是强调 Pharma Collaboration for Transparent Medical Information(phactMI™)成员公司内的医疗团体如何响应医疗保健决策者(HCDM)的请求,并了解在信息交流的这种不断变化的环境中,制药商(DM)之间的相似点和不同点。
随着医疗保险公司向管理式医疗模式转变,并开始评估药品的临床和经济方面,DM 开始响应 HCDM 的请求。进行了一项匿名的 16 个问题的调查,以评估 27 个医学信息部门(MID)如何响应付费者的信息请求,并确定付费者的需求,以提供更好的整体客户体验。
这项调查的结果深入了解了付费者主动医疗请求(PUMR)的整体管理情况,并重点关注了几个不同的领域,包括如何接收请求、请求的材料以及发送的材料、在线可用性以及正在研发产品的材料可用性。
建议进一步讨论,以确保在开发工具和确定可用的适当资源方面采取有针对性的方法,以满足 HCDM 的查询。