Market Access - High Level of Proficiency

Modulettes

CURRICULUMS

This curriculum is designed to certify 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 secure favorable reimbursement and coverage for your products or services.

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

  • Outlines how clinical pathways are developed and used in oncology care decision making

  • Outlines how clinical guidelines are developed and guide in oncology care decision making

  • Part 1 of our landscape series provides a big picture on cancer patients today and the novel therapies used to treat them

  • 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

  • Defines the term “financial toxicity” and how it applies to patients with cancer

  • Follows an outpatient specialty drug used in cancer from drug manufacturer to patient

  • Follows a physician-administered drug used in cancer through the pharmaceutical supply chain

  • Explains the basics of a GPO and the contracting process

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

  • Provides key information on the benefits of electronic health records, especially in relation to quality reporting and the shift to value-based care

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

  • Provides key information on the formation of IDNs

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

  • A deep dive into Medicare infrastructure, including an explanation of how Medicare reimbursement works across different settings

  • Details Medicare Part B services and physician reimbursement

  • Explores the dynamics of Medicare Federal PayerPart D prescription drug programs

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

  • Expalins CMS-approved compendia and off-label use

  • Part 2 of our landscape series gives a look inside an oncology practice and how it functions, including how patients are administered care and how costs are managed

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

  • Details the many policies payers and PBMs may use to contain costs in the pharmacy benefit

  • Exploration of the term “quality” in the delivery of cancer care, and how it helps identify value based, versus volume based, models of cancer care

  • Describes emerging trends in the community-based practice setting

  • 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

  • Defines the various terms used in physician-administered drug reimbursement

  • Defines the terms and what they mean in the distribution process of drugs used in cancer care