Emphasis on US Managed Care Organizations Increasing


The influence of Managed Care groups is increasing, causing leaders in the pharmaceutical industry to also increase the number of activities that they carry out as a part of interacting with the managed care sector. Pharmaceutical and biotech leaders have placed an increased importance on these activities, as the strength of these organizations has become closely intertwined with marketplace success.

Despite the increased growth and importance of these groups, leaders are still trying to defend their resource and investment levels. Understanding the optimal size of U.S. Managed Care groups can help leaders to assess their efficiency levels in relation to their peers.

Some key areas that leaders should focus on when assessing their Managed Care operations include:

  • Structure: 67% of benchmarked companies utilize a centralized structure to organize their Managed Care function. The benchmark class also favors a hybrid structure. Very few companies have a decentralized structure.  
  • Brand: The number of brands supported by U.S. Managed Care has dropped. On average, Managed Care groups support 6 brands, and 14 full-time employees are employed per brand promoted.
  • Activities: New activities have emerged in U.S. Managed Care. Benchmark companies are taking up other activities apart from their regular activities, like Medicare contractors, patient assistant programs & government affairs to support their U.S. Managed Care. Despite the wide array of new activities, account management is still the most critical activity in U.S. Managed Care.

Managed Care groups support a myriad of services within the pharmaceutical and biotech industries. Understanding the optimal resource and staffing sizes of U.S. Managed Care groups can help leaders to compare their Managed Care staffing and services levels with industry averages. This process will enable them to identify and correct any performance gaps.

To learn more about Best Practices’ research on USA Managed Care Staffing & Resourcing, Click here!

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