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Methodology for conducting a comprehensive product review in managed care
Sara Linnerooth1, Ben Penley1, Griffin Sauvageau1
1Xcenda, LLC, Carrollton, TX.
Journal of Managed Care & Specialty Pharmacy
|February 25, 2023
Summary
Streamlining healthcare product reviews requires standardized best practices. This article details key components and future opportunities for efficient decision-making by health care professionals.
Area of Science:
- Health Economics
- Pharmaceutical Policy
- Clinical Decision Support
Background:
- The product-review process in healthcare is complex and varies significantly across organizations.
- This variability creates inefficiencies for health care decision-makers.
- A need exists for standardized best practices and an overarching product-review framework.
Purpose of the Study:
- To outline the essential components of a streamlined healthcare product-review process.
- To identify opportunities for future improvements driven by technological advancements and benefit alignment.
- To enhance efficiency for health care decision-makers.
Main Methods:
- The article provides a conceptual overview of the product-review process.
- It details key elements including clinical and economic review.
- It discusses formulary placement and evaluation of drug class alternatives.
Main Results:
- A structured approach to product review can improve efficiency.
- Key components include clinical efficacy, economic impact, and comparative effectiveness.
- Future advancements may further optimize the process.
Conclusions:
- Standardizing the product-review process is crucial for healthcare efficiency.
- Integrating clinical and economic evaluations is essential.
- Technological advancements and alignment of medical and pharmacy benefits offer future optimization pathways.
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