Identifying Opportunities for Client to Drive Managed Medicaid for Ophthalmology Product

ThinkGen’s client had a diabetic eye disease product with a market share in the Managed Medicaid channel that was approximately half that of their Medicare or commercial channels. Feedback from the client’s account team indicated that reimbursement confidence was low among physicians and office staff for Managed Medicaid plans.

The client hypothesized that physicians have “been burned” by Managed Medicaid plan reimbursement in the past, so are now prescribing generic instead of “Product X” due to practice financial concerns over denied reimbursements, reimbursements less than product cost, and long timelines for reimbursement. Because the product is buy and bill, the offices are paying for the product up front; so if they aren’t reimbursed for months, they are perpetually losing money.

ThinkGen was asked to:

• Assess the magnitude of reimbursement confidence amongs ophthalmologists and their staff for their Managed Medicaid patients

• Identify strategies to drive reimbursement confidence for Medicaid patients in lieu of messaging, including manufacturer-supplied programs or support

Fill out the form to read our case study

What We Value

uHaf8W.tif

Integrity & Passion

We care and it shows. Unwavering customer focus & commitment to excellence are intrinsic to ThinkGen.
stTQom.tif

Mutual Respect

We value empathy and active listening, and foster a collaborative environment that supports and celebrates the diverse voices of our employees.
BZICZL.tif

Intellectual Curiosity

We’re always willing to try new things and aren’t afraid to fail, because it takes perseverance to forge new paths.
5wPp0A.tif

Continuous Innovation

We challenge ourselves daily to rethink and reimagine solutions for the obstacles our clients face.
ThinkGen is a corporate sponsor of the Healthcare Businesswomen’s Association (HBA)
Copyright © Gen., LLC 2022. All Rights Reserved