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ISPOR PODIUM   PRESENTATION  ON   AFFORDABLE  CARE  ACT   Quick  Takeaways    Series    

NOVEL was  selected  for  20  peer-­‐reviewed  presentations  at   ISPOR  and  HTAi  conferences  in  June  2014.       One  of  NOVEL’s  presentations  was  a  podium  talk  at  ISPOR   Montreal  on  Affordable  Care  Act.     This  talk  reviewed  the  major  new  changes  due  to  Affordable   Care  Act,  which  will  impact  the  pricing,  market  access  and   health  economics  and  outcomes  research  methodologies  for   products  marketed  in  the  United  States.  

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Topics Discussed  in  the  Talk   2011   • 

• 

People with   Medicare  can  get  key   preventive  services   for  free   Receive  a  50%   discount  on  brand-­‐ name  drugs  in  the   Medicare  “donut   hole”  

2012 • 

Accountable Care   Organizations  and   other  programs  are   launched  and   piloted  

2013 • 

Launch of  Health   Insurance   Exchanges  

• 

Open enrolment   begins  in  the   Health  Insurance   Marketplace  

2014 § 

Medicaid expansion  

§ 

Essential Health   Benefits  

§ 

Individual mandate  

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Key Implementation  Areas  Likely  to  Affect   Market  Access  and  Reimbursement   Increased  Access     (with  Coverage  of   Uninsured)  

Essential Health   Benefits   (State  Benchmark  Plans   for  Drugs)  

ACOs (Negotiated  Price  and   Coverage  Indications)  

Part D  Discounts   (Medicare  Donut  hole)  

Rebates and  Cost   Sharing   (Rebate  for  Medicaid  &   Capped  Deductibles)  

Mandates (Individual  and  Employer   Mandates)  

Feedback for  NOVEL’s  Podium  Talk   “Thank  you  so  much  for  presenting  today  regarding  adjusting  budget  impact   model  based  on  ACA  changes.  You  did  an  excellent  job  and  I  found  your   presentation  to  be  extremely  informative.”           Email  from  Director,  New  Product  Planning,  Top  10  Pharma   “Nice  comprehensive  summary  of  the  ACA.”                                                               Email  from  Director,  Field  HEOR,  Bayer   “Your  presentation  was  excellent.  It  was  a  great  overview.  It  touched  upon   many  issues  that  we  typically  do  not  think  about  in  HEOR.  I  liked  your  new   way  of  thinking  about  market  access.”                                                          Director,  HEOR,    Top  10  Pharma  

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NOVEL was  Awarded  Two  Medals  by  Academy  of  Managed   Care  Pharmacy  (AMCP)  for  Market  Access  Studies   PLATINUM  MEDAL  WINNER  

U.S. Managed  Care  Pharmacy  Coverage  Trends  for  New   Hepatitis  C  Treatments    

BRONZE MEDAL  WINNER  

Impact of  Essential  Health  Benefit  Benchmark  Plans  on   Pharmacy  Coverage     7  

Affordable Care  Act   2015-­‐2020     Presenter:  Saurabh  (Rob)  Aggarwal  

    Request  for  Replay    

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www.NOVELHealthStrategies.com +1-202-618-9365 sa2@novelhealthstrategies.com Saurabh (Rob) Aggarwal, PhD

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ISPOR Podium Presentation on Affordable Care Act and Market Access: by NOVEL Health Strategies  

ISPOR Podium Presentation on Affordable Care Act and Market Access: by NOVEL Health Strategies. Part of this talk was also presented at AMC...

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