Answers - Insurance

Most of health care plans are called a Managed Care Plan There are different types of managed care heal

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

th insurance plans. Preferred Provider Organizations or PPOSs Health Maintenance Organization or HMOs

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

Point-of-Service Plans or POs Most people are forced with choosing between these types of managed ca

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

e plans for their health insurance plan needs. It helps to know a little about each type so the best ch

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

oice can be made.

These three managed care health insurance plans are a sampling of the many different

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

ypes of health insurance plans available. These are probably the most used. Each health insurance plan

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

has different rules and different policies. When choosing a health insurance plan it is important to r

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

view all policies.

A POS plan offers the most freedom of the three. Like a PPO or HMO a POS plan has t

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

heir network doctors. However, with a POS plan a person does not have to worry about if a doctor is in

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

he network or not because the plan will cover all costs for doctors in or outside of the network. Only

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

on occasion will a person have to pay a co-payment when using an outside doctor.

An HMO charges a month

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

ly fee and provides a list of covered providers from which to choose. A person is required to choose a

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

rimary care doctor who coordinates all of their care. Most HMOs do not have co-payments or have a very l

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

ow co-payment. If a person uses a doctor outside of the HMO they must pay 100% of the costs.

A PPO is

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

managed care plan that is set up with certain doctors who have agreed to the PPOs payment plans. The c

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

overed individual is expected to try to use providers that are within the PPO. A PPO network provider v

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

sit will cost a co-payment that is pre-set by the PPO. Using a provider outside of the PPO network mean

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

s the person will have to reach a deductible and until the deductible is met they must pay all expenses

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

ut of pocket. Also providers outside of the PPO network may charge a higher price than the PPO normally

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

pays and in this case the patient would be required to pay the difference.

http://www.preferedforms.co

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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Answers - Health Insurance Choices

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