Pricing is both a strategic and operational consideration
Pricing decisions must be made strategically and with an eye toward consumer perception of brand and value. Without the expectation of value, set pricing may force manufacturers to readjust, as was the case when Sanofi provided discounts for one of its products after Memorial Sloan Kettering Cancer Center decided it wouldn’t use the drug.
Manage legal and regulatory uncertainty
With regulations varying from state to state, manufacturers and payers must contend with a complex environment. They should track each state’s requirements so they can navigate regulations, strategically decide which environments to do business in, and figure out whether legal responsibilities allow flexibility.
Forces other than legislatures will influence future regulations
States are exploring new ways to address transparency and price controls, placing measures on the public ballot or instituting legal challenges. This shift creates new alliances, such as consumer groups partnering with health insurers. Organizations that consider these new initiatives can form successful strategies.