Schedule your free consultation today!
About Us
Our Mission
At MHSG, our mission is to support our clients by providing unbiased and data-driven strategies to address some of today's key challenges in the healthcare market.
With nearly three decades of leadership and expertise in Managed Healthcare and Pharmacy Benefit Management industries, we glean from our experience to deliver quality outcomes for our clients.
Our Services
We offer a broad menu of services to our clients. Key areas of expertise include:
- Leadership and Management support
- Investment analysis and support
- Go-to-Market planning and launch support
- Client Service strategy and experience
- Post Merger integration and support
- Organizational Alignment and efficiency
Our Clients
MHSG brings a great deal of value to a diverse client base. Our experience allows us insight into many areas of the healthcare industry. That said, our firm can deliver the best value to the clients below:
- Investment banks and private equity firms
- Pharmaceutical and biotech manufacturers
- Primary care clinics
- Health plans and payers
- Startup and existing Pharmacy Benefit Managers (PBM)
Investors and Private Equity Firms
Investment Firms have a significant interest in the pharmaceutical, biotech and PBM markets. Recent studies suggest that pharmaceutical manufacturers and specialty biotech firms have well over half a trillion dollars available for future research and development. Whether it is the new drugs for obesity, new treatments for Alzheimer's disease or cutting edge genomic therapies, the healthcare sector is looking for partners that can have a positive impact on the future.
Investors are constantly searching for that next drug therapy, vaccine or technology that will have a significant impact on the healthcare system and improve the lives of patients.
At MHSG, we understand the processes and challenges that help determine the true value that future treatment options may provide. In addition, we have the expertise and understand how health plans and other payers make decisions on drug coverage. We can help investors in the following areas:
- Leadership and management expertise
- Pharmacy and healthcare focus
- Market assessment and competitive analyses
- Growth strategies and opportunity targeting
Let us assist your firm in making those difficult assessments about future investments in drugs, therapies and other healthcare technology.
Pharmacy Benefit Managers
Pharmacy Benefit Managers (PBMs) or some version thereof, touch nearly every outpatient prescription in the US market today . In 2022, Americans spent more that $574 billion on $6.7 billion outpatient prescriptions. More than 80% of those prescriptions were handled by one of the 'Big Three' PBMs. Regardless of their corner on the market, there remains a steady stream of new PBMs, PBAs or PBX organizations emerging and vying to take over some of that marketshare.
MHSG can help new and existing PBMs develop a strategy to launch, re-brand or find their niche market and audience. We offer the following to help support these initiatives:
• Leadership and management expertise
• Market development and up sell strategy
• Value proposition development and rollout
• Client support strategy and development
• New product branding, launch plan and go live
Contact MHSG to discuss what we can do to support your existing or startup PBM.
Health Plans and Payers
Health Plans and Payers manage medication utilization on the medical and pharmacy sides of the benefit for their members. Although drug spend has increased steadily over the past decade, payers understand that prescription therapy remains the most cost effective way to manage disease and health conditions today.
MHSG works with health plans and payers to help ensure that their pharmacy benefits and associated programs are effective and provide the best outcome. We also support our clients to ensure that they are structured appropriately to provide the best experience to their customers and members. With our past success and through our network of experts and vendor partners, MHSG can help optimize the value of your pharmacy program. We can deliver for you in the following areas:
- Leadership and management expertise
- Organizational planning and structure
- Optimizing client experience and service
- Client Business Review development
- Program branding, launch and go-live
If your pharmacy program is not providing optimal outcomes or a positive member experience, MHSG can help.
Pharmaceutical and Biotech Manufacturers
Pharmaceutical & Biotech Firms must have a good understanding of the system as well as a good game plan when launching a new product.
Even though their costs continue to increase, prescription and specialty/biologic medications remain the most cost effective method for treating health conditions in our country. Although generic and biosimilar medications do help decrease costs, those savings are outpaced by new drugs and entities coming to the market.
It is imperative that manufacturers not only have a product that provides significant value clinically and financially, but also understand where their new product will be positioned with the health plans, PBMs and payers. To be successful, manufacturers must navigate the FDA processes as well as the processes and policies of the payers.
MHSG has the expertise to help position the manufacturers in the best possible way to ensure success.
- Leadership and industry expertise
- Value proposition
- Business case development
- Market Access roadmap
- New product branding, launch plan and go live
MHSG can help develop value messaging, formulary positioning and pricing to help ensure successful market uptake.
Primary Care Clinics
In today's competitive healthcare market, we are seeing more and more independent and free-standing primary care clinics emerge across the country. In addition we are seeing telemedicine and subscription-based providers who promise to help make the medical experience more efficient and easier for the member to navigate.
Today, more than 90% of patients are covered under a third party health plan or other a payer. Prescription medications are a key factor in driving those members' satisfaction related to their overall medical experience. With that, it is imperative that the heatlhcare providers understand the processes, options and other nuances related to prescribing medications for patients who are covered under a health plan and/or a PBM.
At MHSG, we have the expertise to help the primary care organization navigate the pharmacy options for the patients. We can help develop programs and processes for helping the medical staff and members navigate the system easier. This creates several benefits:
- Better patient experience
- More efficient use of office staff time
- Improved programs and outcomes
Let MHSG assess your business processes to identify efficiencies that help your patients and staff.
Feedback from a recent client kickoff...
"We are technology people. We don't know much about pharmacy, PBMs and the way it all works together. Bringing Joe in was like a breath of fresh air. He gave us meaningful direction and new life for our future launch."
One client said...
"Managed Health Solutions helped us address and update our PBM partnership strategy to ensure our continued growth and success for the next three years..."
Another client said...
"As a manufacturer, we know how to develop the products. Joe at MHSG helped us understand the process for health plan coverage and formulary placement..."
Feedback from a Mid-Market Claims Processor
Additional Information
"Over the past two years, we have lost good clients who decided to migrate to some of the newer platform partners who offer more transparency, better technology and a better user experience. So we understood that we needed to make platform improvements in order to be more competitive in the commercial market.
We are a highly-technical company. We know how to build and operationalize solutions. We just did not have a good vision, direction or strategy. Once we brought in MHSG, we began to see a vision and a path to success. Joe was able to dive deeply into each of our key areas of business to assess the technology, the experience and the competitiveness of our tools. Joe also brought great visibility into the PBM marketplace and other strategies that are helping competitors to be more successful.
With the help of Joe and MHSG, we now have a vision, a direction and a multi-year development and launch plan."
