Managed Markets

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Managed Markets

About Managed Markets

The Managed Markets Service provides benchmark intelligence into the commercial and government payer landscape, including evolving market trends, stakeholder perspectives, and manufacturer engagement across four key segments. Insights help pharmaceutical teams better understand the factors influencing market access, pricing, utilization, and customer decision-making. The service also examines organizational structures within pharma managed markets teams.

Research Archive

2026 Research

Medicare Advantage Plans: Market Landscape Trends, Contracting Environment and Manufacturer Engagement

August 2026. Examines the current Medicare Advantage market landscape, market trends, and contracting environment, and reviews Medicare Advantage executives' evaluation of manufacturers' willingness to contract and quality of programs/resources, and identifies partnership opportunities.

Pharmacy Benefit Managers: Market Landscape and Strategic Imperatives

April 2026: Examines the current market landscape, PBM executives' strategic imperatives going forward, and views on market trends that could impact the segment further.

Commercial Health Plans: Market Landscape and Strategic Imperatives

May 2026. Examines the current market landscape, health plan executives’ strategic imperatives going forward, and views on market trends that could impact the segment further.

Commercial Health Plans: Contracting Landscape and Manufacturer Competitive Assessment

March 2026. Reviews the commercial health plan contracting landscape and pharmacy and medical directors’ evaluation of manufacturers willingness to contract.

Pharmacy Benefit Managers: Contracting Landscape and Manufacturer Competitive Assessment

February 2026. Examines the PBM contracting landscape and PBM key decision-makers’ evaluation of manufacturers willingness to contract.

Managed Markets Headcount & Organization Study

January 2026. Assists pharmaceutical manufacturers in understanding trends in headcounts across very large, large, and mid-size firms.

Market Access and Partnership Landscape

January 2026. Provides pharmaceutical firms’ ratings of key Pharmacy Benefit Manager, PBM-owned GPO, Managed Care Organization, and Medical Benefits Manager accounts in ability to limit brand access and willingness to partner with manufacturers. Examines respondents’ rationales driving ratings. 

2025 Research

Medicaid MCOs: Market Trends, Contracting Environment and Manufacturer Engagement

December 2025. Examines the Medicaid MCO market landscape, current contracting landscape, reviews Medicaid MCO executives’ evaluation of manufacturer engagement, and identifies partnership opportunities.

Medicare Advantage Plans: Market Landscape Trends, Contracting Environment and Manufacturer Engagement

Medicare Advantage plans continue to grapple with a complex transformation of the MA landscape brought forth by the implementation of the Inflation Reduction Act (IRA)…Learn More

Commercial Health Plans: Market Landscape and Strategic Imperatives

Commercial health plans are operating in an environment where rising specialty spend, government pricing pressure, and employer affordability demands are all converging simultaneously.Learn More

Pharmacy Benefit Managers: Market Landscape and Strategic Imperatives

As regulatory scrutiny intensifies and pressure to control drug costs continues to mount, the PBM landscape in 2026 is increasingly shaped by demands for greater…Learn More

Commercial Health Plans: Contracting Landscape and Manufacturer Competitive Assessment

The commercial health plan contracting environment continues to evolve as manufacturers navigate increasing rebate pressure, emerging government pricing benchmarks, and continued interest in alternative contracting…Learn More

Pharmacy Benefit Managers: Contracting Landscape and Manufacturer Competitive Assessment

At a time when the PBM market is under heightened regulatory scrutiny and contracting practices in transition, HIRC’s latest report provides a clear snapshot of…Learn More

Managed Markets Headcount & Organization Study 2025/2026

Pharmaceutical manufacturers continue to evolve managed markets staffing structures to align with customer needs amid regulatory and policy-driven market changes.Learn More

Market Access and Partnership Landscape: Key PBM Accounts

Payers’ strong utilization management and formulary control, combined with their size and ability to impact market share, continue to challenge pharmaceutical manufacturers’ access and partnershipLearn More

Medicaid MCOs: Market Landscape Trends, Contracting Environment and Manufacturer Engagement

Managed Medicaid plans face mounting pressure as rising member needs and costs collide with reduced funding and eligibility constraints.Learn More
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Go Deeper:
Managed Markets

Healthcare market trends continue to shape the environment in which pharmaceutical manufacturers and healthcare stakeholders operate. For more than 35 years, HIRC’s Managed Markets Service has monitored the market dynamics influencing pharmaceutical access, pricing, and customer engagement, providing independent insights into the perspectives, priorities, and challenges facing key payer segments.

The service helps pharmaceutical teams better understand evolving stakeholder needs and make more informed strategic decisions regarding market access, customer engagement, and organizational planning.

For more information or to subscribe, contact Josh Mader via email.

HIRC employs a triangulated research methodology that combines primary survey research, in-depth stakeholder interviews, and secondary market analysis to provide a comprehensive understanding of healthcare stakeholder perspectives, market dynamics, and emerging industry trends.

Research includes commercial pharmacy and medical directors, PBM leaders, Medicaid MCO executives, Medicare Advantage leaders, and pharmaceutical manufacturers as follows:

  • Pharmaceutical Manufacturers: Managed Markets Headcounts and Organizational Study
  • Pharmaceutical Manufacturers: Access and Partnership Landscape for Key Accounts
  • Market: Commercial Health Plans
  • Market: Commercial PBMs
  • Market: Medicare Advantage Plans
  • Market: Medicaid MCOs

Subscribers can benchmark manufacturer resources and engagement, monitor payer priorities, understand evolving market dynamics, and make more informed decisions regarding market access strategy, customer engagement, and organizational planning.