Managed care is a healthcare delivery system in the U.S. that incentivizes providers to control costs while improving clinical outcomes. Managed care has evolved over time, shifting its focus from containing costs and utilization to improving value, which considers clinical quality and the patient care experience.
Today, most of the U.S. population is covered by some form of managed care, whether through employer-sponsored plans, Medicare Advantage plans, or Medicaid managed care programs. Understanding the elements involved in managed care and the ability to navigate the managed care organizations is imperative for all customer-facing teams of pharmaceutical companies.
CMR Institute offers the Managed Healthcare Market curriculum to help life sciences companies develop the knowledge and skills of their field sales and account management teams to handle a wide range of financial, legal, and strategic issues while gaining market access for their products. This curriculum enables learners to address three key elements:
- “Why” stakeholders in MCOs should care about the initiatives on which they are focused,
- “What” must be communicated to address various issues and initiatives discussed, and
- “How” each stakeholder can implement a process to achieve ideal clinical and financial outcomes for the target population.
Latest Updates to the Managed Healthcare Market Curriculum
Our Managed Healthcare Market curriculum is comprised of the following 10 eModules:
- An Overview and History of Managed Healthcare
- Cost-Containment Strategies in Managed Healthcare
- Disease Management as a Component of Managed Care
- Evaluating and Improving the Quality of Managed Care
- Hospitals and Post-Acute Providers in the Managed Care Environment
- How Trends and Forces in Managed Care Are Impacting the Pharmaceutical Industry
- Information Technology in Managed Healthcare
- Managed Care and the Expanding Care Team
- Opportunities for Representatives in Managed Healthcare
- The Managed Care Pharmacy
With our dedication to keeping content accurate and relevant, we have made necessary updates across all 10 eModules. This latest release includes refreshed statistics and data, streamlined content to maintain a 20-to-30-minute seat time, and updated bibliographies throughout.
Several modules received targeted improvements, including modernized references for the Medical Loss Ratio (MLR), updated information on performance measurement using MIPS Value Pathways (MVPs), and an updated IHI definition of performance measurement. The discussion of value-based insurance design has also been revised to reflect the phase-out of the CMS VBID model and to focus more broadly on VBID concepts.
The Information Technology module received the most substantial enhancements, including expanded content on digital therapeutics within mobile health, updated descriptions of telehealth coverage and reimbursement, and new details on health information exchange following the sunsetting of the ONC interoperability roadmap.
Across the curriculum, these updates ensure learners receive a timely, clear, and accurate view of today’s managed healthcare environment.
Save your organization’s valuable time and resources with our customizable, market-ready eLearning content. Eliminate the need for extensive content development and minimize training delivery costs. Quickly and efficiently connect your team with the up-to-date information they need, maximizing productivity and minimizing time-to-competence. Contact CMR today.
Learn More About Market-Ready Content
CMR Institute remains vigilant to the changes in today’s complex healthcare marketplace. As a trusted learning partner, our commitment is to keep content always current and always relevant for the life sciences professionals we serve. We update our courses through a rigorous review process and respond quickly when market shifts require immediate attention.
Our library of market-ready content is continually refreshed to reflect the latest clinical, regulatory, and access developments impacting life sciences organizations. Each learning resource is designed to advance knowledge, drive performance, and ultimately support better healthcare outcomes.
To learn more about these updates or our services, please reach out to us. Our innovative, fully customizable learning experiences empower teams to become their very best.
Publication date: December 1, 2023
Last updated: November 26, 2025
