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Pharma's new business model:
consumer centric approaches
to increase ROI
Health Business Consult
Innovating the way we care
Assistant	
  professor	
  of	
  professional	
  development
Consultant	
  pharma	
  >25	
  yrs
Trainer	
  of	
  HC	
  specialists	
  &	
  doctors
Chairman
ISATT
Development	
  Retail	
  
formula	
  pharmacists
Strategic	
  advisor
Social	
  media
#hcsmeu	
  
Classic	
  Music
Health	
  care	
  
technology Ehealth	
  -­‐	
  Telecare
Chronic	
  diseases	
  
challenge
Drums	
  &	
  Trombone
Disc	
  jockey
Drimpy	
  ParIcipatory	
  
HC	
  PlaJorm
Rob Halkes
@rohal
The	
  FOX	
  group	
  LLC
US
Pharma	
  commercial
development
On fundamentals of Protection of Public Health
Russian Federation, Jan. 1st 2012.
.. A new system of accountable officials and ..
responsibility of healthcare budget holders
Rules of interaction between the pharmaceutical
industry and physicians
Standards of providing medical and drug aid
Regional structure under which high cost nosologies will be
purchased and supervised by regions
Cegedim white paper april, 2012
CEO Panel at Russian
Pharmaceutical Forum 2012
CEO Panel at Russian
Pharmaceutical Forum 2012
• Uncertainty / Stability ? / Predictability?
• Goals of the Government?
• Access for patients to medicines?
• Reimbursement?
• Local market conditions?
What makes your influence
as a pharma company?
What makes your influence
as a pharma company?
“ What you actually DO in the local market will
make that your voice can be heard...
What makes your influence
as a pharma company?
“ What you actually DO in the local market will
make that your voice can be heard...
...It makes the difference
between being seen
as ‘helping’ instead of ‘exploiting’”
Elections to Russian
State Duma
Modernization program
- the stage of active
development of the
budget
Presidential Election
Year of treatment
standards
Regional modeling of
drug compensation
programs
Preparing of patient
registries
Slow down of
concentration process
in distribution chain
First innovation
products of Russian
Pharma companies
The beginning of
activity of self-
regulatory
organizations
Licensing of
healthcare
professionals
Start the process of
consolidation of
regional programs
reimbursement
Launch of
reimbursement
pilot
program in
regions
Launch of
reimbursement
program in
regions
The mass
privatization of
HCP
Bln
$
25
Bln
$75
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Figure 1:
Long Term Development Scenario of Russia Pharmaceutical industry
Source: Cegedim aggregated opinion from industry experts:
government employees, industry leaders, anlaysts
May 2013: “- -” and “++” to pharma?
• Healthcare, life expectancy
Russia not in good shape
• Is there enough budget?
(Popovich)
• No reimbursement
• Uncertainty of policy and
regulations
• Procurement issues
• “Interchangeability”
• No data
• Formal - Informal
• Many different (competing)
players in the channel
• Advertising rules are not clear
• Russia too big for “big pharma?”
May 2013: “- -” and “++” to pharma?
• Healthcare, life expectancy
Russia not in good shape
• Is there enough budget?
(Popovich)
• No reimbursement
• Uncertainty of policy and
regulations
• Procurement issues
• “Interchangeability”
• No data
• Formal - Informal
• Many different (competing)
players in the channel
• Advertising rules are not clear
• Russia too big for “big pharma?”
• Healthcare, life expectancy Russia
not in good shape
• PharmaMed 2020
• Roadmap for health care
• Market is still growing (12%)
• Middle class is growing
• Collaboration with authorities,
national, regional, local
(physician committees)
• Patients’ access to medicine
• Standards of medical treatment
• Not so much cooperation between
protagonists in care..
May 2013: “- -” and “++” to pharma?
NL as compared with Russia
NL as compared with Russia
2006 - Liberalisation of HC market:
• Health Care Insurance (HCI) for
everyone - obliged;
• HCI companies have:
- Power of selection of care providers
- Buying power: pharma tenders, to
their patients,
- Policy towards integrated, chronic
care -> initiated cooperations of care
providers in health care groups for
family care
• Regional / Local Rx decisions by local
protocol committees
NL as compared with Russia
2006 - Liberalisation of HC market:
• Health Care Insurance (HCI) for
everyone - obliged;
• HCI companies have:
- Power of selection of care providers
- Buying power: pharma tenders, to
their patients,
- Policy towards integrated, chronic
care -> initiated cooperations of care
providers in health care groups for
family care
• Regional / Local Rx decisions by local
protocol committees
NL as compared with Russia
1.6 Prijsontwikkeling receptgeneesmiddelen op basis van SFK prijsindex (januari 1996=100),
afzet gewogen gemiddelde)
Bron: Stichting Farmaceutische Kengetallen
100%
Invoering Wet Geneesmiddelenprijzen
Invoering claw back
Start convenantsperiode
Introductie
vrije prijzen
Transitieakkoord
Tijdelijke invoering
maatregel “De Geus”
(Individueel)
Preferentiebeleid
Verhoging claw back
Akkoord VWS - KNMP
90%
80%
70%
60%
40%
50%
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
//
1.6 Prijsontwikkeling receptgeneesmiddelen op basis van SFK prijsindex (januari 1996=100),
afzet gewogen gemiddelde)
Bron: Stichting Farmaceutische Kengetallen
100%
Invoering Wet Geneesmiddelenprijzen
Invoering claw back
Start convenantsperiode
Introductie
vrije prijzen
Transitieakkoord
Tijdelijke invoering
maatregel “De Geus”
(Individueel)
Preferentiebeleid
Verhoging claw back
Akkoord VWS - KNMP
90%
80%
70%
60%
40%
50%
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
//
• Diminishing access to prescribers: about 50% in 2006;
• Growing influence of new stakeholders Rx:
health care insurance companies, local protocol committees,
• Growing pressure to prescribe generics,
• More Regulation of Pharma promotion, by the government,
• Deteriorating image of the pharmaceutical industry in general,
• Growing Costs of health care on national political agenda
• Slower registration and decisions about reimbursement
The Dutch Case
The Dutch Case
If pharma wants to distinguish itself, it needs to
show first that it understands the way their direct
(Rx)customers, health care providers are to
develop!
The Dutch Case
If pharma wants to distinguish itself, it needs to
show first that it understands the way their direct
(Rx)customers, health care providers are to
develop!
The Dutch Case
....is all about
“being there, locally”
to demonstrate that
pharma does
understand
and can make the
difference to
situations!
If pharma wants to distinguish itself, it needs to
show first that it understands the way their direct
(Rx)customers, health care providers are to
develop!
Key Customer Focus
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑  Focused Development
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑  Focused Development
☑ Customer Centric
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑  Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑  Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑  New ways to co-operate to better care
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑  Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑  New ways to co-operate to better care
☑  Integrating classic, Sales
Marketing and Medical
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑  Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑  New ways to co-operate to better care
☑  Integrating classic, Sales
Marketing and Medical
☑  Integrated Business Cycles
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑  Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑  New ways to co-operate to better care
☑  Integrating classic, Sales
Marketing and Medical
☑  Integrated Business Cycles
Effective adaptation
to different market conditions
Focus And Collaboration
Customer Centric
Focus And Collaboration
• Think
Customer Centric
Focus And Collaboration
• Think
• What is going on
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• Pull resources together
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Pull resources together
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Take the journey
step by step
• Pull resources together
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Take the journey
step by step
• Pull resources together
• Act
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Take the journey
step by step
• Pull resources together
• Act
• Market intelligence
• Added value
• Align and Integrate
internal silo’s
•Segmentation
Targeting
• Tactics and
operations
• Develop partnership
Customer Centric
Strategic Starting Points
Strategic Starting Points
Commodity
Trap
Strategic Starting Points
Commodity
Trap
AddValue
Strategic Starting Points
Commodity
Trap
Low cost
position
AddedValue
position
Prices
Market Top Value
AddValue
AddValue
AddValue
The general principle for business growth
works the same for pharmaceutical marketing
Commodities
Specialties
Services
Experiences
Competition
Clients’needs
Differentiated
Prices
Alike
Market Top Value
Desired
Not relevant
AddValue
AddValue
Create an integrated offering
From Product to Care
AddValue
Create an integrated offering
From Product to Care
Product Core
1st layer
therapy
2nd layer
therapy
AddValue
Create an integrated offering
From Product to Care
Rx
Drug profile
Pharmaceutical
and pharma economically
Product Core
1st layer
therapy
2nd layer
therapy
Product
Information on
Characteristics, features,
functionality and effects
AddValue
Create an integrated offering
From Product to Care
Rx
Focus on adequate use
for the individual patient
in the right condition
Drug profile
Pharmaceutical
and pharma economically
Product Core
1st layer
therapy
2nd layer
therapy
Product
Information on
Characteristics, features,
functionality and effects
Augmented brand
Support, service by
marketing tools
through different channels
AddValue
Create an integrated offering
From Product to Care
Rx
A. Professional Support from
HC professionals and others
for the patient
B. Cooperation and synergy
between co-acting
care providers
Focus on adequate use
for the individual patient
in the right condition
Drug profile
Pharmaceutical
and pharma economically
Product Core
1st layer
therapy
2nd layer
therapy
Product
Information on
Characteristics, features,
functionality and effects
Augmented brand
Support, service by
marketing tools
through different channels
Value proposition
A. Patient oriented health
care activities by Health
Care Professionals
B. Increasing HC effects by
improvement of care and
health processes
The Chalkboard Sketch of
A new Commercial Market Approach
Basic Considerations.
What market conditions,
what tools,
what applications?
Tools specifically:
Access and Added Value
Profiling, segmentation, targeting
Sales teams
Multidisciplinary accountplan design
Edetailing multi channel social media
Partnership development
The Chalkboard Sketch of
A new Commercial Market Approach
Basic Considerations.
What market conditions,
what tools,
what applications?
The new CommercialCycle
of Pharma
Chalkboard Sketch
Health Business Consult
Innovating the way we care
The new CommercialCycle
of Pharma
Chalkboard Sketch
Market
Conditions
Health Business Consult
Innovating the way we care
The new CommercialCycle
of Pharma
Chalkboard Sketch
Market
Conditions
RX Accounts
Health Business Consult
Innovating the way we care
Market
Conditions
RX Accounts
Health Business Consult
Innovating the way we care
Market
Conditions
RX Accounts
Health Business Consult
Innovating the way we care
Market
Conditions
RX Accounts
Health Business Consult
Innovating the way we care
Individual Rx
Physicians
Market
Conditions
RX Accounts
Health Business Consult
Innovating the way we care
Individual Rx
Physicians
Market
Conditions
RX Accounts
Health Business Consult
Innovating the way we care
Individual Rx
Physicians
Promotion
Market
Conditions
RX Accounts
Individual Rx
Physicians
Promotion
Market
Conditions
RX Accounts
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?
Market
Conditions
RX Accounts
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?☹
UP - If not
focused enough
Market
Conditions
RX Accounts
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?☹
UP - If not
focused enough
Down! If
Focused rightly
☺
Market
Conditions
RX Accounts
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?☹
UP - If not
focused enough
Down! If
Focused rightly
☺
Market
Conditions
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?☹
UP - If not
focused enough
Down! If
Focused rightly
☺
Market
Conditions
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?☹
UP - If not
focused enough
Down! If
Focused rightly
☺
RX decision
Accounts
Market
Conditions
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?☹
UP - If not
focused enough
Down! If
Focused rightly
☺
RX decision
Accounts
Market
Conditions
Individual Rx
Physicians
Promotion
#Costs of
market
Approach
?☹
UP - If not
focused enough
Down! If
Focused rightly
☺
RX decision
Accounts
Differentiate
From Standard
Individual Promotion
To
Key Customer Focus!!!
Market
Conditions
Differentiate approaches
To Key Customer Focus !
Individual Rx promotion
KEY
Accounts
•Fulfillment
• Evaluating
•Planning
• Selecting
• Managing
Market
Conditions
Differentiate approaches
To Key Customer Focus !
Individual Rx promotion
KEY
Accounts
Make Focus your
main stream
Business
APproach
•Fulfillment
• Evaluating
•Planning
• Selecting
• Managing
Market
Conditions
Differentiate approaches
To Key Customer Focus !
Individual Rx promotion
KEY
Accounts
?
What are the
Points of intervention
to create focus
Make Focus your
main stream
Business
APproach
•Fulfillment
• Evaluating
•Planning
• Selecting
• Managing
• Market
Conditions
Differentiate To Key Customer Focus
Individual Rx promotion
• What are
the points of
INtervention
to create
Focus ?
KEy
Accounts
• Care &
Therapy
Conditions
• Rx
Conditions
• Account
Conditions
• Patients’
Conditions
•Individual Rx promotion
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
What tools to use?
•Individual Rx promotion
ROS
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
What tools to use?
•Individual Rx promotion
ROI
ROS
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
What tools to use?
₷ $
€ £
¢ ¥
•Individual Rx promotion
• Market Access
•Account profiling
•Segmentation & targeting
For quantity & quality!
• Mutlidisciplinairy Design
of Account PLans!
• Account specific
development of
partnership!
ROI
ROS
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
• KAM, CRM and
cLosed loop marketing
• Multi channel management
•Care Support Services
•Social Media
•Social Media
•Ehealth
What tools to use?
₷ $
€ £
¢ ¥
•eDetailing
• Standards of
treatment
•Market
Conditions
KEy
Customers
• Care &
Therapy
Conditions
•Rx
Conditions
• Account
Conditions
•Patients’
Conditions
•Market
Conditions
KEy
Customers
• Care &
Therapy
Conditions
•Rx
Conditions
• Account
Conditions
•Patients’
Conditions
• Market Access
•Market
Conditions
KEy
Customers
• Care &
Therapy
Conditions
•Rx
Conditions
• Account
Conditions
•Patients’
Conditions
• Market Access
& added value
We need a Market Approach
We need a Market Approach
.. that selects , focuses and builds on the right customers
We need a Market Approach
.. that selects , focuses and builds on the right customers
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
From promotion via collaboration to cocreation
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
From promotion via collaboration to cocreation
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
5 Integrated Care Support
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
From promotion via collaboration to cocreation
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
5 Integrated Care Support
Account- Marketing en Medical management
.. that creates results just like these:
We need a Market Approach
.. that selects , focuses and builds on the right customers
We need a Market Approach
.. that selects , focuses and builds on the right customers
Some Examples:
Market Access
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
Segmentation
Targeting
Promotion Partnership
Market Access
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
❍ MA = Pharma & Health Economy ≠ Promotion
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
❍ Education and communications characteristics
❍ MA = Pharma & Health Economy ≠ Promotion
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
❍ Added value
Depending upon stage of development process
❍ Education and communications characteristics
❍ MA = Pharma & Health Economy ≠ Promotion
Market Access
Market Access
Internal Department“Heath Care Affairs”
Working with marketing and Medical/KOL- mngmnt
Market Access
Stimulating developments in the market
Depending on stage of process:
Internal Department“Heath Care Affairs”
Working with marketing and Medical/KOL- mngmnt
Market Access
Stimulating developments in the market
Depending on stage of process:
Internal Department“Heath Care Affairs”
Working with marketing and Medical/KOL- mngmnt
❍ Building relationship between Physicians & Pharmacists
Market Access
Stimulating developments in the market
Depending on stage of process:
Internal Department“Heath Care Affairs”
Working with marketing and Medical/KOL- mngmnt
❍ E.g.: innovation fund for local care providers
❍ Building relationship between Physicians & Pharmacists
Rx Accounts
Segmentation -Targeting
Rx Accounts
Segmentation -Targeting
Individuals Networks AccountsDMU’s
Rx Accounts
Segmentation -Targeting
Individuals Networks AccountsDMU’s
Not just individuals,
but their networks too,
their accessibility and feasibility for success
to You!
Rx Accounts
Segmentation -Targeting
“You don’t want to spend time and money in a lost case”
Profile and Classify
“You don’t want to spend time and money in a lost case”
Profile and Classify
Profile and Classify
“You don’t want to spend time and money in a lost case”
Profile and Classify
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
Profile and Classify
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
• Quality of organization & organizational development
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
• Quality of organization & organizational development
• Quality of care provision and development of care
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
• Quality of organization & organizational development
• Quality of care provision and development of care
• Quality of our relationship with this Account/DMU
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Segment 1 Segment 2
Segment 3 Segment 4
Segment 1 Segment 2
Segment 3 Segment 4
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4Develop
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Co-create
Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Co-create Partner
Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Co-create Partner
Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Develop your promotion
Develop your promotion
Create a path of development
From (e)detailing to partnership
Develop your promotion
Create a path of development
From (e)detailing to partnership
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
•Inform
•Educate
Develop &
Create
Co-Create
•Show
Co-
Operate
•Demo
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
•Service
•Share•Inform
•Educate
•Collaborate
Develop &
Create
Co-Create
•Support•Show
Co-
Operate
•Demo
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
•Service
•Share•Inform
•Educate
•Collaborate
Develop &
Create
Co-Create
•Support
•Co-Evaluate
• Create Integrated
Patient Care
• Create partnerships
•Show
Co-
Operate
•Demo
Develop your promotion
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
• Expand physicians’ internal relations with
external ones through social media
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
• Expand physicians’ internal relations with
external ones through social media
• Multi Channel Management
Use different channels of communication
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
• Expand physicians’ internal relations with
external ones through social media
• Multi Channel Management
Use different channels of communication
• Add mobile
Engage
Promote
Develop
Profiling DMU’s
Segmentation
&
Targeting
DMU
Management
Development
of
Partnership
Engage
Promote
Develop
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Service
Offering
Sponsoring
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Service
Offering
Sponsoring
Commitment
on
mutual effort
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Service
Offering
Sponsoring
Commitment
on
mutual effort
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Commitment
to joint
Results
Service
Offering
Sponsoring
Commitment
on
mutual effort
Design
and realization of
tailor made
solutions
Contract to design and implement
Based on customer knowledge,
and in co-maker-ship.
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Multi party deal
on Health
Outcomes
Commitment
to joint
Results
Service
Offering
Sponsoring
Commitment
on
mutual effort
Targeting
healthcare
outcomes
with more
stakeholders
Contract to integrated care
with more parties:
outcome directed, long term,
In development and improvement.
Design
and realization of
tailor made
solutions
Contract to design and implement
Based on customer knowledge,
and in co-maker-ship.
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
Key Customer Focus Cycle
Key Customer Focus Cycle
Drs.A.R.J. Halkes MHA
rob.halkes@healthbusinessconsult.com
P.O. Box 292
5050 AG Goirle
The Netherlands
M +31 6 31 66 2595
T http://www.twitter.com/rohal
F http://www.facebook.com/rob.halkes 
L http://nl.linkedin.com/in/arjhalkes 
W www.healthbusinessconsult.com 
 

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Pharma new bus model St Petersburg Russia

  • 1. Pharma's new business model: consumer centric approaches to increase ROI Health Business Consult Innovating the way we care
  • 2. Assistant  professor  of  professional  development Consultant  pharma  >25  yrs Trainer  of  HC  specialists  &  doctors Chairman ISATT Development  Retail   formula  pharmacists Strategic  advisor Social  media #hcsmeu   Classic  Music Health  care   technology Ehealth  -­‐  Telecare Chronic  diseases   challenge Drums  &  Trombone Disc  jockey Drimpy  ParIcipatory   HC  PlaJorm Rob Halkes @rohal The  FOX  group  LLC US Pharma  commercial development
  • 3. On fundamentals of Protection of Public Health Russian Federation, Jan. 1st 2012. .. A new system of accountable officials and .. responsibility of healthcare budget holders Rules of interaction between the pharmaceutical industry and physicians Standards of providing medical and drug aid Regional structure under which high cost nosologies will be purchased and supervised by regions Cegedim white paper april, 2012
  • 4. CEO Panel at Russian Pharmaceutical Forum 2012
  • 5. CEO Panel at Russian Pharmaceutical Forum 2012 • Uncertainty / Stability ? / Predictability? • Goals of the Government? • Access for patients to medicines? • Reimbursement? • Local market conditions?
  • 6. What makes your influence as a pharma company?
  • 7. What makes your influence as a pharma company? “ What you actually DO in the local market will make that your voice can be heard...
  • 8. What makes your influence as a pharma company? “ What you actually DO in the local market will make that your voice can be heard... ...It makes the difference between being seen as ‘helping’ instead of ‘exploiting’”
  • 9. Elections to Russian State Duma Modernization program - the stage of active development of the budget Presidential Election Year of treatment standards Regional modeling of drug compensation programs Preparing of patient registries Slow down of concentration process in distribution chain First innovation products of Russian Pharma companies The beginning of activity of self- regulatory organizations Licensing of healthcare professionals Start the process of consolidation of regional programs reimbursement Launch of reimbursement pilot program in regions Launch of reimbursement program in regions The mass privatization of HCP Bln $ 25 Bln $75 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Figure 1: Long Term Development Scenario of Russia Pharmaceutical industry Source: Cegedim aggregated opinion from industry experts: government employees, industry leaders, anlaysts
  • 10. May 2013: “- -” and “++” to pharma?
  • 11. • Healthcare, life expectancy Russia not in good shape • Is there enough budget? (Popovich) • No reimbursement • Uncertainty of policy and regulations • Procurement issues • “Interchangeability” • No data • Formal - Informal • Many different (competing) players in the channel • Advertising rules are not clear • Russia too big for “big pharma?” May 2013: “- -” and “++” to pharma?
  • 12. • Healthcare, life expectancy Russia not in good shape • Is there enough budget? (Popovich) • No reimbursement • Uncertainty of policy and regulations • Procurement issues • “Interchangeability” • No data • Formal - Informal • Many different (competing) players in the channel • Advertising rules are not clear • Russia too big for “big pharma?” • Healthcare, life expectancy Russia not in good shape • PharmaMed 2020 • Roadmap for health care • Market is still growing (12%) • Middle class is growing • Collaboration with authorities, national, regional, local (physician committees) • Patients’ access to medicine • Standards of medical treatment • Not so much cooperation between protagonists in care.. May 2013: “- -” and “++” to pharma?
  • 13. NL as compared with Russia
  • 14. NL as compared with Russia
  • 15. 2006 - Liberalisation of HC market: • Health Care Insurance (HCI) for everyone - obliged; • HCI companies have: - Power of selection of care providers - Buying power: pharma tenders, to their patients, - Policy towards integrated, chronic care -> initiated cooperations of care providers in health care groups for family care • Regional / Local Rx decisions by local protocol committees NL as compared with Russia
  • 16. 2006 - Liberalisation of HC market: • Health Care Insurance (HCI) for everyone - obliged; • HCI companies have: - Power of selection of care providers - Buying power: pharma tenders, to their patients, - Policy towards integrated, chronic care -> initiated cooperations of care providers in health care groups for family care • Regional / Local Rx decisions by local protocol committees NL as compared with Russia
  • 17.
  • 18. 1.6 Prijsontwikkeling receptgeneesmiddelen op basis van SFK prijsindex (januari 1996=100), afzet gewogen gemiddelde) Bron: Stichting Farmaceutische Kengetallen 100% Invoering Wet Geneesmiddelenprijzen Invoering claw back Start convenantsperiode Introductie vrije prijzen Transitieakkoord Tijdelijke invoering maatregel “De Geus” (Individueel) Preferentiebeleid Verhoging claw back Akkoord VWS - KNMP 90% 80% 70% 60% 40% 50% 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 //
  • 19. 1.6 Prijsontwikkeling receptgeneesmiddelen op basis van SFK prijsindex (januari 1996=100), afzet gewogen gemiddelde) Bron: Stichting Farmaceutische Kengetallen 100% Invoering Wet Geneesmiddelenprijzen Invoering claw back Start convenantsperiode Introductie vrije prijzen Transitieakkoord Tijdelijke invoering maatregel “De Geus” (Individueel) Preferentiebeleid Verhoging claw back Akkoord VWS - KNMP 90% 80% 70% 60% 40% 50% 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 // • Diminishing access to prescribers: about 50% in 2006; • Growing influence of new stakeholders Rx: health care insurance companies, local protocol committees, • Growing pressure to prescribe generics, • More Regulation of Pharma promotion, by the government, • Deteriorating image of the pharmaceutical industry in general, • Growing Costs of health care on national political agenda • Slower registration and decisions about reimbursement
  • 21. The Dutch Case If pharma wants to distinguish itself, it needs to show first that it understands the way their direct (Rx)customers, health care providers are to develop!
  • 22. The Dutch Case If pharma wants to distinguish itself, it needs to show first that it understands the way their direct (Rx)customers, health care providers are to develop!
  • 23. The Dutch Case ....is all about “being there, locally” to demonstrate that pharma does understand and can make the difference to situations! If pharma wants to distinguish itself, it needs to show first that it understands the way their direct (Rx)customers, health care providers are to develop!
  • 25. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first
  • 26. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first ☑  Focused Development
  • 27. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first ☑  Focused Development ☑ Customer Centric
  • 28. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first ☑  Focused Development ☑ Customer Centric ☑ Value Innovation in Proposition
  • 29. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first ☑  Focused Development ☑ Customer Centric ☑ Value Innovation in Proposition ☑  New ways to co-operate to better care
  • 30. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first ☑  Focused Development ☑ Customer Centric ☑ Value Innovation in Proposition ☑  New ways to co-operate to better care ☑  Integrating classic, Sales Marketing and Medical
  • 31. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first ☑  Focused Development ☑ Customer Centric ☑ Value Innovation in Proposition ☑  New ways to co-operate to better care ☑  Integrating classic, Sales Marketing and Medical ☑  Integrated Business Cycles
  • 32. Key Customer Focus A new commercial Approach for Pharma Putting (the right) customers first ☑  Focused Development ☑ Customer Centric ☑ Value Innovation in Proposition ☑  New ways to co-operate to better care ☑  Integrating classic, Sales Marketing and Medical ☑  Integrated Business Cycles Effective adaptation to different market conditions
  • 34. Focus And Collaboration • Think Customer Centric
  • 35. Focus And Collaboration • Think • What is going on Customer Centric
  • 36. Focus And Collaboration • Think • What is going on • With what can you help to create better care Customer Centric
  • 37. Focus And Collaboration • Think • What is going on • With what can you help to create better care • Pull resources together Customer Centric
  • 38. Focus And Collaboration • Think • What is going on • With what can you help to create better care • What customers - how to select • Pull resources together Customer Centric
  • 39. Focus And Collaboration • Think • What is going on • With what can you help to create better care • What customers - how to select • Take the journey step by step • Pull resources together Customer Centric
  • 40. Focus And Collaboration • Think • What is going on • With what can you help to create better care • What customers - how to select • Take the journey step by step • Pull resources together • Act Customer Centric
  • 41. Focus And Collaboration • Think • What is going on • With what can you help to create better care • What customers - how to select • Take the journey step by step • Pull resources together • Act • Market intelligence • Added value • Align and Integrate internal silo’s •Segmentation Targeting • Tactics and operations • Develop partnership Customer Centric
  • 45. Strategic Starting Points Commodity Trap Low cost position AddedValue position Prices Market Top Value AddValue
  • 47. AddValue The general principle for business growth works the same for pharmaceutical marketing Commodities Specialties Services Experiences Competition Clients’needs Differentiated Prices Alike Market Top Value Desired Not relevant
  • 49. AddValue Create an integrated offering From Product to Care
  • 50. AddValue Create an integrated offering From Product to Care Product Core 1st layer therapy 2nd layer therapy
  • 51. AddValue Create an integrated offering From Product to Care Rx Drug profile Pharmaceutical and pharma economically Product Core 1st layer therapy 2nd layer therapy Product Information on Characteristics, features, functionality and effects
  • 52. AddValue Create an integrated offering From Product to Care Rx Focus on adequate use for the individual patient in the right condition Drug profile Pharmaceutical and pharma economically Product Core 1st layer therapy 2nd layer therapy Product Information on Characteristics, features, functionality and effects Augmented brand Support, service by marketing tools through different channels
  • 53. AddValue Create an integrated offering From Product to Care Rx A. Professional Support from HC professionals and others for the patient B. Cooperation and synergy between co-acting care providers Focus on adequate use for the individual patient in the right condition Drug profile Pharmaceutical and pharma economically Product Core 1st layer therapy 2nd layer therapy Product Information on Characteristics, features, functionality and effects Augmented brand Support, service by marketing tools through different channels Value proposition A. Patient oriented health care activities by Health Care Professionals B. Increasing HC effects by improvement of care and health processes
  • 54. The Chalkboard Sketch of A new Commercial Market Approach Basic Considerations. What market conditions, what tools, what applications?
  • 55. Tools specifically: Access and Added Value Profiling, segmentation, targeting Sales teams Multidisciplinary accountplan design Edetailing multi channel social media Partnership development The Chalkboard Sketch of A new Commercial Market Approach Basic Considerations. What market conditions, what tools, what applications?
  • 56. The new CommercialCycle of Pharma Chalkboard Sketch Health Business Consult Innovating the way we care
  • 57. The new CommercialCycle of Pharma Chalkboard Sketch Market Conditions Health Business Consult Innovating the way we care
  • 58. The new CommercialCycle of Pharma Chalkboard Sketch Market Conditions RX Accounts Health Business Consult Innovating the way we care
  • 59. Market Conditions RX Accounts Health Business Consult Innovating the way we care
  • 60. Market Conditions RX Accounts Health Business Consult Innovating the way we care
  • 61. Market Conditions RX Accounts Health Business Consult Innovating the way we care Individual Rx Physicians
  • 62. Market Conditions RX Accounts Health Business Consult Innovating the way we care Individual Rx Physicians
  • 63. Market Conditions RX Accounts Health Business Consult Innovating the way we care Individual Rx Physicians Promotion
  • 66. Market Conditions RX Accounts Individual Rx Physicians Promotion #Costs of market Approach ?☹ UP - If not focused enough
  • 67. Market Conditions RX Accounts Individual Rx Physicians Promotion #Costs of market Approach ?☹ UP - If not focused enough Down! If Focused rightly ☺
  • 68. Market Conditions RX Accounts Individual Rx Physicians Promotion #Costs of market Approach ?☹ UP - If not focused enough Down! If Focused rightly ☺
  • 70. Market Conditions Individual Rx Physicians Promotion #Costs of market Approach ?☹ UP - If not focused enough Down! If Focused rightly ☺ RX decision Accounts
  • 71. Market Conditions Individual Rx Physicians Promotion #Costs of market Approach ?☹ UP - If not focused enough Down! If Focused rightly ☺ RX decision Accounts
  • 72. Market Conditions Individual Rx Physicians Promotion #Costs of market Approach ?☹ UP - If not focused enough Down! If Focused rightly ☺ RX decision Accounts Differentiate From Standard Individual Promotion To Key Customer Focus!!!
  • 73. Market Conditions Differentiate approaches To Key Customer Focus ! Individual Rx promotion KEY Accounts •Fulfillment • Evaluating •Planning • Selecting • Managing
  • 74. Market Conditions Differentiate approaches To Key Customer Focus ! Individual Rx promotion KEY Accounts Make Focus your main stream Business APproach •Fulfillment • Evaluating •Planning • Selecting • Managing
  • 75. Market Conditions Differentiate approaches To Key Customer Focus ! Individual Rx promotion KEY Accounts ? What are the Points of intervention to create focus Make Focus your main stream Business APproach •Fulfillment • Evaluating •Planning • Selecting • Managing
  • 76. • Market Conditions Differentiate To Key Customer Focus Individual Rx promotion • What are the points of INtervention to create Focus ? KEy Accounts • Care & Therapy Conditions • Rx Conditions • Account Conditions • Patients’ Conditions
  • 77. •Individual Rx promotion • Market Conditions • Care & Therapy Conditions •RxConditions • Account Conditions • Patients’ Conditions Key Focus Accounts What tools to use?
  • 78. •Individual Rx promotion ROS • Market Conditions • Care & Therapy Conditions •RxConditions • Account Conditions • Patients’ Conditions Key Focus Accounts What tools to use?
  • 79. •Individual Rx promotion ROI ROS • Market Conditions • Care & Therapy Conditions •RxConditions • Account Conditions • Patients’ Conditions Key Focus Accounts What tools to use? ₷ $ € £ ¢ ¥
  • 80. •Individual Rx promotion • Market Access •Account profiling •Segmentation & targeting For quantity & quality! • Mutlidisciplinairy Design of Account PLans! • Account specific development of partnership! ROI ROS • Market Conditions • Care & Therapy Conditions •RxConditions • Account Conditions • Patients’ Conditions Key Focus Accounts • KAM, CRM and cLosed loop marketing • Multi channel management •Care Support Services •Social Media •Social Media •Ehealth What tools to use? ₷ $ € £ ¢ ¥ •eDetailing • Standards of treatment
  • 82. •Market Conditions KEy Customers • Care & Therapy Conditions •Rx Conditions • Account Conditions •Patients’ Conditions • Market Access
  • 83. •Market Conditions KEy Customers • Care & Therapy Conditions •Rx Conditions • Account Conditions •Patients’ Conditions • Market Access & added value
  • 84. We need a Market Approach
  • 85. We need a Market Approach .. that selects , focuses and builds on the right customers
  • 86. We need a Market Approach .. that selects , focuses and builds on the right customers 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 87. We need a Market Approach .. that selects , focuses and builds on the right customers 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 88. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 89. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion - edetailing/online/social media - multichannel management 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 90. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion - edetailing/online/social media - multichannel management - multidisciplinary accountdesign 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 91. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion - edetailing/online/social media - multichannel management - multidisciplinary accountdesign - tailormade propositions 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 92. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion - edetailing/online/social media - multichannel management - multidisciplinary accountdesign - tailormade propositions 4 Development of Partnership 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 93. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion - edetailing/online/social media - multichannel management - multidisciplinary accountdesign - tailormade propositions 4 Development of Partnership From promotion via collaboration to cocreation 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation”
  • 94. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion - edetailing/online/social media - multichannel management - multidisciplinary accountdesign - tailormade propositions 4 Development of Partnership From promotion via collaboration to cocreation 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation” 5 Integrated Care Support
  • 95. We need a Market Approach .. that selects , focuses and builds on the right customers 3 System of promotion - edetailing/online/social media - multichannel management - multidisciplinary accountdesign - tailormade propositions 4 Development of Partnership From promotion via collaboration to cocreation 2 Segmentation and Targeting on both Potential and Quality Characteristics 1 System of Market Access : Keyword: Localizing to local Rx committees “Guided Navigation” 5 Integrated Care Support Account- Marketing en Medical management
  • 96. .. that creates results just like these:
  • 97. We need a Market Approach .. that selects , focuses and builds on the right customers
  • 98. We need a Market Approach .. that selects , focuses and builds on the right customers Some Examples: Market Access Detail e- Detail Promote & Engage Connect & Interact Develop & Create Co-Create Co-Operate Segmentation Targeting Promotion Partnership
  • 100. Market Access - National & Regional & Local - Not just launch and registration - KOL - DMU ~ (in)formal - Committee’s (EDL - Standards) - Status Quo of Care - Profiles of markets - Org/Inst/DMU/Care Providers
  • 101. Market Access - National & Regional & Local - Not just launch and registration - KOL - DMU ~ (in)formal - Committee’s (EDL - Standards) - Status Quo of Care - Profiles of markets - Org/Inst/DMU/Care Providers ❍ MA = Pharma & Health Economy ≠ Promotion
  • 102. Market Access - National & Regional & Local - Not just launch and registration - KOL - DMU ~ (in)formal - Committee’s (EDL - Standards) - Status Quo of Care - Profiles of markets - Org/Inst/DMU/Care Providers ❍ Education and communications characteristics ❍ MA = Pharma & Health Economy ≠ Promotion
  • 103. Market Access - National & Regional & Local - Not just launch and registration - KOL - DMU ~ (in)formal - Committee’s (EDL - Standards) - Status Quo of Care - Profiles of markets - Org/Inst/DMU/Care Providers ❍ Added value Depending upon stage of development process ❍ Education and communications characteristics ❍ MA = Pharma & Health Economy ≠ Promotion
  • 105. Market Access Internal Department“Heath Care Affairs” Working with marketing and Medical/KOL- mngmnt
  • 106. Market Access Stimulating developments in the market Depending on stage of process: Internal Department“Heath Care Affairs” Working with marketing and Medical/KOL- mngmnt
  • 107. Market Access Stimulating developments in the market Depending on stage of process: Internal Department“Heath Care Affairs” Working with marketing and Medical/KOL- mngmnt ❍ Building relationship between Physicians & Pharmacists
  • 108. Market Access Stimulating developments in the market Depending on stage of process: Internal Department“Heath Care Affairs” Working with marketing and Medical/KOL- mngmnt ❍ E.g.: innovation fund for local care providers ❍ Building relationship between Physicians & Pharmacists
  • 111. Individuals Networks AccountsDMU’s Rx Accounts Segmentation -Targeting
  • 112. Individuals Networks AccountsDMU’s Not just individuals, but their networks too, their accessibility and feasibility for success to You! Rx Accounts Segmentation -Targeting
  • 113.
  • 114. “You don’t want to spend time and money in a lost case”
  • 115. Profile and Classify “You don’t want to spend time and money in a lost case” Profile and Classify
  • 116. Profile and Classify “You don’t want to spend time and money in a lost case”
  • 117. Profile and Classify Potential: • Estimate of feasible volume of business with this account, i.e.: Factual numbers x Chance of Success “You don’t want to spend time and money in a lost case”
  • 118. Profile and Classify Potential: • Estimate of feasible volume of business with this account, i.e.: Factual numbers x Chance of Success “You don’t want to spend time and money in a lost case” AND
  • 119. Profile and Classify Quality of Account: Potential: • Estimate of feasible volume of business with this account, i.e.: Factual numbers x Chance of Success “You don’t want to spend time and money in a lost case” AND
  • 120. Profile and Classify Quality of Account: • Quality of organization & organizational development Potential: • Estimate of feasible volume of business with this account, i.e.: Factual numbers x Chance of Success “You don’t want to spend time and money in a lost case” AND
  • 121. Profile and Classify Quality of Account: • Quality of organization & organizational development • Quality of care provision and development of care Potential: • Estimate of feasible volume of business with this account, i.e.: Factual numbers x Chance of Success “You don’t want to spend time and money in a lost case” AND
  • 122. Profile and Classify Quality of Account: • Quality of organization & organizational development • Quality of care provision and development of care • Quality of our relationship with this Account/DMU Potential: • Estimate of feasible volume of business with this account, i.e.: Factual numbers x Chance of Success “You don’t want to spend time and money in a lost case” AND
  • 123. Segment 1 Segment 2 Segment 3 Segment 4
  • 124. Segment 1 Segment 2 Segment 3 Segment 4 Differentiate within a new segmentation
  • 125. Segment 1 Segment 2 Segment 3 Segment 4 Professional & Care Profile Account Differentiate within a new segmentation
  • 126. Segment 1 Segment 2 Segment 3 Segment 4 Relationship Professional & Care Profile Account Differentiate within a new segmentation
  • 127. Segment 1 Segment 2 Segment 3 Segment 4Develop Relationship Professional & Care Profile Account Differentiate within a new segmentation
  • 128. Segment 1 Segment 2 Segment 3 Segment 4Develop Build Relationship Professional & Care Profile Account Differentiate within a new segmentation
  • 129. Segment 1 Segment 2 Segment 3 Segment 4 Co-create Develop Build Relationship Professional & Care Profile Account Differentiate within a new segmentation
  • 130. Segment 1 Segment 2 Segment 3 Segment 4 Co-create Partner Develop Build Relationship Professional & Care Profile Account Differentiate within a new segmentation
  • 131. Segment 1 Segment 2 Segment 3 Segment 4 Co-create Partner Develop Build Relationship Professional & Care Profile Account Differentiate within a new segmentation
  • 133. Develop your promotion Create a path of development From (e)detailing to partnership
  • 134. Develop your promotion Create a path of development From (e)detailing to partnership
  • 135. Develop your promotion Create a path of development From (e)detailing to partnership Detail e- Detail Co-CreateCo- Operate
  • 136. Develop your promotion Create a path of development From (e)detailing to partnership Detail e- Detail Promote & Engage Co-CreateCo- Operate
  • 137. Develop your promotion Create a path of development From (e)detailing to partnership Detail e- Detail Promote & Engage Connect & Interact Co-CreateCo- Operate
  • 138. Develop your promotion Create a path of development From (e)detailing to partnership Detail e- Detail Promote & Engage Connect & Interact Develop & Create Co-CreateCo- Operate
  • 139. Develop your promotion Create a path of development From (e)detailing to partnership Detail e- Detail Promote & Engage Connect & Interact •Inform •Educate Develop & Create Co-Create •Show Co- Operate •Demo
  • 140. Develop your promotion Create a path of development From (e)detailing to partnership Detail e- Detail Promote & Engage Connect & Interact •Service •Share•Inform •Educate •Collaborate Develop & Create Co-Create •Support•Show Co- Operate •Demo
  • 141. Develop your promotion Create a path of development From (e)detailing to partnership Detail e- Detail Promote & Engage Connect & Interact •Service •Share•Inform •Educate •Collaborate Develop & Create Co-Create •Support •Co-Evaluate • Create Integrated Patient Care • Create partnerships •Show Co- Operate •Demo
  • 142. Develop your promotion Detail e- Detail Promote & Engage Connect & Interact Develop & Create Co-Create Co-Operate
  • 143. Develop your promotion In the course of this roadmap from (e)detailing to partnership you might want to: Detail e- Detail Promote & Engage Connect & Interact Develop & Create Co-Create Co-Operate
  • 144. Develop your promotion In the course of this roadmap from (e)detailing to partnership you might want to: Detail e- Detail Promote & Engage Connect & Interact Develop & Create Co-Create Co-Operate • Expand physicians’ internal relations with external ones through social media
  • 145. Develop your promotion In the course of this roadmap from (e)detailing to partnership you might want to: Detail e- Detail Promote & Engage Connect & Interact Develop & Create Co-Create Co-Operate • Expand physicians’ internal relations with external ones through social media • Multi Channel Management Use different channels of communication
  • 146. Develop your promotion In the course of this roadmap from (e)detailing to partnership you might want to: Detail e- Detail Promote & Engage Connect & Interact Develop & Create Co-Create Co-Operate • Expand physicians’ internal relations with external ones through social media • Multi Channel Management Use different channels of communication • Add mobile
  • 151. 4. Level of Integration 3. Partner Level 1. Level of Transaction 2. Level of Cooperation Service Offering Sponsoring These are our services Sponsor contract: Utilizing capacity, Experience and“know how”. Development of Partnership
  • 152. 4. Level of Integration 3. Partner Level 1. Level of Transaction 2. Level of Cooperation Service Offering Sponsoring Commitment on mutual effort Cooperation to realize goals Implementation Contract: Agreement at DMU level, on effort. These are our services Sponsor contract: Utilizing capacity, Experience and“know how”. Development of Partnership
  • 153. 4. Level of Integration 3. Partner Level 1. Level of Transaction 2. Level of Cooperation Service Offering Sponsoring Commitment on mutual effort Cooperation to realize goals Implementation Contract: Agreement at DMU level, on effort. These are our services Sponsor contract: Utilizing capacity, Experience and“know how”. Development of Partnership
  • 154. 4. Level of Integration 3. Partner Level 1. Level of Transaction 2. Level of Cooperation Commitment to joint Results Service Offering Sponsoring Commitment on mutual effort Design and realization of tailor made solutions Contract to design and implement Based on customer knowledge, and in co-maker-ship. Cooperation to realize goals Implementation Contract: Agreement at DMU level, on effort. These are our services Sponsor contract: Utilizing capacity, Experience and“know how”. Development of Partnership
  • 155. 4. Level of Integration 3. Partner Level 1. Level of Transaction 2. Level of Cooperation Multi party deal on Health Outcomes Commitment to joint Results Service Offering Sponsoring Commitment on mutual effort Targeting healthcare outcomes with more stakeholders Contract to integrated care with more parties: outcome directed, long term, In development and improvement. Design and realization of tailor made solutions Contract to design and implement Based on customer knowledge, and in co-maker-ship. Cooperation to realize goals Implementation Contract: Agreement at DMU level, on effort. These are our services Sponsor contract: Utilizing capacity, Experience and“know how”. Development of Partnership
  • 156.
  • 159.
  • 160. Drs.A.R.J. Halkes MHA rob.halkes@healthbusinessconsult.com P.O. Box 292 5050 AG Goirle The Netherlands M +31 6 31 66 2595 T http://www.twitter.com/rohal F http://www.facebook.com/rob.halkes  L http://nl.linkedin.com/in/arjhalkes  W www.healthbusinessconsult.com