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www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
ROADMAP TO MARKET ACCESS
Demonstrating value to purchasers
3rd Annual Medical Device Access Leaders Forum
Berlin, Germany – 9th December, 2014
Ernesto M. Nogueira
Managing Director, ValueConnected
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Medical technology is the number one
innovative industry in Europe
18 to 24 months innovation cycle
One new patent every 50 minutes
Ã
Ã
Ã
RESOURCE
ALLOCATION
DILEMMA.
8
Some facts:
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
A FEW YEARS AGO
TODAY
Demands have increased significantly
AVAILABLE TIME TO RESPOND TO MARKET
MARKET DEMAND
FOR EVIDENCE
MARKET DEMAND
FOR EVIDENCE
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
ANNUAL GROWTH OF MEDTECH EUROPEAN SALES
2000-2010 2010-2020 Source: BCG, 2013
While growth has decreased
10%
3%
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Decisions come from two different groups:
More professional – consolidation into groups
PURCHASING1.
Higher demand for clinical and economic evidence
REIMBURSEMENT2.
PRICE
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Options for establishing prices:
Immediate positive impact on revenues
Medium and long-term issues
• Pressure for further price cuts
• Weak differentiation point
• Quality of service
LOWER PRICES.01
Results may not be immediate
Medium and long-term opportunities
• Educate and develop market
• Build trust
• Unique market position
DEMONSTRATE VALUE.02
 DOES NOT CREATE VALUE. à JUSTIFIES PRICE.
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
So what exactly is value?
01 Perception coming from the market
02 Benefits to different stakeholders
03 Comparable to alternatives
04 Measurable/quantifiable
05 Combines relevant clinical & economic aspects
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Features vs Benefits
“Our new device comes
in 5 different sizes that
are all easy to use”
THIS IS A FEATURE,
NOT A BENEFIT.
!
zzzz
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
ValueValue is the perception of market
decision-makers about the clinical and
economic benefits of your product.
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
How important is value for Purchasers?
“Value-based healthcare stood out
as the top priority across all
segments of respondents.”
Source: BCG 2013 survey
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Every month, thousands of medical products are launched on the
market, yet only a fraction will demonstrate enough value to
achieve market adoption.
Our job is to make sure yours is one of them.
Welcome to ValueConnected.
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Demonstrating value to purchasers
INTRODUCING AN INNOVATIVE TREATMENT.
Case Example:
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
One of the largest European markets had patient monitoring
as the standard care pathway for a certain disease
Health Technology Assessment (HTA) agencies had given
positive appraisal for the new technology
About 12% of patients would develop serious complications,
including neoplasia, thus leading to expensive treatments
Ã
Ã
Ã
However, local purchasers only focused on the upfront costs
and did not understand the value of the innovation
Â
“More expensive than standard treatment”
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
HOW MUCH DOES IT
REDUCE
COMPLICATIONS?
WHAT IS THE IMPACT
ON REDUCED
HOSPITALIZATIONS?
HOW CAN WE JUSTIFY
THE UPFRONT
INVESTMENT?
WHAT IS THE
EXPECTED IMPACT ON
COSTS AND BUDGET?
Facing initial market barriers
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Step 1:
IDENTIFY DECISION MAKERS AND THEIR PROBLEMS.
CLINICAL GROUPS:
Responsible for prescribing the treatment
Believed in the technology and could not justify its economic benefits!
PURCHASING DEPARTMENTS:
Responsible for the final purchasing negotiation and decision
Uncertain about the budget impact from the acquisition of the technology!
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
WHICHEVIDENCE
ADDRESSESTHE
PROBLEMS?
WHATCOSTDATA
ISNEEDED?
WHATARETHE
EVIDENCEGAPS?
Step 2:
REVIEW EVIDENCE AND COLLECT DATA.
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Step 3:
BUILD AND COMMUNICATE THE VALUE MESSAGES.
Reduced hospitalization days based on patient profilesÃ
Overall economic result and break-even analysisÃ
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Prepare commercial
teams to deliver value
messages.
Step 3:
BUILD AND COMMUNICATE THE VALUE MESSAGES.
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
And go from
product supplier to
business partner.
Step 3:
BUILD AND COMMUNICATE THE VALUE MESSAGES.
Partner
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
• Better understanding of real results as compared to the clinical evidence
• Stronger arguments to request the technology
CLINICAL GROUPS.
• Detailed economic assessment of the new technology
• “You are doing our jobs for us”
PURCHASING DEPARTMENTS.
Main results:
• Prepare teams to approach non-clinical decision makers
• Increased sales
COMPANY.
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Value justifies the price of medical technologies in the
current cost-cutting environment
The ability to communicate value is as important as the
skills to generate the value message
Before demonstrating value, companies must focus on the
decision-makers and identify their problems
Ã
Ã
Ã
Value-based strategies are more than only tools, they impact
business models and selling approaches
Ã
Key take-aways:
www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
Ernesto M. Nogueira
Managing Director
Office: +31 70 250 0078
Mobile: +31 6 468 92 568
Email: enogueira@valueconnected.com
Web: www.valueconnected.com
in
t @ernestonogueira
in/ernestonogueira
Thank You.

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Demonstrating Medical Device Value to Purchasers

  • 1. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands ROADMAP TO MARKET ACCESS Demonstrating value to purchasers 3rd Annual Medical Device Access Leaders Forum Berlin, Germany – 9th December, 2014 Ernesto M. Nogueira Managing Director, ValueConnected
  • 2. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Medical technology is the number one innovative industry in Europe 18 to 24 months innovation cycle One new patent every 50 minutes à à à RESOURCE ALLOCATION DILEMMA. 8 Some facts:
  • 3. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands A FEW YEARS AGO TODAY Demands have increased significantly AVAILABLE TIME TO RESPOND TO MARKET MARKET DEMAND FOR EVIDENCE MARKET DEMAND FOR EVIDENCE
  • 4. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands ANNUAL GROWTH OF MEDTECH EUROPEAN SALES 2000-2010 2010-2020 Source: BCG, 2013 While growth has decreased 10% 3%
  • 5. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Decisions come from two different groups: More professional – consolidation into groups PURCHASING1. Higher demand for clinical and economic evidence REIMBURSEMENT2. PRICE
  • 6. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Options for establishing prices: Immediate positive impact on revenues Medium and long-term issues • Pressure for further price cuts • Weak differentiation point • Quality of service LOWER PRICES.01 Results may not be immediate Medium and long-term opportunities • Educate and develop market • Build trust • Unique market position DEMONSTRATE VALUE.02 Â DOES NOT CREATE VALUE. Ã JUSTIFIES PRICE.
  • 7. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands So what exactly is value? 01 Perception coming from the market 02 Benefits to different stakeholders 03 Comparable to alternatives 04 Measurable/quantifiable 05 Combines relevant clinical & economic aspects
  • 8. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Features vs Benefits “Our new device comes in 5 different sizes that are all easy to use” THIS IS A FEATURE, NOT A BENEFIT. ! zzzz
  • 9. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands ValueValue is the perception of market decision-makers about the clinical and economic benefits of your product.
  • 10. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands How important is value for Purchasers? “Value-based healthcare stood out as the top priority across all segments of respondents.” Source: BCG 2013 survey
  • 11. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Every month, thousands of medical products are launched on the market, yet only a fraction will demonstrate enough value to achieve market adoption. Our job is to make sure yours is one of them. Welcome to ValueConnected.
  • 12. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Demonstrating value to purchasers INTRODUCING AN INNOVATIVE TREATMENT. Case Example:
  • 13. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands One of the largest European markets had patient monitoring as the standard care pathway for a certain disease Health Technology Assessment (HTA) agencies had given positive appraisal for the new technology About 12% of patients would develop serious complications, including neoplasia, thus leading to expensive treatments à à à However, local purchasers only focused on the upfront costs and did not understand the value of the innovation  “More expensive than standard treatment”
  • 14. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands HOW MUCH DOES IT REDUCE COMPLICATIONS? WHAT IS THE IMPACT ON REDUCED HOSPITALIZATIONS? HOW CAN WE JUSTIFY THE UPFRONT INVESTMENT? WHAT IS THE EXPECTED IMPACT ON COSTS AND BUDGET? Facing initial market barriers
  • 15. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Step 1: IDENTIFY DECISION MAKERS AND THEIR PROBLEMS. CLINICAL GROUPS: Responsible for prescribing the treatment Believed in the technology and could not justify its economic benefits! PURCHASING DEPARTMENTS: Responsible for the final purchasing negotiation and decision Uncertain about the budget impact from the acquisition of the technology!
  • 16. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands WHICHEVIDENCE ADDRESSESTHE PROBLEMS? WHATCOSTDATA ISNEEDED? WHATARETHE EVIDENCEGAPS? Step 2: REVIEW EVIDENCE AND COLLECT DATA.
  • 17. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Step 3: BUILD AND COMMUNICATE THE VALUE MESSAGES. Reduced hospitalization days based on patient profilesà Overall economic result and break-even analysisÃ
  • 18. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Prepare commercial teams to deliver value messages. Step 3: BUILD AND COMMUNICATE THE VALUE MESSAGES.
  • 19. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands And go from product supplier to business partner. Step 3: BUILD AND COMMUNICATE THE VALUE MESSAGES. Partner
  • 20. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands
  • 21. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands • Better understanding of real results as compared to the clinical evidence • Stronger arguments to request the technology CLINICAL GROUPS. • Detailed economic assessment of the new technology • “You are doing our jobs for us” PURCHASING DEPARTMENTS. Main results: • Prepare teams to approach non-clinical decision makers • Increased sales COMPANY.
  • 22. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Value justifies the price of medical technologies in the current cost-cutting environment The ability to communicate value is as important as the skills to generate the value message Before demonstrating value, companies must focus on the decision-makers and identify their problems à à à Value-based strategies are more than only tools, they impact business models and selling approaches à Key take-aways:
  • 23. www.valueconnected.com • contact@valueconnected.com • Tel. +31 70 250 0078 • WTC The Hague, Prinses Margrietplantsoen 33, 2595 AM The Hague, The Netherlands Ernesto M. Nogueira Managing Director Office: +31 70 250 0078 Mobile: +31 6 468 92 568 Email: enogueira@valueconnected.com Web: www.valueconnected.com in t @ernestonogueira in/ernestonogueira Thank You.