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TPG-NPRT: How to Reach Payors Effectively

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Page 1: TPG-NPRT: How to Reach Payors Effectively
Page 2: TPG-NPRT: How to Reach Payors Effectively

Reaching Payors• Today’s market makes navigating payor

relationships difficult; you need connections• We allow you to take your product straight to

the decision maker• Remove the guess work and go to market

knowing the answers

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Page 3: TPG-NPRT: How to Reach Payors Effectively

We have the access you need

• Through years of experience we have acquired the industry connections you need

• Advisor group of 30 key decision makers • Feedback in real time

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Page 4: TPG-NPRT: How to Reach Payors Effectively

TPG-National Payor Roundtable (TPG-NPRT)

• TPG-NPRT provides sponsors unique access to Medical Directors and Pharmacy Directors• Highly interactive, educational format• Three concurrent sessions ensure attendees’

participation• It is conducted at an “arms-length” relationship with

low bias, which is appreciated by TPG-NPRT participants

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Page 5: TPG-NPRT: How to Reach Payors Effectively

TPG-NPRT• Conducting programs since 2005*• “Speed-dating” format enables multiple

interactions with Medical Directors and Pharmacy Directors

• Sponsors have found the relationships developed beneficial in generating new business or seeking payor insights

5* Originally known as the National Managed Care Roundtable (NMCRT)

Page 6: TPG-NPRT: How to Reach Payors Effectively

Live Meeting Description• Thirty Advisor Attendees

• Medical Directors from Health Plans and PBMs• Pharmacy Directors from Health Plans and PBMs• Employer Benefit Directors• Recruitment customized to sponsors’ needs

• Three Sponsors• Three 2-hour, Concurrent Sessions• Three Moderators

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Page 7: TPG-NPRT: How to Reach Payors Effectively

Sponsor Benefits• Relationships developed lead to access

to key decision-makers• Successful sales are driven through the medical department and

the pharmacy department; we provide access

• Undeniable economics–cost per advisor for interaction with 30 potential customers with influence and insights is extremely efficient

• Advisor feedback related to product, pricing and design leads to market success

• Format allows ample time for quality improvement between roundtable sessions

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Page 8: TPG-NPRT: How to Reach Payors Effectively

Sample Agenda • Arrivals Friday Evening

• Potential 2-Hour Firewalled CE program• Saturday Roundtable Meeting Schedule

• 6:30 am–7:30 am Breakfast• 7:30 am–9:30 am Roundtable #1 (10 advisors)• 9:30 am–9:45 am Break• 9:45 am–11:45 am Roundtable #2 (10 different advisors)• 11:45 am–12:45 pm Lunch• 12:45 pm–2:45 pm Roundtable #3 (10 different advisors)• 2:45 pm–4:00 pm Reception & Departures

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Page 9: TPG-NPRT: How to Reach Payors Effectively

Sample Agenda (cont’d)Time Frame Subject Speaker10 minutes Welcome and Introduction to Program Moderator

15 minutesIntroduction to Company Overview of Company Update on Products and Services

To Be Determined

45 minutes Discussion of Disease or Business Issue Case Study

To Be Determined

45 minutes Roundtable Discussion, Questions & Answers Moderator

5 minutes Closing Remarks

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Page 10: TPG-NPRT: How to Reach Payors Effectively

Past Program Participants• Aetna • Assurant• Blue Cross Blue Shield Plans

(multiple states including CA, IL, LA, MI, MN, NJ, SC, TX)

• Catamaran• CIGNA Healthcare • Coventry Healthcare• Express Scripts• Fallon Community Health Plan• Geisinger Health Plan• HAP of Michigan• Harvard Pilgrim Health Care

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• Health Net • Healthcare Partners • Humana• Lovelace Health System • MedImpact Health Systems• Moda• Molina Healthcare• Prescription Solutions• Priority Health• SelectHealth• VA Hospital System• WellPoint NextRx• WellDyne

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Advisor Evaluations• Overall Program: 4.6 out of 5 • Faculty: 4.5

• Knowledgeable; connected well with audience; terrific review; unbiased; great opportunity to visit a difficult disease

• Moderator: 4.6 • Outstanding; related well to the participants;

thought-provoking; kept discussion on track. “As well-done a job as any program I have attended.”

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Advisor Comments on Program Strengths

• “The idea exchange between participants was a highlight” • “The format and interactive nature of the program was

terrific” • “Bringing physicians from around the country with different

backgrounds to openly discuss problems, concerns and new medications was great”

• “I loved the variety of topics with enough time to explore each, without a prolonged program”

• “The quality of the group with great inputs from everyone”

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Page 13: TPG-NPRT: How to Reach Payors Effectively

Advisor-Suggested Topics

for Future Meetings• Chronic Disease Management• Preventive Care—Quality & Safety • Diabetes and New Agents• Oncology Management • Clinician-Administered Medications (Injectables & Vaccines)• Women’s Health Issues• Specialty Pharmacy Approaches • New Technology Offerings • E-prescribing Vendors and Formulary Maintenance Software

• Wellness & Prevention Programs (Productivity Management)

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Page 14: TPG-NPRT: How to Reach Payors Effectively

Base Sponsorship Package• Program development and management• Moderator• Opportunities for input on advisors • TPG-NPRT will field your detailed pre-meeting

online survey (results ‘blinded’)• Distribution of your ‘pre-read’ communications• All participant expenses*

• No spouse/guest reimbursements• Post-meeting summary report/PowerPoint• Up to 5 sponsor attendees• Sunshine Law compliant *Sponsor’s travel and expense not reimbursed. †Additional enhancements available (next slide). 14

Page 15: TPG-NPRT: How to Reach Payors Effectively

Sponsorship Enhancements

A la carte items• Pre-Meeting

• Challenged access plan identification • Development of pre-meeting survey • Fine tuning of presentation materials• Briefing book with detailed summaries

of Advisors and Plans • Potential attributed survey responses

• Meeting• Audience Response Systems (~$5k)• Video snapshots (Speakers, advisors,

sponsor marketers)• Additional attendees (per attendee)

• Post Meeting• Advisor/Plan detailed summaries• White papers• Supplements • Virtual ‘follow-up’ program• Audio-recording (if desired/permitted)

White Glove Concierge• Pre-Meeting

• Development of pre-meeting survey

• Briefing book with detailed summaries of Advisors and Plans

• Meeting• 2 additional attendees

(7 total)• Post Meeting

• Advisor/Plan Detailed Summaries

• Audio-recording (if desired/permitted)

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Page 16: TPG-NPRT: How to Reach Payors Effectively

Educational Program Opportunities

• Two-hour program• On the evening prior to an NPRT program• Audience of NPRT advisors• Firewalled as required by Pharma Guidelines

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Page 17: TPG-NPRT: How to Reach Payors Effectively

Compliance Competency• TPG-NPRT Advisor Agreements

• TPG-NPRT administers the program’s advisor agreement or specific sponsor’s documents

• Advisors are informed of sponsor requirements and must comply to participate. TPG-NPRT• Considers informed compliance an advisor responsibility and

provides accurate information before each meeting to the advisor and after each meeting to sponsors as required

• Works with sponsors under Corporate Integrity Agreement (CIA) situations and meets their reporting and audit requirements

• Advisor honoraria are split between the three (3) sponsors and are within Pharma guidelines.

• Moderator honoraria within Pharma guidelines.

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Page 18: TPG-NPRT: How to Reach Payors Effectively

Meeting Schedule• 2016:

All meetings at the DFW Grand Hyatt • October 21st-22st

•  [Custom “single-sponsor” days also available (client choice of date and location)

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Page 19: TPG-NPRT: How to Reach Payors Effectively

TPG-NPRT Virtual Programs

• Meetings conducted via web-technologies• Customized single-sponsor programs• Can be rapidly convened to present data and

obtain feedback in a timely manner• Service package includes: recruitment,

detailed pre-meeting online survey, post-meeting report, all honoraria payments

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Page 20: TPG-NPRT: How to Reach Payors Effectively

• Project-based and individually-focused market research involving the payor markets• Telephone- and Web-based surveys

• In-depth studies for pharmaceutical, health care industries

• Targeting medical directors and pharmacy directors, employers, long-term care executives, others

• InstaSurvey™• 48-hr turnaround on your most pressing payor

market questions• Network of payor executives respond immediately to

small set of questions

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Market Research

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• Formulary Factor™: The Virtual P&T Committee• An authentic, live Pharmacy and Therapeutics (P&T)

panel that evaluates new pharmaceuticals and competitors’ products for coverage for a virtual health plan

• Tech Assessment Factor™• An authentic, live technology assessment committee that

evaluates new biologics, diagnostics, and devices for possible coverage for a virtual health plan or system

• Specifically for medical benefit coverage intelligence• Custom Publishing—Monographs, newsletters,

periodicals, journal supplements on clinical, health policy, and coverage issues

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Custom Capabilities

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Questions?

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Page 23: TPG-NPRT: How to Reach Payors Effectively

Jim Smeeding, RPh, MBAPresident

214.245.4613 O&VM214.287.4808 Cell214.245.4623 FAX

[email protected]

Contact Info

TPG-National Payor Roundtable LLC Corporate Headquarters

160 Oak StGlastonbury, CT 06033

860.657.341623