6. Insights
Margaret – 50
On Micardis®
Recently diagnosed with diabetes
At a risk of stroke
She is worried
Pete - 45 and Suzan – 40
Pete on Tradjenta®
Suzan is taking medication for
hypertension.
6
7. Market Analysis - Getting into specifics
Disease focus
Diabetes
Stroke
Hypertens
ion
Can co-exist in a single
patient
Similar
hereditary, environmental
and other modifiable risk
factors
2 or more
family
members
therapy
1 person with
multiple
diseases
Drug
access and
Discount
packages
7
8. Market Analysis - Situation
Doctor - Patient interaction.
One dimensional
Focus on one patient at a time
Frequent clinic visits
Patients need more and more support
8
9. Current Resources - What BI has
Placement:
Product innovator
Market leader
Product:
Aggrenox, Micardis, Pradaxa,
Twynsta
Jentadueto, Tradjenta
Partners:
Insurance company
Healthcare provider
Distribution channels
Other partners
9
10. Business Model
What we have?
What we can do?
• Diabetes
6
• hyperten
sion
drugs
• stroke
Penetrative
Pricing
&
campaigns
Platforms
What we can get?
Develop
• New Market
• Loyalty
• Brand value
10
11. The M & M Fit
Me And Mine
- A family loyalty program
Events
Discount
Me &
Mine
Newsletter
Partnerships
11
12. The M & M Fit
Events
Health Talks
Diagnostic Campaign
Health Activities
Health Campaign
Events
Discou
nt
Me &
Mine
Partner
ships
Newsl
etter
12
13. The M & M Fit
Discounts
Discount on 6 medicines
Base discount for current customer
Additional discount for family
Events
members
Discou
nt
Me &
Mine
Partner
ships
Newsl
etter
13
14. The M & M Fit
Partnership
Partnerships with supermarkets
selling healthy food
Reward program
Partnerships Fitness centers
Discounts
Events
Discou
nt
Me &
Mine
Partner
ships
Newsl
etter
14
15. The M & M Fit
Newsletter
Information about disease
Disease specific diets
Diet Tips
Exercise tips
Events
Discou
nt
Me &
Mine
Partner
ships
Newsl
etter
15
16. Impact
PotentialMarket statistics
Population with more than one disease
7.14% or 16 million patients
Capturing just 1% , will be
$36M
revenue generated by M&M program
Diabetes
8.3%
Stroke
2.6%
Hypertension
30.6%
16
17. Impact
Stakeholders
Less visits to clinics
Long term support
Doctors
Value-add for customers
Customer loyalty
Pharmacist
Monetary benefits
Increase in customer base
Insurers
17
18. Contact Points
Existing channels
Pharmacists
Insurance companies
Non-profits
Existing patient assistance programs
Industry
Upgrade existing savings card users
Training doctors (CME)
Educational centers
Media
TV and Radio
Social Networking websites
Health mobile apps
19. Conclusion
Target
- One family (person) multiple diseases
- One disease multiple persons
Offering
- Me and mine
Costs:
- $ 4.7 million
Revenue generated:
- $36M (1% of potential customer)
- Long term effects
- How ‘do’ able is this?
19
22. IMPACT
Summary:
- The U.S. Pharmaceutical Market Size = $319B
- CAGR of 2.7% for the five-year period 2011 – 2016
- Expensive R&D (19%) and with B.I. (23.5%)
- “Patent cliff” effect that Generic Drug producers
with the Price lower than 90 percent.
Effect:
-In 2012, IRR = 7.2%, against 7.7 and 10.5 in two
preceding years.
-Estimated IRR = 7% in the future – barely
covering cost of capital.
-According, McKinsey’s report, average small
molecular drug has NPV = - $65M
23. Three diseases and
Products
Three diseases and sales in 2012:
* Diabetes - Tradjenta (expiry – April 24, 2017) – Sales: $151M
* Hypertension - Micardis (expiry – Jan 7 , 2014) – Sales: $640M
* Stroke - Predaxa (expiry – Feb 18, 2018) – Sales: $440M
B.I Market share:
- Diabetes: 0.5% (Tradjenta)
- Hypertension: 3.1% (Micardis)
- Stroke: 1.6% (Predaxa)
23
24. Word-of-Mouth or Family
Solution
Word-of-mouth:
• At 59 percent, the majority of word-ofmouth conversations occur at
home, whether offline or online.
• Offline conversations occur most
among females, those with a higher
education, older consumers and
married respondents or those living
with a partner.
• Online conversations are more likely
among males and younger
consumers.
24
25. How to measure the effect of
solution?
Financial Analysis:
• The NPV and IRR are decreasing because the cash flows decline
significantly after “Patents Cliff”.
• What should we do to maintain or increase the these ratios?
Increase the cash flows (before or after “Patents cliff”)
By Family Solution:
- Approach effectively to new customers,
- Family solution enhances the customers relationship that
decreases the “chunk rate”,
- This is the mutual benefit because customer will get discount
with high quality product and the company is able to “lock – in”
customers,
- We increase the cash flows after and even before “Patent cliff”.
25
26. Overlapping Market
Segments
Percentage of the U.S. population:
- Diabetes: 8.3%
- Hypertension: 30.6%
- Stroke: 2.6%
-Diabetes + Stroke: 2.01%
-Diabetes + Hypertension: 5.53%
-Hypertension + Stroke: 2.0%
-Diabetes + Hypertension + Stroke: 0.8%
-Overlapping part: 7.14% or 16million
patients
-Assume capture 1% of overlapping
part for new hypertension patients
= 160k new customers x $255 = $36M
Diabetes
Stroke
Hypertension
26
28. Report Analysis
Small molecules, history estimated for average drug:
Cash Flows
CASES
Before Patent Cliff After Patent Cliff
Normal
case
0
0
63
96
155
236
272
294
318
370
450
569
642
64
6
-1751
0
0
63
96
155
236
272
294
318
370
450
569
642
193
58
17
5
-1751
Solution
case
-1751
0
0
76
115
186
283
326
353
382
444
540
683
770
231
69
21
6
SUMMARY:
ITEMS
NPV
Normal case
Solution case
($250.43) ($196.05) $114.94
IRR
7.5%
8.1%
10.2%
% Decline After
Patent Cliff
10%
30%
30%
% Increase Before Patent Cliff
20%
28
Editor's Notes
Change the picturesSo we first analyzed the healthcare space. What are the underlying factors that influence health seeking behavior. And we surveyed many Americans, and came to realise that firstly, many elderly didn’t want to know their health status. Its almost as if they had an “ignorance is bliss” attitude (animate words to appear as elaborates). Secondly healthcare was something that was very intimate; and people were only genuinely influenced by their inner circle, well besides their healthcare providers ofcourse. So we are looking at family members here. Thirdly, the patients are becoming increasingly aware about issues and more assertive in behavior, as a whole the market is becoming more discerning when seeking advice.
Then we looked a little more downstream of the customer; sort of what were the experiences after getting all the advice. And we noticed two issues that are inter-related, insurance and cost. Now to illustrate this issue, lets meet Margaret. (play video)
Then we looked a little more downstream of the customer; sort of what were the experiences after getting all the advice. And we noticed two issues that are inter-related, insurance and cost. Now to illustrate this issue, lets meet Margaret. (play video)
Ok, so we know that Hypertension and Diabetes are rather closely inter-related and 2 out of 3 diabetics have hypertension. And in both diabetic & hypertensive patients, there is an increased risk of having a stroke. So there’s a sizeable amount of the population that are currently being treated for more than one of these chronic illnesses. Furthermore, these conditions have familiar predisposition so there may be more than 1 patient in the family.
Traditionally, doctors only treat the patient. They don’t engage the family. There is a one-dimensional interaction and the patient. The patient needs to change their eating habits, exercise regime and other lifestyle choices. However, they lacks the support that is needed to best treat the disease. And then there’s the added financial expenses. So the burden of health wears heavy on the patient.
But what can BI do for them? Well, firstly and perhaps most importantly, BI has the 6 drugs that treat these diseases. Secondly they have partners in the industry, non-profit organisations such as the American Diabetes Association. And a current distribution channel – healthcare providers, pharmacists and distributors.
And they all fall into place in the Me & Mine programme. The family loyalty programme designed to maximise the efficacy of treating a disease. It provides an ecosystem for patients to receive information, alleviates financial cost, holds events for family members to get involved in lifestyle changes and introduces complementing businesses.