2. Primary Stakeholders of the healthcare System
Patient
Physician
Healthcare system
Pharmacy
Primary care
Physician
(PCP)
Specialist
Visit
Acute care
(emergency)
Out-
patient
in-
patient
Transfer
Discharge
Admission
Secondary and
tertiary care
Govt / Private
Hospital
Urgent care
centers
Operation
Theatre
Diagnostics
Microbiology,
Pathology, Imaging,
immunology
Prescription
(Rx)
Order
Drug fill
Resource
Utilization
Objective
- Quality care
- Low cost
- No
complications
Emergency
3. Secondary stakeholders of the healthcare System
Patient Physician Healthcare system
Pharmacy
Diagnostics
Objective
- Reduce
healthcare
costs
- Drive quality
with providers
Private Insurance
Healthcare Payer
Government payer
Benefits Provider
Management
Actuary
Claims
Management
Medical
Management
Pre-authorization, Claim
Enrollment
Provider
network
Payment
Pharmacy Benefit Manager
Contract
Benefits Pharmacy network
Management
Pharmacy &
Therapeutics
Claims
Management
Specialty Pharmacy
Management
Pre-authorization, Claim
4. Next level of stakeholders in the healthcare System
Patient Physician Healthcare system
Pharmacy
Diagnostics
Objective
- Manage
population
healthcare
- Provide quality
drugs for
diseases
Healthcare Payer
Pharmacy Benefit
Manager
Long term care
Pharmaceutical Company
Employers
Drug
Discovery
Drug
Development
Manufacturing
Regulatory
approvals
Commercialization
Nursing Rehabilitation
Chronic care
National Regional
Member /
Subscriber
Enrollment, premium
Referral
Education,
awareness,
support
Promotion Supply
Inclusion in
Formulary,
rebates
Clinical
trials
5. Pharma companies form a big sponsor of analytics
Drivers
• Recruitment of investigators
for clinical trials
• Leverage Key Opinion
Leaders (KOLs) as advocates
for a drug
• Promotion of a drug for
generating prescriptions
Metrics
• Investigator Recruitment
efficiency
• Quality of Physician
engagement
• Physician promotion
revenue generation
Data
• Physician data
• Claims data
• Prescription data
• Promotions data
• Sales data
Physician
Pharmaceutical company
R&D
Drug Education
Promotion
Medical
Commercial
Real world data
7. Scope of analytics work in India
• What kind of lifesciences analytics work is done in India ?
• Healthcare
• Pharma
• Simple to advanced analytics
• How is an typical healthcare analytics project executed ?
• Duration
• Skills needed
• Responsibilities
• How common is analytics in Indian settings - Healthcare and pharma ?
8. Type of analytics projects in Lifesciences space
• What opportunities do we have in lifesciences analytics space ?
• Companies
• Analysts roles
• Decision scientists roles
• Which are the most common projects in Lifesciences
• Healthcare
• Pharmaceuticals
• How will career progress in lifesciences analytics space
• Type of projects
• Skill progression
Editor's Notes
There are many stakeholders in the healthcare system, but we will divide them into 3 parts to understand the interactions a bit better. The first set are the core stakeholders who provide the actual care. The next stakeholders help financing the care and the third set of stakeholder contribute significantly to the ecosystem by providing ancillary services.
