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MedTech Capabilities: Services
Mission-critical information along with the knowledge and
technology to make it actionable
2014 Capabilities Overview: MedTech
1 4/8/2014
Services
Information
• Business intelligence & reporting
tools
• Deployment across multiple
platforms (PC, tablet, mobile)
• SaaS and hosted solution options
• Integrated Commercial Operation
Platforms: CRM, CLM, analytics and
IC
Technology
Core MedTech Data
• National product sales (units/price/share)
• National hospital charge master data
• National & subnational claims data
• Subnational (facility) sales & marketshare data
• Patient data
• Consumer data
Related Analogue Data
• National pharma Rxs
• National pharma subs
• National disease by indication data
• Doctor level Rx & decile data
• National Rx by plan
• Subnational Rx by doctor by plan
• Information Mgt., business Intelligence
(IMBI)
• Sales Force Effectiveness
• Health Economic and Outcomes
Research
• Marketing and Promotional Effectiveness
• Pricing & Market Access
• Reimbursement/Contract Mgt
• Product/portfolio strategy
• Competitive intelligence
Technology enabled customer interaction model
Customer centric 360° multi-channel approach
2014 Capabilities Overview: MedTech
2 4/8/2014
Non-
Personal
Interactions
Buyer/Influencer
Communications
Website
Visits
Cadaver Lab
Recruitment
Medical
Portals Visits
Convention
Follow-up
Direct mail
email
Websites
www
Mobile apps
Medical apps
Personal
Interactions
Inventory
Management
Surgery
Reports
Customer Profile/
Affiliations
PO/Invoice
Completion
Convention
Attendance
Sales
Data/
Analytics
Conventions
KOL/Thought Leader
Contact Center Rep
Sales Rep with iPad
Rep training/e-learning
Customer
IMS Health Advisory Services
2014 Capabilities Overview: MedTech
3 4/8/2014
IMBI • Data reformatting with client business rules
• Data Warehouse/Marts
• Integration of various data sources
• Executive and Field reporting with KPI’s across
multiple platforms
• CRM Implementation
• Commercial Outsourcing
• On-site FTE Resources (analysts, consultants, etc)
Information Management,
Business Intelligence
IMS Health Advisory Services: IMBI (Cont.)
2014 Capabilities Overview: MedTech
4 4/8/2014
c
Hosted Solutions
Can you just do this for me: Data Warehouse,
CRM, IC, Hosting?
Warehouse Integration
How can I integrate specialty supplier data?
How can I streamline ongoing processing?
System Integration
How do I integrate silo’d systems for one
system across the organization?
How do I manage different customer views?
Reporting & Analytics
What metrics should my B2B sales team use?
What metrics should my field team use?
What reports are best?
How can I enable my analysis easily?
Advisory Services
How do I transition from multiple reports
to a single, integrated feed ?
How can I optimize my processes to provide
speed to insight?
IMS Health Advisory Services
4/8/2014
2014 Capabilities Overview: MedTech
5
SFE • Sales Force Size & Structure
• Territory Alignment
• Profiling and Targeting
• Call Planning & Tailored Messaging
• Resource Optimization
• Performance Management
• Compensation Design
Sales force Effectiveness
IMS Health Advisory Services
4/8/2014
2014 Capabilities Overview: MedTech
6
Health Economic and Outcomes Research - HEOR
• Platform engines
• Data warehouse/data marts
• Encryption systems & linking
technology
• Meta-data repository
• User interface & sophisticated
• analytics library
• Electronic data capture
• Health economic evaluations
• Core models & local adaptations
• Budget impact
• Meta-analyses
• Indirect comparisons
• IMS CORE Diabetes Model
Largest collection of scientifically
validated, anonymized patient-level
data assets:
• Health plan claims
• Longitudinal Rx
• Electronic medical records
• Hospital disease
• Value development planning
• Market access strategy
• Core value dossiers & local
adaptations
• HTA readiness
• Value communication
• Reimbursement submissions
• Evidence generation
• Late-phase studies
• Patient-Reported Outcomes (PROs)
• Database studies
• Epidemiology
• Risk management
Outcomes
Research
Health
Economic
Modeling
Market
Access
• Data sourcing & validation
• Data integration & linking
• Data management & curation
• Platform development
• Customized analytics & reporting
• Evidence planning
Real-World
Evidence
Solutions
Technology
IMS
LifeLink
IMS Health Advisory Services
4/8/2014
2014 Capabilities Overview: MedTech
7
Marketing
Effectiveness
• Resource Allocation by Customer Segment
• Resource Allocation across Channels
• Message Effectiveness
• Program ROI Assessment
Marketing and Promotional
Effectiveness
Coverage Documentation Coding
Claims
Submission
Payment
IMS Health Advisory Services:
Pricing & Market Access
Our pricing and reimbursement expertise spans the entire
spectrum of client reimbursement needs combined with…
Provider justification that
patient meets coverage
criteria
Reporting of treatment and
product codes to payer for
payment
Specific conditions
required for
reimbursement
Classification of product
into a group for payment
Payment to provider or
patient based on code
and coverage policy
4/8/2014
2014 Capabilities Overview: MedTech
8
IMS Health Advisory Services:
Pricing & Market Access
• New coverage
determination by Centers
for Medicare & Medicaid
Services or private plan
• New coverage
determination by Centers
for Medicare & Medicaid
Services or private plan
• May be based on
previous device’s
coverage policy
• Good chance for applying
for and obtaining a new
code
• Code determination
based on the new
device’s fit within an
existing code
• Limited chance of
obtaining a new code,
if similar devices exist
• A deep understanding of
the unique coverage,
coding and payment
needs of clients with
novel devices & follow-on
devices
• If a new code is obtained,
new payment assigned
• Payment based on
existing code
4/8/2014
2014 Capabilities Overview: MedTech
9
MedTech
Category
Coverage Coding Payment
Novel
Devices
Follow-on
Devices
Process Management Services Systems Integration Services
IMS Health Advisory Services:
Reimbursement/Contract Mgt.
• Revitas/Model N/Vistex/BPI Systems
Implementations
• CARS Optimization/ Extensions of
Lifecycles
• Revitas & Model N Optimizations
• BPM Implementations
• Merger Integration
• Custom Payer Solutions
• Policies & Procedures
• Business Process
Re-engineering
• Contract Operational Excellence
• Large-Scale Program Planning
& Management
4/8/2014
2014 Capabilities Overview: MedTech
10
Enhance compliance and reduce the risk of financial penalties
Contract Process Management & Systems Integration Excellence
IMS Health Advisory Services:
Reimbursement/Contract Mgt.
Enhance compliance and reducing the risk of financial penalties
4/8/2014
2014 Capabilities Overview: MedTech
11
Managed Markets Compliance Services Managed Markets Audit Services
• Pharmacy Benefit Management/Managed
Care Organization Audits
• Chargebacks
• Mock Office of Inspector General Audits
• Specialty Audits
• Wholesaler Audits: Inventory
Management & Chargebacks
• Compliance Program Development
• Compliance Risk Assessments
• Eligible Entity Validation
• Government Pricing Restatements
• Federal Supply Schedule Development &
Negotiation Support
• 340B Fraud & Diversion Tracking
IMS Compliance & Audit Expertise Ensure Contract & Regulatory Compliance

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Med tech services

  • 1. MedTech Capabilities: Services Mission-critical information along with the knowledge and technology to make it actionable 2014 Capabilities Overview: MedTech 1 4/8/2014 Services Information • Business intelligence & reporting tools • Deployment across multiple platforms (PC, tablet, mobile) • SaaS and hosted solution options • Integrated Commercial Operation Platforms: CRM, CLM, analytics and IC Technology Core MedTech Data • National product sales (units/price/share) • National hospital charge master data • National & subnational claims data • Subnational (facility) sales & marketshare data • Patient data • Consumer data Related Analogue Data • National pharma Rxs • National pharma subs • National disease by indication data • Doctor level Rx & decile data • National Rx by plan • Subnational Rx by doctor by plan • Information Mgt., business Intelligence (IMBI) • Sales Force Effectiveness • Health Economic and Outcomes Research • Marketing and Promotional Effectiveness • Pricing & Market Access • Reimbursement/Contract Mgt • Product/portfolio strategy • Competitive intelligence
  • 2. Technology enabled customer interaction model Customer centric 360° multi-channel approach 2014 Capabilities Overview: MedTech 2 4/8/2014 Non- Personal Interactions Buyer/Influencer Communications Website Visits Cadaver Lab Recruitment Medical Portals Visits Convention Follow-up Direct mail email Websites www Mobile apps Medical apps Personal Interactions Inventory Management Surgery Reports Customer Profile/ Affiliations PO/Invoice Completion Convention Attendance Sales Data/ Analytics Conventions KOL/Thought Leader Contact Center Rep Sales Rep with iPad Rep training/e-learning Customer
  • 3. IMS Health Advisory Services 2014 Capabilities Overview: MedTech 3 4/8/2014 IMBI • Data reformatting with client business rules • Data Warehouse/Marts • Integration of various data sources • Executive and Field reporting with KPI’s across multiple platforms • CRM Implementation • Commercial Outsourcing • On-site FTE Resources (analysts, consultants, etc) Information Management, Business Intelligence
  • 4. IMS Health Advisory Services: IMBI (Cont.) 2014 Capabilities Overview: MedTech 4 4/8/2014 c Hosted Solutions Can you just do this for me: Data Warehouse, CRM, IC, Hosting? Warehouse Integration How can I integrate specialty supplier data? How can I streamline ongoing processing? System Integration How do I integrate silo’d systems for one system across the organization? How do I manage different customer views? Reporting & Analytics What metrics should my B2B sales team use? What metrics should my field team use? What reports are best? How can I enable my analysis easily? Advisory Services How do I transition from multiple reports to a single, integrated feed ? How can I optimize my processes to provide speed to insight?
  • 5. IMS Health Advisory Services 4/8/2014 2014 Capabilities Overview: MedTech 5 SFE • Sales Force Size & Structure • Territory Alignment • Profiling and Targeting • Call Planning & Tailored Messaging • Resource Optimization • Performance Management • Compensation Design Sales force Effectiveness
  • 6. IMS Health Advisory Services 4/8/2014 2014 Capabilities Overview: MedTech 6 Health Economic and Outcomes Research - HEOR • Platform engines • Data warehouse/data marts • Encryption systems & linking technology • Meta-data repository • User interface & sophisticated • analytics library • Electronic data capture • Health economic evaluations • Core models & local adaptations • Budget impact • Meta-analyses • Indirect comparisons • IMS CORE Diabetes Model Largest collection of scientifically validated, anonymized patient-level data assets: • Health plan claims • Longitudinal Rx • Electronic medical records • Hospital disease • Value development planning • Market access strategy • Core value dossiers & local adaptations • HTA readiness • Value communication • Reimbursement submissions • Evidence generation • Late-phase studies • Patient-Reported Outcomes (PROs) • Database studies • Epidemiology • Risk management Outcomes Research Health Economic Modeling Market Access • Data sourcing & validation • Data integration & linking • Data management & curation • Platform development • Customized analytics & reporting • Evidence planning Real-World Evidence Solutions Technology IMS LifeLink
  • 7. IMS Health Advisory Services 4/8/2014 2014 Capabilities Overview: MedTech 7 Marketing Effectiveness • Resource Allocation by Customer Segment • Resource Allocation across Channels • Message Effectiveness • Program ROI Assessment Marketing and Promotional Effectiveness
  • 8. Coverage Documentation Coding Claims Submission Payment IMS Health Advisory Services: Pricing & Market Access Our pricing and reimbursement expertise spans the entire spectrum of client reimbursement needs combined with… Provider justification that patient meets coverage criteria Reporting of treatment and product codes to payer for payment Specific conditions required for reimbursement Classification of product into a group for payment Payment to provider or patient based on code and coverage policy 4/8/2014 2014 Capabilities Overview: MedTech 8
  • 9. IMS Health Advisory Services: Pricing & Market Access • New coverage determination by Centers for Medicare & Medicaid Services or private plan • New coverage determination by Centers for Medicare & Medicaid Services or private plan • May be based on previous device’s coverage policy • Good chance for applying for and obtaining a new code • Code determination based on the new device’s fit within an existing code • Limited chance of obtaining a new code, if similar devices exist • A deep understanding of the unique coverage, coding and payment needs of clients with novel devices & follow-on devices • If a new code is obtained, new payment assigned • Payment based on existing code 4/8/2014 2014 Capabilities Overview: MedTech 9 MedTech Category Coverage Coding Payment Novel Devices Follow-on Devices
  • 10. Process Management Services Systems Integration Services IMS Health Advisory Services: Reimbursement/Contract Mgt. • Revitas/Model N/Vistex/BPI Systems Implementations • CARS Optimization/ Extensions of Lifecycles • Revitas & Model N Optimizations • BPM Implementations • Merger Integration • Custom Payer Solutions • Policies & Procedures • Business Process Re-engineering • Contract Operational Excellence • Large-Scale Program Planning & Management 4/8/2014 2014 Capabilities Overview: MedTech 10 Enhance compliance and reduce the risk of financial penalties Contract Process Management & Systems Integration Excellence
  • 11. IMS Health Advisory Services: Reimbursement/Contract Mgt. Enhance compliance and reducing the risk of financial penalties 4/8/2014 2014 Capabilities Overview: MedTech 11 Managed Markets Compliance Services Managed Markets Audit Services • Pharmacy Benefit Management/Managed Care Organization Audits • Chargebacks • Mock Office of Inspector General Audits • Specialty Audits • Wholesaler Audits: Inventory Management & Chargebacks • Compliance Program Development • Compliance Risk Assessments • Eligible Entity Validation • Government Pricing Restatements • Federal Supply Schedule Development & Negotiation Support • 340B Fraud & Diversion Tracking IMS Compliance & Audit Expertise Ensure Contract & Regulatory Compliance