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WELCOME
Bolstering Your Hospital’s Bottom Line
May 1, 2018
BOLSTERING YOUR HOSPITAL’S
BOTTOM LINE
How to Gain Negotiation Leverage in Capital Equipment Purchases
and Service Contracts
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 2
Today’s Presenter
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 3
Peter Robson
Founder & CEO,
Miga Solutions Inc.
What We’ll Cover
1. Why capital negotiations are unique?
2. Information and insight to gain leverage
3. “How To”: 3 strategies to boost your bottom line
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 4
Every Negotiation Requires Different Strategies
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 5
Hospitals Have Optimized Supply Costs…
• Standard products, predictable volumes
• Recurring purchases every 5, 7, 10 days
• Billable at predictable rates
• Good info = informed negotiations
• Savings maximized
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 6
…But Not Capital Equipment
• Every quote or contract is unique… and complex
• Technology evolves - you buy every 5, 7, 10 yrs.
• Every negotiation requires different strategies
• Less informed = less effective negotiations
• Excess TCO impacts bottom line for years
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 7
Ever Feel This Way?
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 8
Negotiation Playing Field Is Not Level
• < 3% of quotes reflect optimal pricing
• > Half of service contracts contain savings of at least 15% or more
• 12-16% untapped savings opportunity - $13,000 per bed/per year
• Most hospitals suspect they are overpaying, but don’t know by how much
The secret is having the right information and insight.
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 9
“How To”: 3 Strategies to Gain Negotiation Leverage
1. Competition
2. Communication
3. Commitment
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 10
1. (CREATE PLAUSIBLE)
COMPETITION
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 11
1. Create Plausible Competition
• FACT: Single source without competition = $$$
• Legitimate competition, viable manufacturers
• Must meet clinical, technical, financial
requirements
• Be open minded, consider options
• Announce selection after best price secured
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 12
Competition - Hospital Example
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 13
• Renewal of multi-vendor service for 51 imaging systems
• Planning to renew w/ existing, hadn’t explored options
• $1,200,000 annually, $6,000,000 over 5 years
• Market data identified potential savings between 11-29%
• Introduced competition, negotiated savings of $220,000
annually (18%), $1,100,000 over 5 years
2. COMMUNICATE
(EARLY… AND OFTEN)
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 14
2. Communicate Early… and Often
• Get stakeholder buy in before negotiating
• Explain decision process
• Establish and communicate realistic timeline
• Keep everyone informed
• Effective internal and external
communications are key to success
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 15
Communication - Hospital Example
• System-wide patient monitor conversion
• Common pitfalls delayed final decision
• Incumbent vendor assumed they’d won
• Project over budget, introduced competition
through pre-owned equipment
• Negotiated savings of $1.1M (19.7%)
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 16
3. (DON’T FEAR)
COMMITMENT
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 17
3. Don’t Fear Commitment
• P.O. as “carrot” to gain final concessions
• Be clear and ready to deliver!
• Verbal commitments are non-binding
• No P.O. = unsettling for vendors
• P.O. cements value for all, peace of mind
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 18
Commitment - Hospital Example
• New wing - expanded services, private rooms, $100M
• Hard deadline, ribbon cutting planned
• IT issues delayed equipment procurement
• Vendors skeptical, anticipated ongoing delays
• Hospital effectively used promise of P.O. to:
• Negotiate better pricing ($3M saved)
• Reset expectations for expedited delivery (on time)
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 19
Use the 3 Cs to Gain Leverage in Your Negotiations
1. Create Plausible Competition
2. Communicate Early… and Often
3. Don’t Fear Commitment
Level the playing field, 12-16% savings.
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 20
Summary – Boost Your Hospital’s Bottom Line
• All capital medical equipment
purchases are different
• Both information and insight are
helpful in changing the outcome
• The 3 Cs can help level the playing
field
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 21
Q&A
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 22
THANK YOU
Peter Robson | CEO | O: (763) 225-8407 | C: (612) 859-2332 | probson@migasolutions.com
©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 23
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Bolster Your Hospital's Bottom Line: How To Gain Negotiation Leverage in Capital Equipment Purchases and Service Contracts

  • 1. WELCOME Bolstering Your Hospital’s Bottom Line May 1, 2018
  • 2. BOLSTERING YOUR HOSPITAL’S BOTTOM LINE How to Gain Negotiation Leverage in Capital Equipment Purchases and Service Contracts ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 2
  • 3. Today’s Presenter ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 3 Peter Robson Founder & CEO, Miga Solutions Inc.
  • 4. What We’ll Cover 1. Why capital negotiations are unique? 2. Information and insight to gain leverage 3. “How To”: 3 strategies to boost your bottom line ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 4
  • 5. Every Negotiation Requires Different Strategies ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 5
  • 6. Hospitals Have Optimized Supply Costs… • Standard products, predictable volumes • Recurring purchases every 5, 7, 10 days • Billable at predictable rates • Good info = informed negotiations • Savings maximized ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 6
  • 7. …But Not Capital Equipment • Every quote or contract is unique… and complex • Technology evolves - you buy every 5, 7, 10 yrs. • Every negotiation requires different strategies • Less informed = less effective negotiations • Excess TCO impacts bottom line for years ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 7
  • 8. Ever Feel This Way? ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 8
  • 9. Negotiation Playing Field Is Not Level • < 3% of quotes reflect optimal pricing • > Half of service contracts contain savings of at least 15% or more • 12-16% untapped savings opportunity - $13,000 per bed/per year • Most hospitals suspect they are overpaying, but don’t know by how much The secret is having the right information and insight. ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 9
  • 10. “How To”: 3 Strategies to Gain Negotiation Leverage 1. Competition 2. Communication 3. Commitment ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 10
  • 11. 1. (CREATE PLAUSIBLE) COMPETITION ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 11
  • 12. 1. Create Plausible Competition • FACT: Single source without competition = $$$ • Legitimate competition, viable manufacturers • Must meet clinical, technical, financial requirements • Be open minded, consider options • Announce selection after best price secured ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 12
  • 13. Competition - Hospital Example ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 13 • Renewal of multi-vendor service for 51 imaging systems • Planning to renew w/ existing, hadn’t explored options • $1,200,000 annually, $6,000,000 over 5 years • Market data identified potential savings between 11-29% • Introduced competition, negotiated savings of $220,000 annually (18%), $1,100,000 over 5 years
  • 14. 2. COMMUNICATE (EARLY… AND OFTEN) ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 14
  • 15. 2. Communicate Early… and Often • Get stakeholder buy in before negotiating • Explain decision process • Establish and communicate realistic timeline • Keep everyone informed • Effective internal and external communications are key to success ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 15
  • 16. Communication - Hospital Example • System-wide patient monitor conversion • Common pitfalls delayed final decision • Incumbent vendor assumed they’d won • Project over budget, introduced competition through pre-owned equipment • Negotiated savings of $1.1M (19.7%) ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 16
  • 17. 3. (DON’T FEAR) COMMITMENT ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 17
  • 18. 3. Don’t Fear Commitment • P.O. as “carrot” to gain final concessions • Be clear and ready to deliver! • Verbal commitments are non-binding • No P.O. = unsettling for vendors • P.O. cements value for all, peace of mind ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 18
  • 19. Commitment - Hospital Example • New wing - expanded services, private rooms, $100M • Hard deadline, ribbon cutting planned • IT issues delayed equipment procurement • Vendors skeptical, anticipated ongoing delays • Hospital effectively used promise of P.O. to: • Negotiate better pricing ($3M saved) • Reset expectations for expedited delivery (on time) ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 19
  • 20. Use the 3 Cs to Gain Leverage in Your Negotiations 1. Create Plausible Competition 2. Communicate Early… and Often 3. Don’t Fear Commitment Level the playing field, 12-16% savings. ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 20
  • 21. Summary – Boost Your Hospital’s Bottom Line • All capital medical equipment purchases are different • Both information and insight are helpful in changing the outcome • The 3 Cs can help level the playing field ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 21
  • 22. Q&A ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 22
  • 23. THANK YOU Peter Robson | CEO | O: (763) 225-8407 | C: (612) 859-2332 | probson@migasolutions.com ©2018 Miga Solutions, Inc. All Rights Reserved. May not be copied or circulated without prior permission. 23

Editor's Notes

  1. “Don’t make go to grandma’s birthday party!” “Come on, just a little bite of the sandwich!” “But the fence is on my property!”
  2. David and Goliath – the story of the underdog
  3. In the absence of information people tend to assume the worst
  4. Recommunicated, re-established plan