SlideShare a Scribd company logo
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
2
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
3
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
4
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)
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
6
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
7
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
8
Sample Agenda (cont’d)
Time Frame Subject Speaker
10 minutes Welcome and Introduction to Program Moderator
15 minutes
Introduction 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
9
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
10
• 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
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.”
11
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”
12
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)
13
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
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)
15
Educational Program
Opportunities
• Two-hour program
• On the evening prior to an NPRT program
• Audience of NPRT advisors
• Firewalled as required by Pharma Guidelines
16
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.
17
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)
18
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
19
• 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
20
Market Research
• 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
21
Custom Capabilities
Questions?
22
Jim Smeeding, RPh, MBA
President
214.245.4613 O&VM
214.287.4808 Cell
214.245.4623 FAX
Jim.Smeeding@tpg-nprt.com
Contact Info
TPG-National Payor Roundtable LLC
Corporate Headquarters
160 Oak St
Glastonbury, CT 06033
860.657.3416
23

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TPG-NPRT: How to Reach Payors Effectively

  • 1.
  • 2. 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 2
  • 3. 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 3
  • 4. 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 4
  • 5. 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)
  • 6. 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 6
  • 7. 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 7
  • 8. 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 8
  • 9. Sample Agenda (cont’d) Time Frame Subject Speaker 10 minutes Welcome and Introduction to Program Moderator 15 minutes Introduction 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 9
  • 10. 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 10 • 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
  • 11. 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.” 11
  • 12. 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” 12
  • 13. 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) 13
  • 14. 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
  • 15. 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) 15
  • 16. Educational Program Opportunities • Two-hour program • On the evening prior to an NPRT program • Audience of NPRT advisors • Firewalled as required by Pharma Guidelines 16
  • 17. 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. 17
  • 18. 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) 18
  • 19. 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 19
  • 20. • 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 20 Market Research
  • 21. • 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 21 Custom Capabilities
  • 23. Jim Smeeding, RPh, MBA President 214.245.4613 O&VM 214.287.4808 Cell 214.245.4623 FAX Jim.Smeeding@tpg-nprt.com Contact Info TPG-National Payor Roundtable LLC Corporate Headquarters 160 Oak St Glastonbury, CT 06033 860.657.3416 23