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1Winning the Battle for Consumer Healthcare: Science Versus the Marketers
WinningtheBattleforConsumerHealthcare
Science Versus
the Marketers
This paper is the first in a series on the fight between
consumer goods and pharmaceuticals for an
emerging new market. One industry is strong in
marketing; the other shines in science. Which will win?
2Winning the Battle for Consumer Healthcare: Science Versus the Marketers
Big changes are afoot in consumer markets, thanks to shifting global demographics that are
creating a new battleground between pharmaceuticals and consumer goods. It seems that
most food companies are keen to persuade consumers that their products are both tasty
and healthy. Personal-care companies are following a similar path, emphasizing that their
products have a scientific basis. At the extreme end of this trend, emerging new products
promise to deliver health benefits traditionally offered by pharmaceutical products.
These products are scientifically tailored either to address specific health needs or to
increase some dimension of performanceā€”and it is big business; going beyond the traditional
over-the-counter (OTC) market, it is estimated at approximately $125 billion globally. For
example, functional foods alone, which have a potentially positive effect on health beyond
basic nutrition, are predicted to grow from a global market of around $165 billion in 2007 to
more than $240 billion by 2012, according to Euromonitor.
Although these complex, scientifically based products were originally the domain of niche
companies such as Yakult, major consumer goods companies are now focusing on opportunities
for growth and profitability. Danone is investing heavily in medical foods through its Nutricia
brand, Minute Maid has introduced juices with added plant sterols, multivitamins, and omega-3
fatty acids, and NestlƩ has started a consumer health business. The company has already
launched several joint ventures with L'OrƩal, including one called Inneov Laboratories that
combines the nutritional expertise of one with the dermatological expertise of the other.
At the same time, pharmaceutical companies, starved of new blockbuster prescription molecules,
are also getting into the act. For example, GlaxoSmithKline bought sports-nutrition specialist
Maxinutrition to expand its line of consumer health products.
As demand grows for products that
people believe will make them healthier,
a whole new consumer healthcare
segment is emerging.
Why is everybody so interested in consumer health and what is required to succeed in this
market? Here, we examine the global demographic changes that are leading to demand for
mass-market consumer-focused healthcare products and look at how these changes are
affecting markets, creating a huge new struggle for territory. Finally, we analyze what consumer
goods companies and pharmaceutical firms need to do to win.
Big Demographic Changes
Healthcare around the world is being transformed by major demographic shifts: increased
wealth, improved lifestyles, and urbanization. Wealth brings people many benefits, not the
least of which is longevity and reduced risk of death from infectious disease, malnutrition,
and diarrhea. Yet improved lifestyles mean richer diets and less exercise, which lead to obesity,
and consumers can afford to vacation in the sun and buy cigarettes. As people live longer, they
3Winning the Battle for Consumer Healthcare: Science Versus the Marketers
Sources: NHS, Age UK: Research into Ageing, Dementia Report 2010, WHO Diabetes and Obesity Atlas, IDF, Cancer Research,
National Osteoporosis Society; A.T. Kearney analysis
Figure 1
Changing demographics create risk factors that accelerate the growth of chronic diseases
Demographic shifts Risk factors Chronic diseases
Wealth
Lifestyle
Urbanization
Obesity
Smoking
Longevity
Osteoporosis
Diabetes
Cancer
Vascular disease
Dementia
are at greater risk of suffering from one or several chronic diseases, including osteoporosis,
diabetes, cancer, vasculitis, and dementia (see figure 1).
Indeed, the incidence of chronic disease is rising at an alarming pace. And the health risk
factors (obesity, smoking, and longevity) are expected to accelerate throughout the next
decade. Today, 45 percent of the United Kingdomā€™s total population can lay claim to one of the
three main risk factors; by 2020, this figure is expected to be 60 percent. Developing countries
are experiencing the same trends. In India, for example, 25 percent of todayā€™s population have
one of the risk factors; in 2020, it is estimated this figure will rise to 40 percent (see figure 2).
Sources: NHS, UK Research on Ageing, Economist Intelligence Unit, Dementia 2010 Report, WHO Diabetes Atlas and Obesity Atlas,
IDF, Cancer Research, National Osteoporosis Society; A.T. Kearney estimates
Figure 2
Health risk factors are expected to accelerate over the next decade
Developed market example: UK Developing market example: India
Population(millions)
Population(millions)
Adult smokingLongevity Population with no risk factorAdult obesity
62
84
891
130
88
223
836
215
2009 2020e
~25% total
population with
risk factors
~40% total
population with
risk factors
276
526
2009 2020e
10
10
34
8 28
13
21
28
4
~45% total
population with
risk factors
~60% total
population with
risk factors
38
4Winning the Battle for Consumer Healthcare: Science Versus the Marketers
Most health systems are ill equipped to deal with an explosion of chronic diseases associated
with these risk factors. Long-term management requires changing the behaviors that caused
the diseases and many years of treatment with a variety of drugs. However, todayā€™s health
systems have generally been designed around short-term interventions, with only about 50
percent of patients taking their medicines as prescribed. Thus, the cost burden is huge. A diabetic
patient in the United States is estimated to consume more than three times the health resources
of a non-diabetic.1
Although different countries are approaching the problem in different ways, three major trends
are encouraging consumers to participate in their treatments:
Increased focus on prevention. Governments and payers are investing in public health
campaigns to convince citizens to change behaviors and begin early treatment, focusing
primarily on obesity and smoking. They are also providing incentives for doctors to identify
those at risk and engage them in their own treatments.
Increased consumer spending. In the developed world, payers are experimenting with
different co-payment mechanisms to both reduce the cost of healthcare and encourage
appropriate behaviors. In the developing world, as emerging health systems fail to keep up
with the expectations of their citizens, consumer spending is filling the gap. Between 2000
and 2015, for example, consumer spending on healthcare services is forecast to increase
130 percent in India, nearly 80 percent in China, and more than 70 percent in Thailand.
Newspendingtrendsasaresultofanagingworldpopulation. By 2030, 36 percent of Germans
and 30 percent of Chinese will be older than 60 years of age, and more than one million
centenarians will be living in the United States. These older populations will have a wide
range of self-medication options and aspirations, including maintaining fitness levels, preserving
youthful appearance, preventing fractures, halting muscle decay, and staving off dementia.
Consumer goods companies can use
their marketing might and access to
mass-market channels to crowd out
first-mover rivals.
The consumer market is developing around these trends, as science provides solutions to meet
increased consumer demand. With greater understanding of how diet and behavior influence
the development of disease, scientists are finding ways to reverse negative effects. The diets of
those at risk of heart disease, for example, have long leaned toward avoiding foods that would
increase cholesterol; now theyā€™re evolving to include cholesterol-lowering foods. Similar
advances are being made to address risk factors for diseases such as diabetes and osteoporosis.
Now, mass-market productsā€”including food and drinks, personal-care products, and OTC
pharmaceutical-type productsā€”show great promise for helping consumers avoid disease.
Of course, this consumer focus has some less benign effects. A tendency also exists to
ā€œmedicalizeā€ conditions that in past years might have been deemed to be quite normal
1
	 ā€œState of Diabetes Complications in America,ā€ American Association of Clinical Endocrinologists
5Winning the Battle for Consumer Healthcare: Science Versus the Marketers
consequences of aging. The whole area is also extremely susceptible to fads. For example,
the evidence that many of the so-called superfoods have any real effect is often extremely
weak, and research suggests that many health food supplements may actually be harmful.
Effective or not, demand is growing for products that people believe will make them healthier.
Which companies will be best placed to meet this demand?
New Battlegrounds
To meet the increasing demand for these products, a whole new consumer healthcare segment
is emerging, midway between the mass market, supermarket-based world of consumer goods
companies and the scientific, pharmacy-based world of pharmaceutical companies (see figure 3).
This new segment is largely occupied by fragmented niche players, but those players are likely to
be swallowed up or swept aside by the incipient entry of giants. Indeed, as populations with risk
factors grow (again, by 2020 itā€™s likely to be about 60 percent of the population of a country such
as the United Kingdom and about 40 percent of India), healthcare products will move to the heart
of the mass market.
The battle has already begun. Many pharmaceutical companies, facing structural declines in
the value of their branded drug portfolios, are focusing more on nonprescription products.
Consumer goods companies are planning to increase margins and accelerate growth by
enriching products with health-oriented features. It has been known since 1984, for example,
6Winning the Battle for Consumer Healthcare: Science Versus the Marketers
that a strong link exists between blood cholesterol and heart diseaseā€”a link that led to Lipitor,
Pfizerā€™s cholesterol-lowering treatment, becoming the worldā€™s best-selling drug. By 2009, this
class of drugā€”which includes Crestor, Questran, and Lescolā€”was worth more than $25 billion.
The industry has also made pushes into OTC remedies such as the nonprescription Zocor
Heart-Pro.2
To build on its strengthsā€”making and proving claims, capitalizing on medical
endorsements, and accessing pharmacy channelsā€”the pharmaceutical industry focuses on the
technical aspects of these products. Theyā€™re packaged in white, functional boxes, for example,
to make them look like the prescription products they replace.
Meanwhile, many niche manufacturers have developed OTC anti-cholesterol products,
including Raisio Groupā€™s Benecol, Cedar Healthā€™s Lestrin, and Futurebioticsā€™ Cholesterol
Balance.3
Consumer goods companies are also offering products designed to lower cholesterol:
Kelloggā€™s Optivita cereal, for example, boasts of its oat bran. Danacol Danone, a dairy drink,
contains plant sterols, which are also the key to Unileverā€™s Flora pro.activ product line of drinks,
yogurts, and spreads. The selling point for all of these products is that they help lower cholesterol,
but their makersā€”seeking to build on strengths in mass-market distribution, brand development,
and understanding of consumer needsā€”focus on the productsā€™ appeal to consumers. For
example, the products come in colorful packages designed to build emotional associations.
As is often expected in any new market, both sets of players have made missteps. Itā€™s hard to
know exactly how to price such products, convince consumers that they will deliver on their
health promises, find the most effective distribution channels and marketing media, assemble
complementary ingredients (for example, does it hurt the health claims of food products when
they contain genetically modified organisms or artificial sweeteners?), or build loyalty. The
smartest companies are learning from these experiences. Going forward, some companies
will refine their approach and become global leaders. The only question is: Which companies
will they be?
Which Companies Will Win?
According to a quote attributed to Mark Twain, ā€œHistory does not repeat itself, but it does rhyme.ā€
If so, the pharmaceutical companies are in trouble. Traditionally, consumer goods companies
have mastered the art of using their marketing might and access to mass-market channels to
crowd out more specialized first-mover rivals (see sidebar: Traditionally, Marketers Beat Scientists
on page 7). In some segments of the consumer health market, we already see these forces at work.
Take probiotic yogurt drinks, for exampleā€”theyā€™re mass-market products focused on health
benefits. The market for probiotic yogurt drinks did not exist in Europe in the early 1990s, when
the Japanese company Yakult made its regional launch. Yakult was a classic small innovator,
with technical expertise gleaned from having marketed its small bottles of ā€œfriendly bacteriaā€
in Japan since 1935. Its drink proved relatively popular, penetrating 1 percent of UK households
by 1999. That was enough to prompt Danone to launch its Actimel brand. Actimel had a huge
advertising campaign and could take advantage of Danoneā€™s powerful distribution network
and innovation pipeline. Danone, therefore, kept introducing new flavors of Actimel. By 2002,
Actimel was slightly ahead of Yakult, and during the next three years, its penetration tripled to
2	
	 Merck has likewise sought to make Mevacor available over the counter, but its attempts have been rejected by the
		 U.S. Food and Drug Administration.
3
	 Other niche player products include Advocate LifeCare Cholesterol Health Capsules, Natrol Cholest Intercept, Klosterfrau Kwai Plus
Omega-3, Nature Made Nutritional Productsā€™ Cholest Off and Cholesterol Fighter, Natureā€™s Bounty CholestHealth, and Windmill Health
Products Prevention Cholesterol Control Plant Sterol Formula.
7Winning the Battle for Consumer Healthcare: Science Versus the Marketers
Traditionally, Marketers Beat Scientists
Historical precedents suggest
that consumer goods are
successful at ousting the more
ā€œscientificā€ players from new
markets. Consider the perfume
industry, for example: In the
1970s, fragrance was practically
a crafts business. Targeted at an
elite niche, it was full of small,
fragmented players (see figure).
The 1980s, however, saw an
increasednumberoflaunches
andexpandingbrands,suchas
JacquesBogart.Attractedbythe
boomindemandandtheindustryā€™s
highmargins,chemicalplayers
and even pharmaceutical
companies came to see it as
a natural extension of their
chemical expertiseā€”but then the
consumer goods giants decided
to enter the fray massively.
Unilever, L'OrƩal, and P&G turned
this niche product into a mass
market, applying many strategies
that had proved successful with
shampoos, soaps, and washing
powdersā€”such as mass
marketing, distribution
expansion, and line extension.
A few of the more specialized
players, such as LVMH and Coty,
alsoparticipatedinthisconsumer-
izationandmarketconsolidation.
Morescientificplayers,such as
Croda and Elf Sanofi, chose to exit
the market. By the beginning of
the 1980s, consumer goods and
chemical companies each owned
about 20 percent of a global
market estimated at $5 billion.
Today, consumer goods
companies control 60 percent
and chemical companies less
than 5 percent of a $25 billion
market. The winners, therefore,
were not the companies with the
best technical understanding of
perfumes. The winners were the
companies that best understood
consumer aspirations and
distribution. Is it a prediction of
the healthcare marketā€™s future?
*Note: Coty is the primary fragrance division of Benckiser.
Sources: Company websites; A.T. Kearney market research and analysis
Figure
The perfume industry illustrates how consumer goods ousted more ā€œscientificā€ players
Niche Expansion Mass market
Innovation
Consolidation
1970
Low
High
1980
$5 $13 $20 $25
1985 1990 1995 2000 2005 2010 Year
Total market
($ billion)
Levelofconsolidation
Consumerization
Globalization
Fragrance is a small,
niche market
New companies and brands launch
(e.g., Jacques Bogart)
Vertical integration begins
(e.g., LVMH, Lā€™OrĆ©al)
Losers exit
(e.g., Elf Sanofi, Croda,
Hoescht, Unilever)
Winners
expand their franchises
(e.g., P&Gā€™s Hugo Boss)
Companies move into
emerging marketsOutsiders enter and
grow aggressively
(e.g., consumer goods, chemical)
Industry consolidation begins
(e.g., LVMH, Coty*)
8Winning the Battle for Consumer Healthcare: Science Versus the Marketers
22 percent of households. By 2005, Actimel was one of the top 10 take-home soft drink brands
in the United Kingdom.4
History is not necessarily destiny, however, and the consumer health market may prove to have
unique characteristics that could spell trouble for consumer goods companies. One of their
biggest problems is how to substantiate their health claims, particularly given the highly
sensitive and litigious environment of healthcare. The United Kingdomā€™s Advertising Standards
Authority, for example, has banned some Actimel TV spots, calling them misleading. Danone
settled a U.S. lawsuit about similar claims for $35 million, and the European Food Safety
Authority forced Danone to withdraw all health claims about Actimel.5
Again, responses vary
based on individual countriesā€™ politics, but governments are increasingly requiring proof of
any health claimā€”if not at the same level required for pharmaceuticals, then at least using
more rigorous science than in the past. For example, L'OrƩal has responded to increasing
pressure on claims for anti-aging products with LiftActiv, the first anti-wrinkle cream clinically
proven to be effective through a pharmaceutical-type clinical trial. Even in developing
countries, where governments are often less vocal, consumers will seek reassurance through
brand credibility and recommendations of doctors and pharmacistsā€”both areas where
pharmaceutical companies excel.
Regarding innovation, the contest is too close to call. Pharmaceutical companies have
a better understanding of risk factors and already have clinically proven molecules with
potential applications in consumer healthcare. Their clinical and safety track record is
difficult to shortcut or even replicate. For example, in the OTC antihistamine market, Claritin
required far less development effort than the typical new product because it represented
merely a switch of an existing anti-allergy molecule, with a proven clinical and safety track
record, from a prescription to an OTC basis. On the other hand, consumer goods companies
are champions at quick derivative innovation, successful brand extension, and effective
consumer communication through traditional and new channels. Their shorter development
cycles may provide them with enough agility to beat the pharmaceutical companies at
getting products onto retailersā€™ shelves and into consumersā€™ minds.
The battle for consumer health is not restricted to products; it is also happening in retail
channels. Traditionally, drugs were sold through pharmacies and food through mass-market
supermarkets. However, these channels are converging. Wal-Mart, for example, has introduced
around 100 mini-clinics in its stores to boost its healthcare credentials. In European countries
where it is allowed (such as the United Kingdom), major supermarkets are opening more
pharmacies and offering reduced prices for drugsā€”even in such areas as cancer therapies.
At the same time, pharmacies are broadening their offerings with food, drinks, and other
consumer products. With pharmaceutical companiesā€™ traditional strengths in pharmacy and
consumer productsā€™ dominance of mass-market channels, the battle for supremacy is
happening throughout the value chain.
A potentially complicating factor in the consumer healthcare market is the all-inclusive nature
of its goals. When it comes to improving health, using a single product may not be sufficient,
and consumers may already be using a prescription medicine or undergoing therapy. Some
physicians, for example, are concerned that OTC statin-based cholesterol-lowering products
end up being used inappropriately by two types of consumers: some who donā€™t really need the
4	
	 ACNielsen, 52-week Probiotic Drink sector penetration to 24.12.05, and Britvic Soft Drinks Report 2006, both quoted in ā€œActimel: From
		 Hampstead to Hartlepool,ā€ a 2006 Effectiveness Awards case study from the Institute of Practitioners in Advertising
5
	 ā€œTaste of a stricter future for health claims on food labels,ā€ Financial Times, 22 May 2009
9Winning the Battle for Consumer Healthcare: Science Versus the Marketers
products and are pointlessly subjecting themselves to potential adverse side effects and others
who think the products are sufficient to manage their condition, when in fact they need to be
under a doctorā€™s care.6
In a broader picture, any consumer health product is part of a health
solution, which may include other products, services, or technologies (see sidebar: Technologies
and Solutions). One key to the long-term success of any product, therefore, may be in
positioning it appropriately in the overall package of careā€”and endorsement by healthcare
professionals will be critical in this process. This ā€œmedical detailingā€ is a core competency of
pharmaceutical companies, but quite foreign to the mass-market distribution models of many
consumer goods companies.
Looking for the Sweet Spot
No company will create this market in toto or dominate it in the short run. Not every company
can address every opportunity. Companies will necessarily focus on a limited number of
Technologies and Solutions
Gadget-loverswereabuzzin
2010overaniPhoneandAndroid
appcalledInstantHeartRate,
aheartbeatmonitorthatuses
thedeviceā€™sbuilt-incamera.
Thenearlyfreetool,whichsenses
theminisculechangesinskin
colorresultingfrompulsing
blood,washailedascreativeand
surprisinglyaccurate.Italso
signaledanimminenttrendin
consumerhealthcare.
As pharmaceutical and consumer
goods companies battle over
global healthcare revenues, their
rivals include a surprising new
twist on the idea of a niche player:
app developers. Harnessing their
creative approaches to existing,
prevalent technologies, app
developers drop their prices to
almost zeroā€”erasing bigger
playersā€™ potential revenue gains.
But app developers face the same
challenges as other players. For
example, smartphone-based
heart-rate monitors are targeted
at athletes as a way to monitor
heartbeat while exercising. As
several such devicesā€™ warning
labels note, however, ā€œThis
monitor is not a medical device
and is not intended to monitor
health concerns.ā€ If users have
a heart condition, they need
a proven medical device. Despite
its innovative design, therefore,
the Instant Heart Rate app is
missing its full consumer
healthcare potential.
Atleast,thatā€™showitstandsnow.
However,pharmaceutical
companieshavedeveloped
dozensofiPhoneappstosupport
thequitecomplexclinicalassess-
mentsoftenneededtoprescribe
drugsproperly.Itmightnotbe
longbeforelow-costappsbecome
goodenoughformanyuses,
especiallyindevelopingcountries
wheremoresophisticated
technologiesarenotreadily
availableandmobilephonesare
notubiquitous.Despitethe
requirementforregulatory
approval,themobilephone
asahubforarangeofmedical
devicesmaynotbefaraway.
The most intriguing potential
use of technological tools in
consumer healthcare is as
components of wider solutions.
Consider Weight Watchers: It
started as a serviceā€”meetings
providing weight-loss support.
It evolved into food plans,
exercise plans, and then specific
productsā€” foods sold under the
Weight Watchers label. Now its
website, with its eTools program,
is an essential component. Why
wouldnā€™t other preventive health
players also evolve into
platforms?
One such attempt has been
GlaxoSmithKlineā€™s Alli, an OTC
weight-loss product that comes
in starter kits containing a food
journal, a healthy eating guide,
and a fat and calorie reference
guideā€”or with the Web-based
myalliplan, with weekly advice,
articles, recipes, tips, an online
community, and customized
tools. As an early entrant, Alliā€™s
Web platform is goodā€”but we
predict that in the coming
decade, the mix of product and
technology solutions will become
far more widespread and
sophisticated.
6
	 ā€œWhy Merck Lost Its 3rd Bid to Sell Mevacor Over the Counter,ā€ Natural News, 4 February 2008
10Winning the Battle for Consumer Healthcare: Science Versus the Marketers
markets because of the investments required in applying science, proving efficacy, and
marketing. The trick will be to identify those areas that are set to grow the most and to
establish where an individual company is most likely to be successful.
We believe the key to success will be for each company to identify and target its sweet spots
in the new consumer healthcare market. A sweet spot exists where the following conditions
come together:
A health need thatā€™s not addressed by the state. What do demographic and epidemiological
trends, scientific research, and other new developments suggest about how people can
improve their health? Is this an area that has been recognized as important, or could people be
educated to understand its importance? Government health systems and structures are set
up to provide funding and access to some treatmentsā€”but not others. Is this one of the
others, in which targeting consumers may be profitable?
A potential consumer market thatā€™s accessible to your company. Do consumers have the
wealth to afford this product and attitudes to adopt it? Will they see it as something important
that will make a difference for themselves or their loved ones? Do they have the products,
brands, distribution, and competitive advantage to meet those customer needs?
Identifying the sweet spots will be only the first step. To execute successfully, the consumer
healthcare players will have to assemble the right mix of capabilities. The challenge, in
summary, is to develop effectively targeted, packaged, and promoted products that are
available to a large number of consumers and deliver what they promise. Aspects of this
challenge draw on sources of competitive advantage for both pharmaceutical and consumer
goods firms (see figure 4).
Source: A.T. Kearney analysis
Figure 4
Consumer goods and pharmaceutical firms have different sources of competitive advantage
Pharmaceutical companies
Low
1 2 3 4
High
5
Pharmaceutical
company advantages
Fast-moving consumer
goods advantages
FMCG companies
Organizational capabilities
Research
Regulations
and compliance
Product
innovation
Manufacturing
Marketing
Sales
Distribution
and logistics
ā€¢ Robust molecule pipeline
ā€¢ Ability to meet regulatory
requirements at lower costs
ā€¢ Ability to meet and prove claims
ā€”
ā€”
ā€¢ Medical endorsements
and detailing
ā€¢ Access to pharmaceutical
channels
ā€”
ā€”
ā€”
ā€¢ Innovation leadership
(line extensions)
ā€¢ Efficient product development
ā€¢ Mass-market production
ā€¢ Brand strength
ā€¢ Ability to respond
to consumer needs
ā€¢ Access to mass market
ā€¢ Efficient supply chain
11Winning the Battle for Consumer Healthcare: Science Versus the Marketers
Pharmaceutical companies have the clear edge on research, regulations, and compliance.
With their molecule pipeline, ability to fulfill regulatory requirements at low costs, and
experience at making and proving claims, pharmaceutical companies have the technical
expertise and reputation to make consumers healthier. They have marketing and sales
functions that play to these strengths, with effective medical endorsements and good access
to pharmacy sales channels. They also have the brands to demonstrate clinical capability,
even if they are often wary of diluting those brands by association with less well-proven
technologies. These strengths alone, however, will not be enough to win: These companies
must become capable of far more rapid product innovation and must build flexible supply
chains capable of reacting to the promotion-driven sales patterns of consumer goods. They
must better understand consumers and their aspirations and improve their ability to adjust
product mix and marketing to meet those desires while keeping costs low.
Consumer goods companies face a nearly opposite situation. They are traditionally strong in
both speedy product development and incremental innovation and line extension to meet
evolving consumer needs. Their marketing is good at establishing brands, which will be
especially important in developing countries, where regulations are less of a barrier, and
responding to consumer aspirations. Their manufacturing operations and supply chains are
agile and efficient at producing and delivering mass-market products. They also use their
presence in mass retail to make the products available to everyone. They have profound
weaknesses, however, on the scientific sideā€”which is, after all, much of what this market is
about. Their brands also may not be extendable into more clinically oriented productsā€”fizzy
drinks are not readily associated with obesity reduction. If consumers and regulators do not
believe that these products will improve health, then nothing else matters. If these companies
cannot produce the research, meet the regulations, and prove their claims, they too will fail.
The winning companies, therefore, will be those able to marry the yin and the yang into a mixed
model, with some features from each industry (see figure 5). They need to possess certain
attributes of pharmaceutical companies:
Source: A.T. Kearney analysis
Figure 5
Winning companies in this new market will marry the yin and the yang
Excellence in marketing
strategies and execution
Strong brand portfolios that
dominate categories
Flexible and lean
supply chain
Products with proven
efficacy and credibility
Innovation leader with the
courage to lead the market
Global development
versus local deployment
Intimacy with and
understanding of customers
Vision of future
market trends
Access to mass retail
Consumer company characteristics
Pharma company characteristics
Consumer and pharma characteristics
12Winning the Battle for Consumer Healthcare: Science Versus the Marketers
ā€¢	 Products with proven efficacy and credibility with both consumers and health professionals
ā€¢	 Health innovation leadership, including the courage to lead the market with new technologies
And they need to display the following characteristics of consumer goods companies:
ā€¢	 Intimacy with and understanding of customers
ā€¢	 Strong brand portfolios that dominate categories
ā€¢	 Excellence in marketing strategies and execution
ā€¢	 Flexible and lean supply chains
ā€¢	 Access to mass retail
Most companies will find it difficult to launch new consumer healthcare brands and businesses
from within their existing marketing- or science-dominated cultures. New entrants are typically
setting these ventures up as separate business units. Launches will require new thinking and
approaches and dedicated cross-functional teams to shape the strategy, develop the capabilities,
and mobilize the resources for success. In fact, the unique set of potential roadblocks makes it
hard to predict which companies from the pharmaceutical or consumer goods industries will
dominate the consumer healthcare market. One thing seems certain, however: Among the
unsuccessful will be those companies that donā€™t dare to try.
Authors
Jonathan Anscombe, partner, London
jonathan.anscombe@atkearney.com
Emmanuel Hembert, principal, Zurich
emmanuel.hembert@atkearney.com
Michael Thomas, partner, London
michaelwilliam.thomas@atkearney.com
A.T. Kearney is a global team of forward-thinking, collaborative partners that delivers
immediate, meaningful results and long-term transformative advantage to clients.
Since 1926, we have been trusted advisors on CEO-agenda issues to the worldā€™s
leading organizations across all major industries and sectors. A.T. Kearneyā€™s ofļ¬ces
are located in major business centers in 39 countries.
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Winning the battle_for_consumer_healthcare

  • 1. 1Winning the Battle for Consumer Healthcare: Science Versus the Marketers WinningtheBattleforConsumerHealthcare Science Versus the Marketers This paper is the first in a series on the fight between consumer goods and pharmaceuticals for an emerging new market. One industry is strong in marketing; the other shines in science. Which will win?
  • 2. 2Winning the Battle for Consumer Healthcare: Science Versus the Marketers Big changes are afoot in consumer markets, thanks to shifting global demographics that are creating a new battleground between pharmaceuticals and consumer goods. It seems that most food companies are keen to persuade consumers that their products are both tasty and healthy. Personal-care companies are following a similar path, emphasizing that their products have a scientific basis. At the extreme end of this trend, emerging new products promise to deliver health benefits traditionally offered by pharmaceutical products. These products are scientifically tailored either to address specific health needs or to increase some dimension of performanceā€”and it is big business; going beyond the traditional over-the-counter (OTC) market, it is estimated at approximately $125 billion globally. For example, functional foods alone, which have a potentially positive effect on health beyond basic nutrition, are predicted to grow from a global market of around $165 billion in 2007 to more than $240 billion by 2012, according to Euromonitor. Although these complex, scientifically based products were originally the domain of niche companies such as Yakult, major consumer goods companies are now focusing on opportunities for growth and profitability. Danone is investing heavily in medical foods through its Nutricia brand, Minute Maid has introduced juices with added plant sterols, multivitamins, and omega-3 fatty acids, and NestlĆ© has started a consumer health business. The company has already launched several joint ventures with L'OrĆ©al, including one called Inneov Laboratories that combines the nutritional expertise of one with the dermatological expertise of the other. At the same time, pharmaceutical companies, starved of new blockbuster prescription molecules, are also getting into the act. For example, GlaxoSmithKline bought sports-nutrition specialist Maxinutrition to expand its line of consumer health products. As demand grows for products that people believe will make them healthier, a whole new consumer healthcare segment is emerging. Why is everybody so interested in consumer health and what is required to succeed in this market? Here, we examine the global demographic changes that are leading to demand for mass-market consumer-focused healthcare products and look at how these changes are affecting markets, creating a huge new struggle for territory. Finally, we analyze what consumer goods companies and pharmaceutical firms need to do to win. Big Demographic Changes Healthcare around the world is being transformed by major demographic shifts: increased wealth, improved lifestyles, and urbanization. Wealth brings people many benefits, not the least of which is longevity and reduced risk of death from infectious disease, malnutrition, and diarrhea. Yet improved lifestyles mean richer diets and less exercise, which lead to obesity, and consumers can afford to vacation in the sun and buy cigarettes. As people live longer, they
  • 3. 3Winning the Battle for Consumer Healthcare: Science Versus the Marketers Sources: NHS, Age UK: Research into Ageing, Dementia Report 2010, WHO Diabetes and Obesity Atlas, IDF, Cancer Research, National Osteoporosis Society; A.T. Kearney analysis Figure 1 Changing demographics create risk factors that accelerate the growth of chronic diseases Demographic shifts Risk factors Chronic diseases Wealth Lifestyle Urbanization Obesity Smoking Longevity Osteoporosis Diabetes Cancer Vascular disease Dementia are at greater risk of suffering from one or several chronic diseases, including osteoporosis, diabetes, cancer, vasculitis, and dementia (see figure 1). Indeed, the incidence of chronic disease is rising at an alarming pace. And the health risk factors (obesity, smoking, and longevity) are expected to accelerate throughout the next decade. Today, 45 percent of the United Kingdomā€™s total population can lay claim to one of the three main risk factors; by 2020, this figure is expected to be 60 percent. Developing countries are experiencing the same trends. In India, for example, 25 percent of todayā€™s population have one of the risk factors; in 2020, it is estimated this figure will rise to 40 percent (see figure 2). Sources: NHS, UK Research on Ageing, Economist Intelligence Unit, Dementia 2010 Report, WHO Diabetes Atlas and Obesity Atlas, IDF, Cancer Research, National Osteoporosis Society; A.T. Kearney estimates Figure 2 Health risk factors are expected to accelerate over the next decade Developed market example: UK Developing market example: India Population(millions) Population(millions) Adult smokingLongevity Population with no risk factorAdult obesity 62 84 891 130 88 223 836 215 2009 2020e ~25% total population with risk factors ~40% total population with risk factors 276 526 2009 2020e 10 10 34 8 28 13 21 28 4 ~45% total population with risk factors ~60% total population with risk factors 38
  • 4. 4Winning the Battle for Consumer Healthcare: Science Versus the Marketers Most health systems are ill equipped to deal with an explosion of chronic diseases associated with these risk factors. Long-term management requires changing the behaviors that caused the diseases and many years of treatment with a variety of drugs. However, todayā€™s health systems have generally been designed around short-term interventions, with only about 50 percent of patients taking their medicines as prescribed. Thus, the cost burden is huge. A diabetic patient in the United States is estimated to consume more than three times the health resources of a non-diabetic.1 Although different countries are approaching the problem in different ways, three major trends are encouraging consumers to participate in their treatments: Increased focus on prevention. Governments and payers are investing in public health campaigns to convince citizens to change behaviors and begin early treatment, focusing primarily on obesity and smoking. They are also providing incentives for doctors to identify those at risk and engage them in their own treatments. Increased consumer spending. In the developed world, payers are experimenting with different co-payment mechanisms to both reduce the cost of healthcare and encourage appropriate behaviors. In the developing world, as emerging health systems fail to keep up with the expectations of their citizens, consumer spending is filling the gap. Between 2000 and 2015, for example, consumer spending on healthcare services is forecast to increase 130 percent in India, nearly 80 percent in China, and more than 70 percent in Thailand. Newspendingtrendsasaresultofanagingworldpopulation. By 2030, 36 percent of Germans and 30 percent of Chinese will be older than 60 years of age, and more than one million centenarians will be living in the United States. These older populations will have a wide range of self-medication options and aspirations, including maintaining fitness levels, preserving youthful appearance, preventing fractures, halting muscle decay, and staving off dementia. Consumer goods companies can use their marketing might and access to mass-market channels to crowd out first-mover rivals. The consumer market is developing around these trends, as science provides solutions to meet increased consumer demand. With greater understanding of how diet and behavior influence the development of disease, scientists are finding ways to reverse negative effects. The diets of those at risk of heart disease, for example, have long leaned toward avoiding foods that would increase cholesterol; now theyā€™re evolving to include cholesterol-lowering foods. Similar advances are being made to address risk factors for diseases such as diabetes and osteoporosis. Now, mass-market productsā€”including food and drinks, personal-care products, and OTC pharmaceutical-type productsā€”show great promise for helping consumers avoid disease. Of course, this consumer focus has some less benign effects. A tendency also exists to ā€œmedicalizeā€ conditions that in past years might have been deemed to be quite normal 1 ā€œState of Diabetes Complications in America,ā€ American Association of Clinical Endocrinologists
  • 5. 5Winning the Battle for Consumer Healthcare: Science Versus the Marketers consequences of aging. The whole area is also extremely susceptible to fads. For example, the evidence that many of the so-called superfoods have any real effect is often extremely weak, and research suggests that many health food supplements may actually be harmful. Effective or not, demand is growing for products that people believe will make them healthier. Which companies will be best placed to meet this demand? New Battlegrounds To meet the increasing demand for these products, a whole new consumer healthcare segment is emerging, midway between the mass market, supermarket-based world of consumer goods companies and the scientific, pharmacy-based world of pharmaceutical companies (see figure 3). This new segment is largely occupied by fragmented niche players, but those players are likely to be swallowed up or swept aside by the incipient entry of giants. Indeed, as populations with risk factors grow (again, by 2020 itā€™s likely to be about 60 percent of the population of a country such as the United Kingdom and about 40 percent of India), healthcare products will move to the heart of the mass market. The battle has already begun. Many pharmaceutical companies, facing structural declines in the value of their branded drug portfolios, are focusing more on nonprescription products. Consumer goods companies are planning to increase margins and accelerate growth by enriching products with health-oriented features. It has been known since 1984, for example,
  • 6. 6Winning the Battle for Consumer Healthcare: Science Versus the Marketers that a strong link exists between blood cholesterol and heart diseaseā€”a link that led to Lipitor, Pfizerā€™s cholesterol-lowering treatment, becoming the worldā€™s best-selling drug. By 2009, this class of drugā€”which includes Crestor, Questran, and Lescolā€”was worth more than $25 billion. The industry has also made pushes into OTC remedies such as the nonprescription Zocor Heart-Pro.2 To build on its strengthsā€”making and proving claims, capitalizing on medical endorsements, and accessing pharmacy channelsā€”the pharmaceutical industry focuses on the technical aspects of these products. Theyā€™re packaged in white, functional boxes, for example, to make them look like the prescription products they replace. Meanwhile, many niche manufacturers have developed OTC anti-cholesterol products, including Raisio Groupā€™s Benecol, Cedar Healthā€™s Lestrin, and Futurebioticsā€™ Cholesterol Balance.3 Consumer goods companies are also offering products designed to lower cholesterol: Kelloggā€™s Optivita cereal, for example, boasts of its oat bran. Danacol Danone, a dairy drink, contains plant sterols, which are also the key to Unileverā€™s Flora pro.activ product line of drinks, yogurts, and spreads. The selling point for all of these products is that they help lower cholesterol, but their makersā€”seeking to build on strengths in mass-market distribution, brand development, and understanding of consumer needsā€”focus on the productsā€™ appeal to consumers. For example, the products come in colorful packages designed to build emotional associations. As is often expected in any new market, both sets of players have made missteps. Itā€™s hard to know exactly how to price such products, convince consumers that they will deliver on their health promises, find the most effective distribution channels and marketing media, assemble complementary ingredients (for example, does it hurt the health claims of food products when they contain genetically modified organisms or artificial sweeteners?), or build loyalty. The smartest companies are learning from these experiences. Going forward, some companies will refine their approach and become global leaders. The only question is: Which companies will they be? Which Companies Will Win? According to a quote attributed to Mark Twain, ā€œHistory does not repeat itself, but it does rhyme.ā€ If so, the pharmaceutical companies are in trouble. Traditionally, consumer goods companies have mastered the art of using their marketing might and access to mass-market channels to crowd out more specialized first-mover rivals (see sidebar: Traditionally, Marketers Beat Scientists on page 7). In some segments of the consumer health market, we already see these forces at work. Take probiotic yogurt drinks, for exampleā€”theyā€™re mass-market products focused on health benefits. The market for probiotic yogurt drinks did not exist in Europe in the early 1990s, when the Japanese company Yakult made its regional launch. Yakult was a classic small innovator, with technical expertise gleaned from having marketed its small bottles of ā€œfriendly bacteriaā€ in Japan since 1935. Its drink proved relatively popular, penetrating 1 percent of UK households by 1999. That was enough to prompt Danone to launch its Actimel brand. Actimel had a huge advertising campaign and could take advantage of Danoneā€™s powerful distribution network and innovation pipeline. Danone, therefore, kept introducing new flavors of Actimel. By 2002, Actimel was slightly ahead of Yakult, and during the next three years, its penetration tripled to 2 Merck has likewise sought to make Mevacor available over the counter, but its attempts have been rejected by the U.S. Food and Drug Administration. 3 Other niche player products include Advocate LifeCare Cholesterol Health Capsules, Natrol Cholest Intercept, Klosterfrau Kwai Plus Omega-3, Nature Made Nutritional Productsā€™ Cholest Off and Cholesterol Fighter, Natureā€™s Bounty CholestHealth, and Windmill Health Products Prevention Cholesterol Control Plant Sterol Formula.
  • 7. 7Winning the Battle for Consumer Healthcare: Science Versus the Marketers Traditionally, Marketers Beat Scientists Historical precedents suggest that consumer goods are successful at ousting the more ā€œscientificā€ players from new markets. Consider the perfume industry, for example: In the 1970s, fragrance was practically a crafts business. Targeted at an elite niche, it was full of small, fragmented players (see figure). The 1980s, however, saw an increasednumberoflaunches andexpandingbrands,suchas JacquesBogart.Attractedbythe boomindemandandtheindustryā€™s highmargins,chemicalplayers and even pharmaceutical companies came to see it as a natural extension of their chemical expertiseā€”but then the consumer goods giants decided to enter the fray massively. Unilever, L'OrĆ©al, and P&G turned this niche product into a mass market, applying many strategies that had proved successful with shampoos, soaps, and washing powdersā€”such as mass marketing, distribution expansion, and line extension. A few of the more specialized players, such as LVMH and Coty, alsoparticipatedinthisconsumer- izationandmarketconsolidation. Morescientificplayers,such as Croda and Elf Sanofi, chose to exit the market. By the beginning of the 1980s, consumer goods and chemical companies each owned about 20 percent of a global market estimated at $5 billion. Today, consumer goods companies control 60 percent and chemical companies less than 5 percent of a $25 billion market. The winners, therefore, were not the companies with the best technical understanding of perfumes. The winners were the companies that best understood consumer aspirations and distribution. Is it a prediction of the healthcare marketā€™s future? *Note: Coty is the primary fragrance division of Benckiser. Sources: Company websites; A.T. Kearney market research and analysis Figure The perfume industry illustrates how consumer goods ousted more ā€œscientificā€ players Niche Expansion Mass market Innovation Consolidation 1970 Low High 1980 $5 $13 $20 $25 1985 1990 1995 2000 2005 2010 Year Total market ($ billion) Levelofconsolidation Consumerization Globalization Fragrance is a small, niche market New companies and brands launch (e.g., Jacques Bogart) Vertical integration begins (e.g., LVMH, Lā€™OrĆ©al) Losers exit (e.g., Elf Sanofi, Croda, Hoescht, Unilever) Winners expand their franchises (e.g., P&Gā€™s Hugo Boss) Companies move into emerging marketsOutsiders enter and grow aggressively (e.g., consumer goods, chemical) Industry consolidation begins (e.g., LVMH, Coty*)
  • 8. 8Winning the Battle for Consumer Healthcare: Science Versus the Marketers 22 percent of households. By 2005, Actimel was one of the top 10 take-home soft drink brands in the United Kingdom.4 History is not necessarily destiny, however, and the consumer health market may prove to have unique characteristics that could spell trouble for consumer goods companies. One of their biggest problems is how to substantiate their health claims, particularly given the highly sensitive and litigious environment of healthcare. The United Kingdomā€™s Advertising Standards Authority, for example, has banned some Actimel TV spots, calling them misleading. Danone settled a U.S. lawsuit about similar claims for $35 million, and the European Food Safety Authority forced Danone to withdraw all health claims about Actimel.5 Again, responses vary based on individual countriesā€™ politics, but governments are increasingly requiring proof of any health claimā€”if not at the same level required for pharmaceuticals, then at least using more rigorous science than in the past. For example, L'OrĆ©al has responded to increasing pressure on claims for anti-aging products with LiftActiv, the first anti-wrinkle cream clinically proven to be effective through a pharmaceutical-type clinical trial. Even in developing countries, where governments are often less vocal, consumers will seek reassurance through brand credibility and recommendations of doctors and pharmacistsā€”both areas where pharmaceutical companies excel. Regarding innovation, the contest is too close to call. Pharmaceutical companies have a better understanding of risk factors and already have clinically proven molecules with potential applications in consumer healthcare. Their clinical and safety track record is difficult to shortcut or even replicate. For example, in the OTC antihistamine market, Claritin required far less development effort than the typical new product because it represented merely a switch of an existing anti-allergy molecule, with a proven clinical and safety track record, from a prescription to an OTC basis. On the other hand, consumer goods companies are champions at quick derivative innovation, successful brand extension, and effective consumer communication through traditional and new channels. Their shorter development cycles may provide them with enough agility to beat the pharmaceutical companies at getting products onto retailersā€™ shelves and into consumersā€™ minds. The battle for consumer health is not restricted to products; it is also happening in retail channels. Traditionally, drugs were sold through pharmacies and food through mass-market supermarkets. However, these channels are converging. Wal-Mart, for example, has introduced around 100 mini-clinics in its stores to boost its healthcare credentials. In European countries where it is allowed (such as the United Kingdom), major supermarkets are opening more pharmacies and offering reduced prices for drugsā€”even in such areas as cancer therapies. At the same time, pharmacies are broadening their offerings with food, drinks, and other consumer products. With pharmaceutical companiesā€™ traditional strengths in pharmacy and consumer productsā€™ dominance of mass-market channels, the battle for supremacy is happening throughout the value chain. A potentially complicating factor in the consumer healthcare market is the all-inclusive nature of its goals. When it comes to improving health, using a single product may not be sufficient, and consumers may already be using a prescription medicine or undergoing therapy. Some physicians, for example, are concerned that OTC statin-based cholesterol-lowering products end up being used inappropriately by two types of consumers: some who donā€™t really need the 4 ACNielsen, 52-week Probiotic Drink sector penetration to 24.12.05, and Britvic Soft Drinks Report 2006, both quoted in ā€œActimel: From Hampstead to Hartlepool,ā€ a 2006 Effectiveness Awards case study from the Institute of Practitioners in Advertising 5 ā€œTaste of a stricter future for health claims on food labels,ā€ Financial Times, 22 May 2009
  • 9. 9Winning the Battle for Consumer Healthcare: Science Versus the Marketers products and are pointlessly subjecting themselves to potential adverse side effects and others who think the products are sufficient to manage their condition, when in fact they need to be under a doctorā€™s care.6 In a broader picture, any consumer health product is part of a health solution, which may include other products, services, or technologies (see sidebar: Technologies and Solutions). One key to the long-term success of any product, therefore, may be in positioning it appropriately in the overall package of careā€”and endorsement by healthcare professionals will be critical in this process. This ā€œmedical detailingā€ is a core competency of pharmaceutical companies, but quite foreign to the mass-market distribution models of many consumer goods companies. Looking for the Sweet Spot No company will create this market in toto or dominate it in the short run. Not every company can address every opportunity. Companies will necessarily focus on a limited number of Technologies and Solutions Gadget-loverswereabuzzin 2010overaniPhoneandAndroid appcalledInstantHeartRate, aheartbeatmonitorthatuses thedeviceā€™sbuilt-incamera. Thenearlyfreetool,whichsenses theminisculechangesinskin colorresultingfrompulsing blood,washailedascreativeand surprisinglyaccurate.Italso signaledanimminenttrendin consumerhealthcare. As pharmaceutical and consumer goods companies battle over global healthcare revenues, their rivals include a surprising new twist on the idea of a niche player: app developers. Harnessing their creative approaches to existing, prevalent technologies, app developers drop their prices to almost zeroā€”erasing bigger playersā€™ potential revenue gains. But app developers face the same challenges as other players. For example, smartphone-based heart-rate monitors are targeted at athletes as a way to monitor heartbeat while exercising. As several such devicesā€™ warning labels note, however, ā€œThis monitor is not a medical device and is not intended to monitor health concerns.ā€ If users have a heart condition, they need a proven medical device. Despite its innovative design, therefore, the Instant Heart Rate app is missing its full consumer healthcare potential. Atleast,thatā€™showitstandsnow. However,pharmaceutical companieshavedeveloped dozensofiPhoneappstosupport thequitecomplexclinicalassess- mentsoftenneededtoprescribe drugsproperly.Itmightnotbe longbeforelow-costappsbecome goodenoughformanyuses, especiallyindevelopingcountries wheremoresophisticated technologiesarenotreadily availableandmobilephonesare notubiquitous.Despitethe requirementforregulatory approval,themobilephone asahubforarangeofmedical devicesmaynotbefaraway. The most intriguing potential use of technological tools in consumer healthcare is as components of wider solutions. Consider Weight Watchers: It started as a serviceā€”meetings providing weight-loss support. It evolved into food plans, exercise plans, and then specific productsā€” foods sold under the Weight Watchers label. Now its website, with its eTools program, is an essential component. Why wouldnā€™t other preventive health players also evolve into platforms? One such attempt has been GlaxoSmithKlineā€™s Alli, an OTC weight-loss product that comes in starter kits containing a food journal, a healthy eating guide, and a fat and calorie reference guideā€”or with the Web-based myalliplan, with weekly advice, articles, recipes, tips, an online community, and customized tools. As an early entrant, Alliā€™s Web platform is goodā€”but we predict that in the coming decade, the mix of product and technology solutions will become far more widespread and sophisticated. 6 ā€œWhy Merck Lost Its 3rd Bid to Sell Mevacor Over the Counter,ā€ Natural News, 4 February 2008
  • 10. 10Winning the Battle for Consumer Healthcare: Science Versus the Marketers markets because of the investments required in applying science, proving efficacy, and marketing. The trick will be to identify those areas that are set to grow the most and to establish where an individual company is most likely to be successful. We believe the key to success will be for each company to identify and target its sweet spots in the new consumer healthcare market. A sweet spot exists where the following conditions come together: A health need thatā€™s not addressed by the state. What do demographic and epidemiological trends, scientific research, and other new developments suggest about how people can improve their health? Is this an area that has been recognized as important, or could people be educated to understand its importance? Government health systems and structures are set up to provide funding and access to some treatmentsā€”but not others. Is this one of the others, in which targeting consumers may be profitable? A potential consumer market thatā€™s accessible to your company. Do consumers have the wealth to afford this product and attitudes to adopt it? Will they see it as something important that will make a difference for themselves or their loved ones? Do they have the products, brands, distribution, and competitive advantage to meet those customer needs? Identifying the sweet spots will be only the first step. To execute successfully, the consumer healthcare players will have to assemble the right mix of capabilities. The challenge, in summary, is to develop effectively targeted, packaged, and promoted products that are available to a large number of consumers and deliver what they promise. Aspects of this challenge draw on sources of competitive advantage for both pharmaceutical and consumer goods firms (see figure 4). Source: A.T. Kearney analysis Figure 4 Consumer goods and pharmaceutical firms have different sources of competitive advantage Pharmaceutical companies Low 1 2 3 4 High 5 Pharmaceutical company advantages Fast-moving consumer goods advantages FMCG companies Organizational capabilities Research Regulations and compliance Product innovation Manufacturing Marketing Sales Distribution and logistics ā€¢ Robust molecule pipeline ā€¢ Ability to meet regulatory requirements at lower costs ā€¢ Ability to meet and prove claims ā€” ā€” ā€¢ Medical endorsements and detailing ā€¢ Access to pharmaceutical channels ā€” ā€” ā€” ā€¢ Innovation leadership (line extensions) ā€¢ Efficient product development ā€¢ Mass-market production ā€¢ Brand strength ā€¢ Ability to respond to consumer needs ā€¢ Access to mass market ā€¢ Efficient supply chain
  • 11. 11Winning the Battle for Consumer Healthcare: Science Versus the Marketers Pharmaceutical companies have the clear edge on research, regulations, and compliance. With their molecule pipeline, ability to fulfill regulatory requirements at low costs, and experience at making and proving claims, pharmaceutical companies have the technical expertise and reputation to make consumers healthier. They have marketing and sales functions that play to these strengths, with effective medical endorsements and good access to pharmacy sales channels. They also have the brands to demonstrate clinical capability, even if they are often wary of diluting those brands by association with less well-proven technologies. These strengths alone, however, will not be enough to win: These companies must become capable of far more rapid product innovation and must build flexible supply chains capable of reacting to the promotion-driven sales patterns of consumer goods. They must better understand consumers and their aspirations and improve their ability to adjust product mix and marketing to meet those desires while keeping costs low. Consumer goods companies face a nearly opposite situation. They are traditionally strong in both speedy product development and incremental innovation and line extension to meet evolving consumer needs. Their marketing is good at establishing brands, which will be especially important in developing countries, where regulations are less of a barrier, and responding to consumer aspirations. Their manufacturing operations and supply chains are agile and efficient at producing and delivering mass-market products. They also use their presence in mass retail to make the products available to everyone. They have profound weaknesses, however, on the scientific sideā€”which is, after all, much of what this market is about. Their brands also may not be extendable into more clinically oriented productsā€”fizzy drinks are not readily associated with obesity reduction. If consumers and regulators do not believe that these products will improve health, then nothing else matters. If these companies cannot produce the research, meet the regulations, and prove their claims, they too will fail. The winning companies, therefore, will be those able to marry the yin and the yang into a mixed model, with some features from each industry (see figure 5). They need to possess certain attributes of pharmaceutical companies: Source: A.T. Kearney analysis Figure 5 Winning companies in this new market will marry the yin and the yang Excellence in marketing strategies and execution Strong brand portfolios that dominate categories Flexible and lean supply chain Products with proven efficacy and credibility Innovation leader with the courage to lead the market Global development versus local deployment Intimacy with and understanding of customers Vision of future market trends Access to mass retail Consumer company characteristics Pharma company characteristics Consumer and pharma characteristics
  • 12. 12Winning the Battle for Consumer Healthcare: Science Versus the Marketers ā€¢ Products with proven efficacy and credibility with both consumers and health professionals ā€¢ Health innovation leadership, including the courage to lead the market with new technologies And they need to display the following characteristics of consumer goods companies: ā€¢ Intimacy with and understanding of customers ā€¢ Strong brand portfolios that dominate categories ā€¢ Excellence in marketing strategies and execution ā€¢ Flexible and lean supply chains ā€¢ Access to mass retail Most companies will find it difficult to launch new consumer healthcare brands and businesses from within their existing marketing- or science-dominated cultures. New entrants are typically setting these ventures up as separate business units. Launches will require new thinking and approaches and dedicated cross-functional teams to shape the strategy, develop the capabilities, and mobilize the resources for success. In fact, the unique set of potential roadblocks makes it hard to predict which companies from the pharmaceutical or consumer goods industries will dominate the consumer healthcare market. One thing seems certain, however: Among the unsuccessful will be those companies that donā€™t dare to try. Authors Jonathan Anscombe, partner, London jonathan.anscombe@atkearney.com Emmanuel Hembert, principal, Zurich emmanuel.hembert@atkearney.com Michael Thomas, partner, London michaelwilliam.thomas@atkearney.com
  • 13. A.T. Kearney is a global team of forward-thinking, collaborative partners that delivers immediate, meaningful results and long-term transformative advantage to clients. Since 1926, we have been trusted advisors on CEO-agenda issues to the worldā€™s leading organizations across all major industries and sectors. A.T. Kearneyā€™s ofļ¬ces are located in major business centers in 39 countries. Americas Europe Asia Pacific Middle East and Africa Atlanta Calgary Chicago Dallas Detroit Houston Mexico City New York San Francisco SĆ£o Paulo Toronto Washington, D.C. Bangkok Beijing Hong Kong Jakarta Kuala Lumpur Melbourne Mumbai New Delhi Seoul Shanghai Singapore Sydney Tokyo Amsterdam Berlin Brussels Bucharest Budapest Copenhagen DĆ¼sseldorf Frankfurt Helsinki Istanbul Kiev Lisbon Ljubljana London Madrid Milan Moscow Munich Oslo Paris Prague Rome Stockholm Stuttgart Vienna Warsaw Zurich Abu Dhabi Dubai Johannesburg Manama Riyadh A.T. Kearney Korea LLC is a separate and independent legal entity operating under the A.T. Kearney name in Korea. Ā© 2012, A.T. Kearney, Inc. All rights reserved. The signature of our namesake and founder, Andrew Thomas Kearney, on the cover of this document represents our pledge to live the values he instilled in our firm and uphold his commitment to ensuring ā€œessential rightnessā€ in all that we do. For more information, permission to reprint or translate this work, and all other correspondence, please email: insight@atkearney.com.