Ready. Set. Access.

Market Access Strategic Execution Consultant

Something Happened in the 1980s

Something Happened in the 1980s

When America flipped the script on Capitalism post-WWII, we began to feel its shocks in the 1980s, and now we’re witnessing Capitalism collapsing on itself.

Our health care was along for the ride. Elisabeth Rosenthal did the important work of narrating this in her best-selling book, An American Sickness. If you’re in Market Access, you NEED to read this.

Pharma, Payers, and Providers were asked to show up for service. What we’ve served is a tragedy of commons.

But it isn’t what it is. It’s what we make of it. It’s up to us. We can flip the script.

Watch your thought because that becomes your action. Watch your action because that becomes your habit. Watch your habit because that becomes your character. Watch your character because that becomes your destiny.

Hind vision is 20/20. The Baby Boomers did the important work of showing us that greed shatters. It’s on the Millennials to do the generous work of ushering a new era that actually endures: an era of human dignity. Even if we don’t live another 40 years to witness its effects.

Second-Largest Payer Segment: Patients

Second-Largest Payer Segment: Patients

What we’re selling is expensive. Period.

Who’s picking up the tab for the health care bills?

#1: Federal government pays for 34%
#2: Households pay for 27%
#3: Private businesses pay for 17%
#4: State and local governments pay for 15%
#5: Others pay for 7%

Turns out that patients, collectively, are bigger payers than commercial payers. And 40% of them are in medical debt.

When I shine a light, both you and I can see better.

Magic Show

Magic Show

Great magicians are good at misdirection. They work their magic while distracting the audience by directing their attention to something else.

Did you know that prescription drug spending only accounts for 9% of the $4.3 trillion US health care spending? Hospital care accounts for 31% and physician/clinical services account for 20%.

Somehow, we’ve come to believe that pharma is responsible for our pricey health care.

Avada kedavra.

Start at the Finish

Start at the Finish

In a scavenger hunt, players start…well…at the start. But did you know that the person setting up the clues actually starts at the end and then works backwards? It helps to bring focus by adding an element of science to their art.

If you’re the one creating this year’s treasure map, start at the goal and work your way backwards.

Profit is a critical by-product. It’ll come. To those who obsessively focus on their customers. If you give them enough of what they want, they will give you everything you want.

Disciplined Learning for Learning a Discipline

Disciplined Learning for Learning a Discipline

Understanding Market Access is apprehended by most…just like statistics and workouts. Not because they are difficult, but because they’re dressed in coveralls.

Textbooks, courses, and SMEs can fix the problem just as well as wizards with wands—keep searching for them.

The pathway to understanding Market Access is messy and noble like parenting. You learn as you go along. Because there’s not true manual out there.

Who are our customers? Where do they show up, both in-person and virtually?

Provider organizations: C-suite, Pharmacy Directors, Medical Directors and Service-Line Leads, Population Health/Quality Directors, Individual Prescribers

Specialty Pharmacies: C-suite, Pharmacy Directors, Individual Pharmacists

Payers: C-suite, Pharmacy Directors, Medical Directors, Clinical Pharmacists, Therapeutic Area Leads

These people may go by different titles, depending on the workplace setting and therapeutic area.

Keep searching for the wand or get to work. A habit of learning 15 mins/day = 75 mins/week = 325h/year (i.e., 43 full-time days)!

Two Ears and One Mouth

Two Ears and One Mouth

When states, tribes, and local governments are figuring out how best to spend billions of dollars from an opioid lawsuit settlement…

When nonprofit hospital systems are figuring out to best spend their billions in profit…

There’s no single right answer because every community needs something that’s as unique as itself.

Ground Zero is where the action is, so keep your ears to the ground. Show up where THEY are.

It is impossible for a man to learn what he thinks he already knows  –Epictetus

Transform Customers

Transform Customers

‘Who (or what) are you trying to change by doing this work? From what to what?’

What an underrated question!

Don’t settle for the stock answers: ‘increase sales,’ ‘drive formulary acceptance,’ ….

Your strategy and its tactics have the power to TRANSFORM your customers. Sales and formulary placement are just one of its MANY side effects.

This slight shift in focus makes a world of difference.

Before Discounting an Idea

Before Discounting An Idea

Our empathy muscles get a nice workout in the strategy room.

Before discounting each others’ ideas, be curious. Ask these questions.

Together, we are destined to come up with something remarkable.

Problem or Opportunity

Problem or Opportunity

‘Why did it happen the way it did?’

That will probably lead to more constructive actions than spite or accepting temporary defeat as permanent.

If you don’t know why you failed, you are no wiser than when you began.

  1. How do you feel when it DOESN’T hit the mark? How do you respond?
  2. How do you feel when it DOES hit the mark? How do you respond?
  3. How do you ensure that you receive the Universe’s feedback in a way that can help propel you forward?

Execution

Execution

Your pull-through will only work if it’s being used.

You did the hard part of creating it. Orchestrating its execution is the next big challenge. Go!

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