HighPoint Blog

In a world of frequent biopharma mergers and divestitures, the optimal size and structure for a pharma company’s contract operations department is a moving target. Whether you’re setting up a new department or adjusting an existing one, meeting these shifting expectations is a challenge. There is typically no single way to determine your company’s unique best fit – one that balances management...

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The 58 clients who are part of Medecision’s acquisition of AxisPoint Health, and have been using CCMS and VITAL, have learned that Medecision will be sunsetting the systems. These clients must either transition to Medecision’s Aerial platform or select a new vendor.

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Co-authored by: Suzanne Kunze, Norita Wilson, and Lori Harris

Health plans will look to two prominent and nationally recognized organizations, NCQA or URAC, when they are seeking accreditation. Accreditation provides an impartial opinion on a health plan’s quality. URAC or NCQA accredit a health plan when it has been determined its practices meet national standards.

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The pharmacovigilance (PV) team at a large, global biopharma company faced a challenging operational environment. Plagued with a host of disconnected systems, their day-to-day operation weighed them down with a stream of recurring inefficiencies, inaccuracies, and added oversight costs.

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Co-author: Yann Chappuis, Senior Associate Consultant

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In the patented drug manufacturing world, fixed manufacturing costs are not usually a key driver of profitability. Achieving the right price is typically a much greater driver of profit.

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In the life sciences industry, gross to net (GTN) is the management process at the heart of the pricing and contracting lifecycle. Within this process, manufacturers forecast demand and accrue for rebates, chargebacks, and any other adjustments to the price charged for a product’s sale.

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"RIM provides an integrated view of regulatory information."

"Affiliates and regions should play a key role in the system."

"RIM is the foundation of the future IDMP implementation."

The quotes listed above paraphrase some of the typical feedback we hear from clients about the role of regulatory information management (RIM). RIM is a key supporting structure for successful operation in today’s...

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At first glance, tendering and contracting may appear as two completely different procurement methodologies within the life sciences industry. The general understanding is that contracting predominates in the United States and Japan, whereas tendering (with some contracting opportunities) predominates in the rest of the world. While this presents a fairly accurate overview, on closer...

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In an ideal world, global market access functions would be totally aware of all prices – from list to net – in all countries. The ability to access net prices for any transaction in real time would ensure zero revenue leakage along the pricing waterfall. Sadly, for life sciences companies, this ideal doesn’t materialize in the real world. Very few life sciences companies enable their global...

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HighPoint is currently conducting a Gross to Net Benchmarking Survey. Early, initial results from the survey have yielded some useful insights into industry trends around the following GTN organizational size and structure questions:

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Quick facts:

  • Health Records section added to Apple’s Health App for iOS mobile devices
  • Several major health systems on board at launch (Penn Medicine, Cerner, and more)
  • Uses FHIR-based integration (Fast Healthcare Interoperability Resources)

Apple’s recent announcement to enter the electronic health record (EHR) marketplace is intriguing. Health IT pundits largely agree – it was a long shot...

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Co-authored by Chris McShanag, VP Healthcare Provider Solutions

Last week in Las Vegas, Nevada, senior representatives from the Trump Administration and the Centers for Medicare and Medicaid Services (CMS) spoke at the Healthcare Information and Management Systems Society (HIMSS) conference, restating the administration’s commitment to overhaul “meaningful use”, place patients in the driver...

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Co authored by Luca Morreale, Manager, Life Sciences EU 

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Let’s face it – traditional on-site monitoring is becoming obsolete. Given the complexity of today’s global, multi-site clinical trials landscape, traditional site monitoring can be an inefficient method to ensure patient safety.

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The latest version of the European Public Procurement Directive (EU PPD 2014/24) supports the EU’s “2020” growth strategy, which aims to ensure that the European economy is built on sustainable growth that fosters innovation and social inclusion over merely short-term cost-containment measures.

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The industry is currently in a period of unprecedented transformation, driven by ongoing shifts in the regulatory sphere from document-driven to data-driven information management. This transition is certain to continue well into the next decade and poses a significant challenge to the industry, with profound impact on how we manage regulatory information going forward.

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What is an Early Access Program (EAP)?

Early access programs (EAPs) provide an alternative regulatory pathway for existing therapies and new medicines to more efficiently meet patient needs. Prior to market approval, promising new drugs can be made available outside of the clinical trial space to individuals with life threatening or chronic, debilitating diseases. Likewise, an existing...

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It’s all about data: everywhere, in all processes. Life sciences tendering is no exception. Data is required to achieve optimal tendering processes, along with continuous learning and improvement. Starting with the awareness phase, to participate in tenders you must know what tenders are published. Moving forward, you must know who the tender authority is in order to enable tender shaping...

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While almost any business would leap at the chance to increase revenue by 4 percent or avoid an equivalent revenue loss, in the healthcare provider payments landscape, such outcomes can be held in the balance by confusing new legislation. Despite increasing cost pressures and tighter private payer margins, many providers are not taking the steps necessary to prepare for a current high-impact...

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Part 1 of “Improving Project Outcomes through the use of Project or Program Management Office implementation”

At any one moment in time, across organizations of all sizes, there are multiple projects underway, each having one of the following goals:

  • Improve a process;
  • Launch a product;
  • Deliver critical, time-sensitive results; or
  • Implement a new technology.
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Is there a recipe for navigating the unique product launch challenges that Emerging Biotech organizations endure?

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It may be no surprise that during a sponsor audit, data management and source documentation rank among the top ten most common categories for critical inspection findings. According to a report on behalf of the European Medicines Agency (EMA), out of 398 GCP inspections over a 12-year period, a total of 5,685 findings were recorded; 532 of these findings were critical – 48 directly related to...

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Co authored by Javier Elkin, Senior Associate Consultant, Shared Services EU

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Why is Gross to Net information important for companies in the Life Sciences Industry? That is a question I kept asking myself when I started working on my first GTN project as a consultant.

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Co authors:

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Projected trends in population growth and size published by the U.S. Census Bureau indicate the U.S population is projected to increase by 98.1 million between 2014 and 2060. Over that same time span, the population aged 65 and over is expected to grow from 15 percent to 24 percent of the total population — an increase of 9 percent.  One can surmise from the statistics alone that a huge...

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Setting up a tender organization for life sciences can be a challenge. Not only do you need to deal with the way the tender governance is structured, on top of that, depending on your leadership, you may have to organize your company accordingly. As promised, this blog addresses another even more complex aspect of the organizational design, being “how the lifecycle of your portfolio impacts...

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A recurring issue observed when we conduct assessments of manufacturer “Gross to Net” operations is the apparent disconnect among multiple stakeholders on the role and responsibilities of the forecasting group. Similar to organizational and project charters, most disconnects can be resolved through the exercise of creating a forecasting charter.

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Commercial contracting within the pharmaceutical industry has undergone a dramatic transformation over the last decade. Payers have become more sophisticated and are applying additional pressure on manufacturers to “put their money where their mouth is.” But there is still a lot of confusion and misunderstanding about the different contract types, objectives, and associated risks. In this...

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Co-written by Gael Corbion, Manager EU, Master Data management

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Harmonization of the tendering process seems like a tremendous task. Local laws are so different from country to country, making you ask yourself, how can it be achieved? Also, what are the benefits of harmonization and how can a tendering organization accomplish it? This blog focuses on discussing these aspects.

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The 340B Drug Discount Program (otherwise known as PHS program) was created in 1992 as a federally-funded program to provide reduced drug pricing to “safety net providers” that serve uninsured or vulnerable patients.  The concept was simple: Manufacturer drug pricing for covered outpatient drugs offered at extremely reduced prices—sometimes even at a penny—to eligible, qualified entities. The...

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Latest revision of ICH guideline updates required data elements for transmission of Individual Case Safety Reports (ICSRs)

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With the recent pricing wars among pharmaceutical and biotech drug manufacturers, the U.S. government, and even the patient population, one thing is certain — it’s not stopping anytime soon. Manufacturers are being “asked” (read: strongly urged) to justify all product pricing to all parties impacted. That said, while some price adjustments are justified based on the costs of bringing a product...

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With discussions abounding around the power of big data and deep learning algorithms, you could be forgiven for assuming that 1) we now have the technology to measure everything and 2) everyone is doing it. But before considering whether QuintilesIMS, your CRM or Twitter can provide your company with the largest data sets, perhaps you can take a moment to ask: “What is it for?” 

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Getting customers off to a strong start with new technologies is integral to their business and key to their delivery of a superior employee experience. To do this, HighPoint has developed a deployment methodology that allows for rapid ramp up and easy configuration of the Workday application. Its five stages of planning, architect, prototype and configure, test, and deploy are iterative and...

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Risk-sharing agreements have emerged as a popular mechanism to balance increased payer focus on managing costs and the manufacturer’s need to gain market access for new products.  In Europe, variations of these agreements are common and in the U.S., they are gaining more prominence. However, a lot of confusion exists among payers and manufacturers on terminology. This article aims to clarify...

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As discussed in a previous post, a tendering dedicated resource is a must and it represents the first step in building a successful tendering organization. But plenty of questions will remain unanswered, even before you tackle the governance of your tendering business. However, a tendering organization will begin to be defined through the creation of a dedicated resource, as well as by...

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Special thanks to co-author Joe Cabe, Manager, Pricing, Contracting & Market Access. 

It’s common to lump the medical device and pharmaceutical industries together. Both are essential to the healthcare industry and have similar business models. However, when we examine each, we uncover vast differences between the two markets.

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