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Healthcare
Marketers
Trend
Report
2013A benchmark study of the shifting budgets,
challenges, opportunities and perspectives
of an industry undergoing transformation
T
here’s no question that the healthcare sector is in transition.
For the past few years, a well-documented “perfect storm” of
converging pressures of trends and events—such as the patent
cliff, regulatory scrutiny, pipeline issues, healthcare reform, digital
evolution, patient empowerment, the economy—has pounded
the industry with maximum force. And drug manufacturers are
bearing the brunt.
“The era of Big Pharma, and marketing the magic of a pill, is
gone,”says Kate Cronin, global managing director at Ogilvy Com-
monHealth PR.“Now it’s about everything that surrounds a pill,
including services, disease awareness, education and prevention.”
As a result, companies have been forced into changing the way
they develop products, the way they do business and the way they
interact with customers. These changes are already manifesting
themselves into the marketing functions,as companies begin shifting
priorities,retooling resources and reallocating investment between
brands, channels, tactics and audiences.
The objective of the MM&M/Ogilvy CommonHealth Health-
care Marketers Trends Report is to measure these changes, to tap
into the mindset of the healthcare marketing director as well as
BIGDon’t be fooled by flat overall spend. Big
changes are happening right below the
surface. James Chase discusses some
key insights from this exciting new study
with six industry marketing execs
34 MM&M x JUNE 2013 x mmm-online.com
The
Shift
The Respondents
Type of employer
Job title
Size of employer
Number of brands in budget
Pharma
52%
5+
32%
1
27%
2
22%
3
11%
4
9%
Director Level
79%
C-Suite
21%
Small
(<$500M)
53%
Med/Large
($500M+)
47%
Diagnostics
4%
Biotech
25%
Devices
19%
Source: MM&M /Ogilvy CommonHealthHealthcare Marketers Trend Report 2013
mmm-online.com x JUNE 2013 x MM&M 35
documenting the industry’s journey through this perfect storm.
For the inaugural study, we fielded an online survey of 200 quali-
fied senior executives—director level and above—employed at
pharma, biotech, devices and diagnostics companies, requesting
details of marketing budgets and various attitudes towards industry
challenges, trends and opportunities. Just over half of respondents
were from pharma,with 25% representing biotech and 19% devices.
One in five were C-suite execs (almost half of these were presi-
dents/CEOs) and the remainder director level or equivalent.Around
half were employed by companies with less than $500M in annual
revenues.One in four had sole responsibility for marketing budgets
(one in three for biotechs), and the number of brands for which
respondents were responsible varied from just one (27%) or two
(22%) to “10 or more” (12%).
The results reveal that while overall marketing budgets remain
fairly flat this year,there has been significant movement between the
tactical buckets—namely an increase in digital spend at the expense
of some of the more traditional channels.There is also evidence of
some withdrawal from unbranded communication.
In terms of their biggest challenges, marketers are concerned
about the effects of FDA regulations and pressure from payers,
while looking ahead they overwhelmingly agree that the industry
has to transform itself in order to remain viable and competitive.
Marketing Budgets
The mean average total marketing budget in 2013 (Fig.1) fell slightly
from $17.6M to $16.8M for all companies, with pharma and devices
both down slightly,but with biotech showing a marginal gain.Inter-
estingly, small companies (<$500M) showed a gain in mean total
budget, while medium/large companies ($500M+) posted a loss.
However, the median average budget tells another story, rising
from $2.4M to $3.2M overall,with pharma up from $4.0M to $4.5M
and biotech up from $2.2M to $2.7M.
With the mean and median heading in different directions, it is
likely that we are seeing the result of a handful of big-ticket brands
having gone off-patent, which has changed the shape of the budget
distribution curve. This is backed up by the fact that almost two-
thirds of respondents reported an increase in marketing budgets
this year (Fig. 2), with just one in five reporting a decrease. Size of
organization again seems to play a significant role,with 73% of small
companies posting an increase in budgets versus 53% of Medium/
Large companies. Similarly, 28% of Medium/Large companies
reported a decrease, versus just 15% of small companies.
Fig. 2: Shift in Total Marketing Budget, 2013
% of respondents reporting shift
(n =119)
All
Biotech
Pharma
Devices
Increase
58%
Increase
66%
Increase
64%
Increase
63%
Small Companies
(<$500M)
Med/Large Companies
($500M+)
Same
16%
Same
21%
Same
12%
Same
19%
Same
12%
Same
17%
Decrease
21%
Decrease
13%
Decrease
15%
Decrease
28%
Decrease
24%
Decrease
25%
Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
Increase
73%
Increase
53%
Fig. 1: Average Total Marketing Budgets
(n=117)
	 Mean ($M)	 Median ($M)
	 2013	2012	 2013	2012
All	 16.8	17.6	 3.2	 2.4
Pharma	 23.0	24.8	 4.5	 4.0
Biotech	 7.7	 7.3	 2.7	2.2
Devices	 14.4	14.6	 0.6	 0.8
Small (<$500M)	 3.8	 3.6	 1.2	 0.9
Med/Large (=> $500M)	 31.6	 33.5	 9.0	 8.8
Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013		
Overall, marketing directors allocated around 75% of their total
budget to healthcare professionals and 25% to the consumer space.
Broken down by specific audiences, Physicians scored highest, with
40% of respondents reporting an increase versus just 12% report-
ing a decrease (Fig. 3). Patients fared next best (36% reported an
increase) followed by Payers (33%) and NPs/PAs (24%).Advocacy
Groups and Pharmacists saw little increased investment.
“You hear a lot of talk about such as,‘It’s all about the consumer’
or ‘It’s all about payers’” says Mike Luby, founder, president and
CEO at BioPharmaAlliance.“Well these guys are saying that,really,
it’s much more about the physician than either of those other two.”
StevenWalker,director,cross-franchise initiatives and marketing
strategy at MedImmune, is not surprised at this either, but expects
to see a growing focus on NPs and PAs.“People are realizing that
there is a different educational need for that group of professional,
there’s different targeting that has to happen and a different language
that needs to be spoken,” he says.“When the Affordable Care Act
(ACA) comes online in 2014, with the lack of supply of primary
care physicians, you’re going to see other HCPs having to step up
to fill the void. Over the next five years I could envision seeing that
group jump up to first or second place.”
Luby agrees with that statement. “Consider the spending on
samples,copay cards and patient support programs,”he says.“Those
are all things that non-physician staff members on the front line
36 MM&M x JUNE 2013 x mmm-online.com
HEALTHCARE MARKETERS TREND REPORT
handle. That’s an opportunity that the industry could tap into
more. But they don’t get shown a lot of love here.”
Luby also sees an opportunity in reaching out to the pharmacist.
“They don’t want to be in a brand advocacy position,chooseA over
B.But where they could play an enormous role is in adherence.They
are right there, they are handing you the Rx.”
Branded trumps unbranded
Branded communications seem to be winning over Unbranded this
year, with 46% of marketers reporting increased Branded budgets,
and just 15% reporting decreases (Fig.4).However,only 26% report-
Fig. 3: Budget Shift by Audience
% of respondents reporting shift
(n=200)
Physicians
Payers
Patients
NPs/PAs
Increase
36%
Increase
33%
Increase
24%
Increase
40%
Advocacy Groups Pharmacists
Same
48%
Same
55%
Same
62%
Same
67%
Same
60%
Same
44%
Decrease
12%
Decrease
12%
Decrease
21%
Decrease
17%
Decrease
16%
Decrease
20%
Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
Increase
17%
Increase
16%
Fig. 4: Budget Shift, Branded vs. Unbranded
% of respondents reporting shift
(n=200)
Branded Unbranded
Increase
26%
Increase
46%
Same
39%
Same
45%
Decrease
15%
Decrease
29%
Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
Fig. 5: Marketing Mix by Channels
(n=200)
	 % of Budget	 % Reporting Budget
		 Shift in 2013
	 2012	 Increase	Decrease
Meetings/Conferences	18	 24	 22
Direct Marketing	 14	 25	 9
Print/TV/Radio Ads	 14	 14	 19
Content development	 13	 22	 11
Digital Ads	 10	 35	 8
Websites	 9	 29	7
Public Relations	 7	 17	 11
Advocacy Relations	 5	 18	 10
SEO Marketing	 4	 19	 4
Social Media	 4	 31	 4
Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
ed increases in Unbranded spending,while 29% reported decreases.
“This says you put your money where you see bang for the buck,”
says Luby. “More pharma companies are realizing that, like a lot
of the scattershot DTC, it’s not the most efficient thing. In tough
times, when you have to make choices, unbranded is giving way
to branded.”
Michael Fath,senior director,global marketing,pulmonology and
thrombolysis,Grifols,endorses that view.“When times are flush,you
look for lots of creative ways to expand the market,and unbranded
work often falls into that category, but when times are a bit tighter,
you rally around the brand focus on the core message.You’re going
to give up dollars for unbranded campaigns, generally speaking,
before you give up dollars for branded campaigns.”
Despite the increased focus on digital channels (which we’ll get
to in a moment) the overall marketing mix (Fig. 5) still has, at first
glance,a rather traditional look to it—the largest buckets are Meet-
ings/Conferences (18%), Direct Marketing (14%) and Print/TV/
Radio (14%).With 75% of budgets being allocated to HCP audi-
ences, traditional vehicles still feature prominently. Digital Ads
(10%) and Websites (9%) are not far behind, though. Social Media
clocks in at 4%.
But if you look at which budgets had the most increases, digital
wins out; 35% of marketers reported increase in Digital Ad spend,
followed by Social Media (31%) and Websites (29%).
Fath plays devil’s advocate:“We have a very small budget focused
on these areas,” he says. “To say it increased, say, from $100K to
$150K—‘wow, a 50% increase’—but if your promotional budget
beyond that is, say, $5M… well it’s still small potatoes.”
Walker still sees this as a positive.“Digital channels are emerging
channels,”he says.“Traditionally they have either been underfunded
or not funded at all.There’s a heightened realization that these are
emerging ways in which we need to engage our customers, whether
that’s physicians or patients, and the investment is worth it.”
The prevalence of different marketing tactics tells a similar story
about the emergence of digital. Looking first at the Healthcare
­Professional audience (Fig. 6a), 60% of all marketers reported a
budget for Digital Sales Materials (vs.49% in 2012) and 53% reported
mmm-online.com x JUNE 2013 x MM&M 37
UEROSTO COMMODO ODIONUL
spend on Mobile/Tablet Apps (vs. 35%). Meanwhile another 52%
reported investment in Digital Ads (vs. 47%) and 50% in Social
Media (vs. 37%).
Of those investing in Mobile/Tablet Apps, 72% reported an
increase this year, with just 5% reporting a decrease. Similarly, of
those with Social Media budgets,70% reported increases,while only
7% decreased spending.Digital Sales Materials (68% increased,10%
decreased), Digital Ads (57%, 17%) and Websites (38%, 12%) all
showed far more upswings than downswings.
On the other side of the coin, 35% reported reducing spending
in Printed Sales Materials,with similar stories for Journal PrintAds
(34%) and Meetings/Events (29%).
“You’re seeing more reps with tablets in their hands,” says Luby,
“so there’s some movement around what’s been a pretty static model.”
Michael Huiras, director of global marketing at Ibis Biosciences,
Abbott’s diagnostics unit,sees a huge benefit to using iPads.“If you
can do something instantaneously in front of a customer,” he says,
“regardless of the stakeholder, it’s much more impactful.”
A marketing director for a pharma company specializing in wom-
en’s health agrees. “Having a product with a complicated MOA,
having that technology there… well,pharma is geared towards that
kind of selling.”
But you have to get internal approval first.“You have to get your
MLR group to go along with it,” says Fath.“They’re used to seeing
pages,but when you start to say‘Lets do an algorithm’or‘Let’s let [phy-
sicians] choose their own adventure,’ they get a lot more heartburn.”
Fig. 6a: HCP Marketing Tactics
(n=200)	 % Using Channel	 % Users Reporting Budget Shift in 2013
	 2013 	 2012	 Increase	 Decrease
Meetings/Events	 84	84	 31	 29
Printed Sales Materials	 76	 76	 21	 35
Websites	 74	73	 38	 12
Research/Data/Analytics	 70	71	 42	 17
Direct Marketing	 67	 66	 35	 28
Patient Education Materials	 62	 58	 45	 13
Digital Sales Materials	 60	 49	 68	 10
Journal Print Ads	 60	 60	 21	 34
Mobile/Tablet Apps	 53	 35	 72	 5
Digital Ads	 52	 47	 58	 17
Advocacy Programs	 52	 46	 40	 16
Social Media	 50	 37	 70	 7
CME	 41	42	 43	 29
Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013				
Fig. 6b: Consumer Marketing Tactics
(n=200)
	 % Using Channel	 % Users Reporting Budget Shift in 2013
	 2013 	 2012	 Increase	 Decrease
Websites	 67	65	 49	 13
Social Media	 50	 37	 74	 7
Research/Data/Analytics	 46	44	 47	 16
Public Relations	 45	 45	 39	 15
Advocacy Programs	 45	 38	 50	 14
Print Ads	 42	 43	 20	 35
Digital Ads	 42	 36	 64	 16
Direct Marketing	 35	 36	 40	 32
Mobile/Tablet Apps	 31	 18	 83	 13
TV	 19	15	 45	 30
Radio	 10	9	 35	 35
Outdoors	 7	8	 17	 44
Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
A similar digital push emerges with Consumer tactics (Fig. 6b),
with 50% of all marketers using consumer Social Media channels
(vs.37% in 2012) and 31% of them investing in Mobile/TabletApps
(vs. 18% in 2012). Of those Mobile/Tablet spenders, a whopping
83% reported having larger budgets this year, while only 13%
of them decreased spending in this area. It is the same story for
Social Media (74% increased, 7% decrease) and Digital Ads (64%,
16%). Advocacy Programs also showed a promising number of
increases and few decreases (50%, 14%). The biggest losers were
Print Ads and Radio, with 35% of users reporting budget reduc-
tions for each.
“The number of growing social media budgets is interesting,”notes
Walker.“It’s not a very well defined area in healthcare – there is no
historical precedent or benchmark for what good looks like – but it’s
an emerging area in which we all need to have a footprint.We need
to dedicate a little more time to understanding the opportunities and
driving the market opportunities, even if it’s not clearly identified
how we need to play there.”
Again,the regulatory environment poses a huge challenge.“How
do you put a med-reg-approved piece on Facebook? It’s frightfully
difficult,” says Fath. “It’s hard to be cutting-edge in the regulated
pharmaceutical industry.”
Approval is a non-starter at the specialist women’s therapy
company. “Our company has a very, very conservative med legal
department—the most conservative I’ve ever worked with,” says
the marketing director.“I know that we will not be allowed to move
forward with anything on social media until there is a definitive
guideline.”
Findings Partners
Our marketing directors use a variety of methods for sourcing and
hiring marketing partners, agencies, vendors and suppliers (Fig. 7).
Overall,Recommendations ranked first,used by 61% of respondents,
followed by Inviting Existing Partners to Pitch (54%) and Industry
Relationships (54%), Preferred Partner Lists (51%) and then Pro-
curement Services (33%). However, if you break this out by size
of organization, there are some startling differences: Just 10% of
Small Companies use Procurement versus 54% of Medium/Large
Companies. Similarly, while only 28% of Small Companies follow
Preferred Partner lists, 73% of Medium/Large Companies source
partners in this way.
“I do think the procurement pendulum has swung a little too far
in the big companies,” says Luby.“To me, you see a lot of the more
Big changes, bigger opportunities
Over the last decade, many industries
have gone through major shifts to
remain competitive in an ever-changing
economic environment, and the health-
care industry is no different. Turned on
its head by patent expirations, chal-
lenged pipelines, clinical development
outsourcing, FDA regulations and health-
care reform, the majority of healthcare
industry executives we interviewed
agreed that the “industry will need to
change its business model to remain viable in the future.”
This new model is taking a page from the growth in outsourc-
ing, with eight in 10 executives reporting that “much like trends
in the utilization of CROs, healthcare companies will continue to
look for ways to optimize resources and profitability.” Many find
that the rapidly transforming healthcare landscape has driven the
consolidation of marketing services, with seven in ten executives
reporting that “marketing service companies must integrate their
offerings and become more dynamic to serve the changing needs
of the healthcare industry.”
While this transition and integration will take time,“greater
consultation and collaboration across the marketing service
spectrum”will be the cost of entry for agencies moving forward,
with six in 10 executives reporting that “agencies that offer
integrated services, including Advertising and Public Relations,
will be in greater demand in the future.” Significant opportunities
that have arisen through clinical development, Big Data, emerg-
ing markets and the digital realm have fostered an expectation in
the healthcare industry for a more nimble and cross-functional
partner in marketing services.
More than half of executives expect their company to con-
solidate its marketing services under fewer agencies in the
future. This expectation may be fueled by a heightened need for
efficiency and innovation, with many executives reporting that
“healthcare companies are consolidating marketing services to
ensure expedited access to expertise.” With half of all executives
reporting being satisfied with the varied marketing service agen-
cies with which they work, room exists for greater collaboration
and innovation in the industry.
Kate Cronin, Global Managing Director, Ogilvy CommonHealth
Public Relations
38 MM&M x JUNE 2013 x mmm-online.com
HEALTHCARE MARKETERS TREND REPORT
Fig. 7: Approaches to Sourcing Marketing Partners
(n=200)
	 % Using Approach
	 All	 Small Cos.	 Med/Large Cos
		(<$500M)	 ($500M+)
Recommendations	61	 77	 52
Invite Existing Partners	 54	 52	 60
Industry Relationships	 54	 64	 49
Preferred Partner Lists	 51	 28	 73
Procurement Services	 33	 10	 54
Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013			
Fig. 8: Audience Ranked by Perceived Importance
(n=200)
	 Ranked Top 3	 Ranked #1
Physicians	92	 64
Patients	56	 16
Payers	56	 7
NPs/PAs	38	 1
Pharmacists	23	 3
Shareholders	21	 8
Advocacy Grps	 16	 2
Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
mmm-online.com x JUNE 2013 x MM&M 39
UEROSTO COMMODO ODIONUL
innovative stuff in the smaller companies, so you have to ask: ‘Is
procurement inhibiting innovation?’ But when you’re running a
behemoth, you’ve got to have some sort of control.”
Perception and Opinion
Respondents were asked to rank seven healthcare audiences in
order of perceived importance to them and their organizations,
regardless of their actual budget allocation to those audiences
(Fig. 8). Overwhelmingly, Physicians was the number one choice
cited, ranked first place by 64% of marketing directors and ranked
in the top three by 92%.Staying with the“top three”result,Patients
and Payers (both 56%) shared the second spot, followed by NPs/
PAs (38%).
We then asked respondents to look at 17 different pressures,
trends and events affecting the industry and instructed them to give
each one a grade according to what they perceive to be its level of
challenge, and another grade for its perceived opportunity (Fig. 9).
Pipelines and Emerging Markets emerged as the biggest perceived
opportunities,with 58% scoring each in the top two grades.Mobile/
Tablets and Social Media also did reasonably well, in fourth and
fifth places, respectively. Conversely, FDA Regulations/Guidance
(76%) and Payer Pressure (73%) were rated as the greatest industry
challenges.
“I feel for the regulators, but I think they’re forced to work with
obsolete guidelines and guidance,”says Fath.“A risk-averse approach
has been instilled into the FDA, and as long as that’s the approach
that they’re judged by—zero risk and zero tolerance—then it’s going
to be a very difficult pass.”
According to the women’s health marketing director, the regula-
tions get stricter every year.“I think we have a good product but it
almost seems sometimes like you’re being penalized for promoting
something that has a long history of safety and efficacy because of
various restrictions and guidelines.”
Although Payer Pressure was also scored as a big challenge, not
everyone agrees.“Pressure from payers is exactly what I want,”says
Huiras, whose companion diagnostic product, which launches next
year, has the potential to save the healthcare system money.“It will
help us, no question.”
Walker believes it depends which side of the coin you are on.“If
you feel that you have a better clinical proposition and associated
pharmacoecomonic data,”he says.“Then you’re good,and managed
care can play to your strengths.”
One force that, perhaps surprisingly, was not deemed by respon-
dents to be an overwhelming challenge was the Sunshine Act.“It’s
a bit of a headache, it’s outside of the normal processes of doing
business and managing things,” says Walker. “Then there’s the
challenge of how physicians may respond to this and does that
change our level of access and interaction with these healthcare
professionals?”
According to Huiras, it’s no big deal these days.“In this environ-
ment,and the examples and pain we’ve gone through,”he says,“we
have a fair bit of investment in compliance and monitoring and
things like automating our expense and tracking system. So we’re
just learning to live with it.”
Interestingly, the Affordable Care Act was rated as way more of
a nuisance than an opportunity. “If you’re a big player with a big
product, I think the price that you lose is going to be more than the
patients you gain,” says Fath.“But the companies that play in the
Fig. 9: Perceived Challenges & Opportunities
(n=200)
Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
Opportunity Challenge
Mobile/Tablets
Customer Behavioral Change
Social Media
Payer Pressure
The Economy
Mergers and Acquisitions
Big Data
FDA Regulations/Guidance
Affordable Care Act
Patent Expiration
Pharma Media Coverage
Procurement
MLR/InternalApproval
The Sunshine Act
Agency Consolidation
Pipelines
Emerging Markets
Time-to-Market
0 10 20 30 40 50 60 70 80
58%
52%
58%
38%
50%
64%
49%
24%
48%
43%
46%
40%
44%
73%
41%
63%
40%
31%
39%
34%
38%
76%
36%
60%
35%
42%
26%
37%
25%
26%
24%
55%
21%
51%
10%
12%
40 MM&M x JUNE 2013 x mmm-online.com
HEALTHCARE MARKETERS TREND REPORT
very high price categories and the orphan categories… I see that
as an upside.The removal of the lifetime cap is a huge opportunity
to allow patients with rare diseases to continue therapy without a
deadline in front of them.”
Fath doesn’t seeAccountable Care Organizations (ACOs) as caus-
ing too many problems on the pharma side.“I seeACOs being more
of an issue with the delivery of care, the hospital costs, the surgical
costs,” he says.“I think they have bigger fish to fry.”
Industry outlook: more change ahead
Finally, respondents were asked to rate how strongly they agreed
or disagreed with various statements pertaining to the future of
the industry.
At the top of the pile 86% agreed or strongly agreed that “The
healthcare industry will need to change its business model to remain
viable in the future”. Other popular statements included, “Digital
media has forever changed the way the healthcare industry needs
to communicate and engage with its constituents”and“The health-
care industry will quickly need to become more nimble to remain
competitive in the current business landscape.”
Respondents seem to agree that more change is required if the
industry is going to survive. Does this mean that the era of Big
Pharma over?
“Yes,but I think you’re going to see the emergence of big biotech
or big biopharma,”saysWalker.“The operating model is shifting and
evolving to be more inclusive of large molecule, personal medicine
and innovative delivery devices.”
Fath agrees that it will be more of a shift than a disappearance.
“I don’t think it’s over, it’s just going to evolve like it always does,”
he says.“There’s still going to be big companies that can leverage
R&D and you need scale to do R&D.There’s still value to be gleaned
from multinational companies that can drive good R&D and come
out with a good product.”
Fath is pleased that 61% of marketing directors think manufactur-
ers could be doing more to put patients first.“Patients are ultimately
our biggest partners,” he says.“Patients want effective therapy, we
want to deliver it to them … and so the more we can collaborate with
patients, the more success we’ll have in the industry. In communi-
ties like cystic fibrosis or hemophilia, where it’s a chronic disease,
lifelong, genetic… you really feel a close relationship with your
patient. Providing care to that patient base is much more than just
marketing. It’s a commitment.”
Cronin believes the industry could sometimes communicate in
more patient-friendly tones. “Pharma companies are being held
accountable on their spend, and on demonstrating ROI,” she says,
“but they also need to be showing—in the way they speak, in the
way they use the different platforms—they need to show a human
side, speak in an audience language and learn how to engage with
different customers in a more gratifying way for their stakehold-
ers. It’s about going beyond a product and building a long-term
relationship with their customers. I know they know this, but the
partners that they work with need to understand that it’s not about
what you build,it’s how you’re developing the content and reaching
out to your customers.
“Pharma has spent the past 20 years defending why it should
charge what it charges for products. Now they need to spend 20
years showing customers that they understand them and that they
are giving them what they need.” n
Fig. 10: The Future of the Industry	
86%The healthcare industry will need to change its
business model to remain viable in the future
85%Digital media has forever changed the way the
healthcare industry needs to communicate and engage
with its constituents
84%The healthcare industry will need to quickly become
more nimble to remain competitive in the current
business landscape
83%Much like trends in the utilization of CROs, healthcare
companies will continue to look for ways to optimize
resources and profitability
70%Healthcare companies are looking for greater
consultation and collaboration across the marketing
service spectrum from agencies
69%Any healthcare company that continues to leverage
operational guidelines from ten years ago will likely not
exist five years from now
67%Healthcare companies will play a pivotal role in the
engagement of the millions of newly insured patients
under the Affordable Care Act
64%The healthcare industry needs to do a better job in
leveraging “Big Data” to support its business strategy
61%Healthcare manufacturers could be doing more to put
patients first
59%Internal procurement departments will play a more
significant role in the evaluation of marketing services
in the future
54%I expect my company to consolidate its marketing
services (Advertising, Public Relations, Media, etc.)
under fewer agencies in the future
53%Healthcare companies are consolidating marketing
services to ensure expedited access to expertise
53%I am satisfied with the varied marketing services
agencies I work with
48%The era of Big Pharma is over
Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013	
Methodology
n Survey link was sent by email to approximately 10,221
healthcare marketing executives—director level and above—
who reside in the United States and are employed in the
pharmaceutical, biotechnology, medical device and diagnostics
industries. Respondents were offered an array of incentives,
including: a drawing for one of three $250 gift cards, $50 AmEx
gift card or an opportunity to donate $50 to either the American
Cancer Society or the American Diabetes Association.
n A total of 200 responses were collected between April 8 and
April 27.
n Results are not weighted and are statistically tested at
confidence levels of 90% and 95%.

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Health market trend report 2013

  • 1. Healthcare Marketers Trend Report 2013A benchmark study of the shifting budgets, challenges, opportunities and perspectives of an industry undergoing transformation
  • 2. T here’s no question that the healthcare sector is in transition. For the past few years, a well-documented “perfect storm” of converging pressures of trends and events—such as the patent cliff, regulatory scrutiny, pipeline issues, healthcare reform, digital evolution, patient empowerment, the economy—has pounded the industry with maximum force. And drug manufacturers are bearing the brunt. “The era of Big Pharma, and marketing the magic of a pill, is gone,”says Kate Cronin, global managing director at Ogilvy Com- monHealth PR.“Now it’s about everything that surrounds a pill, including services, disease awareness, education and prevention.” As a result, companies have been forced into changing the way they develop products, the way they do business and the way they interact with customers. These changes are already manifesting themselves into the marketing functions,as companies begin shifting priorities,retooling resources and reallocating investment between brands, channels, tactics and audiences. The objective of the MM&M/Ogilvy CommonHealth Health- care Marketers Trends Report is to measure these changes, to tap into the mindset of the healthcare marketing director as well as BIGDon’t be fooled by flat overall spend. Big changes are happening right below the surface. James Chase discusses some key insights from this exciting new study with six industry marketing execs 34 MM&M x JUNE 2013 x mmm-online.com The Shift The Respondents Type of employer Job title Size of employer Number of brands in budget Pharma 52% 5+ 32% 1 27% 2 22% 3 11% 4 9% Director Level 79% C-Suite 21% Small (<$500M) 53% Med/Large ($500M+) 47% Diagnostics 4% Biotech 25% Devices 19% Source: MM&M /Ogilvy CommonHealthHealthcare Marketers Trend Report 2013
  • 3. mmm-online.com x JUNE 2013 x MM&M 35 documenting the industry’s journey through this perfect storm. For the inaugural study, we fielded an online survey of 200 quali- fied senior executives—director level and above—employed at pharma, biotech, devices and diagnostics companies, requesting details of marketing budgets and various attitudes towards industry challenges, trends and opportunities. Just over half of respondents were from pharma,with 25% representing biotech and 19% devices. One in five were C-suite execs (almost half of these were presi- dents/CEOs) and the remainder director level or equivalent.Around half were employed by companies with less than $500M in annual revenues.One in four had sole responsibility for marketing budgets (one in three for biotechs), and the number of brands for which respondents were responsible varied from just one (27%) or two (22%) to “10 or more” (12%). The results reveal that while overall marketing budgets remain fairly flat this year,there has been significant movement between the tactical buckets—namely an increase in digital spend at the expense of some of the more traditional channels.There is also evidence of some withdrawal from unbranded communication. In terms of their biggest challenges, marketers are concerned about the effects of FDA regulations and pressure from payers, while looking ahead they overwhelmingly agree that the industry has to transform itself in order to remain viable and competitive. Marketing Budgets The mean average total marketing budget in 2013 (Fig.1) fell slightly from $17.6M to $16.8M for all companies, with pharma and devices both down slightly,but with biotech showing a marginal gain.Inter- estingly, small companies (<$500M) showed a gain in mean total budget, while medium/large companies ($500M+) posted a loss. However, the median average budget tells another story, rising from $2.4M to $3.2M overall,with pharma up from $4.0M to $4.5M and biotech up from $2.2M to $2.7M. With the mean and median heading in different directions, it is likely that we are seeing the result of a handful of big-ticket brands having gone off-patent, which has changed the shape of the budget distribution curve. This is backed up by the fact that almost two- thirds of respondents reported an increase in marketing budgets this year (Fig. 2), with just one in five reporting a decrease. Size of organization again seems to play a significant role,with 73% of small companies posting an increase in budgets versus 53% of Medium/ Large companies. Similarly, 28% of Medium/Large companies reported a decrease, versus just 15% of small companies. Fig. 2: Shift in Total Marketing Budget, 2013 % of respondents reporting shift (n =119) All Biotech Pharma Devices Increase 58% Increase 66% Increase 64% Increase 63% Small Companies (<$500M) Med/Large Companies ($500M+) Same 16% Same 21% Same 12% Same 19% Same 12% Same 17% Decrease 21% Decrease 13% Decrease 15% Decrease 28% Decrease 24% Decrease 25% Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Increase 73% Increase 53% Fig. 1: Average Total Marketing Budgets (n=117) Mean ($M) Median ($M) 2013 2012 2013 2012 All 16.8 17.6 3.2 2.4 Pharma 23.0 24.8 4.5 4.0 Biotech 7.7 7.3 2.7 2.2 Devices 14.4 14.6 0.6 0.8 Small (<$500M) 3.8 3.6 1.2 0.9 Med/Large (=> $500M) 31.6 33.5 9.0 8.8 Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Overall, marketing directors allocated around 75% of their total budget to healthcare professionals and 25% to the consumer space. Broken down by specific audiences, Physicians scored highest, with 40% of respondents reporting an increase versus just 12% report- ing a decrease (Fig. 3). Patients fared next best (36% reported an increase) followed by Payers (33%) and NPs/PAs (24%).Advocacy Groups and Pharmacists saw little increased investment. “You hear a lot of talk about such as,‘It’s all about the consumer’ or ‘It’s all about payers’” says Mike Luby, founder, president and CEO at BioPharmaAlliance.“Well these guys are saying that,really, it’s much more about the physician than either of those other two.” StevenWalker,director,cross-franchise initiatives and marketing strategy at MedImmune, is not surprised at this either, but expects to see a growing focus on NPs and PAs.“People are realizing that there is a different educational need for that group of professional, there’s different targeting that has to happen and a different language that needs to be spoken,” he says.“When the Affordable Care Act (ACA) comes online in 2014, with the lack of supply of primary care physicians, you’re going to see other HCPs having to step up to fill the void. Over the next five years I could envision seeing that group jump up to first or second place.” Luby agrees with that statement. “Consider the spending on samples,copay cards and patient support programs,”he says.“Those are all things that non-physician staff members on the front line
  • 4. 36 MM&M x JUNE 2013 x mmm-online.com HEALTHCARE MARKETERS TREND REPORT handle. That’s an opportunity that the industry could tap into more. But they don’t get shown a lot of love here.” Luby also sees an opportunity in reaching out to the pharmacist. “They don’t want to be in a brand advocacy position,chooseA over B.But where they could play an enormous role is in adherence.They are right there, they are handing you the Rx.” Branded trumps unbranded Branded communications seem to be winning over Unbranded this year, with 46% of marketers reporting increased Branded budgets, and just 15% reporting decreases (Fig.4).However,only 26% report- Fig. 3: Budget Shift by Audience % of respondents reporting shift (n=200) Physicians Payers Patients NPs/PAs Increase 36% Increase 33% Increase 24% Increase 40% Advocacy Groups Pharmacists Same 48% Same 55% Same 62% Same 67% Same 60% Same 44% Decrease 12% Decrease 12% Decrease 21% Decrease 17% Decrease 16% Decrease 20% Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Increase 17% Increase 16% Fig. 4: Budget Shift, Branded vs. Unbranded % of respondents reporting shift (n=200) Branded Unbranded Increase 26% Increase 46% Same 39% Same 45% Decrease 15% Decrease 29% Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Fig. 5: Marketing Mix by Channels (n=200) % of Budget % Reporting Budget Shift in 2013 2012 Increase Decrease Meetings/Conferences 18 24 22 Direct Marketing 14 25 9 Print/TV/Radio Ads 14 14 19 Content development 13 22 11 Digital Ads 10 35 8 Websites 9 29 7 Public Relations 7 17 11 Advocacy Relations 5 18 10 SEO Marketing 4 19 4 Social Media 4 31 4 Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 ed increases in Unbranded spending,while 29% reported decreases. “This says you put your money where you see bang for the buck,” says Luby. “More pharma companies are realizing that, like a lot of the scattershot DTC, it’s not the most efficient thing. In tough times, when you have to make choices, unbranded is giving way to branded.” Michael Fath,senior director,global marketing,pulmonology and thrombolysis,Grifols,endorses that view.“When times are flush,you look for lots of creative ways to expand the market,and unbranded work often falls into that category, but when times are a bit tighter, you rally around the brand focus on the core message.You’re going to give up dollars for unbranded campaigns, generally speaking, before you give up dollars for branded campaigns.” Despite the increased focus on digital channels (which we’ll get to in a moment) the overall marketing mix (Fig. 5) still has, at first glance,a rather traditional look to it—the largest buckets are Meet- ings/Conferences (18%), Direct Marketing (14%) and Print/TV/ Radio (14%).With 75% of budgets being allocated to HCP audi- ences, traditional vehicles still feature prominently. Digital Ads (10%) and Websites (9%) are not far behind, though. Social Media clocks in at 4%. But if you look at which budgets had the most increases, digital wins out; 35% of marketers reported increase in Digital Ad spend, followed by Social Media (31%) and Websites (29%). Fath plays devil’s advocate:“We have a very small budget focused on these areas,” he says. “To say it increased, say, from $100K to $150K—‘wow, a 50% increase’—but if your promotional budget beyond that is, say, $5M… well it’s still small potatoes.” Walker still sees this as a positive.“Digital channels are emerging channels,”he says.“Traditionally they have either been underfunded or not funded at all.There’s a heightened realization that these are emerging ways in which we need to engage our customers, whether that’s physicians or patients, and the investment is worth it.” The prevalence of different marketing tactics tells a similar story about the emergence of digital. Looking first at the Healthcare ­Professional audience (Fig. 6a), 60% of all marketers reported a budget for Digital Sales Materials (vs.49% in 2012) and 53% reported
  • 5. mmm-online.com x JUNE 2013 x MM&M 37 UEROSTO COMMODO ODIONUL spend on Mobile/Tablet Apps (vs. 35%). Meanwhile another 52% reported investment in Digital Ads (vs. 47%) and 50% in Social Media (vs. 37%). Of those investing in Mobile/Tablet Apps, 72% reported an increase this year, with just 5% reporting a decrease. Similarly, of those with Social Media budgets,70% reported increases,while only 7% decreased spending.Digital Sales Materials (68% increased,10% decreased), Digital Ads (57%, 17%) and Websites (38%, 12%) all showed far more upswings than downswings. On the other side of the coin, 35% reported reducing spending in Printed Sales Materials,with similar stories for Journal PrintAds (34%) and Meetings/Events (29%). “You’re seeing more reps with tablets in their hands,” says Luby, “so there’s some movement around what’s been a pretty static model.” Michael Huiras, director of global marketing at Ibis Biosciences, Abbott’s diagnostics unit,sees a huge benefit to using iPads.“If you can do something instantaneously in front of a customer,” he says, “regardless of the stakeholder, it’s much more impactful.” A marketing director for a pharma company specializing in wom- en’s health agrees. “Having a product with a complicated MOA, having that technology there… well,pharma is geared towards that kind of selling.” But you have to get internal approval first.“You have to get your MLR group to go along with it,” says Fath.“They’re used to seeing pages,but when you start to say‘Lets do an algorithm’or‘Let’s let [phy- sicians] choose their own adventure,’ they get a lot more heartburn.” Fig. 6a: HCP Marketing Tactics (n=200) % Using Channel % Users Reporting Budget Shift in 2013 2013 2012 Increase Decrease Meetings/Events 84 84 31 29 Printed Sales Materials 76 76 21 35 Websites 74 73 38 12 Research/Data/Analytics 70 71 42 17 Direct Marketing 67 66 35 28 Patient Education Materials 62 58 45 13 Digital Sales Materials 60 49 68 10 Journal Print Ads 60 60 21 34 Mobile/Tablet Apps 53 35 72 5 Digital Ads 52 47 58 17 Advocacy Programs 52 46 40 16 Social Media 50 37 70 7 CME 41 42 43 29 Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Fig. 6b: Consumer Marketing Tactics (n=200) % Using Channel % Users Reporting Budget Shift in 2013 2013 2012 Increase Decrease Websites 67 65 49 13 Social Media 50 37 74 7 Research/Data/Analytics 46 44 47 16 Public Relations 45 45 39 15 Advocacy Programs 45 38 50 14 Print Ads 42 43 20 35 Digital Ads 42 36 64 16 Direct Marketing 35 36 40 32 Mobile/Tablet Apps 31 18 83 13 TV 19 15 45 30 Radio 10 9 35 35 Outdoors 7 8 17 44 Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
  • 6. A similar digital push emerges with Consumer tactics (Fig. 6b), with 50% of all marketers using consumer Social Media channels (vs.37% in 2012) and 31% of them investing in Mobile/TabletApps (vs. 18% in 2012). Of those Mobile/Tablet spenders, a whopping 83% reported having larger budgets this year, while only 13% of them decreased spending in this area. It is the same story for Social Media (74% increased, 7% decrease) and Digital Ads (64%, 16%). Advocacy Programs also showed a promising number of increases and few decreases (50%, 14%). The biggest losers were Print Ads and Radio, with 35% of users reporting budget reduc- tions for each. “The number of growing social media budgets is interesting,”notes Walker.“It’s not a very well defined area in healthcare – there is no historical precedent or benchmark for what good looks like – but it’s an emerging area in which we all need to have a footprint.We need to dedicate a little more time to understanding the opportunities and driving the market opportunities, even if it’s not clearly identified how we need to play there.” Again,the regulatory environment poses a huge challenge.“How do you put a med-reg-approved piece on Facebook? It’s frightfully difficult,” says Fath. “It’s hard to be cutting-edge in the regulated pharmaceutical industry.” Approval is a non-starter at the specialist women’s therapy company. “Our company has a very, very conservative med legal department—the most conservative I’ve ever worked with,” says the marketing director.“I know that we will not be allowed to move forward with anything on social media until there is a definitive guideline.” Findings Partners Our marketing directors use a variety of methods for sourcing and hiring marketing partners, agencies, vendors and suppliers (Fig. 7). Overall,Recommendations ranked first,used by 61% of respondents, followed by Inviting Existing Partners to Pitch (54%) and Industry Relationships (54%), Preferred Partner Lists (51%) and then Pro- curement Services (33%). However, if you break this out by size of organization, there are some startling differences: Just 10% of Small Companies use Procurement versus 54% of Medium/Large Companies. Similarly, while only 28% of Small Companies follow Preferred Partner lists, 73% of Medium/Large Companies source partners in this way. “I do think the procurement pendulum has swung a little too far in the big companies,” says Luby.“To me, you see a lot of the more Big changes, bigger opportunities Over the last decade, many industries have gone through major shifts to remain competitive in an ever-changing economic environment, and the health- care industry is no different. Turned on its head by patent expirations, chal- lenged pipelines, clinical development outsourcing, FDA regulations and health- care reform, the majority of healthcare industry executives we interviewed agreed that the “industry will need to change its business model to remain viable in the future.” This new model is taking a page from the growth in outsourc- ing, with eight in 10 executives reporting that “much like trends in the utilization of CROs, healthcare companies will continue to look for ways to optimize resources and profitability.” Many find that the rapidly transforming healthcare landscape has driven the consolidation of marketing services, with seven in ten executives reporting that “marketing service companies must integrate their offerings and become more dynamic to serve the changing needs of the healthcare industry.” While this transition and integration will take time,“greater consultation and collaboration across the marketing service spectrum”will be the cost of entry for agencies moving forward, with six in 10 executives reporting that “agencies that offer integrated services, including Advertising and Public Relations, will be in greater demand in the future.” Significant opportunities that have arisen through clinical development, Big Data, emerg- ing markets and the digital realm have fostered an expectation in the healthcare industry for a more nimble and cross-functional partner in marketing services. More than half of executives expect their company to con- solidate its marketing services under fewer agencies in the future. This expectation may be fueled by a heightened need for efficiency and innovation, with many executives reporting that “healthcare companies are consolidating marketing services to ensure expedited access to expertise.” With half of all executives reporting being satisfied with the varied marketing service agen- cies with which they work, room exists for greater collaboration and innovation in the industry. Kate Cronin, Global Managing Director, Ogilvy CommonHealth Public Relations 38 MM&M x JUNE 2013 x mmm-online.com HEALTHCARE MARKETERS TREND REPORT Fig. 7: Approaches to Sourcing Marketing Partners (n=200) % Using Approach All Small Cos. Med/Large Cos (<$500M) ($500M+) Recommendations 61 77 52 Invite Existing Partners 54 52 60 Industry Relationships 54 64 49 Preferred Partner Lists 51 28 73 Procurement Services 33 10 54 Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Fig. 8: Audience Ranked by Perceived Importance (n=200) Ranked Top 3 Ranked #1 Physicians 92 64 Patients 56 16 Payers 56 7 NPs/PAs 38 1 Pharmacists 23 3 Shareholders 21 8 Advocacy Grps 16 2 Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013
  • 7. mmm-online.com x JUNE 2013 x MM&M 39 UEROSTO COMMODO ODIONUL innovative stuff in the smaller companies, so you have to ask: ‘Is procurement inhibiting innovation?’ But when you’re running a behemoth, you’ve got to have some sort of control.” Perception and Opinion Respondents were asked to rank seven healthcare audiences in order of perceived importance to them and their organizations, regardless of their actual budget allocation to those audiences (Fig. 8). Overwhelmingly, Physicians was the number one choice cited, ranked first place by 64% of marketing directors and ranked in the top three by 92%.Staying with the“top three”result,Patients and Payers (both 56%) shared the second spot, followed by NPs/ PAs (38%). We then asked respondents to look at 17 different pressures, trends and events affecting the industry and instructed them to give each one a grade according to what they perceive to be its level of challenge, and another grade for its perceived opportunity (Fig. 9). Pipelines and Emerging Markets emerged as the biggest perceived opportunities,with 58% scoring each in the top two grades.Mobile/ Tablets and Social Media also did reasonably well, in fourth and fifth places, respectively. Conversely, FDA Regulations/Guidance (76%) and Payer Pressure (73%) were rated as the greatest industry challenges. “I feel for the regulators, but I think they’re forced to work with obsolete guidelines and guidance,”says Fath.“A risk-averse approach has been instilled into the FDA, and as long as that’s the approach that they’re judged by—zero risk and zero tolerance—then it’s going to be a very difficult pass.” According to the women’s health marketing director, the regula- tions get stricter every year.“I think we have a good product but it almost seems sometimes like you’re being penalized for promoting something that has a long history of safety and efficacy because of various restrictions and guidelines.” Although Payer Pressure was also scored as a big challenge, not everyone agrees.“Pressure from payers is exactly what I want,”says Huiras, whose companion diagnostic product, which launches next year, has the potential to save the healthcare system money.“It will help us, no question.” Walker believes it depends which side of the coin you are on.“If you feel that you have a better clinical proposition and associated pharmacoecomonic data,”he says.“Then you’re good,and managed care can play to your strengths.” One force that, perhaps surprisingly, was not deemed by respon- dents to be an overwhelming challenge was the Sunshine Act.“It’s a bit of a headache, it’s outside of the normal processes of doing business and managing things,” says Walker. “Then there’s the challenge of how physicians may respond to this and does that change our level of access and interaction with these healthcare professionals?” According to Huiras, it’s no big deal these days.“In this environ- ment,and the examples and pain we’ve gone through,”he says,“we have a fair bit of investment in compliance and monitoring and things like automating our expense and tracking system. So we’re just learning to live with it.” Interestingly, the Affordable Care Act was rated as way more of a nuisance than an opportunity. “If you’re a big player with a big product, I think the price that you lose is going to be more than the patients you gain,” says Fath.“But the companies that play in the Fig. 9: Perceived Challenges & Opportunities (n=200) Source: MM&M /Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Opportunity Challenge Mobile/Tablets Customer Behavioral Change Social Media Payer Pressure The Economy Mergers and Acquisitions Big Data FDA Regulations/Guidance Affordable Care Act Patent Expiration Pharma Media Coverage Procurement MLR/InternalApproval The Sunshine Act Agency Consolidation Pipelines Emerging Markets Time-to-Market 0 10 20 30 40 50 60 70 80 58% 52% 58% 38% 50% 64% 49% 24% 48% 43% 46% 40% 44% 73% 41% 63% 40% 31% 39% 34% 38% 76% 36% 60% 35% 42% 26% 37% 25% 26% 24% 55% 21% 51% 10% 12%
  • 8. 40 MM&M x JUNE 2013 x mmm-online.com HEALTHCARE MARKETERS TREND REPORT very high price categories and the orphan categories… I see that as an upside.The removal of the lifetime cap is a huge opportunity to allow patients with rare diseases to continue therapy without a deadline in front of them.” Fath doesn’t seeAccountable Care Organizations (ACOs) as caus- ing too many problems on the pharma side.“I seeACOs being more of an issue with the delivery of care, the hospital costs, the surgical costs,” he says.“I think they have bigger fish to fry.” Industry outlook: more change ahead Finally, respondents were asked to rate how strongly they agreed or disagreed with various statements pertaining to the future of the industry. At the top of the pile 86% agreed or strongly agreed that “The healthcare industry will need to change its business model to remain viable in the future”. Other popular statements included, “Digital media has forever changed the way the healthcare industry needs to communicate and engage with its constituents”and“The health- care industry will quickly need to become more nimble to remain competitive in the current business landscape.” Respondents seem to agree that more change is required if the industry is going to survive. Does this mean that the era of Big Pharma over? “Yes,but I think you’re going to see the emergence of big biotech or big biopharma,”saysWalker.“The operating model is shifting and evolving to be more inclusive of large molecule, personal medicine and innovative delivery devices.” Fath agrees that it will be more of a shift than a disappearance. “I don’t think it’s over, it’s just going to evolve like it always does,” he says.“There’s still going to be big companies that can leverage R&D and you need scale to do R&D.There’s still value to be gleaned from multinational companies that can drive good R&D and come out with a good product.” Fath is pleased that 61% of marketing directors think manufactur- ers could be doing more to put patients first.“Patients are ultimately our biggest partners,” he says.“Patients want effective therapy, we want to deliver it to them … and so the more we can collaborate with patients, the more success we’ll have in the industry. In communi- ties like cystic fibrosis or hemophilia, where it’s a chronic disease, lifelong, genetic… you really feel a close relationship with your patient. Providing care to that patient base is much more than just marketing. It’s a commitment.” Cronin believes the industry could sometimes communicate in more patient-friendly tones. “Pharma companies are being held accountable on their spend, and on demonstrating ROI,” she says, “but they also need to be showing—in the way they speak, in the way they use the different platforms—they need to show a human side, speak in an audience language and learn how to engage with different customers in a more gratifying way for their stakehold- ers. It’s about going beyond a product and building a long-term relationship with their customers. I know they know this, but the partners that they work with need to understand that it’s not about what you build,it’s how you’re developing the content and reaching out to your customers. “Pharma has spent the past 20 years defending why it should charge what it charges for products. Now they need to spend 20 years showing customers that they understand them and that they are giving them what they need.” n Fig. 10: The Future of the Industry 86%The healthcare industry will need to change its business model to remain viable in the future 85%Digital media has forever changed the way the healthcare industry needs to communicate and engage with its constituents 84%The healthcare industry will need to quickly become more nimble to remain competitive in the current business landscape 83%Much like trends in the utilization of CROs, healthcare companies will continue to look for ways to optimize resources and profitability 70%Healthcare companies are looking for greater consultation and collaboration across the marketing service spectrum from agencies 69%Any healthcare company that continues to leverage operational guidelines from ten years ago will likely not exist five years from now 67%Healthcare companies will play a pivotal role in the engagement of the millions of newly insured patients under the Affordable Care Act 64%The healthcare industry needs to do a better job in leveraging “Big Data” to support its business strategy 61%Healthcare manufacturers could be doing more to put patients first 59%Internal procurement departments will play a more significant role in the evaluation of marketing services in the future 54%I expect my company to consolidate its marketing services (Advertising, Public Relations, Media, etc.) under fewer agencies in the future 53%Healthcare companies are consolidating marketing services to ensure expedited access to expertise 53%I am satisfied with the varied marketing services agencies I work with 48%The era of Big Pharma is over Source: MM&M/Ogilvy CommonHealth Healthcare Marketers Trend Report 2013 Methodology n Survey link was sent by email to approximately 10,221 healthcare marketing executives—director level and above— who reside in the United States and are employed in the pharmaceutical, biotechnology, medical device and diagnostics industries. Respondents were offered an array of incentives, including: a drawing for one of three $250 gift cards, $50 AmEx gift card or an opportunity to donate $50 to either the American Cancer Society or the American Diabetes Association. n A total of 200 responses were collected between April 8 and April 27. n Results are not weighted and are statistically tested at confidence levels of 90% and 95%.