1. The Disruptive Payer
Landscape 2015
Gina Tilton
May 2015

2. Payer Imperatives
• It is critical to engage payers for the health of
patients, the financial health of pharma companies
and the fiscal health of health care systems.
• To gain trust Pharma needs to provide payers:
• customer-centric solutions
• data-driven insights and interventions

3. Healthcare disrupted by two
megatrends:
1. New Incentives
 Payers and systems (on a global scale) are
grappling with the challenge of putting costs on a
sustainable trajectory — a task exacerbated by a
looming chronic disease epidemics, aging
populations, expanding access, and rising
expectations for health care across emerging
markets.
 To address these sustainability challenges, public
and private payers are increasingly moving from
fee-for-service payment systems to pay-for-
performance models —no longer paying for
volume and activity, but rather for value and
outcomes.

4. Healthcare disrupted by two
megatrends, cont.
2. Game Changing Technology.
 The emergence of big data and new patient
empowering information-leveraging technologies,
such as social media, mobile devices, smart
phone apps, wireless devices, sensors, etc., is
empowering patients with transparent information
giving them more control over their own health.

5. Non Traditional Disrupters
• The disruption of health care is attracting non-
traditional entrants from a wide range of industries
— information technology, data, analytics, mobile
telephony, retail trade and others. These
companies are being drawn by the tremendous
opportunity to apply their strengths to the
challenge of making health care more sustainable.