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Managed Markets Account Management
         Assessing the Performance of Account Executives




 Copyright © Best Practices®, LLC          BEST PRACTICES,   ®
                                                                 LLC
Table of Contents
                                                                     Page
           Project Overview                                            2
           Participants and Experience                                 4-5
           Participant Overview                                        6
           Key Insights                                                10
           Detailed Study Findings                                     14
           Organizational Fit/Structure/Reporting Relationships        15
           Acct Management Changes Trends Next 3 Years                 23
           Staffing Benchmarks & Program Trends,                       25
           Time Allocations                                            33
           Activities & Measurements                                   35
           Pitfalls and Challenges                                     45
           Appendix                                                    46
               Additional Quotes
           About Best Practices                                        51


Copyright © Best Practices®, LLC         1               BEST PRACTICES,   ®
                                                                               LLC
Project Methodology and Study Objectives
   Thirty-two participants made up the Total Benchmark Class (TBC), sixteen of which
   represented companies in the Large Pharma Segment (LPS).



        Research was conducted through survey and interviews
        Key study objectives
              Identify common practices in measuring Managed Markets
              account executive performance

              Gain insight into the principles of effective measurement of this
              function

              Determine what specific measures are used to drive successful
              activity in Managed Markets account management


Copyright © Best Practices®, LLC          2                BEST PRACTICES, ®
                                                                               LLC
List of Participating Companies



      Large Pharma                     Other Participants
        Abbott Laboratories             Abraxis
        Allergan                        Apria Healthcare
        AstraZeneca                     Bausch and Lomb
        Bayer AG                        Celgene
        Boehringer Ingelheim            EMD Serono
        Eli Lilly and Co.               Honeywell
        Genentech                       IDS
        Johnson & Johnson               King Pharmaceuticals
        Merck & Co.                     Laboratorios Deramtologicos Darier
        Novo Nordisk                    Lundbeck
        Pfizer                          Q-Med Scandinavia
        Roche                           Sciele Pharma
        Sanofi-Aventis                  Skila
        Schering-Plough                 Smith & Nephew
        Wyeth                           Ther-Rx Corporation
                                        Valeant

Copyright © Best Practices®, LLC   3              BEST PRACTICES, ®
                                                                      LLC
Participants’ Experience with Managed Markets
   Accounts
   More than 75 percent of participants reported having more than six years of experience
   dealing directly with Managed Markets accounts.




                Total Benchmark Class                          Large Pharma Segment


                                    22%                                               25%

                                                      38%
    41%
                                                                                                0-5 Years
                                                                                                6-10 Years
                                                                                                Over 10 Years




                                   38%
                                                                               38%
n=32                                                    n=16


      Q. How many years of experience do you have in dealing directly with managed markets accounts?

Copyright © Best Practices®, LLC                4                       BEST PRACTICES,     ®
                                                                                                LLC
Products with which Managed Markets Account
   Executives Are Involved
   Most respondents reported having six or more products in the market, plus three or more
   in the pipeline, with which Managed Markets account executives are currently involved.
   LPS companies tended to have slightly more of these products, especially in the market.
              Number in the Market- Total Benchmark Class                        Number in the Pipeline- Total Benchmark Class
                                                                                                 7%
                   26%
                                                   35%      1-5 Products                                                         1-2 Products

                                                            6-10 Products                                               47%      3-4 Products

                                                            More than 10
                                                            Products                                                             More than 4
                                                                                   47%                                           Products

                                                                                n=30
             n=31
                          39%

              Number in the Market- Large Pharma Segment                        Number in the Pipeline- Large Pharma Segment
                                                                                                 6%
                                             19%


                                                                                                                       38%
               44%




                                                                                     56%
             n=16                              38%                              n=16
     Q. How many products, in the market or in the pipeline, are your Managed Markets account executives involved with?

Copyright © Best Practices®, LLC                                            5                           BEST PRACTICES,               ®
                                                                                                                                          LLC
Structure and Organizational Alignment



        Separating Managed Markets from Sales provides a clearer focus on
        objectives and easier measurement of results
              Coordination and cooperation between these separate groups can be
              harder
        The rationale for having national and regional account executives
        report to the same individual (in either organization) is similar:
        coordination
              “When groups have separate reporting structures for national and
              regional accounts, they don't get the level of collaboration, and our
              customer base is more intertwined than ever before in terms of the
              relationships between customer segments.” – Executive Vice President,
              Top 50 Pharma
        Maintaining separate groups with responsibility for Managed Markets
        strategy and/or marketing often brings to bear the perspectives of the
        brands and therapeutic areas

Copyright © Best Practices®, LLC          6                  BEST PRACTICES,®
                                                                                LLC
Optimal Methods and Measures for Assessing the
Value of Managed Markets Account Management
  Open-ended data revealed four main categories of optimal methods/measures for
  assessing Managed Markets account management (some respondents made multiple
  comments).
                                                               Formulary status, sales, and share (50%):
Formulary status,                                                   Share movement
 sales, and share
                                                  50%               Penetration of products
                                                                    Formulary access
                                                                    Formulary penetration
                                                                    Sales pull-through
                                                                    Unit demand
  Profitability and
                                                     55%       Profitability and financial results (55%):
  financial results                                                 Profit goals
                                                                    Profitable growth
                                                                    Profitable access
                                                                    Financial performance
  Performance                                                       Contract performance and profitability
against objectives
                                      27%                           ROI of contracts achieved
                                                               Performance against objectives (27%):
                                                                    Clear MBOs
                                                                    Business plan execution
                                                                    Appraisal every quarter for agreed parameters
             Other                      32%                         Strategic objective accomplishments
                                                               Other (32%):
                                                                    Competency measures
                                                                    # of effective quality/health initiatives led
    n=22              0%        20%         40%         60%         Customer input
                                                                    Markets comparisons
 Q. What do you think are the optimal methods and measures for assessing the value of Managed Markets account management?

  Copyright © Best Practices®, LLC                      7                        BEST PRACTICES,       ®
                                                                                                           LLC
Managed Markets Account Management
   Organizational Alignment
   The majority of respondents reported that Managed Markets account management is
   centralized in another department or function rather than integrated into a sales
   department.



                Total Benchmark Class                                                     Large Pharma Segment

                   9%                                                                                  0%


                                                 34%
                                                                                                                             38%
                                                                                                                                  Part of an
                                                                                                                                  integrated sales
                                                                                                                                  department

                                                                                                                                  Centralized in
                                                                              63%                                                 another
                                                                                                                                  department or
                                                                                                                                  function
         56%                                                                                                                      All Other


n=32                                                                            n=16

Q. Which of the following statements best describes how Managed Markets account management is organized in your company?
                    [All Other = “distributed among various product/brand managers” and “central function for all customer segments”]


Copyright © Best Practices®, LLC                                    8                                 BEST PRACTICES,            ®
                                                                                                                                     LLC
Challenges and Pitfalls in Measuring and Managing
Managed Markets Account Executive Performance
Open-ended data revealed three main categories of challenges and pitfalls in managing
Managed Markets account executive performance (some respondents made multiple
comments).

                                                                 Measurement and compensation (46%):
                                                                      Aligning comp to attainment and sales
                                                                      Decreased profits not always measured
 Measurement and                                                      Ensuring that IC plan is seen as fair
  compensation
                                                      46%
                                                                      No direct control of sales force activity
                                                                      Indirect impact on product performance
                                                                      Lag time/long time frame for results
                                                                      Measuring access without understanding impact
 Organization and                                                     Ability to get quality data
    alignment                             31%                    Organization and alignment (31%):
                                                                      Activity takes precedence over results
                                                                      Certain geographies more conducive
                                                                      Lack of ownership of accountability
                                                                      Integration with global marketing plans
           Other                      27%                             Interaction between sales and MM
                                                                 Other (27%):
                                                                      State mandates/restrictions
                                                                      Economic environment volatility
                    0%        20%               40%                   Calling beyond pharmacy/focusing on quality
  n=26                                                                Training and convincing sales channels
              Q. What are the biggest challenges and pitfalls in measuring and motivating Managed Markets account
                                                   executive performance?
Copyright © Best Practices®, LLC                           9                        BEST PRACTICES          ®
                                                                                                           , LLC
About Best Practices, LLC



    Best Practices, LLC is a research and consulting firm that conducts work
    based on the simple yet profound principle that organizations can chart a
    course to superior economic performance by studying the best business
       practices, operating tactics and winning strategies of world-class
                                   companies.




                                   Best Practices, LLC
                    6350 Quadrangle Drive, Suite 200, Chapel Hill, NC 27517
                                        919-403-0251
                                  best@best-in-class.com
                                  www.best-in-class.com

Copyright © Best Practices®, LLC           10                BEST PRACTICES,  ®
                                                                                  LLC

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Managed Markets Account Management Report Summary

  • 1. Managed Markets Account Management Assessing the Performance of Account Executives Copyright © Best Practices®, LLC BEST PRACTICES, ® LLC
  • 2. Table of Contents Page Project Overview 2 Participants and Experience 4-5 Participant Overview 6 Key Insights 10 Detailed Study Findings 14 Organizational Fit/Structure/Reporting Relationships 15 Acct Management Changes Trends Next 3 Years 23 Staffing Benchmarks & Program Trends, 25 Time Allocations 33 Activities & Measurements 35 Pitfalls and Challenges 45 Appendix 46 Additional Quotes About Best Practices 51 Copyright © Best Practices®, LLC 1 BEST PRACTICES, ® LLC
  • 3. Project Methodology and Study Objectives Thirty-two participants made up the Total Benchmark Class (TBC), sixteen of which represented companies in the Large Pharma Segment (LPS). Research was conducted through survey and interviews Key study objectives Identify common practices in measuring Managed Markets account executive performance Gain insight into the principles of effective measurement of this function Determine what specific measures are used to drive successful activity in Managed Markets account management Copyright © Best Practices®, LLC 2 BEST PRACTICES, ® LLC
  • 4. List of Participating Companies Large Pharma Other Participants Abbott Laboratories Abraxis Allergan Apria Healthcare AstraZeneca Bausch and Lomb Bayer AG Celgene Boehringer Ingelheim EMD Serono Eli Lilly and Co. Honeywell Genentech IDS Johnson & Johnson King Pharmaceuticals Merck & Co. Laboratorios Deramtologicos Darier Novo Nordisk Lundbeck Pfizer Q-Med Scandinavia Roche Sciele Pharma Sanofi-Aventis Skila Schering-Plough Smith & Nephew Wyeth Ther-Rx Corporation Valeant Copyright © Best Practices®, LLC 3 BEST PRACTICES, ® LLC
  • 5. Participants’ Experience with Managed Markets Accounts More than 75 percent of participants reported having more than six years of experience dealing directly with Managed Markets accounts. Total Benchmark Class Large Pharma Segment 22% 25% 38% 41% 0-5 Years 6-10 Years Over 10 Years 38% 38% n=32 n=16 Q. How many years of experience do you have in dealing directly with managed markets accounts? Copyright © Best Practices®, LLC 4 BEST PRACTICES, ® LLC
  • 6. Products with which Managed Markets Account Executives Are Involved Most respondents reported having six or more products in the market, plus three or more in the pipeline, with which Managed Markets account executives are currently involved. LPS companies tended to have slightly more of these products, especially in the market. Number in the Market- Total Benchmark Class Number in the Pipeline- Total Benchmark Class 7% 26% 35% 1-5 Products 1-2 Products 6-10 Products 47% 3-4 Products More than 10 Products More than 4 47% Products n=30 n=31 39% Number in the Market- Large Pharma Segment Number in the Pipeline- Large Pharma Segment 6% 19% 38% 44% 56% n=16 38% n=16 Q. How many products, in the market or in the pipeline, are your Managed Markets account executives involved with? Copyright © Best Practices®, LLC 5 BEST PRACTICES, ® LLC
  • 7. Structure and Organizational Alignment Separating Managed Markets from Sales provides a clearer focus on objectives and easier measurement of results Coordination and cooperation between these separate groups can be harder The rationale for having national and regional account executives report to the same individual (in either organization) is similar: coordination “When groups have separate reporting structures for national and regional accounts, they don't get the level of collaboration, and our customer base is more intertwined than ever before in terms of the relationships between customer segments.” – Executive Vice President, Top 50 Pharma Maintaining separate groups with responsibility for Managed Markets strategy and/or marketing often brings to bear the perspectives of the brands and therapeutic areas Copyright © Best Practices®, LLC 6 BEST PRACTICES,® LLC
  • 8. Optimal Methods and Measures for Assessing the Value of Managed Markets Account Management Open-ended data revealed four main categories of optimal methods/measures for assessing Managed Markets account management (some respondents made multiple comments). Formulary status, sales, and share (50%): Formulary status, Share movement sales, and share 50% Penetration of products Formulary access Formulary penetration Sales pull-through Unit demand Profitability and 55% Profitability and financial results (55%): financial results Profit goals Profitable growth Profitable access Financial performance Performance Contract performance and profitability against objectives 27% ROI of contracts achieved Performance against objectives (27%): Clear MBOs Business plan execution Appraisal every quarter for agreed parameters Other 32% Strategic objective accomplishments Other (32%): Competency measures # of effective quality/health initiatives led n=22 0% 20% 40% 60% Customer input Markets comparisons Q. What do you think are the optimal methods and measures for assessing the value of Managed Markets account management? Copyright © Best Practices®, LLC 7 BEST PRACTICES, ® LLC
  • 9. Managed Markets Account Management Organizational Alignment The majority of respondents reported that Managed Markets account management is centralized in another department or function rather than integrated into a sales department. Total Benchmark Class Large Pharma Segment 9% 0% 34% 38% Part of an integrated sales department Centralized in 63% another department or function 56% All Other n=32 n=16 Q. Which of the following statements best describes how Managed Markets account management is organized in your company? [All Other = “distributed among various product/brand managers” and “central function for all customer segments”] Copyright © Best Practices®, LLC 8 BEST PRACTICES, ® LLC
  • 10. Challenges and Pitfalls in Measuring and Managing Managed Markets Account Executive Performance Open-ended data revealed three main categories of challenges and pitfalls in managing Managed Markets account executive performance (some respondents made multiple comments). Measurement and compensation (46%): Aligning comp to attainment and sales Decreased profits not always measured Measurement and Ensuring that IC plan is seen as fair compensation 46% No direct control of sales force activity Indirect impact on product performance Lag time/long time frame for results Measuring access without understanding impact Organization and Ability to get quality data alignment 31% Organization and alignment (31%): Activity takes precedence over results Certain geographies more conducive Lack of ownership of accountability Integration with global marketing plans Other 27% Interaction between sales and MM Other (27%): State mandates/restrictions Economic environment volatility 0% 20% 40% Calling beyond pharmacy/focusing on quality n=26 Training and convincing sales channels Q. What are the biggest challenges and pitfalls in measuring and motivating Managed Markets account executive performance? Copyright © Best Practices®, LLC 9 BEST PRACTICES ® , LLC
  • 11. About Best Practices, LLC Best Practices, LLC is a research and consulting firm that conducts work based on the simple yet profound principle that organizations can chart a course to superior economic performance by studying the best business practices, operating tactics and winning strategies of world-class companies. Best Practices, LLC 6350 Quadrangle Drive, Suite 200, Chapel Hill, NC 27517 919-403-0251 best@best-in-class.com www.best-in-class.com Copyright © Best Practices®, LLC 10 BEST PRACTICES, ® LLC