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Business of
biopharmaceuticals glossary & taxonomy
SCOPE NOTE: big
pharma, biotechnology firms, blockbusters, competitive advantage, FIPCO Fully
Integrated Pharmaceutical Company, franchises, hype, incubators, KOL Key Opinion
Leaders, megabrands, stage gate criteria Adaptive
Design AD:
a clinically intelligent, self-sustaining system for rapidly developing, doing
and improving patient-centered care within and across disciplines.
. Dr. John Kenagy What is adaptive
design?
http://kenagyassociates.com/adaptive-design-2/ applied research:
Research
pharmaceutical
benchmarking:
The first step in process optimization is benchmarking.
By measuring performance at various stages of drug discovery and development,
from individual tasks to programs, benchmarking can help identify processes that
are not functioning as intended. It enables companies to pinpoint unwanted
delays between processes and evaluate the effectiveness of newly implemented
technologies and strategies.
Narrower term: productivity benchmarking
best practices:
Important to remember that the biopharmaceutical industry
is cutting - and bleeding- edge. Agreement on best practices is
preliminary at best. Consider also "lessons learned" and
"ongoing challenges".
big pharma:
It is possible to find various lists of "big
pharma" companies. An article cites Pfizer and
GlaxoSmithKline (with ethical drug revenue of more than $20 billion, Merck,
AstraZeneca, Bristol Myers Squibb, Novartis, Aventis and Johnson & Johnson
($10- 20 billion) and American Home Products [now Wyeth], Pharmacia [now part of
Pfizer], Roche, Eli Lilly,
Abbott Laboratories, Schering- Plough and Bayer ($7- 10 billion). MedAdNews
publishes an annual list of the top 50 pharmaceutical companies each Fall Unlocking
the value in big pharma" McKinsey Quarterly No. 2, 2001 Related terms: brand name sector, pharmaceutical industry
Bio Medical Entreprenur
resources: NIH funded collaboration
http://bioentrepreneurresources.com/
biomedical
companies: Limited relationships
to SIC/ NAICs codes?
biotechnology examples: has applications in four major
industrial areas, including health care (medical), crop production and
agriculture, non-food (industrial) uses of crops and other products (e.g. biodegradable
plastics, vegetable
oil, biofuels),
and environmental uses. Wikipedia accessed 2018 Sept 18
https://en.wikipedia.org/wiki/Biotechnology#Examples
biotechnology firms:
The congressional Office of Technology concluded in its pathbreaking 1984 report, and emphasized even more strongly in another 1991
report, that "biotechnology" is not an industrial sector, but rather a set of methods useful in many industrial sectors (usually
established ones such as drugs and biologics, devices, or agriculture), but also for some entirely new applications (e.g., DNA
forensics). Many firms, almost 1500 listed by the various online services, are called "biotechnology" firms because they are largely built
around technologies developed since 1980. These firms are generally competing in established markets, however, even when they
compete by using novel products, services, and technical approaches. Robert
Cooke- Deegan et. al., World Survey of Funding for Genomics Research: Final
Report to the Global Forum for Health Research and the World Health
Organization, September 2000
http://www.stanford.edu/class/siw198q/websites/genomics/finalrpt.htm
biotechnology industry:
375 biotech products have received U.S. marketing approval since the 1980s, from
18 during 1980-89 to 179 in 2010-18; biotech products now account for more than
30% of all U.S. Food and Drug Administration (FDA) new drug and biologic
approvals. Total biotech sales as a share of all company sales almost doubled
between 2007 and 2017, from 23% to 41% among the top 20 pharma companies.
...Biotech products account for 31% of all U.S. approved products with an orphan
drug designation. Tufts Center for the Study of Drug Development, IMPACT
Report, 2018 Nov/Dec
https://static1.squarespace.com/static/5a9eb0c8e2ccd1158288d8dc/t/5bead7cc562fa793404917ac/1542117325799/summary_novdec18.pdf
Developers of technology promoting drug development, disease treatment, and a
deeper understanding of living organisms. Includes human, animal, and industrial
biotechnology products and services. Also included are biosensors, biotechnology
equipment, and pharmaceuticals. PriceWaterhouseCoopers MoneyTree Survey, 2012
https://www.pwcaccelerator.com/pwcsaccelerator/docs/pwc-moneytree-mixed-momentum.pdf
The biotechnological innovations of the 1970’s took until the 1990’s to
integrate. "The
Pharmaceutical Industry and the Revolution in Molecular Biology: Exploring the
Interactions between Scientific, Institutional and Organizational Change, Iain
M. Cockburn, Rebecca Henderson, Scott Stern, 1999.
http://www.cid.harvard.edu/cidbiotech/events/henderson.htm
Biotechnology started as a means for producing
biopharmaceuticals. It is only now really starting to be used in the drug
discovery and development process. blockbuster drugs:
Mega
blockbusters (or drugs that have sold more than $10 billion in sales per year)
and super blockbusters (or drugs that have sold more than $2 billion each
annually). Though pharma growth slides blockbusters reach new record, WTN News
2005
http://wistechnology.com/articles/1885/
Blockbuster drugs
have sales of $1 billion plus.
90% of
drugs marketed by big pharma bring in less
than $180 million per year. Compare that number to the total cost of $350- 600
million for approving a single drug (including all the failures that lead up to
it). Of course, one might think that the money can be made back in four years,
but drugs have a huge maintenance cost in terms of regulatory compliance,
marketing and sales. The margin on a drug- to- drug basis is very slim. This
places the onus on the other 10% of drugs to be blockbusters – to more than
make up for most of the other drugs that are earning far too little revenue. This
is how the industry has structured itself around a blockbuster mentality – a
reliance on drugs that bring in at least $500 million per year in revenue.
Considering the odds of achieving blockbuster status, this is a very high- risk
strategy. Pharmaceutical companies will have to change their ways if they are
going to enter the new era of individualized medicine. Related terms: FIPCO,
franchises- pharmaceutical, market fragmentation,
megabrands, multibusters, niche busters, pharmaceutical
industry, targeted therapeutics
brand name sector:
Pharmaceutical companies which specialize in developing new
drugs, as opposed to generic or "me-too" drugs. Tend to be
highly R&D oriented. Related term: mega-brand business intelligence: Wikipedia
http://en.wikipedia.org/wiki/Business_intelligence See also competitive intelligence
business
models - R&D: When considering
the R&D productivity crisis it is imperative that current thinking,
processes and models be challenged. For example, does the current strategy to
align R&D by therapeutic area need to be further enhanced or do we chart a
different course? The focus will not be on tools or technology for the promises
of technology have arrived. The next wave of strategic thinking needs to be
around business models and structures. Additionally, the impact of globalization
on these evolving models must be understood and leveraged in order to
successfully take the next step forward. business rules:
Any statement that can be put in the form of
"if then". Business rules cam be implemented in a computer program by
programming if- then statements in- line. This is very efficient performance-
wise,
but you have to know exactly what rules need to be placed where. Isabelle
Rouvellou, el. al., Combining different business rules technologies: A rationalization,
2000
http://ebusiness.mit.edu/bgrosof/paps/oopsla00-br-wksh.pdf Centers for Medicare and Medicaid Services:
Was HCFA Health Care
Financing Administration, name changed in June 2001.
http://cms.hhs.gov/
competitive advantage: The business environment in the
pharmaceutical industry is changing so fast that the Darwinian concept of
"adapt or die" is on the mind of every senior executive. Genomics, microarray analysis,
high- throughput screening, and other technologies
have increased the complexity of pharmaceutical research;
regulatory policy shifts and an ever- shrinking period of product exclusivity
threaten profitability; and pharmacogenomics
and personalized medicine may turn the old market structure on its head.
competitive intelligence CI:
Wikipedia:
competitive intelligence
http://en.wikipedia.org/wiki/Competitive_intelligence
Definition and external resources.
convergence strategies:
Finding
new combinations of formerly distinct market segments for a company’s
pharmaceuticals, therapeutic devices, and diagnostic processes or equipment. CHA, Cambridge
Healthtech Advisors, Strategic
Considerations for the US Pharmaceutical Industry report, 2005
core competencies: A harmonious blend of capabilities which are
difficult for competitors to imitate. Traditionally, core competencies have been
directly linked to the competitive attributes of price and performance of
products and services. But as techniques and standards for achieving low cost
and high quality are increasingly simple to imitate, core competencies must be
continuously refined as the source of differential advantage. This implies that
today and in the future, the real source of competitive advantage lies
within the ability to optimize the blend of technology, procedures, and human
skills, all with attributes of flexibility and the ability to optimize the
changing opportunities in environment and marketplace. American Institute of
Certified Public Accountants "CPA Vision Process Glossary" http://www.cpavision.org/poll/glossary.cfm
Diagnostics Advanced Coverage
and Reimbursement for Advanced Diagnostics
August 20-21, 2019 Washington, DC
Diagnostics Molecular in Pharma, Healthcare and the Clinic
Commercializing
August 21-22, 2019 Washington, DC
Program |
Diagnostics Dx Reimbursement Outlook
March
14-15, 2019 San Francisco, CA
Program | Getting
Paid for Advanced Diagnostics
Achieving commercial success for an IVD product or an LDT assay is
becoming progressively more difficult in the current healthcare
environment. The combination of tightening budgets and the launch of a
large number of expensive molecular tests creates complications for payers
to respond in traditional ways
disintermediation: An Internet term referring to the removal of
intermediaries in a commercial transaction. The trend toward disintermediation in healthcare will actually arise from the application of the Internet to
healthcare. In one example, Orchid Bioscience announced GeneShield.com an
Internet- based genetic testing service to identify people with mutations that
could trigger side effects or reduce the efficacy of certain widely- prescribed
drugs. Use of this service can potentially place more knowledge and decision
power in the hands of the consumer. There are at least a half dozen of these
websites with business models similar to GeneShield.com, all directed to the
consumer. CHI Summit Report Transforming the Pharmaceutical
Industry 2001
disruptive technologies:
Some technology improvements are linear or
incremental. Others truly change the paradigm. Harvard Business School faculty
member Clayton Christensen's Innovator's Dilemma (1997) analysis (of data
from the disk drive industry) found disruptive technologies are much cheaper
than existing ones. Big mainstream companies were quite capable of developing these technologies
(and had). What they couldn't do was figure out how to market them (and justify
devoting sufficient resources to them). The pharmaceutical industry is mentioned only in passing, but the success of
larger established companies either partnering with smaller less established
ones (clearly happening in the pharmaceutical and biotechnology sectors) or spin-
off of promising developments as separate companies (Johnson &
Johnson said to be particularly good at this) makes a lot of sense. Related term: nonlinear
drug development -
costs:
new chapters highlight many of the trends examined in earlier chapters revealing
their trajectories as we move into the latter twenty-teens: the cost of drug
development rising to over $2.5 billion; the dominance of oncology among FDA
approvals and biotechnology in terms of pipeline growth. Updates also present a
number of metrics analyses of therapeutic areas with ongoing significance –
diabetes and cardiovascular disease – as well as those of emerging importance –
immune-oncology and regenerative medicine. Tufts Center for the Study of Drug
Development, FDA Approval Trends March 2018
https://csdd.tufts.edu/ebook/ drug repositioning:
Drug
discovery & development
ebXML: Sponsored by UN/CEFACT and OASIS, is a modular suite of
specifications that enables enterprises of any size and in any geographical
location to conduct business over the Internet. Using ebXML, companies now have
a standard method to exchange business messages, conduct trading relationships,
communicate data in common terms and define and register business processes.
ebXML.org
"About ebXML" 2001
http://ebxml.org/
Broader term:
Computers & computing XML
elevator pitch:
Sound bite version of your business plan.
emerging technologies:
technologies that are perceived as capable of changing the status quo.
These technologies are generally new but include older technologies that
are still controversial and relatively undeveloped in potential, such as preimplantation
genetic diagnosis and gene
therapy which date to 1989 and 1990
respectively. Emerging technologies are characterized by radical novelty,
relatively fast growth, coherence, prominent impact, and uncertainty and
ambiguity. In other words, an emerging technology can be defined as "a
radically novel and relatively fast growing technology characterised by a
certain degree of coherence persisting over time and with the potential to
exert a considerable impact on the socio-economic domain(s) which is
observed in terms of the composition of actors, institutions and patterns
of interactions among those, along with the associated knowledge
production processes. Its most prominent impact, however, lies in the
future and so in the emergence phase is still somewhat uncertain and
ambiguous.".[1]
Emerging technologies include a variety of technologies such as educational
technology, information
technology, nanotechnology, biotechnology, cognitive
science, psychotechnology, robotics,
and artificial
intelligence.[2]
New technological fields may result from the technological
convergence of different systems
evolving towards similar goals. Convergence brings previously separate
technologies such as voice (and telephony features), data (and
productivity applications) and video together so that they share resources
and interact with each other, creating new efficiencies. Emerging
technologies are those technical innovations which represent progressive
developments within a field for competitive
advantage;[3]converging
technologies represent previously distinct fields which are in some way
moving towards stronger inter-connection and similar goals. However, the
opinion on the degree of the impact, status and economic viability of
several emerging and converging technologies. Wikipedia accessed 2018 Nov
19
https://en.wikipedia.org/wiki/Emerging_technologies
EphMrA:
European Pharmaceutical Marketing Research Association
http://www.ephmra.org/
Executive Decision Making Oct
14-18, 2019 Philadelphia PA
http://www.executivedecisionmaking.com/ Portfolio
management, Strategic Resource Management, Project Portfolio Management,
Immuno-Oncology Development Challenges.
In an environment of declining revenues and uncertain commercial success,
biopharma, device and R&D companies must continuously optimize their
strategy, evaluate their portfolios, improve decision making, reduce risk
and effectively deploy resources.
fail fast: A
term that can make people in drug discovery and development wince, but considering the
costs of later failures, it looks more and more like an important option.
FIPCO Fully Integrated Pharmaceutical
Company:
With the FIPCO/FIBCO (Fully
Integrated Pharmaceutical/Biopharmaceutical Company) model, the
Not a term heard
as frequently now as in the 1990's. Related terms: biotechnology industry,
pharmaceutical industry
franchises -
pharmaceutical: Commercial managers who are responsible for a
number of brands face a constant dilemma in choosing where across the franchise
or portfolio to invest limited human and financial resources. How can these
choices be optimised? The franchise can take a number of forms: the traditional
therapy area portfolio with a number of constituent products; a brand with a
number of indications each requiring resource; or, at a global level, a single
brand with a number of local markets each one competing for investment and
support. Pharmafile, Managing the Franchise 2010
http://www.pharmafile.com/news/managing-franchise
Global
Industry Classification Standard GICS:
an industry
taxonomy developed
in 1999 by MSCI and Standard
& Poor's (S&P)
for use by the global financial community. The GICS structure consists of
11 sectors, 24 industry groups, 68 industries and 157 sub-industries [1] into
which S&P has categorized all major public
companies.
Wikipedia accessed 2018 Feb. 20
health
spending: measures the
final consumption of health care goods and services (i.e. current health
expenditure) including personal health care (curative care, rehabilitative
care, long-term care, ancillary services and medical goods) and collective
services (prevention and public health services as well as health
administration), but excluding spending on investments. Health care is
financed through a mix of financing arrangements including government
spending and compulsory health insurance (“Government/compulsory”) as well
as voluntary health insurance and private funds such as households’
out-of-pocket payments, NGOs and private corporations (“Voluntary”). This
indicator is presented as a total and by type of financing
(“Government/compulsory”, “Voluntary”, “Out-of-pocket”) and is measured as
a share of GDP, as a share of total health spending and in USD per capita
(using economy-wide PPPs). OECD (2018), Health spending (indicator). doi:
10.1787/8643de7e-en (Accessed on 05 November 2018)
https://data.oecd.org/healthres/health-spending.htm
Healthcare: Baker
Library Guide,
Harvard
Business School https://www.library.hbs.edu/Find/Guides/Health-Care
high tech industry:
The traditional perception of high tech - still reflected
in our indicators - has been research- intensive manufacturing industries,
like computers and aircraft. The penetration of technologies like
information technology, biotechnology, and advanced materials throughout
the economy has, however, changed the basic meaning of high tech. Rather
than referring to the output of R&D intensive industries, high tech now
refers to a style of work applicable to just about every business ... This
change is said to have revolutionized the features of a successful
technology policy. Distributed knowledge, skill, entrepreneurship,
together with new forms of collaboration between firms, universities and
the government, can now result in more effective products and services.
Importantly for both firm and worker income, they can result
in significantly differentiated products and services. In other words, technology
policy must be more user- centered and demand- based than ever before.
Nicholas S. Vonortas "US Policy towards Research Joint Ventures" Nov. 1999
https://books.google.com/books?id=sOk4AgAAQBAJ&printsec=frontcover#v=onepage&q&f=false hypercompetitive: In Richard A. D'Aveni's Hypercompetitive Rivalries: Competing
in Highly Dynamic Environments, (1995) he describes
situations in which competitive advantages are not sustainable. Companies
must be willing to cannibalize their own customers and positions, making
all products obsolete including their own. The pharmaceutical industry
is sometimes described as hypercompetitive.
incubators:
innovators:
Research
pharmaceutical
KOL Key
Opinion Leader:
Thought leaders, an important part of
many pharmas marketing strategies. May be global, national, regional or
local.
lead users:
Contrary to conventional wisdom, successful innovations
are often first developed and tested by product or service users themselves -
"lead users" rather than by the firms that are first to bring those
innovations to market. Eric von Hippel, Sloan School, MIT, US
http://web.mit.edu/evhippel/www/ life cycle management:
Successful drugs follow a typical pattern of heavy up- front investment in
development, followed by market penetration and peaking sales, followed by a
decline in the face of follow- on drugs or generics. A number of approaches can be used to alter the shape of this revenue curve,
including second- generation follow- on compounds, extended life through
formulation and drug delivery enhancements, outcome studies and management of
the generification process. Some steps can be taken early to maximize the benefits of drug life cycle management. life sciences: The life
sciences or biological sciences comprise the branches
of science that involve the scientific study of life and organisms –
such as microorganisms, plants,
and animals including human
beings. Life science is one of the two major branches of natural
science, the other being physical
science, which is concerned with non-living matter. By definition, biology is
the natural
science that studies life and living organisms, with the other life
sciences being its sub-disciplines. Some life sciences focus on a specific
type of organism. For example, zoology is
the study of animals,
while botany is the
study of plants. Other life sciences focus on aspects common to all or
many life forms, such as anatomy and genetics.
Some focus on the micro scale (e.g. molecular
biology, biochemistry)
other on larger scales (e.g. cytology, immunology, ethology, ecology).
Another major, branch of life sciences involves understanding the mind – neuroscience.
Wikipedia accessed 2018 Dec 1
https://en.wikipedia.org/wiki/List_of_life_sciences
market forecasting- pharmaceutical:
Accurately forecasting the market potential for new compounds is becoming an
essential tool in long- term strategic planning, as it aids in various decisions
that are pivotal to the survival and success of a biotech or pharmaceutical
company. Forecasting is used in many situations: to evaluate a licensing
opportunity, to assess a particular lead compound and even in pipeline and
R&D portfolio analyses. Forecasting is also essential in understanding how
the dynamics of a market are changing, and in raising awareness of a company's
current and future competitors. .. Top- down forecasting extrapolates from
available sales data, using algorithms of how a particular drug class or market
has previously performed. Bottom- up forecasting involves reconstructing the
market from its components, which allows the analyst to model how particular
changes over the forecast period will affect the base- year assumptions.
John Earl "What makes a good forecaster?" Nature Reviews Drug
Discovery 2(1): 83, Jan. 2003
http://www.nature.com/drugdisc/nj/articles/nrd1005.html
market fragmentation -
pharmaceutical industry: Likely to occur as
drugs are developed for specific population subsets with optimized safety and
efficacy. Of the perils listed, this is perhaps the least founded. Currently, the
percentage of patients that react favorably to a drug ranges from 20-80%. The
market segments itself as patients and doctors switch between medications in
order to find the one that works. In fact, market share may erode further even
in the absence of significant competition as physicians avoid prescribing a drug
if a subset of patients suffer toxic side effects. By defining the population
that responds well to a drug,
pharmacogenomics
can help secure market share. Blockbusters are still possible if the defined
population is large. market research:
Can be
difficult to impossible to find data in emerging sectors and for disruptive technology. Related term: competitive intelligence
marketing life sciences:
Every marketer knows the difficulty of providing the right content through
the right channel to the right audience at the right time. Not to burst
anyone’s bubble, but it won’t be getting easier any time soon. Social
media’s rapid adoption in the workplace has opened countless avenues to
reach potential customers. … In our survey we have polled over 500 active
professionals (60% of which identified as researchers or scientists)
across the Biotech, Pharma, Academic, Healthcare, Hospital, Government and
CRO industries. The survey explores consumer preferences related to both
outbound promotions and inbound content marketing tactics…. key
categories, including: Technology and Mobile, Outbound Marketing, Email
Marketing, Telemarketing, Direct Mail Marketing, Social Media, Content
Marketing, Advertising Mediums, Tradeshows and Other Media.
Marketing to Life Scientists: A
Best Practice Guide for Marketers, 2015
megabrands:
According to AstraZeneca, a megabrand is a product that has the following characteristics: Reaches $1 billion in annual sales by year two of launch and is clearly
destined to achieve peak sales of several billion dollars Requires a rapid global
roll- out to around 60 countries within that
two- year period Needs a huge marketing investment.
IMS Health, Market Insight, Mar. 2, 2000 http://www.ims-global.com/insight/news_story/news_story_000201e.htm
Related term: blockbusters, brand name sector, multibusters METI Ministry of Economy, Trade and Industry:
In January
[2001] the Ministry of International Trade and Industry was transformed into the
Ministry of Economy, Trade and Industry (METI).
http://www.meti.go.jp/english/
Described as "an ambitious effort to restructure the research
arm of Japan's industry ministry", made up of 45 institutes and centres
with a structure "designed to combine application- orientated goals with
considerable operational autonomy for the institutes". D Cyranoski
"Goal- directed
revamp for Japanese research" Nature 401:7, 1 Mar. 2001
Related term Alliances TRAs
Technology Research Associations.
milestones:
Specific business accomplishments, often tied to funding
sources.
multibusters:
Multiple
drugs for a single indication, efficacious in identifiable sub- populations.
Related term: blockbuster drugs NAICS North American Industry Classification System:
Replaces
US SIC codes. Developed jointly by the U.S., Canada, and Mexico
to provide new comparability in statistics about business activity across
North America.
http://www.census.gov/epcd/www/naics.html An industry taxonomy. Related term SIC codes
niche
busters: with increased competition from generic drugs, sky-rocketing costs
of marketing blockbusters and declining support from regulators, pharmaceutical
companies are starting to shift their growth strategies away from blockbuster
drugs and on to niche-centric drugs. Niche-busters, as they are being labeled,
face less competition and lower marketing costs. The value of theses
niche-buster drugs grows significantly when an increased focus on research and
development yields faster development times. Champions 2.0, Issy Goldwasser,
Symyx Technologies, BioIT World 2007
http://www.bio-itworld.com/issues/2007/march/champions/symyx/
This trend continues.
Oncology & Immuno-Oncology Opportunities
Strategic and
Operational Challenges of Oncology and Immuno-Oncology Drug Development
Responding to the New Reality and Pace of Immuno-Oncology
and Immunotherapy Projects and Trials
OCTOBER 14-15 , 2019, Philadelphia PA
http://www.executivedecisionmaking.com/immuno-oncology-ops
Each new cancer diagnosis underscores the importance of delivering new
therapies to patients. The biopharmaceutical industry is investing
resources in developing new treatments, but the timelines are long and the
costs are very high. In addition, the pathway for development is unclear
and the rapidity of new approvals is highly impactful to programs in
process…and benchmarks are constantly changing! To optimize development of
new oncology and immuno-oncology treatments for cancer, we must shorten
the time of development, while reducing the overall costs and the number
of failed attempts. We need to be smarter and more innovative about how we
execute oncology studies. For program managers and TA heads, is there an
efficient way to get to decisions faster? With no clear pathway for
development, the program managers, project managers and clinical trial
leaders in the biopharma industry who must ferry these long, complicated
programs through all phases and, ideally, to market, play a critical role
at the intersection of science, business and operations open source
intelligence: Wikipedia
http://en.wikipedia.org/wiki/Open_source_intelligence
Not related to open source software.
organization
of pharmaceutical R&D:
By far the
most common organizational structure within pharmaceutical R&D is based on
therapeutic indications. As target pathways and target families become better
recognized as opportunities for synergistic development that cut across disease
indications, what are the implications for how best to capture this synergy? As
molecular tools are increasingly applied beyond target biology to more of the
entire development process, how can expertise in specific tools best be
leveraged across different departments? As chemistry and biology become more
intertwined, how can researchers trained in one discipline or the other learn to
better communicate with each other? As researchers trained in reductionist
techniques and used to working on small projects become involved in much larger
systems biology and high throughput chemistry projects, how does this change the
nature of the work they do? What organizational structures and policies may
facilitate optimal performance under these changing conditions?
payers or payors:
A reader writes: Is payor an acceptable word? I
know it is commonly used in discussions about insurers and insurance payments
for health care, and I know that the word “payer” is correct, but is the
spelling “payor” also correct?
The current view is that ‘payer’ is the
preferred term in all contexts. However, that doesn’t mean that ‘payor’ is
wrong. It is not. Some people differentiate between an institution (e.g.,
payor—the insurance company) and an individual (e.g., payer—Joe is the
payer of his family’s bills). Some people say that ‘payor’ is the GB
version, and ‘payer’ is the US version. These people would be wrong;
‘payer’ is seen more often in both GB and the US. In law, ‘payor’ is the
preferred word for legal writing. When I was learning this word in school
as a child, the word was ‘payor.’ Ask any of the other dinosaurs—they’ll
tell you. AMA Manual of Style likes ‘payer’ in every context. The Chicago
Manual of Style accepts either word, but has a slight preference for
‘payer.’ Language Usage Weblog 2013
https://languagetips.wordpress.com/category/payorpayer/
payor healthcare:
means: (a) Any insurance company authorized to provide health insurance in
this state;
(b) A health
maintenance organization;
(c) A health care service contractor;
(d) Any legal entity that
is self-insured and provides benefits for health care services
to its employees; (e) Any legal entity responsible
for handling claims for health care services
under a state or
federal medical assistance program;
(f) The State of
Oregon or any local government within
this state that
makes payments for health care
services; (g) Any insurer authorized
under ORS chapter 731 to transact workers' compensation or
casualty insurance this state; or
(h) Any employer authorized
under ORS chapter 656 to self-insure its workers' compensation risk.
Legal Glossary, Oregon Laws
https://www.oregonlaws.org/glossary/definition/health_care_payor
pharmaceutical industry:
The pharmaceutical
industry thrives on innovative products and clinically differentiated medicines
that can create real value. Innovation has the greatest impact on a
pharmaceutical company’s long- term success, yet pressure to reduce drug
prices from both government and consumers may force drug companies to seek
alternative revenue streams.
I have said for a number of years that I hoped drug companies
which encouraged open sharing of scientific information would prosper in the long run, but
without finding much evidence (even anecdotal) to validate this. I was delighted to find the
following report which quantified the positive correlation between companies
encouraging peer reviewed scientific publication and productivity (correlating
patents
issued to company scientists with articles published in peer- reviewed journals
by company scientists). Diffusion of Science Driven
Drug Discovery Organizational Change in Pharmaceutical Research, Iain
M. Cockburn, Rebecca Henderson and Scott Stern, NBER, Sept. 1999
http://www.nber.org/papers/w7359 pharmaceutical marketing:
Portfolio Management
2019 Oct 17-18 Philadelphia PA
Program
In an environment of
declining revenues and uncertain commercial success, biopharma, device and R&D
companies need to continuously evaluate their portfolios. Manufacturers must
make tough decisions about which products and projects to pursue to optimize
long-term revenue and reduce overall risk.
price trends - prescription drugs:
The
purpose of this report is to examine pricing dynamics for prescription drugs for
recent years. The prices of new drugs will be analyzed over time and by factors
that may be associated with launch prices. Price trends for 1995 to 1999 will
also be examined by therapeutic category for a number of major categories (in
terms of expenditure levels or growth) with well- defined subclasses that can be
analyzed individually and compared on the basis of the age of the category. The
pricing of generic substitutes in these therapeutic categories will also be
provided for comparative purposes. Finally, launch prices during the study
period for new entrants to existing subclasses within the therapeutic categories
will be examined and compared to the prices of the incumbents in the subclass. The results show that new
drugs can vary substantially in their impact on drug expenditures. Some drugs
are introduced at significant discounts to existing drugs that are highly
substitutable with the new drug. In addition, while entirely new classes of
compounds to treat a disease or condition are often priced at a premium relative
to older classes, this is not always the case. The data also suggest that new
drug prices tend to reflect the degree of price sensitivity in the market and
the perceived value of the product to patients. Finally, average price increases
over time for the pharmacologic and chemical classes examined varied in all
directions in relation to general price inflation. However, most class price
increases were similar to economy- wide inflation rates. Joseph A. DiMasi, PRICE
TRENDS FOR PRESCRIPTION: PHARMACEUTICALS: 1995- 1999, Aug. 8- 9, 2000
http://aspe.hhs.gov/health/reports/Drug-papers/dimassi/dimasi-final.htm
process optimization:
Rather than focusing on technology alone,
companies must closely examine workflow, capacity and communication to optimize
discovery much as one might optimize a manufacturing process. Benchmarking
performance at multiple points within drug discovery and development is an
essential pre- requisite to process optimization.
productivity:
Project Portfolio
Management master class 2019 Oct 14-15
Philadelphia PA
http://www.executivedecisionmaking.com/MasterClass
begins with well-founded economic and portfolio theory, and
quickly moves to practical training in portfolio value maximization using
Excel add-in optimization software. Economic principles learned in the
master class can be used during preparations and analysis for portfolio
reviews and executive decision-making proof of concept:
Evidence that demonstrates that a business model or
idea is feasible. Investorwords
http://www.investorwords.com/3899/proof_of_concept.html
a realization of a certain method or idea in order to
demonstrate its feasibility,[1] or
a demonstration in principle with the aim of verifying that some concept or
theory has practical potential.[citation
needed] A
proof of concept is usually small and may or may not be complete.
Wikipedia
accessed 2018 Feb 27
http://en.wikipedia.org/wiki/Proof_of_concept
Compare proof of principle. Proof of concept is certainly more
prevalent as a term.. These two terms are sometimes used interchangeably, though
proof of
concept seems generally earlier than proof of principle. While many of
the examples have a financial context these terms are also used in
drug
discovery informatics
proof
of principle:
Proof of Principle studies are an early stage of clinical drug development when
a compound has shown potential in animal models and early safety testing. This
step of proof-of-principle (PoP) or proof-of-concept (PoC) often links between
Phase-I and dose ranging Phase-II studies. These small-scale studies are
designed to detect a signal that the drug is active on a pathophysiologically
relevant mechanism, as well as preliminary evidence of efficacy in a clinically
relevant endpoint. Sponsors use these studies to estimate whether their compound
might have clinically significant efficacy in other diseases states as well as
epilepsy (e.g., migraine, neuropathic pain, anxiety, depression). Endpoints
other than seizure frequency often reveal special characteristics of the drug. A
structured dose escalation design can reveal dose-dependent effects and adverse
effects, crossover studies can demonstrate change, presurgical studies can
define efficacy, interictal discharges and photosensitivity models can explain
changes in seizure features, transcranial magnetic stimulation evaluates
hyperexcitability. PoP studies allow exploration of a wide range of potential
therapeutic areas beyond epilepsy as part of an integrated CNS development plan.
Proof of Principle studies, B. Schmidt,
Epilepsy Res. 2006
Jan;68(1):48-52.
https://www.ncbi.nlm.nih.gov/pubmed/16377153
reimbursement:
Once a regulatory agency has determined the clinical benefit and safety of a
product and pricing has been confirmed (if necessary), a drug manufacturer will
typically submit it for evaluation by a payer of some sort. Payers may be
private insurance plans, governments (through the provision of
benefits plans to insured
populations or specialized entities like Cancer
Care Ontario,
which funds in-hospital oncology drugs) or health care organizations such as
hospitals. At this point the critical issue is cost-effectiveness. This is where
the discipline of pharmaco-economics is
often applied. This is a specialized field of health economics that looks at the
cost/benefit of a product in terms of quality of life, alternative treatments
(drug and non-drug) and cost reduction or avoidance in other parts of the health
care system (for example, a drug may reduce the need for a surgical
intervention, thereby saving money). Wikipedia accessed 2018 Feb 27
https://en.wikipedia.org/wiki/Pharmaceutical_policy#Reimbursement
risk management:
Can be loosely defined as a systematic process
for the identification, analysis, control, and communication of risks ...
Risk management should be integrated into the life cycle of any process
or project that's important to a business. The use of a risk- management
methodology lets a company make informed decisions about the allocation
of scarce resources to areas that are most at risk. B. Paul "How much
risk is too much?" Informationweek.com: 116-124, Nov. 6, 2000 Narrower terms: licensing risk, product risk;
target risks. Related term: Molecular medicine glossary
uncertainty
sexy technologies:
Five ways to make any piece of tech sexy, 2013
https://www.fastcodesign.com/1672672/5-ways-to-make-any-piece-of-tech-sexy
SIC Standard Industrial Classification codes:
https://en.wikipedia.org/wiki/Standard_Industrial_Classification
The 1997 Economic
Census demonstrates the relationship between NAICS and SIC by showing
data for the lowest common denominators between the two systems. See
also NAICS.
Small and medium-sized enterprises (SMEs,
also small and medium enterprises) or small and medium-sized businesses (SMBs)
are businesses whose
personnel numbers fall below certain limits. The abbreviation "SME" is
used in the European
Union and by international
organizations such as the World
Bank, the United
Nations and the World
Trade Organization (WTO). …
Industry Canada defines
a small business as one with fewer than 100 paid employees and a
medium-sized business as one with at least 100 and fewer than 500
employees. … In the United
States, the Small
Business Administration sets small
business criteria based on industry,
ownership structure, revenue and number of employees (which in some
circumstances may be as high as 1500, although the cap is typically 500).[29] Both
the US and the EU generally use the same threshold of fewer than 10
employees for small
offices (SOHO).[citation
needed]
Also in the United
States small and medium-sized
manufacturers are referred to as SMM's [30] which
the U.S. Department of Energy classifies as having gross annual sales
below $100 million, Fewer than 500 employees at the plant site, and annual
energy bills more than $100,000 but less than $2.5 million.[31]
Wikipedia accessed 2018 Sept
3
https://en.wikipedia.org/wiki/Small_and_medium-sized_enterprises specialty pharmaceuticals:
Specialty pharmaceuticals are a rapidly growing share of total drug
expenditures by public and private health plans. These drugs, typically
used to treat chronic, serious, or life-threatening conditions, such as
cancer, rheumatoid arthritis, growth hormone deficiency, and multiple
sclerosis, are often priced much higher than traditional drugs. Total
costs can be in the thousands of dollars a month and can exceed $100,000 a
year for some products. There are usually few if any low-cost generic
equivalents.
Specialty Pharmaceuticals, " Health Affairs Health Policy Brief, November 25, 2013.DOI: 10.1377/hpb20131125.510855
https://www.healthaffairs.org/do/10.1377/hpb20131125.510855/full/
Contrast:
blockbusters
spin-offs:
Large(r) companies may find spinning off smaller divisions
(or newly acquired ones outside their core competencies) makes more sense
than trying to integrate different companies and cultures. Some spin-
offs eventually become larger than the parent. Johnson &
Johnson is noted by Clayton Christensen in his Innovator's Dilemma
as being particularly good as spinning off a number of successful enterprises.
Related term: disruptive technologies
stage
gate criteria: startup database, Bay Bridge
Bio
https://www.baybridgebio.com/startup_database.html start-ups:
The
American Heritage Dictionary suggests it is “a business or undertaking that has
recently begun operation.” …
“A company five years old can still be a startup,” writes Y Combinator
accelerator head Paul Graham via email. “Ten [years old] would start to be a
stretch.” I’ll go out on a limb and say categorically that after about three
years in business, most startups cease being startups. This often coincides with
other factors that indicate a graduation from startup-dom: acquisition by a
larger company, more than one office, revenues greater than $20 million, more
than 80 employees, over five people on the board, and founders who have
personally sold shares…. the key attribute of a startup is its ability to grow.
As Graham explains,
a startup is a company designed to scale very quickly. It is this focus on
growth unconstrained by geography which differentiates startups from small
businesses. A restaurant in one town is not a startup, nor is a franchise a
startup.
Startups, the authors
[Joshua S. Gans, David H. Hsu and Scott Stern] observe, have two options
when it comes to commercializing innovations. They can compete with incumbents
through the product market, or they can cooperate with established businesses by
selling their technologies through the market for ideas. In the second case, a
startup can, for example, license its technology to a larger company, form a
strategic alliance or agree to be acquired outright. If entrepreneurs typically
choose one of these cooperative strategies, the balance of market power is
likely to be preserved. But if they decide to compete with industry leaders,
Joseph Schumpeter's "gale of creative destruction" may well be
unleashed. ...when intellectual property protection is strong and complementary
assets are critical for success, startups can earn the highest returns by
becoming ideas factories and auctioning their innovations to established
corporations. The pharmaceutical industry is one sector in which that pattern
has prevailed. What's the best Commercialization Strategy for Startups? Sloan
Management Review, 43 (3): 10, Spring 2002
http://www-management.wharton.upenn.edu/hsu/inc/doc/media-mentions/david-hsu-mit-spring-2002.pdf
New businesses, often
one looking for funding.
Merriam-Webster
dates the use of "start-up" to 1845. See also emerging
companies
startups, philanthropic:
in recent years
philanthropic ventures have begun adopting the technological know-how and
scrappy mentality of startups to develop a new breed of lean nonprofits. …
“All we focus on [is] growth and impact – at the end of the day, we just
need to make the numbers go up and to the right,” said Chase Adam, founder
of Watsi, a medical crowdfunding charity that was the first nonprofit to
be included in a Y Combinator accelerator class….
“Startups test new innovations and are always evolving – I think that
that’s really, really important for any organization.” A New
Nonprofit Model , Natalie Robehmed, Forbes 2013 Dec 16
strategic
resource management:
Strategic Resource Management
Oct 16-17 2019 • Philadelphia PA
Program | Although
investment in pharma R&D continues to increase, approval of new drugs remains
relatively low. This productivity crisis presents new challenges to biopharma
R&D in terms of resource management, forecasting, and capacity planning. To
counteract the decline in new therapeutics and high risk of product failure,
biopharma must adapt with improved performance planning, intelligent
outsourcing, and new big data analytics aimed at developing strategic and
flexible resource management systems.
technology assessment: http://en.wikipedia.org/wiki/Technology_assessment
technology
audit:
Assessment of a company's technology, present and future needs (including
user training), capabilities, and impact upon the core competencies.
technology integration: time to market:
A major consideration for strategic planning in the
pharmaceutical industry.
uncertainty:
Molecular
Medicine white space:
Financial Related term: market research
XBRL eXtensible Business Reporting Language:
Provides
a common platform for critical business reporting processes and improves the
reliability and ease of communicating financial data among users internal and
external to the reporting enterprise. XBRL.org
http://www.xbrl.org/
Business Resources
Among the most useful business glossaries I’ve found are
Evolving Terminologies for Emerging Technologies
Suggestions? Comments? Questions?
Mary Chitty MSLS
mchitty@healthtech.com
Last revised
September 10, 2019.
<%end if%>
Beyond
discovery-oriented biology lies the actual development of marketable diagnostics
and therapeutics. In the commercial realm, most of the value ascribed to genomic
and proteomic technology and data is tied directly to the pharmaceutical
industry’s ability to translate that information into such products.
Cambridge
Healthtech Drug Discovery Map
http://www.healthtech.com/drugdiscoverymap.asp
Commentary http://www.healthtech.com/drugdiscoverymap.asp
Related glossaries include
Alliances
Financial
Intellectual
Property & legal
Molecular Medicine,
Drug
discovery & development
Research
Informatics
overview
Technologies overview
Ethics
Biotechnology
Library Research Guide
, Baker Library, Harvard Business School,
https://www.library.hbs.edu/Find/Guides/Biotechnology
concentration
ratios:
http://www.agbioforum.org/v6n3/v6n3a07-oehmke.htm
In general, most businesses meet the criteria of an "emerging
growth company" if they have less than $1 billion in annual revenue.
Tony Bako, QUORA 2012
https://www.quora.com/What-are-the-primary-differences-between-a-startup-and-an-emerging-growth-company
https://en.wikipedia.org/wiki/Global_Industry_Classification_Standard
hype:
In the long run, not a useful contribution to awareness of and
debate about 21st century science. Related terms marketing;
Molecular diagnostics & Genetic
testing "good genes, bad genes"
Creating
Breakthrough Innovations at 3M, Eric
von Hippel, Stefan Thomke and Mary Sonnack http://web.mit.edu/evhippel/www-old/papers/3M%20Breakthrough%20Art.pdf Related term:
innovation
Related terms: biotechnology
industry, blockbuster
drugs, market fragmentation.
Pharmaceuticals
Library Guide Baker Library,
Harvard Business School, 2011
http://www.library.hbs.edu/guides/pharma.html
Annotated bibliography
Five keys
to drug reimbursement, Clinical Informatics News, 2013
http://www.clinicalinformaticsnews.com/2013/6/20/five-keys-drug-reimbursement.html
See also
payers/payors.
https://www.forbes.com/sites/natalierobehmed/2013/12/16/a-new-nonprofit-model-meet-the-charitable-startups/
unicorn company or unicorn startup:
a private company with a valuation over $1 billion. As of August 2018, there are
more than 260 unicorns around the world. Variants include a decacorn, valued at
over $10 billion, and a hectocorn, valued at over $100 billion. CB insights,
Global Unicorn Club, 2018
https://www.cbinsights.com/research-unicorn-companies
Business Conferences
http://www.healthtech.com/Conferences/Search.aspx?k=&r=&s=PSS
Business CDs, DVDs
http://www.healthtech.com/Conferences/CompactDiscSearch.aspx?k=&r=&s=PSS
Business Short courses
http://www.healthtech.com/Conferences_Upcoming_ShortCourses.aspx?s=PSS
Ernst & Young Life Sciences
http://www.ey.com/US/en/Industries/Life-Sciences
McKinsey, Pharmaceuticals and Medical Products
https://www.mckinsey.com/industries/pharmaceuticals-and-medical-products/our-insights
Pharma Marketing Glossary, Pharma Marketing News
http://www.glossary.pharma-mkting.com/
American Institute of Certified Public Accountants
Glossary of Terms, Acronyms and Abbreviations
http://www.aicpa.org/Press/DownloadableDocuments/Acronyms_and_Abbreviations.pdf
Investor words Investor Guide.com Inc., 2017
http://www.investorwords.com/terms-by-letter.php
Investopedia
http://www.investopedia.com/dictionary/
PriceWaterhouseCoopers
MoneyTreeTm Definitions,
https://www.pwc.com/us/en/technology/moneytree/moneytree-definitions.html
Definitions of industry sectors, stages of financing, type of financing and
methodology.
How
to look for other unfamiliar terms
Back to GenomicGlossaries.com