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21WestPartners
                  We Build Growth Momentum for Life Sciences Companies




        HEALTHCARE REFORM
                or
CUSTOMER FOCUSED HEALTH MOMENTUM?

 HARVARD BUSINESS SCHOOL CLUB OF WASHINGTON, DC

          ENTREPRENEURSHIP ROUNDTABLE
                January 21, 2010
Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                            2                                  21WestPartners
21WestPartners

             Healthcare Reform


       "HOW COULD SUCH TRULY TALENTED
       PEOPLE ALLOW THEMSELVES TO GET
       INTO SUCH A MORASS?
                       LOU GERSTNER
Date             Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved   3
What is The Momentum Effect?


                                                 TME is Efficient Growth Strategy based on:

                                                  Compelling customer insights

                                                  Customer focus product development

                                                  Vibrant customer engagement




                                                                                                      Amazon.com
                                                                                                       Ranked 4th in
                                                                                                      Best Books of 2008
                                                                                                      Business and Investing
* The Momentum Effect, JC Larreche, Wharton School Publishing

MOMENTUM
EFFECTSPARTNERS
                                    Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                                4                                  21WestPartners
TME: Efficient Growth Through Customer-Based Strategies


                                                                              Revenues grow faster than marketing
                                                                              spend in momentum-powered firms


                                                                           2500



                                                                           2000



                                                                           1500



 Momentum-Powered Firms (Pioneers)                                         1000
 outperform the DJ Index by 80%
          Pushers: 3% increase in                                          500
           marketing/sales ratio, no market
           cap change vs. DJIA
          Plodders: no change in ratio, 28%                                   0
           decrease in cap                                                           1     2     3    4    5   6      7    8    9   10   11
          Pioneers: 4% decrease, 80%
           increase in cap                                                                      Revenues
                                                                                               Series1              Marketing Expenditures
                                                                                                                   Series2




MOMENTUM
EFFECTSPARTNERS
                                  Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                              5                                            21WestPartners
The Momentum Effect in Action




         A VISION                            Efficient Growth Through
                                             Customer-based Strategies



                                   Initiate: The Customer Insights Pipeline
                                    Inspire: The Unlimited Potential Spirit
        4 ACTIONS                        Cut: Compensating Strategies
                                  Redeploy: Towards Customer Engagement




MOMENTUM
EFFECTSPARTNERS
                    Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                6                                  21WestPartners
Momentum Companies & Brands




MOMENTUM
EFFECTSPARTNERS
                  Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                              7                                  21WestPartners
Case Study 1: SKYPE                                                                         (1/5)




                                          eBay acquisition of Skype for $3.1 B in
                                           2005

                                          > $3 B valuation in 3 years

                                          53 M users in 3 years




MOMENTUM
EFFECTSPARTNERS
                        Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                    8                                  21WestPartners
Case Study 1: SKYPE                                                                                         (2/5)

  The Value-Creation Process



                                                                      SkypeOut: Additional subscribing
                                                                      service cross-sold to call landline
                                                                      phones
                                                                      Following charged-for products (Text
                       Value Extraction                               messaging, cell phone calls)
                    Focus: Internal Efficiency
                                                                     Partnerships with manufacturers of
                                                                     headsets and Internet-enabled handsets
                                                                      Appropriation of dissatisfied
                        Value Capture                                customers from telecom providers
                  Focus: Partners & Competitors
                                                                        Internet chat, video transmission and
                                                                       audio communication in the same tool
                       Value Origination                                Software simple to use, easy to install,
                                                                       reliable, free
                        Focus: Customers


MOMENTUM
EFFECTSPARTNERS
                              Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                          9                                   21WestPartners
Case Study 1: SKYPE                                                                                                               (3/5)

  Momentum Design generates customer traction

        Communication                                             Compelling
        Low cost
                                                                    Value
        Freedom of Access
                                                                 What do these                                            The whole world can
        Reliability
                                                                  customers                                                   talk for free
        Shared enjoyment
                                                                    value ?


                              Compelling
                                                            Momentum                                        Power Offer
                               Insights
                                                                                                              Design
                                What is
                                                             Design                                          Whats the
                              the customer
                                insight ?                                                                     offer ?

                                                                   Compelling
Need for a new                                                       Equity
telecommunication model                                              What value
                                                                                                             Valuable advertising target
Culture of free exchange of                                         do they have                             with networking power and
information                                                                                                  high potential for paid
                                                                     To Skype ?
                                                                                                             premium products


MOMENTUM
EFFECTSPARTNERS
                                             Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                                         10                                        21WestPartners
Case Study 1: SKYPE                                                                                                              (4/5)

  Momentum Execution accelerates growth

Breaking free of excessive charges                               Vibrant
from telecoms providers                                                                                               Software already on PC
Resistance to exploitation from                                Satisfaction
                                                                                                                      Prompt from other users
quasi-monopolistic situations                                   What drives                                           Contact with community
                                                                 emotion ?




                           Power Offer                   Momentum                                         Vibrant
                            Execution                                                                    Retention
                             Whats the                   Execution                                      What drives
                              offer ?                                                                     action ?

                                                                  Vibrant
   Convenient                                                   Engagement
   Simple to use                                                 What drives
   Easy to install                                                                                       Member of a trendy club
                                                                 advocacy ?
   Reliable                                                                                              Sharing a good deal



MOMENTUM
EFFECTSPARTNERS
                                          Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                                      11                                       21WestPartners
Case Study 1: SKYPE                                                                                     (5/5)

  Skype: a Customer Momentum Leadership Company
     The model for us is viral growth. We try to get as many people as possible to use
      Skype for free and some of them become paying users. We are not pushing it
      because it is a network effect. If you push too hard to convert free users to paying
      users, you limit growth. It is like putting to much charcoal on a barbecue *

     Some people want to monetize  that is, move users from Skypes free service to
      paid for ones  faster, but the key is to figure out what is the right speed for
      monetization. If you act too aggressively, there is a real risk you will lose the huge
      active user base *




  * NiklasZennstr旦m, Skypes co-founder and former CEO

MOMENTUM
EFFECTSPARTNERS
                                    Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                                12                                 21WestPartners
Case Study 2: GLEEVEC                                                                                       (1/2)


                                                                                                       High value
                                                                                  Small business       potential
                                                                                   opportunity
                                                                                                       in terms of:




    Unprofitable at first sight
    But exceptionally effective to prolong
     cancer patients lives

     Made an urgent priority by the
                                                                       Concept of customer wider than simply
     CEO, D. Vasella, despite a low ROI
                                                                              the product purchaser


MOMENTUM
EFFECTSPARTNERS
                              Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                          13                                       21WestPartners
Case Study 2: GLEEVEC                                                                                                  (2/2)

  Leveraging internal and external Momentum

    Vision:
               Building internal and external Momentum that powered a record breaking performance
    Strategic Objectives:
                      Internal Momentum                                                       External Momentum
    Key Strategies:

       Inspire the Unlimited
                                   Motivate employees                                    Engage important stakeholders
          Potential Spirit


    Results:
     Patients enrollment in     The R&D team                          Targeted group of stakeholders offer each something
    clinical trials lasted 4    committed itself to beat the           different to the firm
    months instead of 3 years   managements deadlines                  The press created a buzz around the new  wonder drug
     Drug arrived on market     Employees volunteered                 FDA approved the drug in 10 weeks, the fastest ever
    after only 3 years          for over-time work                     sanctioning for a new drug




MOMENTUM
EFFECTSPARTNERS
                                      Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                                  14                                      21WestPartners
Michael Porters Prescription
                  Healthcare needs more competition
                    Value is the engine of self feeding improvement

                    1. Incentives based on improved Health
                    2. Differentiated Provider Services
                    3. No Restriction to Access
                    4. Easy Access to Medical Information
                    5. Transparent Pricing
                    6. Simplified Billing
                    7. No Discrimination in Insurance Underwriting
                    8. Minimal Coverage for all
                    9. Payer strategies based on Efficiency and Choice
                    10. Fewer useless lawsuits (Tort Reform)
MOMENTUM
EFFECTSPARTNERS
                          Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved
                                                      15                                 21WestPartners
21WestPartners


                                                   1120 Avenue of the Americas
                                                   7th Floor
                                                   New York, NY 10036
                                                   Tel: 1 212 584 4284

                                                   www.21westpartners.com




October 2009   Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved      16

More Related Content

Why we need to take a customer focused approach to Healthcare

  • 1. 21WestPartners We Build Growth Momentum for Life Sciences Companies HEALTHCARE REFORM or CUSTOMER FOCUSED HEALTH MOMENTUM? HARVARD BUSINESS SCHOOL CLUB OF WASHINGTON, DC ENTREPRENEURSHIP ROUNDTABLE January 21, 2010
  • 2. Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 2 21WestPartners
  • 3. 21WestPartners Healthcare Reform "HOW COULD SUCH TRULY TALENTED PEOPLE ALLOW THEMSELVES TO GET INTO SUCH A MORASS? LOU GERSTNER Date Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 3
  • 4. What is The Momentum Effect? TME is Efficient Growth Strategy based on: Compelling customer insights Customer focus product development Vibrant customer engagement Amazon.com Ranked 4th in Best Books of 2008 Business and Investing * The Momentum Effect, JC Larreche, Wharton School Publishing MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 4 21WestPartners
  • 5. TME: Efficient Growth Through Customer-Based Strategies Revenues grow faster than marketing spend in momentum-powered firms 2500 2000 1500 Momentum-Powered Firms (Pioneers) 1000 outperform the DJ Index by 80% Pushers: 3% increase in 500 marketing/sales ratio, no market cap change vs. DJIA Plodders: no change in ratio, 28% 0 decrease in cap 1 2 3 4 5 6 7 8 9 10 11 Pioneers: 4% decrease, 80% increase in cap Revenues Series1 Marketing Expenditures Series2 MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 5 21WestPartners
  • 6. The Momentum Effect in Action A VISION Efficient Growth Through Customer-based Strategies Initiate: The Customer Insights Pipeline Inspire: The Unlimited Potential Spirit 4 ACTIONS Cut: Compensating Strategies Redeploy: Towards Customer Engagement MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 6 21WestPartners
  • 7. Momentum Companies & Brands MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 7 21WestPartners
  • 8. Case Study 1: SKYPE (1/5) eBay acquisition of Skype for $3.1 B in 2005 > $3 B valuation in 3 years 53 M users in 3 years MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 8 21WestPartners
  • 9. Case Study 1: SKYPE (2/5) The Value-Creation Process SkypeOut: Additional subscribing service cross-sold to call landline phones Following charged-for products (Text Value Extraction messaging, cell phone calls) Focus: Internal Efficiency Partnerships with manufacturers of headsets and Internet-enabled handsets Appropriation of dissatisfied Value Capture customers from telecom providers Focus: Partners & Competitors Internet chat, video transmission and audio communication in the same tool Value Origination Software simple to use, easy to install, reliable, free Focus: Customers MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 9 21WestPartners
  • 10. Case Study 1: SKYPE (3/5) Momentum Design generates customer traction Communication Compelling Low cost Value Freedom of Access What do these The whole world can Reliability customers talk for free Shared enjoyment value ? Compelling Momentum Power Offer Insights Design What is Design Whats the the customer insight ? offer ? Compelling Need for a new Equity telecommunication model What value Valuable advertising target Culture of free exchange of do they have with networking power and information high potential for paid To Skype ? premium products MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 10 21WestPartners
  • 11. Case Study 1: SKYPE (4/5) Momentum Execution accelerates growth Breaking free of excessive charges Vibrant from telecoms providers Software already on PC Resistance to exploitation from Satisfaction Prompt from other users quasi-monopolistic situations What drives Contact with community emotion ? Power Offer Momentum Vibrant Execution Retention Whats the Execution What drives offer ? action ? Vibrant Convenient Engagement Simple to use What drives Easy to install Member of a trendy club advocacy ? Reliable Sharing a good deal MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 11 21WestPartners
  • 12. Case Study 1: SKYPE (5/5) Skype: a Customer Momentum Leadership Company The model for us is viral growth. We try to get as many people as possible to use Skype for free and some of them become paying users. We are not pushing it because it is a network effect. If you push too hard to convert free users to paying users, you limit growth. It is like putting to much charcoal on a barbecue * Some people want to monetize that is, move users from Skypes free service to paid for ones faster, but the key is to figure out what is the right speed for monetization. If you act too aggressively, there is a real risk you will lose the huge active user base * * NiklasZennstr旦m, Skypes co-founder and former CEO MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 12 21WestPartners
  • 13. Case Study 2: GLEEVEC (1/2) High value Small business potential opportunity in terms of: Unprofitable at first sight But exceptionally effective to prolong cancer patients lives Made an urgent priority by the Concept of customer wider than simply CEO, D. Vasella, despite a low ROI the product purchaser MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 13 21WestPartners
  • 14. Case Study 2: GLEEVEC (2/2) Leveraging internal and external Momentum Vision: Building internal and external Momentum that powered a record breaking performance Strategic Objectives: Internal Momentum External Momentum Key Strategies: Inspire the Unlimited Motivate employees Engage important stakeholders Potential Spirit Results: Patients enrollment in The R&D team Targeted group of stakeholders offer each something clinical trials lasted 4 committed itself to beat the different to the firm months instead of 3 years managements deadlines The press created a buzz around the new wonder drug Drug arrived on market Employees volunteered FDA approved the drug in 10 weeks, the fastest ever after only 3 years for over-time work sanctioning for a new drug MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 14 21WestPartners
  • 15. Michael Porters Prescription Healthcare needs more competition Value is the engine of self feeding improvement 1. Incentives based on improved Health 2. Differentiated Provider Services 3. No Restriction to Access 4. Easy Access to Medical Information 5. Transparent Pricing 6. Simplified Billing 7. No Discrimination in Insurance Underwriting 8. Minimal Coverage for all 9. Payer strategies based on Efficiency and Choice 10. Fewer useless lawsuits (Tort Reform) MOMENTUM EFFECTSPARTNERS Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 15 21WestPartners
  • 16. 21WestPartners 1120 Avenue of the Americas 7th Floor New York, NY 10036 Tel: 1 212 584 4284 www.21westpartners.com October 2009 Copyright 息 2009 | 21 West Partners LLC. All Rights Reserved 16