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McCann Health Managed Markets: 2023

Ensuring coverage to help patients access the medicines they need has been the passionate driver behind McCann Health Managed Markets (MHMM) and its award-winning…

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McCann Health Managed Markets, an IPG Health company

3 Sylvan Way, Parsippany, NJ 07054 

973-917-6501 • mccannhealthmm.com

Quick Facts

Accounts

  • Account wins: 7
  • Active business clients: 11

Brands by 2022 sales

  • Brand-product accounts held: 51
  • $25 million or less: 51
  • Products not yet approved/launched: 6

Services mix

  • Access and reimbursement: 42%
  • Market access: 40%
  • Omnichannel: 18%

Winner | Best Managed Markets Campaign
Vitiligo: Living in Their Skin was created based on payer market research that identified a need to demonstrate the human burden of vitiligo to payer customers. Patient visuals and real-world photos from the clinical trials enabled access account managers to deliver a meaningful portrait of the patient experience for an emerging disease category.

Client roster

  • AstraZeneca
  • Day One Biopharmaceuticals
  • Exelixis
  • Genentech
  • Incyte
  • Janssen
  • Krystal Biotech
  • Mirum Pharmaceuticals
  • Novartis
  • Novo Nordisk
  • Sun Pharma

Winner

  • Best Managed Markets Campaign

Ensuring coverage to help patients access the medicines they need has been the passionate driver behind McCann Health Managed Markets (MHMM) and its award-winning work,” agency leaders say. “Consistent with year-over-year successes, MHMM wrapped up 2022 with more than seven percent growth.”

“In this rapidly changing landscape, we’re pivoting with our clients and finding new ways to demonstrate value to drive access while putting patients at the center of what we do,” says Kim Wishnow-Per, president of MHMM, adding that a legacy of long-standing clients combined with new business wins demonstrates this commitment. 

“We’re still navigating uncertainties,” explains Greg Novello, executive VP, strategy. “The world changed with the COVID-19 pandemic. As new policies are passed and value-
based care models roll out, cost pressures are intensifying for every stakeholder – including patients.”

Recent accomplishments

In 2022, MHMM secured seven new business wins, further diversifying its client roster. The additional lines of business bolster a growing oncology portfolio, with work across solid tumor types and hematology oncology. 

“One of the more unique client partnerships focuses on site-of-care operations and strategy to support a chimeric antigen receptor T-cell (CAR-T) therapy,” managers say. “In addition, we were honored to receive Silver at the MM+M Awards in its first year presenting the Market Access Maven category.” 

While market access marketing work is oftentimes associated with value propositions and health economics outcomes research, an intensified focus on a patient-centered approach fueled more diverse initiatives, agency leaders say. “The recent pandemic shone a spotlight on disparities in health care and manufacturers across the board declared their commitment towards positive changes. MHMM developed a video series to educate providers about potential biases that may result in suboptimal outcomes across select cancer categories. These videos addressed disparities in health care in hopes to improve outcomes.”

MHMM penned several POVs and articles, including an article published in PM360 examining the path to access for specialty products. Posted in April 2022, “it highlights the shifting specialty product landscape, access trends, and key considerations for improving specialty drug coverage,” executives say. “We continued publishing POVs, with the most recent in November titled ‘The Looming Threat of Alternative Funding Models.’”

Structure and services

Managers describe MHMM as a full-service market access agency “powered by more than 100 diverse individuals, fully dedicated to managed markets work. We offer end-to-end solutions across all market access channels and communication platforms. Our ultimate goal is to deliver value and drive results – breaking down barriers so patients can get access to the medicines they need.”  

The MHMM proprietary managed markets consultant advisory panel provides real-world insights, experience, and advice for clients, executives say. “These seasoned P&T Committee members and population health decision makers are dedicated to MHMM clients. In 2022, we added three members to the panel, which represents both national and regional organizations and institutions across the United States.”

“Industry and market access insights are the foundation of our content development,” says Nancy Codoner, director of market access, head of copy. “We are putting pressure on maintaining our strategically sound storytelling in different ways to help our clients move from perceived transactional relationships to strong customer partnerships.” 

Whether working on a burden of disease campaign, value proposition communications, or patient support resources, leaders state that MHMM applies a proven strategic framework that ensures insights are transformed into an actionable engagement plan. 

And like other IPG Health agencies, when it comes to MHMM’s return-to-office approach, “we continue to lean into the IPG Health philosophy of flexibility, accountability and trust,” executives say. “Unlike other agencies and networks, we trust our employees to work with their teams to figure out what works best for themselves, their families, and their clients.”

Future plans

We are excited about 2023,” Wishnow-Per says. “As our client roster grows, we are also expanding our agency offerings.” MHMM has three new service offerings that executives claim are gaining traction in conversations – a comprehensive training platform, a geo-targeted “heat map,” and a market access patient journey framework. This year will mark the rollout and implementation of these offerings. 

With a full year under its belt as a unified network, parent IPG Health provides expertise in disciplines that MHMM and its clients can leverage, agency executives say. “MHMM continues to integrate and leverage the power of the network to support clients in targeted areas such as UX strategy, patient engagement, and social sciences.”  

According to the leadership team, the patient-centered approach to market access is expected to intensify as social determinants of health remain in the spotlight. “Key healthcare stakeholders are only beginning to understand the nuances and interdependencies between SDOH and health disparities, and how addressing both is imperative to achieving health equity,” executives say. “An oncology health equity initiative is currently under development within a client work stream, with expected rollout later this year.”

Last year, IPG Health formally announced EDI+You, a strategic evolution of the network’s  commitment to equity, diversity, and inclusion. “This network-wide strategy is designed to be actionable and ownable by every single one of us, and MHMM will continue its focus and enhance initiatives in this space so we can continue to learn from each other and bring our clients the best of all of us in everything we do.”

The MHMM leadership team says there is a lot to look forward to in the next year, energized by several dynamic initiatives and new clients. “A new client put it simply, ‘I didn’t know what a great agency was until I started working with MHMM. Their expertise, professionalism, and hard work have elevated our team and I look forward to the continued partnership,’” executives say.

Philanthropy/citizenship

MHMM leaders say they are proud of the agency’s long-standing partnership with the Interfaith Food Pantry and Resource Center in Morris Plains, N.J., “a charity of choice” for more than a decade, with efforts spearheaded by Leslie Donworth, group director of operations. Last year, the team assembled 300 Thanksgiving food bags for families in need.

America’s Grow-a-Row has also had MHMM support over the years. In August, members of the agency harvested more than 27,000 pounds of fresh produce, which provided approximately 108,000 servings of fresh vegetables for people in need.

During the fourth quarter of 2022, the MHMM Diversity, Equity, and Inclusion task force kicked off its first volunteer day with Moms Helping Moms Foundation. Executives say this effort collected donations and supplies, including 500 diapers, 600 baby wipes, and nearly 90 articles of clothing to support mothers. 

McCann Health Managed Markets

(back row left to right) Orlando Lopez, senior VP, creative director; Nancy Codoner, senior VP, market access; Greg Novello, executive VP, strategy; Leslie Donworth, senior VP, group director, operations
(front row left to right) Kim Wishnow-Per, president; Karen Shoshan, executive VP, managing director

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February Employment Situation

By Paul Gomme and Peter Rupert The establishment data from the BLS showed a 275,000 increase in payroll employment for February, outpacing the 230,000…

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By Paul Gomme and Peter Rupert

The establishment data from the BLS showed a 275,000 increase in payroll employment for February, outpacing the 230,000 average over the previous 12 months. The payroll data for January and December were revised down by a total of 167,000. The private sector added 223,000 new jobs, the largest gain since May of last year.

Temporary help services employment continues a steep decline after a sharp post-pandemic rise.

Average hours of work increased from 34.2 to 34.3. The increase, along with the 223,000 private employment increase led to a hefty increase in total hours of 5.6% at an annualized rate, also the largest increase since May of last year.

The establishment report, once again, beat “expectations;” the WSJ survey of economists was 198,000. Other than the downward revisions, mentioned above, another bit of negative news was a smallish increase in wage growth, from $34.52 to $34.57.

The household survey shows that the labor force increased 150,000, a drop in employment of 184,000 and an increase in the number of unemployed persons of 334,000. The labor force participation rate held steady at 62.5, the employment to population ratio decreased from 60.2 to 60.1 and the unemployment rate increased from 3.66 to 3.86. Remember that the unemployment rate is the number of unemployed relative to the labor force (the number employed plus the number unemployed). Consequently, the unemployment rate can go up if the number of unemployed rises holding fixed the labor force, or if the labor force shrinks holding the number unemployed unchanged. An increase in the unemployment rate is not necessarily a bad thing: it may reflect a strong labor market drawing “marginally attached” individuals from outside the labor force. Indeed, there was a 96,000 decline in those workers.

Earlier in the week, the BLS announced JOLTS (Job Openings and Labor Turnover Survey) data for January. There isn’t much to report here as the job openings changed little at 8.9 million, the number of hires and total separations were little changed at 5.7 million and 5.3 million, respectively.

As has been the case for the last couple of years, the number of job openings remains higher than the number of unemployed persons.

Also earlier in the week the BLS announced that productivity increased 3.2% in the 4th quarter with output rising 3.5% and hours of work rising 0.3%.

The bottom line is that the labor market continues its surprisingly (to some) strong performance, once again proving stronger than many had expected. This strength makes it difficult to justify any interest rate cuts soon, particularly given the recent inflation spike.

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Mortgage rates fall as labor market normalizes

Jobless claims show an expanding economy. We will only be in a recession once jobless claims exceed 323,000 on a four-week moving average.

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Everyone was waiting to see if this week’s jobs report would send mortgage rates higher, which is what happened last month. Instead, the 10-year yield had a muted response after the headline number beat estimates, but we have negative job revisions from previous months. The Federal Reserve’s fear of wage growth spiraling out of control hasn’t materialized for over two years now and the unemployment rate ticked up to 3.9%. For now, we can say the labor market isn’t tight anymore, but it’s also not breaking.

The key labor data line in this expansion is the weekly jobless claims report. Jobless claims show an expanding economy that has not lost jobs yet. We will only be in a recession once jobless claims exceed 323,000 on a four-week moving average.

From the Fed: In the week ended March 2, initial claims for unemployment insurance benefits were flat, at 217,000. The four-week moving average declined slightly by 750, to 212,250


Below is an explanation of how we got here with the labor market, which all started during COVID-19.

1. I wrote the COVID-19 recovery model on April 7, 2020, and retired it on Dec. 9, 2020. By that time, the upfront recovery phase was done, and I needed to model out when we would get the jobs lost back.

2. Early in the labor market recovery, when we saw weaker job reports, I doubled and tripled down on my assertion that job openings would get to 10 million in this recovery. Job openings rose as high as to 12 million and are currently over 9 million. Even with the massive miss on a job report in May 2021, I didn’t waver.

Currently, the jobs openings, quit percentage and hires data are below pre-COVID-19 levels, which means the labor market isn’t as tight as it once was, and this is why the employment cost index has been slowing data to move along the quits percentage.  

2-US_Job_Quits_Rate-1-2

3. I wrote that we should get back all the jobs lost to COVID-19 by September of 2022. At the time this would be a speedy labor market recovery, and it happened on schedule, too

Total employment data

4. This is the key one for right now: If COVID-19 hadn’t happened, we would have between 157 million and 159 million jobs today, which would have been in line with the job growth rate in February 2020. Today, we are at 157,808,000. This is important because job growth should be cooling down now. We are more in line with where the labor market should be when averaging 140K-165K monthly. So for now, the fact that we aren’t trending between 140K-165K means we still have a bit more recovery kick left before we get down to those levels. 




From BLS: Total nonfarm payroll employment rose by 275,000 in February, and the unemployment rate increased to 3.9 percent, the U.S. Bureau of Labor Statistics reported today. Job gains occurred in health care, in government, in food services and drinking places, in social assistance, and in transportation and warehousing.

Here are the jobs that were created and lost in the previous month:

IMG_5092

In this jobs report, the unemployment rate for education levels looks like this:

  • Less than a high school diploma: 6.1%
  • High school graduate and no college: 4.2%
  • Some college or associate degree: 3.1%
  • Bachelor’s degree or higher: 2.2%
IMG_5093_320f22

Today’s report has continued the trend of the labor data beating my expectations, only because I am looking for the jobs data to slow down to a level of 140K-165K, which hasn’t happened yet. I wouldn’t categorize the labor market as being tight anymore because of the quits ratio and the hires data in the job openings report. This also shows itself in the employment cost index as well. These are key data lines for the Fed and the reason we are going to see three rate cuts this year.

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Inside The Most Ridiculous Jobs Report In History: Record 1.2 Million Immigrant Jobs Added In One Month

Inside The Most Ridiculous Jobs Report In History: Record 1.2 Million Immigrant Jobs Added In One Month

Last month we though that the January…

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Inside The Most Ridiculous Jobs Report In History: Record 1.2 Million Immigrant Jobs Added In One Month

Last month we though that the January jobs report was the "most ridiculous in recent history" but, boy, were we wrong because this morning the Biden department of goalseeked propaganda (aka BLS) published the February jobs report, and holy crap was that something else. Even Goebbels would blush. 

What happened? Let's take a closer look.

On the surface, it was (almost) another blockbuster jobs report, certainly one which nobody expected, or rather just one bank out of 76 expected. Starting at the top, the BLS reported that in February the US unexpectedly added 275K jobs, with just one research analyst (from Dai-Ichi Research) expecting a higher number.

Some context: after last month's record 4-sigma beat, today's print was "only" 3 sigma higher than estimates. Needless to say, two multiple sigma beats in a row used to only happen in the USSR... and now in the US, apparently.

Before we go any further, a quick note on what last month we said was "the most ridiculous jobs report in recent history": it appears the BLS read our comments and decided to stop beclowing itself. It did that by slashing last month's ridiculous print by over a third, and revising what was originally reported as a massive 353K beat to just 229K,  a 124K revision, which was the biggest one-month negative revision in two years!

Of course, that does not mean that this month's jobs print won't be revised lower: it will be, and not just that month but every other month until the November election because that's the only tool left in the Biden admin's box: pretend the economic and jobs are strong, then revise them sharply lower the next month, something we pointed out first last summer and which has not failed to disappoint once.

To be fair, not every aspect of the jobs report was stellar (after all, the BLS had to give it some vague credibility). Take the unemployment rate, after flatlining between 3.4% and 3.8% for two years - and thus denying expectations from Sahm's Rule that a recession may have already started - in February the unemployment rate unexpectedly jumped to 3.9%, the highest since February 2022 (with Black unemployment spiking by 0.3% to 5.6%, an indicator which the Biden admin will quickly slam as widespread economic racism or something).

And then there were average hourly earnings, which after surging 0.6% MoM in January (since revised to 0.5%) and spooking markets that wage growth is so hot, the Fed will have no choice but to delay cuts, in February the number tumbled to just 0.1%, the lowest in two years...

... for one simple reason: last month's average wage surge had nothing to do with actual wages, and everything to do with the BLS estimate of hours worked (which is the denominator in the average wage calculation) which last month tumbled to just 34.1 (we were led to believe) the lowest since the covid pandemic...

... but has since been revised higher while the February print rose even more, to 34.3, hence why the latest average wage data was once again a product not of wages going up, but of how long Americans worked in any weekly period, in this case higher from 34.1 to 34.3, an increase which has a major impact on the average calculation.

While the above data points were examples of some latent weakness in the latest report, perhaps meant to give it a sheen of veracity, it was everything else in the report that was a problem starting with the BLS's latest choice of seasonal adjustments (after last month's wholesale revision), which have gone from merely laughable to full clownshow, as the following comparison between the monthly change in BLS and ADP payrolls shows. The trend is clear: the Biden admin numbers are now clearly rising even as the impartial ADP (which directly logs employment numbers at the company level and is far more accurate), shows an accelerating slowdown.

But it's more than just the Biden admin hanging its "success" on seasonal adjustments: when one digs deeper inside the jobs report, all sorts of ugly things emerge... such as the growing unprecedented divergence between the Establishment (payrolls) survey and much more accurate Household (actual employment) survey. To wit, while in January the BLS claims 275K payrolls were added, the Household survey found that the number of actually employed workers dropped for the third straight month (and 4 in the past 5), this time by 184K (from 161.152K to 160.968K).

This means that while the Payrolls series hits new all time highs every month since December 2020 (when according to the BLS the US had its last month of payrolls losses), the level of Employment has not budged in the past year. Worse, as shown in the chart below, such a gaping divergence has opened between the two series in the past 4 years, that the number of Employed workers would need to soar by 9 million (!) to catch up to what Payrolls claims is the employment situation.

There's more: shifting from a quantitative to a qualitative assessment, reveals just how ugly the composition of "new jobs" has been. Consider this: the BLS reports that in February 2024, the US had 132.9 million full-time jobs and 27.9 million part-time jobs. Well, that's great... until you look back one year and find that in February 2023 the US had 133.2 million full-time jobs, or more than it does one year later! And yes, all the job growth since then has been in part-time jobs, which have increased by 921K since February 2023 (from 27.020 million to 27.941 million).

Here is a summary of the labor composition in the past year: all the new jobs have been part-time jobs!

But wait there's even more, because now that the primary season is over and we enter the heart of election season and political talking points will be thrown around left and right, especially in the context of the immigration crisis created intentionally by the Biden administration which is hoping to import millions of new Democratic voters (maybe the US can hold the presidential election in Honduras or Guatemala, after all it is their citizens that will be illegally casting the key votes in November), what we find is that in February, the number of native-born workers tumbled again, sliding by a massive 560K to just 129.807 million. Add to this the December data, and we get a near-record 2.4 million plunge in native-born workers in just the past 3 months (only the covid crash was worse)!

The offset? A record 1.2 million foreign-born (read immigrants, both legal and illegal but mostly illegal) workers added in February!

Said otherwise, not only has all job creation in the past 6 years has been exclusively for foreign-born workers...

Source: St Louis Fed FRED Native Born and Foreign Born

... but there has been zero job-creation for native born workers since June 2018!

This is a huge issue - especially at a time of an illegal alien flood at the southwest border...

... and is about to become a huge political scandal, because once the inevitable recession finally hits, there will be millions of furious unemployed Americans demanding a more accurate explanation for what happened - i.e., the illegal immigration floodgates that were opened by the Biden admin.

Which is also why Biden's handlers will do everything in their power to insure there is no official recession before November... and why after the election is over, all economic hell will finally break loose. Until then, however, expect the jobs numbers to get even more ridiculous.

Tyler Durden Fri, 03/08/2024 - 13:30

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