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February 25, 2021 0

In analyzing data from November and December for its sixth wave of research, the Commonwealth Fund, Phreesia, & Harvard found that, even though there was another surge of COVID-19 cases largely across the country, the number of outpatient practice visits remained stable. When compared to the baseline week of March 1, the November and December outpatient visits were “unchanged”.

The news release also highlighted that “several notable changes” were detected during that time period:

  • Telemedicine experienced a modest increase of usage again. As seen in the chart below, just over 8% of visits were telemedicine visits.
  • While those winter months typically see a rise in patient visits, “they were below the levels” in those two months of 2020; particularly among children, which showed a “substantial drop”. A typical-year shows a 7-10% increase above baseline for December visits among children ages 0-2. In December 2020, visits were 20-21% below baseline for that age group. A typical-year trend for December visits by children ages 3-5 shows a 6-10% increase above baseline. In December 2020, a 34-38% decrease was recorded for the age group. A typical-year trend for December visits by patients ages 6-17 range from 3% above baseline to 1% below baseline. In December 2020, an 18-25% below baseline was charted for the age group. Older age groups “remained more stable”.

While all specialties saw declines during the pandemic, the report queried, “One critical question is whether visit volumes will rise above the baseline level as we gain increasing control over the pandemic and people receive care that had been deferred.”

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February 25, 2021 0

In honor of American Heart Month in February, PatientPoint and the American Heart Association have partnered to highlight stories from heart attack and stroke survivors from the 2021 Class of Go Red for Women® Real Women campaign. These stories will be shared on PatientPoint's digital waiting room screens and exam room touchscreens throughout the US over the course of the rest of the year.

According to the news release, among the Real Women featured are:

  • Dani Aylsworth: A 33-year-old Army combat veteran who battled PTSD, addiction, and heart failure.
  • Megan Corbin: A 30-year-old professional dancer who had a heart attack despite being in top form.
  • Melissa Sloan-Williams: A 39-year-old registered medical assistant who developed Type 2 diabetes and had a heart attack in her early 30s.
  • Steffany Quintana: A 26-year-old who lost the ability to talk, swallow food, and walk unassisted after her stroke last year.

Go Red for Women, which is sponsored by CVS Health, is an initiative from the American Heart Association to raise awareness and end heart disease and stroke in women. As noted in the Real Stories video, one in three women will die from cardiovascular disease annually, making it the leading killer of women in the US. The news release also cited how “research shows heart attacks are on the rise in younger women and new data suggests younger generations of women, Gen Z and Millennials, along with Black and Hispanic women, are less likely to be aware of their greatest health threat, including knowing the warning signs of heart attacks and strokes.”

The Real Stories at the point of care serves to educate women so they understand the signs and symptoms (which are often different symptoms than what men experience) and to inspire them to make heart health a top priority in conjunction with their overall health management.

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February 25, 2021 0

Ensuring equitable access to COVID-19 vaccines has been a top concern in the rollout process. According to a brief by the Kaiser Family Foundation (KFF), “National recommendations regarding vaccine distribution have emphasized the importance of ensuring equitable access, particularly for disproportionately affected groups, including people of color.” KFF identified some key barriers when it comes to vaccinating disproportionately affected groups, including people of color.

“Data for existing vaccinations show people of color are less likely to be vaccinated compared to their White counterparts,” noted KFF. Access-related challenges, such as higher uninsured rates, often contribute to the lack of health care. “Although the government has indicated that the COVID-19 vaccine will be made available at no cost, it will be important for people to know how they can access it for free in order to reduce potential cost concerns as a barrier, particularly for people who are uninsured.”

Additionally, a lack of trust, given the medical abuses and mistreatment in history, as well as concerns around safety are prime reasons why some people of color say they would not get the vaccine. And in today's current climate, many still feel race-based discrimination. Citing a recent KFF/The Undefeated survey, an article update from KFF stated: “For example, the survey showed that seven in ten Black adults believe race-based discrimination in health care happens very or somewhat often, and Black adults were more likely than White adults to report certain negative experience with health care providers, including feeling that a provider didn’t believe they were telling the truth, being refused a test or treatment they thought they needed, and being refused pain medication.”

When interviewing more than 1,000 adults via the KFF COVID-19 Vaccine Monitor, 47% of Black adults and 47% of Hispanic adults stated side effects as their biggest concern.

According to the Centers for Disease Control and Prevention (CDC), “race / ethnicity was known for just over half (55%) of people who had received at least one dose of the vaccine” on a national-level. In the updated reporting released last week, KFF shared COVID-19 vaccinations by demographics on the state-level, as reported by 34 states. The KFF analysis found “a largely consistent pattern of Black and Hispanic people receiving smaller shares of vaccinations compared to their shares of cases and deaths and compared to their shares of the total population. For example, in Texas, 20% of vaccinations have gone to Hispanic people, while they account for 42% of cases, 47% of deaths, and 40% of the total population in the state. Similarly, in Mississippi, Black people have received 22% of vaccinations, while they make up 38% of cases, 40% of deaths, and 38% of the total population in the state.” When evaluating the data on Asian populations, KFF found the share of vaccinations, typically, to be similar to their share of cases and deaths. In states where differences were identified, “they were generally small.”

In a data update, KFF also found that, in analyzing vaccination rates across the 26 states reporting racial / ethnic data for people who have received at least one dose, the total average vaccination rate for White people is 10%, Asian people is 8%, Black people is 5%, and Hispanic people is 3%.

The authors concluded by stating, “Together, these data raise concerns about disparities in vaccination but are also subject to gaps, limitations, and inconsistencies that limit the ability to compare data across states and draw strong conclusions. The data are still early, with vaccinations not yet broadly available to the public in many areas. Moreover, some states have high shares of vaccination data with unknown race / ethnicity and / or reporting ‘other or multiple races.' Further, 18 states and the District of Columbia are not yet reporting vaccinations by race/ethnicity. Comprehensive standardized data across states will be vital to monitor and ensure equitable access to and take up of the vaccine.”

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February 16, 2021 0

DTC Perspectives was organized in 2000 to focus on pharmaceutical marketing and in 2001 we launched The DTC National. In later years we organized conferences on Hospital Marketing, Multicultural Communications, OTC Marketing, and Disease Education.

To better describe what we do, we are excited to refer to our conference series as Xpectives.Health. We see our business model as providing educational services to companies that market healthcare products and services to consumers. We are still intensely focused on the DTC world of pharmaceuticals but recognize the much broader base of companies that market health directly to consumers.

From now on you will see the name Xpectives.Health used to describe our conference offerings. In October 2021, we will have our first post-pandemic in-person event since April 2019. We are thrilled to offer the in-person DTC National again in 2021. In addition, we are adding other conferences on Hospital, OTC, Womens’ Health, Forum on Virtual Health, and Forum on Social and Technology under one roof. This is called the Xpectives.Health Summit.

For those used to attending The DTC National, we will offer everything we have in the past but you will also have the opportunity to attend sessions of interest at these other conferences. We look forward to offering all consumer healthcare marketers educational and networking opportunities at the Xpectives.Health Summit.

As we lead up to our event in Boston on Oct 12-14, we are offering numerous virtual events across industries under the Xpectives.Health Virtual Series. We are thrilled with the attendance at the events we have done to date and expect our virtual events will remain as a permanent part of our offerings. While nothing is better than seeing our marketing colleagues in person, we see the virtual events as a complementary alternative.

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January 28, 2021 0

Announced today, President Biden is set to sign two Executive Orders in his efforts to improve health care access and affordability to Americans. The Department of Health and Human Services (HHS) is expected to re-open a “Special Enrollment Period” this year to the Health Insurance Marketplace, from Feb. 15-May 15, allowing citizens in need of insurance to sign up for health coverage during the pandemic.

The President has also instructed federal agencies to re-examine the following policies to assess whether they are in need of additional strengthening as well:

  • “Policies that undermine protections for people with pre-existing conditions, including complications related to COVID-19;
  • Demonstrations and waivers under Medicaid and the ACA that may reduce coverage or undermine the programs, including work requirements;
  • Policies that undermine the Health Insurance Marketplace or other markets for health insurance;
  • Policies that make it more difficult to enroll in Medicaid and the ACA; and
  • Policies that reduce affordability of coverage or financial assistance, including for dependents.”

Furthermore, a Presidential Memorandum is going to be issued to “protect and expand access to comprehensive reproductive health care.” The Memorandum also “directs the Department of Health and Human Services to take immediate action to consider whether to rescind regulations under its Title X family planning program.”

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January 27, 2021 0

Sponsored Content

Samantha Brown, Director of Business Development at Mesmerize, discussed the impacts COVID-19 has had on their business in a recent interview with Bob Ehrlich, Chairman & CEO of DTC Perspectives.  She shares how Mesmerize used this time to focus on expanding its point of care footprint and establishing new partnerships, while continuing to educate and engage consumers via Mesmerize’s vast network of essential businesses.

Bob Ehrlich: How has COVID-19 affected the point of care (POC) industry?

Samantha Brown: While COVID-19 affected in-office visits early on in the pandemic, we’ve already seen the vast majority of our specialty networks return to pre-COVID traffic levels or beyond.  COVID-19 highlighted the need for innovative, dynamic solutions, like Mesmerize’s digital TV screens, at the point of care.  Our digital TV screens allow us to continue delivering dynamic educational content to the offices within our network and serve as a powerful channel to activate on behalf of COVID-19 consumer education, disseminating trusted information by partners, such as the CDC and WHO.  In order to maintain safe social distancing, many practices no longer allowed non-essential visits, including pharmaceutical reps, to their offices.  Our digital network affords advertisers the ability to reach both patients and physicians with their brand’s messaging in a safe, efficient, and effective way.  The addition of QR codes to our printed media allows for patients to scan a QR code on the physical materials within an office and interact with that same content digitally on their mobile device.  The ability to access this content digitally allows patients to bring this information home with them and share it with their caregivers and/or loved ones.

The role of the pharmacist has also evolved dramatically as they continue to serve on the front lines of the COVID-19 epidemic.  Local pharmacists see more patients on a daily basis than any other healthcare provider, and that’s proven to be particularly true in the wake of COVID-19, as pharmacists were licensed to administer COVID-19 tests, and now the COVID-19 vaccine.  COVID-19 highlighted the pharmacist’s role in connecting patients and customers with access to care, increasing awareness of the wide range of vaccines and immunizations pharmacists are able to administer, including COVID-19, as well as protection against HPV, Hepatitis, Flu, and more.  At a time when pharmacists were seeing increasing foot traffic and patient visits, Mesmerize’s TV screens and other point of care tactics played a large role in educating consumers and encouraging them to speak with their pharmacist, a reliable source of counseling and information for general health and wellness concerns, as well as COVID-19.

Bob: It’s been impressive to see what Mesmerize has been able to accomplish this past year, despite COVID-19.  You’ve been busy lately growing your network, most recently with partnerships with Benasource, ASP Cares, Gaudenzia, and GMHC.  What do these partnerships mean to brands working with Mesmerize?

Samantha: Despite the challenges presented by COVID-19, we made a conscious decision as an organization to use this time to double down our focus on network expansion and re-engaging new partnership opportunities.  In 2019, we acquired a digital network of independent pharmacies and have been working to expand upon the existing network since.  In 2020, we partnered with ASP Cares and Benasource, installing Mesmerize’s Digital TV screens in all ASP Cares U.S. locations and Benzer Pharmacy locations.  Specialty pharmacies have unique expertise and experience treating a multitude of conditions including: HIV/AIDS, Hepatitis, Rheumatology, Oncology, Cardiovascular Disease, Gastroenterology, Addiction Management, and more, making them a critical venue for reaching patients with these conditions.

The team worked tirelessly to expand our digital network beyond the pharmacy, first with a partnership with Gaudenzia Addiction Treatment & Recovery Services, followed by a partnership with GMHC, the world’s first HIV/AIDS Services Organization (ASO).  Our partnership with Gaudenzia allows us to provide best-in-class patient education across their drug and alcohol treatment, mental health, and HIV/AIDS programs, reaching nearly 20,000 individuals annually.  Partnering with renowned organizations like Gaudenzia and GMHC, which are vital to improving the community’s health and helping them to achieve a better quality of life, helps Mesmerize fulfill its mission to connect individuals, families, and communities affected by HIV and other infectious disease and/or mental illness to accessible care, treatment, and education.  Mesmerize is excited to work with our new partners to uplift those affected by these diseases and we look forward to continuing to work together to address the underlying causes of new diagnosis, combat stigma and discrimination, and promote healthy behaviors.  Adding our digital TV screens to these locations allows us to effectively reach and connect with affected individuals and communities, and offers advertisers a unique opportunity to reach their target audiences at the places they are seeking care.

Bob: Clearly, 2020 was a very busy year for Mesmerize.  What’s next in the pipeline?

Samantha: We continue to actively seek out opportunities to grow our pharmacy network and remain heavily involved with the HIV/AIDS community.  2021 growth will focus on expanding into additional Community-Based Organizations and AIDS Service Organizations, increasing our reach across these organizations that are vital to improving people’s health and helping them to achieve a better quality of life.  We have a lot of exciting things in the pipeline in terms of content, and our full-service digital signage studio is working around the clock to produce best-in-class patient education speaking to HIV/AIDS and infectious disease specifically, in addition to general health and wellness and other condition-specific content.  After seeing great success building out our digital network of infectious disease offices, AIDS Service Organizations, and Community-Based Organizations, we look forward to rolling out our digital network in specialty doctors’ offices, aligning with client-demand and connecting patients and physicians with valuable information and resources speaking to a multitude of conditions, including: Respiratory/COPD, Rheumatology, Oncology, Gastroenterology, and more.  We are very excited about our most recent partnership with Quest Diagnostics labs, reaching nearly 8.5 million monthly viewers at over 2,000 Quest Diagnostics sites nationwide.  We’ve also begun working with major supermarket/grocery retailers, installing digital TV screens within their on-site pharmacies.  2020 was a busy year and we expect 2021 to be the same!

Bob: How is Mesmerize able to utilize its vast out-of-home (OOH) network at point of care, point-of-sale, transit, and other specialty areas to bring more value to clients?

Samantha: In addition to point of care media, Mesmerize has a vast network of transit and place-based media opportunities, serving as a one-stop shop for cross-channel advertising that allows our advertisers to reach consumers at multiple touchpoints along their out-of-home journey.  Our larger OOH network affords advertisers the ability to reach consumers non-disruptively at every point throughout their daily lives, from their commute to and from the doctor’s office via our network of fixed-route and paratransit buses, to their visit to the pharmacy, grocery, or convenience store following their doctor’s office, ASO, or community-based organization visit.  Mesmerize’s place-based opportunities ensure our advertisers are reaching their target audiences on days they are not visiting their healthcare practitioner, via advertising in cafes, coffee shops, financial service centers, laundromats, restaurants, and more.  When stay-at-home orders were issued and businesses were forced to close as a result of COVID-19, Mesmerize’s point of care, transit, and financial service networks were deemed essential services and remained open for business, continuing to serve as vital touchpoints for reaching consumers.

Samantha Brown


January 27, 2021 0

As part of President Biden's National Action Strategy to combat the global pandemic, he has instructed his COVID-19 Response Coordinator to work with the Department of Health and Human Services (HHS) in securing an additional 100 million doses of each of the two COVID-19 vaccines that have been approved by the FDA from Pfizer-BioNTech and Moderna. According to a White House news brief, this “increases the total vaccine order for the U.S. by 50%, from 400 million to 600 million with these additional doses expected to deliver this summer. With these additional doses, the U.S. will have enough vaccine to fully vaccinate 300 million Americans by the end of this summer.”

Moderna confirmed this news yesterday, stating that they are in talks with the US government, noting that the delivery will be in the third quarter of 2021. The previous amount purchased by the US government was 200 million doses of Moderna's and Pfizer-BioNTech's vaccinations each.

Last Friday, Pfizer and BioNTech had announced “an advance purchase agreement with COVAX for up to 40 million doses of the Pfizer-BioNTech COVID-19 Vaccine. The doses will be delivered throughout 2021.” COVAX is the collaboration of the Global Alliance for Vaccines and Immunization (GAVI), the Coalition for Epidemic Preparedness Innovations (CEPI), and the World Health Organization (WHO), to ensure fair global distribution of COVID-19 vaccines.

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January 27, 2021 0

The Point of Care Communication Council, PoC3, updated its official guidance regarding Verification and Validation. The 2021 guidance provides three major changes:

  • the expansion of network audits to include a company's asset management system's internal control and procedures;
  • the volume of campaign audits required for certification will be based on annual campaign volume (not individual campaign spend);
  • the frequency of campaign audits has been changed to every six months.

Given the current industry and challenges faced by COVID-19, the POC3 Verification & Validation Committee decided to review the previous 2019 guidance to better reflect today's world and appropriately meet its needs. These new amendments also allowed PoC3 to create their own auditing and certification process for POC companies – available to both PoC3 member and non-member companies. PoC3 collaborates with the Alliance for Audited Media and BPA Worldwide to “validate network-related items including network size, network health and campaign performance,” stated the news release.

Certifications will be reviewed and disseminated on a first come, first served basis. On January 22, the first group of certifications was issued to member companies Phreesia, PatientPoint, Health Media Network, and CheckedUp, as well as non-member company Outcome Health.

“PatientPoint is generating monthly reports audited by AAM for every campaign running on our digital networks. This is an important milestone in our 30-year legacy of going above and beyond to deliver compelling results that marketers can trust,” said PatientPoint Founder and CEO Mike Collette in their news statement. “These automated reports resemble the dashboard reports sponsors receive when running an online digital campaign and can give sponsors the same level of confidence investing in Point of Care as in any other digital media channel.”

“From day one, Phreesia has been an industry leader, exemplifying the importance of transparency and the integrity of our data,” said David Linetsky, Phreesia’s Senior Vice President of Life Sciences and a PoC3 board member in their press announcement. “We appreciate AAM’s diligence in validating the measures of trust and accountability we value so highly, and we thank PoC3 for recognizing our continued commitment to delivering the highest level of quality to our partners.”

AAM audited PatientPoint and Phreesia; BPA Worldwide audited Health Media Network, CheckedUp, and Outcome Health.

“This is an exciting day for the POC3 organization, and for the companies that have achieved these initial certification seals,” Richard Murphy, Executive Vice President, BPA Worldwide, told DTC Perspectives. “Thank you to the volunteer members of the POC3 organization who worked tirelessly to create and update these guidelines.  And congratulations to CheckedUp, Health Media Network, Patient Point, Phreesia, and Outcome Health on this accomplishment.  These companies made significant investments in their organizations to obtain this certification.  I am glad to see their dedication, commitment and efforts recognized.”

The Committee will continue to evaluate and update guidance as needed based on “industry evolution and feedback.”

Editor's note: This post has been updated to correct the companies certified as per our article title. The article has been updated to add in a quote from BPA Worldwide as well.

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December 9, 2020 0

This column is not about a DTC advertising campaign that already exists. Instead, it is about what should happen after the Covid-19 vaccine is approved. Unfortunately, too many Americans are skeptical of a vaccine. 

Trump clearly showed that he was not medically accurate in many of his Covid related treatment statements. His vaccine program was doubted by some for being an election booster if it could be fast tracked and approved before the election. His Democrat opponents cast doubt on any vaccine developed under his watch. Several states said they would independently review vaccine data even after the FDA approved it.

Now that Pfizer and Moderna have announced the phenomenal results, the hard work begins after approval in terms of timely distribution and getting enough Americans to take it. DTC must play a role in convincing Americans the vaccine is the solution to this worldwide nightmare. 

The conundrum is how much should a drug maker spend on DTC when they can sell all they make. Should the front runners Pfizer and Moderna run DTC even though they don’t need to create demand? The answer is yes. This is a case where all drug makers of vaccine have an ethical responsibility to make Americans want to get this vaccine as soon as it is available to them. We know that vaccine makers have done a good job creating ads for their other vaccines. The DTC goal is reassurance that the vaccine is safe and will end the pandemic.

It will be interesting to see the creative on Covid vaccines. The challenges are to first ensure that safety concerns are dealt with as safety data is only over a short period. We don’t want Americans to hold back and let their friends and neighbors go first. The second challenge is the two shots needed. Drug makers are going to have to convince us to get shots a month apart. Third, is the concern that the shot may only last months not years. 

Of course, we can expect that drug makers will see massive government investment in consumer outreach. Federal and state health departments will spend to get the message out. Employers will be adding their own efforts to get employees vaccinated. So, my estimate is we will see over $100 million invested in vaccine DTC. Money should not be a limitation given the Covid pandemic has cost this country hundreds of billions in economic losses. We can hope government will be setting aggressive targets to raise the percent of those vaccinated. Experts think we need at least 70% of the population vaccinated to nearly eradicate Covid. 

Particularly important is convincing African-Americans to take the vaccine. According to Pew Research only 42% said they are definitely or probably going to get vaccinated. The number among the total population is 60%, and among Hispanics it is 63%. All these are under the estimated 70% it will take to get herd immunity. DTC is one of the fastest ways to get Americans convinced the vaccine is necessary. All constituencies, public and private, need to invest in a major DTC effort and accelerate adoption.

Bob Ehrlich,
Chairman
DTC Perspectives, Inc.

Bob Ehrlich


November 18, 2020 0

Early this morning, Pfizer and BioNTech issued a news release stating that the Phase 3 study of their MRNA-based COVID-19 vaccine met all primary efficacy endpoints. “Analysis of the data indicates a vaccine efficacy rate of 95% (p<0.0001) in participants without prior SARS-CoV-2 infection (first primary objective) and also in participants with and without prior SARS-CoV-2 infection (second primary objective), in each case measured from 7 days after the second dose,” stated the announcement. For those older than 65 years of age, the efficacy is reportedly over 94%.

No serious safety concerns have been reported by the Data Monitoring Committee for the study. According to the findings, “most solicited adverse events resolv[e] shortly after vaccination” – with 3.8% experiencing fatigue after their first or second dose and 2% recording headaches after their second dose. The FDA-required safety milestone for an EUA (Emergency Use Authorization) has been met, and thus, the two companies plan to submit an EUA request to the agency in the coming days.

Dr. Albert Bourla, Pfizer Chairman and CEO, issued a statement as per the news release: “The study results mark an important step in this historic eight-month journey to bring forward a vaccine capable of helping to end this devastating pandemic. We continue to move at the speed of science to compile all the data collected thus far and share with regulators around the world. With hundreds of thousands of people around the globe infected every day, we urgently need to get a safe and effective vaccine to the world.”

Expressing a concurring sentiment, Ugur Sahin, M.D., CEO and Co-founder of BioNTech stated: “We are grateful that the first global trial to reach the final efficacy analysis mark indicates that a high rate of protection against COVID-19 can be achieved very fast after the first 30 µg dose, underscoring the power of BNT162 in providing early protection. These achievements highlight the potential of mRNA as a new drug class. Our objective from the very beginning was to design and develop a vaccine that would generate rapid and potent protection against COVID-19 with a benign tolerability profile across all ages. We believe we have achieved this with our vaccine candidate BNT162b2 in all age groups studied so far and look forward to sharing further details with the regulatory authorities. I want to thank all the devoted women and men who contributed to this historically unprecedented achievement. We will continue to work with our partners and governments around the world to prepare for global distribution in 2020 and beyond.”

The news release added that Pfizer and BioNTech “expect to produce globally up to 50 million vaccine doses in 2020 and up to 1.3 billion doses by the end of 2021.”

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