Over the past 3 years, there has been no shortage of attempts to forecast the impact of the Affordable Care Act (ACA) on patients and insurers, but the truth is, the changing care model has ramifications that extend well beyond the waiting room. The multi-billion dollar medical device industry is smack-dab in the middle of tremendous regulatory and economic changes—including the ACA and the Medical Device Excise Tax (MDET). Earlier this year CMB’s MedTech team partnered with the Massachusetts Medical Device Industry Council (MassMEDIC) to survey 123 of their members for their perspectives on the past, present, and future expectations for innovation and growth in the medical device industry. Below, are a few highlights from The 2013 MedTech Industry and Innovation Study:
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One of the most profound shifts, reflected in the results of our study, is the emerging influence of economic buyers on medical device innovation. The traditional med device market model places physicians at the center of innovation efforts, and to be sure they’re still very much at the forefront of med device companies’ minds. But as the ACA’s cost containment policies come into effect, hospital administrators and insurers will see their influence grow, as they become increasingly involved in purchasing decisions. Indeed, while just under one third of respondents said they have focused their innovation efforts on economic buyers in the past, 53% said economic buyers would receive their attention in the future.
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Not surprisingly, the MDET has elicited a great deal of conversation, with med device companies’ still strenuously objecting to the tax that came into effect last year. However, while the industry as a whole has actively advocated for MDET’s repeal, a surprising 40% have yet to plan to address the tax. For those who have made or acted upon plans to address the tax, workforce reductions and reductions in R&D spend top the list of mitigating actions. Despite considerable concerns over the changing care model, many respondents were optimistic for the future, with the bulk of respondents expecting increased revenue, both inside and outside the US in the coming 5 years.
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Asked to evaluate their performance on key success factors, the vast majority indicated that their company currently meets or exceeds expectations when it comes to identifying customer wants and needs and determining the most compelling features set—table stakes in new product development in any industry. Respondents also identified areas for differentiation (i.e., capabilities that are important for future success, but that most don’t perform well on). Organizations that with the following core skills will win in the future - prioritizing resources, determining how to price product(s)/service(s) given the dramatic changes, and developing compelling clinical data to support their product(s)/service(s).
Click here to read the full report.
The results of this study were presented at MassMEDIC's 17th Annual Conference on May 8th 2013.
Andrew runs CMB’s MedTech practice and has spent the better part of the past decade helping some of the most successful MedTech companies make difficult strategic decisions. In his free time, Andrew enjoys scrubbing into tracheotomies with clients, and running with his dog Moby.



When the 820 consecutive home game sell-out streak ended on April 10th at Fenway Park (just two games into the 2013 season), the Boston Red Sox found themselves in a unique situation…Red Sox brand loyalty was no longer just a guaranteed thing.Since the Red Sox won the World Series in ’04 and again in ‘07, brand loyalty has come easy to the team – the fans were just there, happy to support their world champions. But after a rocky end to the 2011 season and a weak 2012, loyalty has waned and the organization actually needs to re-build that loyalty again.
Red Sox have campaigned to bring trust back to its fans. The Red Sox have always had brand loyalty— even in the 86 year stretch without a World Series win – but trust kept those fans believing that soon their suffering would be over. After the 2012 season, many fans were left feeling that the team had quit on them and weren’t committed to winning. To combat this mentality in 2013, commercial, print advertisements and billboards showcase players with the message that “What’s Broken Can Be Fixed” and “162 Ways to Restore the Faith.” New manager John Farrell has also promised to do everything he can to help the team win. However, while this assurance and transparency with the fans is reassuring off the field, the team now must follow through with this commitment on the field to truly gain back the trust. 
With ever more crowded industries, and customers’ ever-growing access to information that guides decision-making, if ever there was an era where the customer came first, this is it. Landing on a strategy that will delight current and prospective customers requires getting to know them both qualitatively and quantitatively. And herein lies the challenge. This kind of insight takes time and money and often gets pushed off or short-changed.