No Leqvio bonus? No working for the rest of the year





Leqvio has been the biggest failed launch I’ve ever witnessed in my career. Shockingly bad to the point that someone would think your experience here with this is some sort of idea for a Netflix series. How could this have gone so embarrassingly wrong? There doesn’t seem to be resolution anytime soon.


What’s the deinifition of insanity? Doing the same thing over and over and expecting different results. Crm leaders are their own worst enemy. This launch has been an avalanche of f ups with zero accountability other than blaming reps.
 




What’s the deinifition of insanity? Doing the same thing over and over and expecting different results. Crm leaders are their own worst enemy. This launch has been an avalanche of f ups with zero accountability other than blaming reps.
Another idiot repeating the incorrect and ridiculous quote about the definition of insanity
 




What’s the deinifition of insanity? Doing the same thing over and over and expecting different results. Crm leaders are their own worst enemy. This launch has been an avalanche of f ups with zero accountability other than blaming reps.
They’re at a meeting now, plotting how to make us all hate our job even more. It’s just amazing that this foolish leadership thinks targeted metrics and endlessly dragging our managers around will increase sales. In fact, it’s bound to decrease sales. Pay me some bonus and get out of the way and you will see sales boom.
 




I just started here and I'm already a little amazed on how they're promoting it. Seems like it would be a lot easier if they could give injections where the patients give their blood. They are already there. A lot easier for the patient than having to go to completely separate site for an appointment for something that takes 5 Seconds to do.
 




I just started here and I'm already a little amazed on how they're promoting it. Seems like it would be a lot easier if they could give injections where the patients give their blood. They are already there. A lot easier for the patient than having to go to completely separate site for an appointment for something that takes 5 Seconds to do.
You clearly do NOT understand Buy-and-Bill.

1) An entity needs to acquire the product.
2) Said entity then bills the patient's insurance for reimbursement. Hopefully the pts insurance reimburses fully for the product + a little for profit.
3) The entity would need to be contracted w/ A LOT of insurance payers and medical groups! To be able to bill the pts insurance, otherwise the entity would NOT be able to see, let alone bill the pts insurance.
4) Step 2 & 3 are the hard parts. How many donation centers would be willing to take risk of hoping to make a small profit? How many individual doctor offices or medical groups want to take the risk?

A blood donation center needs zero insurance contracts and does NOT need to belong to any medical groups, as the donations are free or the pt is compensated a little bit, but the donation center sells the donated blood to hospitals, red cross, etc.
 




I understand buy and bill. I'm just saying it would be more convenient for the patient to be able to go to the lab where they get their blood drawn to get the injection versus having to go to a separate office like an infusion center. Still owned by the same hospital. Why couldn't they buy and build and inject in the blood lab versus the infusion center?

You clearly do NOT understand Buy-and-Bill.

1) An entity needs to acquire the product.
2) Said entity then bills the patient's insurance for reimbursement. Hopefully the pts insurance reimburses fully for the product + a little for profit.
3) The entity would need to be contracted w/ A LOT of insurance payers and medical groups! To be able to bill the pts insurance, otherwise the entity would NOT be able to see, let alone bill the pts insurance.
4) Step 2 & 3 are the hard parts. How many donation centers would be willing to take risk of hoping to make a small profit? How many individual doctor offices or medical groups want to take the risk?

A blood donation center needs zero insurance contracts and does NOT need to belong to any medical groups, as the donations are free or the pt is compensated a little bit, but the donation center sells the donated blood to hospitals, red cross, etc.
 




Why couldn't they buy and build and inject in the blood lab versus the infusion center?
B/C a labs business model is drawing blood and billing insurance and pt. They don't want to purchase the product, administer the product, then be at the mercy of insurance hoping to make a measly profit.

This is why FEW cardiology offices adopted Buy&Bill, contrary to the brilliant minds at Novartis saying they would want to buy&bill.

Open up your own blood draw lab w/ the bonus of injection services offered. Since you seem to think this is a great idea, why don't you talk to these labs and get them to become and injection site? ZERO will want to do so b/c of additional expenses (correct personnel ie a physician to oversee, crash cart, etc). Bottom line insufficient profit. Drawing blood w/ lowly paid phlebotomists is profitable.
 




Seems like it would be a lot easier if they could give injections where the patients give their blood. They are already there. A lot easier for the patient than having to go to completely separate site for an appointment for something that takes 5 Seconds to do.

Let's state the obvious:
1) State Licensing. Drawing blood vs administering medication.
2) Insurance regulation approval to administer: contracting, contracting, contracting.
3) Appropriate licensed staff to administer medication. A Phlebotomist is NOT authorized.
4) Liability insurance. Gonna cost them MORE.

You sure you understand Buy&Bill? The above four should have been obvious to deduce.

Your skill set is best w/ pharmacy benefit (ie pills), not medical benefit.
 




















So this is either a manager or someone in leadership. I’ve been in this industry for 25 years and I have never not gotten a bonus either.

You my friend are the moron. Novartis is making money off of this. But I won’t? Yeah, I’m on vacation till next trimester.


Haha,, then you’ll be put on a PIP because of low ranking and lose your salary and job altogether.

They got you either way!!
 








Haha,, then you’ll be put on a PIP because of low ranking and lose your salary and job altogether.

They got you either way!!

My word, you can't possibly be this obtuse.
There. Are. No. Rankings.
I'll repeat myself - There. Are. No. Rankings.
If you are a Leqvio lead, nobody has any clue what you've done or what you're doing.
If you paid attention on national calls you would have heard them admit it.
Territory rankings? Sure, but those are still sorted out with "apportionment", which is a fancy way of saying nobody has any fucking clue (or desire) to track accurately.
 




However as a Leqvio lead, I do get a ranking on my IC report. This ranking will be used to determine who gets awards, who gets progressed ( sr sales TAS to executive TAS, etc, who receives cornerstone and year end reviews, which are supposedly used in restructures. Your ranking is a reflection of the bonus you receive and how it compares to the other reps incentive pay. They are using horrible data to force rank us and it will affect us individually. Some will get lucky, most not.
 




What do you mean there are no rankings? Leqvio leads still receive a ranking on their IC reports. These rankings will be used to determine rep progressions, Sr. TAS to Executive TAS, etc. It will determine Pres club and other business awards. It will be reflected on your review. The rankings are based on your incentive $ received each trimester. Your incentive $ are based on their crappy data. Novartis is using their messed up data to force rank us and it will affect us individually.
 




What do you mean there are no rankings? Leqvio leads still receive a ranking on their IC reports. These rankings will be used to determine rep progressions, Sr. TAS to Executive TAS, etc. It will determine Pres club and other business awards. It will be reflected on your review. The rankings are based on your incentive $ received each trimester. Your incentive $ are based on their crappy data. Novartis is using their messed up data to force rank us and it will affect us individually.
Oh yes, that’s partially true. There are area rankings for Leqvio. Last year someone on my team made it to Presidents Club without ever selling one syringe of Leqvio. She sold a lot of Entresto, I sold a lot of Leqvio. Together, we got her there.
 




Awww. What a sweet teamwork story. Not. Point is, the data sucks. People are rewarded or penalized based on poor data. They need to find another way to “pay for performance” if they can’t figure out where to credit the syringes.