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Global Medical Affairs Resourcing Benchmark for Med Planning Functions

This video highlights benchmark data from 26 leading biopharma organizations on Medical Planning resourcing, staffing, outsourcing models, and spend—providing actionable insights to strengthen your Global Medical Affairs strategy.

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Innovative Medical Education to Drive Reach, Awareness, Appropriate Diagnosis, and Better Outcomes

How are leading biopharma companies transforming medical education to drive real-world impact? This video shares benchmarks and strategies on innovation, engagement, and measurement in modern medical education.

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Utilizing Advanced Analytics and AI/ML for Competitive Intelligence Excellence

Competitive Intelligence is rapidly evolving as biopharma organizations integrate advanced analytics and AI/ML into their CI functions. This video highlights key benchmarking insights from Best Practices, LLC on emerging CI structures, maturity drivers, and the shift toward predictive, data-driven decision support.

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Achieving Wide Reach and High Impact Through Digital and DOL Engagement in Medical Affairs

As Medical Affairs teams shift toward digital-first and DOL-driven engagement, the ability to deliver measurable scientific impact has never been more critical. This video highlights how top teams prioritize stakeholders, platforms, and content to maximize reach.

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Improving Patient Medication Adherence Metrics

Trust is a critical—but often overlooked—driver of patient medication adherence. In this video, Best Practices, LLC shares benchmark-driven insights on how communication clarity, information balance, and patient choice influence adherence, persistence, and engagement outcomes across pharma and biotech organizations.

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Automating Medical Information: Using New Tools and Systems To Scale and Optimize Medical Info and Call Center Operations

Rising inquiry volumes are pushing biopharma teams to scale Med Info and Call Center operations without increasing headcount. This video explores how automation, AI, and smarter systems are enabling high-impact Medical Information at scale.

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Global Medical Affairs Resourcing Benchmark for Med Communications & Content Development Functions

Discover how leading biopharma teams streamline MedComms resourcing with smart outsourcing, hybrid models, and productivity insights that elevate Medical Affairs performance.

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Activating Your Customers: Optimize Medical’s Investment and Performance with the Channels and Content that Matter

Uncover how leading Medical Affairs teams are leveraging AI, smarter content strategies, and omnichannel engagement to drive measurable impact and strategic excellence.

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The Medical Affairs Impact Equation: Linking Activities with Strategic Outcomes to Drive Real-World Impact

See how top companies are redefining Medical Affairs impact—moving beyond activity counts to measurable, outcome-driven value.

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Meeting the Challenge of Copay Accumulator Programs: Effective Pharma Strategies & Tactics for Ensuring Patient Access

Explore how leading pharma manufacturers are tackling copay accumulator challenges to protect patient access and affordability.

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Medical’s Road Map for Social Media Success

Social media is transforming the way Medical Affairs builds trust and engagement across the healthcare ecosystem. This video shares four key insights from leading pharma teams using digital strategies to enhance education, compliance, and stakeholder impact.

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HCP Engagement Excellence: Optimizing Contracting Processes, Resources and Internal Interactions for Engaging Physicians and other HCPs

Efficient HCP contracting is the backbone of timely, compliant, and impactful engagements. In this video, we reveal how top-performing biopharma and medical device companies streamline approvals, leverage digital tools, and overcome regional complexities to turn contracting into a strategic advantage.

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Digital Trends in Biopharma Launch Strategy and Investment

Discover how digital innovation is transforming biopharma product launches. This video highlights key findings from Best Practices, LLC’s benchmarking study on emerging digital activities, investment trends, and strategies driving launch success.

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Current and Anticipated Applications of Artificial Intelligence (AI) in Medical Affairs

Artificial intelligence is transforming Medical Affairs, but many teams struggle to convert AI initiatives into measurable results. In this video, discover the 3 KPI targets that separate AI success from hype and learn how high-performing organizations turn AI investments into real strategic impact.

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How Pharma is Utilizing Social Media, Patient Groups and Virtual Formats for Delivering Medical Education

Pharma is redefining medical sponsorships as strategic drivers of education and HCP engagement. In this video, Best Practices, LLC reveals three proven tactics Medical Affairs teams use to manage sponsorships effectively, ensure compliance, and maximize impact.

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Best Practices in Improving Medical Affairs Booth Impact at Critical Medical Congresses

Discover the 5 most common mistakes that undermine Medical Affairs booth impact at critical scientific congresses—and learn how to avoid them.

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Inside MedTech Compliance: Benchmarking the People, Processes, and Costs Behind Regulatory and Quality Excellence

� Discover how the gap between Regulatory and Quality spend has narrowed by 25% — and what this shift means for MedTech leaders.

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Medical Affairs 2030: Innovating the Medical Affairs Model with New Roles, Capabilities & Competencies

Get a quick look at how leading pharma teams are transforming Medical Affairs with AI, new roles, and future-ready strategies for 2030.

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Patient Advocacy Internal Collaboration to Raise Awareness, Guide Research, and Improve Access

What’s blocking patient advocacy in pharma? Hear what 54 leaders revealed about internal barriers—and how top teams are overcoming them to elevate patient impact.

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Building a Competitive IIT Program: Best Practices to Support Better Funding, Resourcing, and Approval Policies

Discover how leading biopharma teams are improving IIT efficiency, reducing costs, and driving greater impact. This quick video highlights key benchmarks, spending trends, and strategic opportunities from our latest study.

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Assessing the Impact of Medical Affairs: Embrace New Measurement Strategies to Promote Your Value Story, Increase Impact, and Gain Resources

Discover how leading pharma teams are redefining Medical Affairs impact using smarter metrics to drive outcomes, value, and investment.

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Utilizing Advanced Analytics and AI/ML for Competitive Intelligence Excellence

This video explores how leading biopharma CI teams are using AI and analytics to enhance strategic impact—and what’s needed to turn potential into performance.

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Building More Effective Medical Affairs Product Launch Teams: Immunology Segment

Get a quick look at how Medical Affairs is shaping launch success in immunology through strategy, timing, and digital engagement.

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Pharma’s Digital Transformation Turning Point: Disruption, Challenges and Recommendations for Medical and Commercial Leaders

Uncover how top biopharma companies are transforming Medical and Commercial functions through digital strategies. This short video shares key insights from 178 organizations on virtual engagement, digital tools, and performance metrics shaping the future.

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Value-Driven Patient Support Programs: How Top Companies Engage, Educate and Ensure the Adherence of their Patients

Based on insights from 57 industry leaders, this video explores how top pharma and biotech organizations are building holistic, patient-centric models that drive adherence, improve outcomes, and deliver real value.

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Interweaving Medical Strategy to Maximize New Treatment Success: Linking Launch Strategies with Medical Operations Excellence and Competitive Resourcing Decisions

Explore how Medical Affairs teams are shaping smarter product launches through strategic resourcing, data-driven insights, and the use of AI. Whether you're planning your next launch or refining your medical strategy, this is a must-watch for actionable guidance.

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Achieving Launch Market Leadership: Resourcing the Next Generation of Blockbusters

Gain actionable insights from 61 recent pharma launches on how leading companies allocate commercial, medical, and patient-access resources before and during launch. See how market archetype and peak-year sales forecasts reshape budgets—and learn strategies to sharpen your own launch plans.

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Best Practices in Creating Efficient and Effective Medical Affairs and Market Access Teams in Medical Devices

Explore how top med device companies are building efficient and high-impact Medical Affairs and Market Access teams. This video highlights proven practices for optimizing team design, collaboration, and field deployment in a competitive, fast-moving market..

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Maximizing Mature Brands & Assets: Successful Lifecycle Management Strategies, Tactics and Insights

Explore how top biopharma teams extend the value of mature brands through proven lifecycle management strategies. Based on findings from Best Practices, LLC’s report, this video highlights key approaches to brand revitalization, smart resource use, and cross-functional alignment.

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Best Practices in Improving Medical Affairs Booth Impact at Critical Medical Congresses

Explore how leading biopharma companies are enhancing medical booth impact at scientific congresses by leveraging digital content, optimizing engagement tactics, and adopting performance metrics that drive meaningful HCP interactions.

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Probing Best Practices for Successful Primary Care Launch & Physician Engagement

� Discover proven strategies from leading pharma companies on how to drive successful product launches in the competitive primary care market.

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Medical-Commercial Collaboration and Growth Areas: Success Stories, Expanding Stakeholder Universe, Field Interactions, and the Future of Collaboration

Uncover how leading biopharma companies are enhancing Medical-Commercial collaboration to integrate insights, align strategies, and deliver more personalized, data-driven healthcare in today’s evolving landscape.

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Omnichannel Marketing: Maximize your Digital Marketing Assets

Explore how leading biopharma companies are using omnichannel marketing to enhance digital engagement, expand customer reach, and drive commercial success in today’s evolving healthcare landscape.

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The Role of Medical Affairs in the Value-Based Healthcare Ecosystem

Discover how Medical Affairs leaders are redefining their roles to optimize data strategies, enhance collaborations, and drive patient-centric success in a value-based ecosystem.

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Connected Health Excellence: Assessing the Development, Deployment, and Impact of Integrated Treatment Apps

Gain actionable strategies to optimize the development, deployment, and impact of connected health apps.

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Maximizing the Impact of Medical Affairs in Product Launch

Watch this video to uncover the success factors and challenges shaping Medical Affairs' role in product launches.

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Connected Health Excellence: Assessing the Development, Deployment, and Impact of Integrated Treatment Apps

Discover how biopharma and medical device organizations are revolutionizing healthcare with connected health applications — enhancing treatment efficacy, boosting patient adherence, and improving market performance.

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Patient Advocacy: How Top Pharma Manufacturers Effectively Support Advocacy Groups Segmented by Reporting Function

Join us as we delve into how leading pharmaceuticalorganizations are effectively engaging and collaborating with patient advocacy groups to drive real impact.

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Factors That Drive Results for Biopharmaceutical Sales Training Programs

Uncover biopharma industry trends in sales training, from e-learning adoption to budget allocation and tech-driven innovation.

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Pure Play Digital Launch: Launching a New Blockbuster Migraine Drug During a Global Pandemic

Curious about how Biohaven's Nurtec navigated the pandemic for a successful digital-first launch? Watch the video to uncover the marketing playbook that changed the pharma launch game.

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Connecting Pharma to Patients with Digital Patient Engagement Strategies in Global, Emerging, and Developed Markets

Technological advancements are revolutionizing patient engagement, with top pharma companies leading the way in adopting digital strategies globally. Watch this video to learn how pharma can effectively connect with patients in different markets.

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Winning Necessary Resources for a Successful Product Launch

Even the best budget won’t deliver results without the right team in place. In this video, learn how to scale and structure your team for launch success.

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Winning Necessary Resources for a Successful Product Launch

Discover how to optimize your budget allocation to set your product up for success. In this video, we explore critical insights on how leading pharma companies allocate resources across clinical trials, marketing, Medical Affairs, and more.

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Strategic Portfolio Planning for Successful New Product and Drug Platform Positioning

Watch this video to discover proven strategies for positioning pharma products successfully! Unveil the insights on avoiding pitfalls and optimizing market entry.

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Best Practices for Training & Developing High-Impact Medical Affairs Professionals

Uncover the secrets to high-impact Medical Affairs training! Learn how leading biopharma companies empower their teams with top-notch programs.

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Pharmaceutical Product Launch Evaluation Excellence: Processes and Measures to Evaluate Launch Success

Discover the key metrics and insights that top pharma companies use to ensure impactful launches. Watch this video to learn how tailored evaluation strategies, forecasting, and performance measures can set your launches apart.

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Challenges and Effective Practices for Optimizing a Customer Relationship Management System for Field Medical Teams

Discover how Field Medical Teams can optimize CRM for better insights, improved collaboration, and measurable impact.

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Winning Necessary Resources for a Successful Product Launch

Discover how to optimize your launch investments and align resources for successful biopharma product launches.

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Building an Elite Medical Excellence Group

Dive into the strategies and benchmarks that empower Medical Excellence teams to maximize efficiency, alignment, and impact.

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Disease Awareness Program Excellence: Structure, Activities, and Resources Needed for Effective Pipeline Support

Uncover proven practices and impactful strategies from top biopharma organizations to elevate your disease awareness campaigns.

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How Merck Used Bold Indications Planning Coupled with Expansive Clinical Trials to Lift a Second-To-Market Product into the Annals of Blockbuster Launch History

Discover how bold strategies, expansive clinical trials, and innovative marketing propelled a second-to-market drug, Keytruda, to a cornerstone of Merck’s immuno-oncology portfolio.

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Developing Managed Care Pull-Through Excellence

Uncover how 24 biopharma companies are implementing robust pull-through programs to turn formulary wins into real market share.

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Launching New Biopharma Products in Competitive Markets: Critical Success Factors and Failure Points

Uncover key tactics for successful biopharma product launches in competitive and underserved markets, covering top success factors, common pitfalls, and proven stakeholder engagement tactics.

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Automating Medical Information: Using New Tools and Systems To Scale and Optimize Medical Info and Call Center Operations

Learn how top biopharma companies scale Medical Information and Call Center operations with AI, automation, and optimized staffing to meet rising demands.

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Soliris: Translating Groundbreaking Science into a Successful Orphan Drug

Explore how Alexion’s Soliris overcame high-cost barriers and growing biosimilar competition to achieve multi-billion-dollar success, driven by strategic market expansion and patient support.

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HCP Engagement Excellence: Optimizing Contracting Processes, Resources and Internal Interactions for Engaging Physicians and other HCPs

Uncover how top biopharma and medical device companies are optimizing their HCP contracting processes for global success.

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Identifying Superior Corporate Affairs and Corporate Communications Capabilities

Discover how top biopharmaceutical companies are optimizing their Corporate Affairs teams' structure, staffing, competencies, and activities to ensure strategic success, manage brand reputation, and drive strategic communications.

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How Pharma is Utilizing Social Media, Patient Groups and Virtual Formats for Delivering Medical Education

Identify the latest trends in social media, virtual education formats, and patient group collaboration to deliver impactful medical education.

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CAR-T & Cell Therapy Products: Next generation of oncology products create chance for boom or bust

Uncover the story behind next-gen cancer therapies, Kymriah and Yescarta, from their fast-tracked approvals to the key challenges they've faced in pricing, manufacturing, and market adoption.

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Health Info System Excellence: How Top Biopharmas Build Integrated Data Systems to Fulfill Patient-Centric Clinical & Commercial Objectives

Explore how biopharma organizations work with vendors like IQVIA, Optum Health, and Accenture to develop fully integrated and accessible patient-centric data systems, often referred to as "health information systems."

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Medical-Commercial Collaboration and Growth Areas: Success Stories, Expanding Stakeholder Universe, Field Interactions, and the Future of Collaboration

Uncover proven strategies from 40 Medical Affairs leaders to effectively partner with Commercial teams to meet the needs of diverse customer groups.

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Meeting the Challenge of Copay Accumulator Programs: Effective Pharma Strategies & Tactics for Ensuring Patient Access

Explore how pharma manufacturers are tackling the challenges posed by copay accumulator programs to safeguard patient access and ensure ongoing treatment adherence.

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Building a Foundational Global Function for Reviewing IME Grants

Learn how you can streamline your IME grants review process to support high-quality, evidence-based educational initiatives worldwide

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Real World Evidence: Understand Trends & Seize Opportunities in the Changing Landscape of RWE Generation

Gain insights into Real World Evidence (RWE) studies utilization, data collection techniques, outsourcing levels, critical vendor attributes, and resourcing trends.

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Leveraging Outcomes Data: Operational Roles in Health Economics & Outcomes Research

Explore how elite biopharma companies optimize their Health Economics and Outcomes Research (HEOR) functions to drive decision-making and deliver value across medical activities.

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Disease Awareness Program Excellence: Structure, Activities, and Resources Needed for Effective Pipeline Support

Enhance your understanding of driving disease awareness programs for optimal pipeline support within the biopharma industry. Gain valuable insights by watching the video to refine your strategies for success, and uncover both best practices and common challenges encountered in disease awareness campaigns.

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Case Study:How argenx Broke into a Captive Market to Begin Dislodging an Entrenched Market Leader

Discover the secrets behind VYVGART's remarkable success in challenging an entrenched market leader in the rare disease landscape. Explore the strategic maneuvers and innovative approaches that propelled VYVGART to the forefront of the gMG market.

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Medical Affairs 2025: Where Are We Going? How Do We Get There?

Delve into the evolving roles, strategic priorities, digital transformation, and the envisioned structure of Medical Affairs in the near future.

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Medical Affairs People Management Excellence: Maximizing Talent & Retention Through Better Training, Development and Career Path Leadership

Explore actionable strategies for maximizing talent in Medical Affairs! In this video, we delve into the critical realm of People Management, uncovering techniques to enhance talent retention, foster teamwork, and optimize performance.

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Meeting the Needs of Payers through the Market Access Function

Uncover best practices to align your Market Access operations with payer expectations. Get access to key benchmarks around the structure, activities, staffing, and investment within the Market Access function for enhanced effectiveness.

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The Modern Field Medical Team: Benchmarking Hybrid vs. Traditional MSL Roles, Salary, Retention, Access and Engagement Levels

Unveil the future of pharmaceutical field medical teams in our captivating video! Delve into the secrets of crafting the perfect field medical team for unparalleled success.

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How Horizon Therapeutics Created an Ophthalmic Blockbuster in a Rare Disease Autoimmune Area for Thyroid Eye Disease

Discover Tepezza's journey to blockbuster status within just 18 months of launch. Uncover the strategies and tactics employed by Horizon Therapeutics to transform TED treatment with Tepezza, setting a new standard in ophthalmic care.

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Digital Trends in Biopharma Launch Strategy and Investment

Watch our video now and equip yourself with industry insights to drive successful biopharma launch strategies amidst digital transformation. Discover how companies are reallocating budgets, implementing metrics, and accelerating digital activities to drive innovative biopharma launches.

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Medical Affairs and Digital Opinion Leaders: Identifying, Engaging and Succeeding with Online Influencers

Unlock the secrets of successful engagement as we delve into how Medical Affairs teams can effectively identify, engage, and collaborate with Digital Online Influencers – the emerging thought leaders shaping healthcare discussions on online platforms.

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Building an Elite Medical Excellence Group

Discover how leading organizations propel efficiency and impact with Medical Excellence groups. This video unveils key strategies utilized by pharma and biotech companies to optimize Medical organizations. Explore key insights on activities, staffing dynamics, and performance metrics. Watch now to elevate your Medical organization!

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How AbbVie Builds Patent Fences to Extend Brand Life and Safeguard HUMIRA and Its Immunology FranchiseTreatment Apps

Dive into the success story of HUMIRA! Explore how AbbVie strategically utilized patents to extend brand life and fortify HUMIRA's market dominance. Uncover the innovative strategies behind HUMIRA's $173 billion success over 17 years. Ready to uncover HUMIRA's strategic patent approach? Watch the video now!

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Improving Patient Medication Adherence Metrics

Is your brand facing challenges in improving patient medication adherence? Explore established industry best practices to enhance patient compliance rates, irrespective of your therapeutic area, competition, or pricing strategies. Our comprehensive analysis provides valuable insights to help you identify and optimize adherence effectively.

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Leveraging Medical Analytics to Improve Strategy, Launch, Outcomes and Care Models

Explore how Medical Affairs is leveraging cutting-edge analytics to address unmet needs, streamline operations, and improve patient care. Join us in this video as we discover how 41 Medical Affairs leaders are using Medical Analytics to propel their organization to new heights.

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Pharma Competitive Intelligence Landscape Assessment

Ever wondered how some pharma titans maintain their edge while others lag behind? The answer lies within their CI function. This video delves deep into our groundbreaking Pharma Competitive Intelligence Landscape Assessment, where we uncover evolutionary insights that will supercharge your CI function and propel your organization to strategic excellence.

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Quantifying Impact & Telling the Value Story in Medical Affairs

This video explores how leading Medical Affairs groups measure their influence on external stakeholders as well as showcase their value to the organization. Watch it now to revolutionize your Medical Affairs strategy!

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Building Winning Trademarks and Trade Name Operations in Biopharma

In a landscape where poor trademarking strategies abound, how can the pharmaceutical industry master the art of trademark and trade name operations? Watch this video to uncover the strategies that fuel pharmaceutical trademarking success.

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Medical’s Road Map for Social Media Success

In today's digital landscape, social media has become an indispensable tool for organizations across various fields. But what about its impact on the pharmaceutical industry? Watch our video to uncover the roadmap for social media success under Medical Affairs auspices across 21 therapeutic areas.

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Developing the Best Hybrid Work Model for Your Commercial Biopharma Organization

In a dynamic era of evolving work models, the critical decisions that biopharma organizations make today will shape their future. The question looms: What's the ideal work model – a fully remote setup, a complete return to in-person operations, or a dynamic hybrid approach that offers the best of both worlds? Watch this video to uncover the blueprint for a flexible and resilient Commercial organization.

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Benchmarking IIS Strategy: Maximizing Investigator-Initiated and Collaborative Study Capabilities

Is your organization conducting IIS’s and collaborative

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Video Gallery

View Video

Global Medical Affairs Resourcing Benchmark for Med Planning Functions

View Video

Innovative Medical Education to Drive Reach, Awareness, Appropriate Diagnosis, and Better Outcomes​

View Video

Utilizing Advanced Analytics and AI/ML for Competitive Intelligence Excellence

View Video

Achieving Wide Reach and High Impact Through Digital and DOL Engagement in Medical Affairs

View Video

Improving Patient Medication Adherence Metrics

View Video

Automating Medical Information: Using New Tools and Systems To Scale and Optimize Medical Info and Call Center Operations

View Video

Global Medical Affairs Resourcing Benchmark for Med Communications & Content Development Functions

View Video

Activating Your Customers: Optimize Medical’s Investment and Performance with the Channels and Content that Matter

View Video

The Medical Affairs Impact Equation: Linking Activities with Strategic Outcomes to Drive Real-World Impact

View Video

Meeting the Challenge of Copay Accumulator Programs: Effective Pharma Strategies & Tactics for Ensuring Patient Access

View Video

Medical’s Road Map for Social Media Success

View Video

HCP Engagement Excellence: Optimizing Contracting Processes, Resources and Internal Interactions for Engaging Physicians and other HCPs

View Video

Digital Trends in Biopharma Launch Strategy and Investment

View Video

Current and Anticipated Applications of Artificial Intelligence (AI) in Medical Affairs

View Video

How Pharma is Utilizing Social Media, Patient Groups and Virtual Formats for Delivering Medical Education

View Video

Best Practices in Improving Medical Affairs Booth Impact at Critical Medical Congresses

View Video

Inside MedTech Compliance: Benchmarking the People, Processes, and Costs Behind Regulatory and Quality Excellence

View Video

Medical Affairs 2030: Innovating the Medical Affairs Model with New Roles, Capabilities & Competencies

View Video

Patient Advocacy Internal Collaboration to Raise Awareness, Guide Research, and Improve Access

View Video

Building a Competitive IIT Program: Best Practices to Support Better Funding, Resourcing, and Approval Policies

View Video

Assessing the Impact of Medical Affairs: Embrace New Measurement Strategies to Promote Your Value Story, Increase Impact, and Gain Resources

View Video

Utilizing Advanced Analytics and AI/ML for Competitive Intelligence Excellence

View Video

Building More Effective Medical Affairs Product Launch Teams: Immunology Segment

View Video

Pharma’s Digital Transformation Turning Point: Disruption, Challenges and Recommendations for Medical and Commercial Leaders

View Video

Value-Driven Patient Support Programs: How Top Companies Engage, Educate and Ensure the Adherence of their Patients

View Video

Interweaving Medical Strategy to Maximize New Treatment Success: Linking Launch Strategies with Medical Operations Excellence and Competitive Resourcing Decisions

View Video

Achieving Launch Market Leadership: Resourcing the Next Generation of Blockbusters

View Video

Best Practices in Creating Efficient and Effective Medical Affairs and Market Access Teams in Medical Devices

View Video

Maximizing Mature Brands & Assets: Successful Lifecycle Management Strategies, Tactics and Insights

View Video

Best Practices in Improving Medical Affairs Booth Impact at Critical Medical Congresses

View Video

Probing Best Practices for Successful Primary Care Launch & Physician Engagement

View Video

Medical-Commercial Collaboration and Growth Areas: Success Stories, Expanding Stakeholder Universe, Field Interactions, and the Future of Collaboration

View Video

Omnichannel Marketing: Maximize your Digital Marketing Assets

View Video

The Role of Medical Affairs in the Value-Based Healthcare Ecosystem

View Video

Connected Health Excellence: Assessing the Development, Deployment, and Impact of Integrated Treatment Apps

View Video

Maximizing the Impact of Medical Affairs in Product Launch

View Video

Connected Health Excellence: Assessing the Development, Deployment, and Impact of Integrated Treatment Apps

View Video

Patient Advocacy: How Top Pharma Manufacturers Effectively Support Advocacy Groups Segmented by Reporting Function

View Video

Factors That Drive Results for Biopharmaceutical Sales Training Programs

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Innovative Medical Education to Drive Reach, Awareness, Appropriate Diagnosis, and Better Outcomes