{"version":"1.0.0","segments":[{"startTime":1.02,"endTime":3.93,"body":"- [Narrator] Welcome to this"},{"startTime":1.02,"endTime":3.93,"body":"Petauri Evidence webinar."},{"startTime":3.93,"endTime":6.51,"body":"At Petauri Evidence, we"},{"startTime":3.93,"endTime":6.51,"body":"deliver market access"},{"startTime":6.51,"endTime":9.99,"body":"and HEOR support throughout"},{"startTime":6.51,"endTime":9.99,"body":"the product lifecycle"},{"startTime":9.99,"endTime":13.263,"body":"to bring new treatments to"},{"startTime":9.99,"endTime":13.263,"body":"patients across global markets."},{"startTime":14.46,"endTime":19.05,"body":"Follow us on LinkedIn for more"},{"startTime":14.46,"endTime":19.05,"body":"great content from our team."},{"startTime":19.05,"endTime":20.853,"body":"We hope you enjoy the discussion."},{"speaker":"- The topic today is First to Market","startTime":24.03,"endTime":27.15,"body":"Unlocking Switzerland's Pharma Potential."},{"speaker":"- The topic today is First to Market","startTime":27.15,"endTime":28.44,"body":"Whilst a small country,"},{"speaker":"- The topic today is First to Market","startTime":28.44,"endTime":32.13,"body":"it can be a great first launch"},{"speaker":"- The topic today is First to Market","startTime":28.44,"endTime":32.13,"body":"market for several reasons,"},{"speaker":"- The topic today is First to Market","startTime":32.13,"endTime":33.933,"body":"which we will fully explore today."},{"speaker":"- The topic today is First to Market","startTime":34.92,"endTime":36.3,"body":"I'm Louise Maddison,"},{"speaker":"- The topic today is First to Market","startTime":36.3,"endTime":39.48,"body":"and I'm a senior consultant"},{"speaker":"- The topic today is First to Market","startTime":36.3,"endTime":39.48,"body":"at Petauri Evidence."},{"speaker":"- The topic today is First to Market","startTime":39.48,"endTime":42.21,"body":"We have a great mix of"},{"speaker":"- The topic today is First to Market","startTime":39.48,"endTime":42.21,"body":"audience today across industry"},{"speaker":"- The topic today is First to Market","startTime":42.21,"endTime":43.77,"body":"and healthcare systems,"},{"speaker":"- The topic today is First to Market","startTime":43.77,"endTime":45.12,"body":"and I'd particularly like to welcome"},{"speaker":"- The topic today is First to Market","startTime":45.12,"endTime":47.07,"body":"our global affiliate partners,"},{"speaker":"- The topic today is First to Market","startTime":47.07,"endTime":49.22,"body":"who play a key role in"},{"speaker":"- The topic today is First to Market","startTime":47.07,"endTime":49.22,"body":"the work that we do."},{"speaker":"- The topic today is First to Market","startTime":51.753,"endTime":53.25,"body":"For those who don't know us well,"},{"speaker":"- The topic today is First to Market","startTime":53.25,"endTime":57.33,"body":"Petauri Evidence was formally"},{"speaker":"- The topic today is First to Market","startTime":53.25,"endTime":57.33,"body":"Mtech Access and Delta Hat,"},{"speaker":"- The topic today is First to Market","startTime":57.33,"endTime":59.76,"body":"and we are a global"},{"speaker":"- The topic today is First to Market","startTime":57.33,"endTime":59.76,"body":"specialist, health economics,"},{"speaker":"- The topic today is First to Market","startTime":59.76,"endTime":62.343,"body":"outcomes, and market access consultancy."},{"speaker":"- The topic today is First to Market","startTime":63.18,"endTime":65.58,"body":"We have a track record in expert delivery."},{"speaker":"- The topic today is First to Market","startTime":65.58,"endTime":67.86,"body":"We provide specialist"},{"speaker":"- The topic today is First to Market","startTime":65.58,"endTime":67.86,"body":"support to pharmaceutical"},{"speaker":"- The topic today is First to Market","startTime":67.86,"endTime":69.12,"body":"and MedTech clients"},{"speaker":"- The topic today is First to Market","startTime":69.12,"endTime":70.59,"body":"and work as a collaborative partner"},{"speaker":"- The topic today is First to Market","startTime":70.59,"endTime":72.423,"body":"to healthcare systems worldwide."},{"speaker":"Today, we focus on First to Market","startTime":76.32,"endTime":78.75,"body":"Unlocking Switzerland's Pharma Potential,"},{"speaker":"Today, we focus on First to Market","startTime":78.75,"endTime":80.67,"body":"and I'm delighted to"},{"speaker":"Today, we focus on First to Market","startTime":78.75,"endTime":80.67,"body":"welcome our guest today,"},{"speaker":"Today, we focus on First to Market","startTime":80.67,"endTime":84.0,"body":"Dr. Elisabeth Brock, who"},{"speaker":"Today, we focus on First to Market","startTime":80.67,"endTime":84.0,"body":"is a Swiss market expert"},{"speaker":"Today, we focus on First to Market","startTime":84.0,"endTime":85.13,"body":"with extensive experience"},{"speaker":"Today, we focus on First to Market","startTime":85.13,"endTime":87.48,"body":"in market access and reimbursement."},{"speaker":"Today, we focus on First to Market","startTime":87.48,"endTime":89.25,"body":"Welcome, Elisabeth."},{"speaker":"Today, we focus on First to Market","startTime":89.25,"endTime":91.47,"body":"Please, could you take a"},{"speaker":"Today, we focus on First to Market","startTime":89.25,"endTime":91.47,"body":"moment to introduce yourself,"},{"speaker":"Today, we focus on First to Market","startTime":91.47,"endTime":93.453,"body":"your background, and experience?"},{"speaker":"Today, we focus on First to Market","startTime":94.38,"endTime":95.79,"body":"- Sure, I'd be happy to, Louise,"},{"speaker":"Today, we focus on First to Market","startTime":95.79,"endTime":97.44,"body":"thank you very much for having me."},{"speaker":"Today, we focus on First to Market","startTime":97.44,"endTime":100.74,"body":"I'm excited to talk to you about"},{"speaker":"Today, we focus on First to Market","startTime":97.44,"endTime":100.74,"body":"one of my favourite topics,"},{"speaker":"Today, we focus on First to Market","startTime":100.74,"endTime":103.14,"body":"market access, Switzerland."},{"speaker":"Today, we focus on First to Market","startTime":103.14,"endTime":105.48,"body":"So my name is Elisabeth Brock,"},{"speaker":"Today, we focus on First to Market","startTime":105.48,"endTime":109.35,"body":"and I'm based in Basel in"},{"speaker":"Today, we focus on First to Market","startTime":105.48,"endTime":109.35,"body":"the northwest of Switzerland,"},{"speaker":"Today, we focus on First to Market","startTime":109.35,"endTime":113.04,"body":"also known as the global"},{"speaker":"Today, we focus on First to Market","startTime":109.35,"endTime":113.04,"body":"headquarters of Roche and Novartis"},{"speaker":"Today, we focus on First to Market","startTime":113.04,"endTime":114.813,"body":"that may be familiar to you."},{"speaker":"Today, we focus on First to Market","startTime":115.8,"endTime":118.759,"body":"I've worked in market access HTA"},{"speaker":"Today, we focus on First to Market","startTime":118.759,"endTime":122.52,"body":"and HEOR consulting for 21 years,"},{"speaker":"Today, we focus on First to Market","startTime":122.52,"endTime":125.04,"body":"although it doesn't feel that long."},{"speaker":"Today, we focus on First to Market","startTime":125.04,"endTime":127.62,"body":"By training, I'm a health economist."},{"speaker":"Today, we focus on First to Market","startTime":127.62,"endTime":131.46,"body":"I provide strategic"},{"speaker":"Today, we focus on First to Market","startTime":127.62,"endTime":131.46,"body":"and operational support"},{"speaker":"Today, we focus on First to Market","startTime":131.46,"endTime":135.81,"body":"to pharma, biotech, device,"},{"speaker":"Today, we focus on First to Market","startTime":131.46,"endTime":135.81,"body":"and diagnostic clients"},{"speaker":"Today, we focus on First to Market","startTime":135.81,"endTime":137.55,"body":"that are seeking market access"},{"speaker":"Today, we focus on First to Market","startTime":137.55,"endTime":139.293,"body":"for their products in Switzerland."},{"speaker":"Today, we focus on First to Market","startTime":141.93,"endTime":145.35,"body":"I think my experience in"},{"speaker":"Today, we focus on First to Market","startTime":141.93,"endTime":145.35,"body":"Switzerland is a bit unusual"},{"speaker":"Today, we focus on First to Market","startTime":145.35,"endTime":147.96,"body":"in terms of being quite broad,"},{"speaker":"Today, we focus on First to Market","startTime":147.96,"endTime":151.38,"body":"so covering not just"},{"speaker":"Today, we focus on First to Market","startTime":147.96,"endTime":151.38,"body":"one type of technology"},{"speaker":"Today, we focus on First to Market","startTime":151.38,"endTime":155.19,"body":"or one type of access pathway."},{"speaker":"Today, we focus on First to Market","startTime":155.19,"endTime":158.67,"body":"At the same time, I have"},{"speaker":"Today, we focus on First to Market","startTime":155.19,"endTime":158.67,"body":"in-depth experience,"},{"speaker":"Today, we focus on First to Market","startTime":158.67,"endTime":162.99,"body":"so being able to support"},{"speaker":"Today, we focus on First to Market","startTime":158.67,"endTime":162.99,"body":"with both the strategy"},{"speaker":"Today, we focus on First to Market","startTime":162.99,"endTime":164.55,"body":"and the implementation,"},{"speaker":"Today, we focus on First to Market","startTime":164.55,"endTime":168.57,"body":"and I've done three ATMPs, for example,"},{"speaker":"Today, we focus on First to Market","startTime":168.57,"endTime":171.513,"body":"with complex managed entry agreements."},{"speaker":"Today, we focus on First to Market","startTime":173.04,"endTime":177.09,"body":"I've also been, in those 21"},{"speaker":"Today, we focus on First to Market","startTime":173.04,"endTime":177.09,"body":"years, directly responsible"},{"speaker":"Today, we focus on First to Market","startTime":177.09,"endTime":180.03,"body":"for whole reimbursement submissions"},{"speaker":"Today, we focus on First to Market","startTime":180.03,"endTime":183.06,"body":"and early trial planning consultations"},{"speaker":"Today, we focus on First to Market","startTime":183.06,"endTime":185.49,"body":"in Germany and the UK,"},{"speaker":"Today, we focus on First to Market","startTime":185.49,"endTime":187.2,"body":"as well as supporting submissions"},{"speaker":"Today, we focus on First to Market","startTime":187.2,"endTime":188.853,"body":"in several other countries."},{"speaker":"Today, we focus on First to Market","startTime":191.13,"endTime":192.753,"body":"- Great, thank you for that."},{"speaker":"Today, we focus on First to Market","startTime":193.59,"endTime":196.77,"body":"I think maybe we can get stuck"},{"speaker":"Today, we focus on First to Market","startTime":193.59,"endTime":196.77,"body":"into exactly understanding"},{"speaker":"Today, we focus on First to Market","startTime":196.77,"endTime":200.13,"body":"a little bit more about the"},{"speaker":"Today, we focus on First to Market","startTime":196.77,"endTime":200.13,"body":"Swiss healthcare system."},{"speaker":"Today, we focus on First to Market","startTime":200.13,"endTime":202.26,"body":"So could you just provide a brief overview"},{"speaker":"Today, we focus on First to Market","startTime":202.26,"endTime":204.27,"body":"around that, please?"},{"speaker":"Today, we focus on First to Market","startTime":204.27,"endTime":205.103,"body":"- Sure."},{"speaker":"Today, we focus on First to Market","startTime":205.98,"endTime":210.98,"body":"So Switzerland is at or near"},{"speaker":"Today, we focus on First to Market","startTime":205.98,"endTime":210.98,"body":"the top of OECD rankings"},{"speaker":"Today, we focus on First to Market","startTime":213.57,"endTime":216.24,"body":"for healthcare spending,"},{"speaker":"Today, we focus on First to Market","startTime":216.24,"endTime":220.11,"body":"as well as for access and quality of care."},{"speaker":"Today, we focus on First to Market","startTime":220.11,"endTime":224.43,"body":"Healthcare spending is"},{"speaker":"Today, we focus on First to Market","startTime":220.11,"endTime":224.43,"body":"more than 11% of GDP,"},{"speaker":"Today, we focus on First to Market","startTime":224.43,"endTime":228.81,"body":"which is one of the highest"},{"speaker":"Today, we focus on First to Market","startTime":224.43,"endTime":228.81,"body":"tiers among developed countries"},{"speaker":"Today, we focus on First to Market","startTime":228.81,"endTime":231.0,"body":"as far as I'm aware, it's only the US"},{"speaker":"Today, we focus on First to Market","startTime":231.0,"endTime":233.88,"body":"that spends more per"},{"speaker":"Today, we focus on First to Market","startTime":231.0,"endTime":233.88,"body":"capita than Switzerland."},{"speaker":"Today, we focus on First to Market","startTime":233.88,"endTime":236.67,"body":"One example of this would be generics,"},{"speaker":"Today, we focus on First to Market","startTime":236.67,"endTime":241.05,"body":"so the OECD average is 54%,"},{"speaker":"Today, we focus on First to Market","startTime":241.05,"endTime":245.003,"body":"and in Switzerland, it's only 23%."},{"speaker":"Today, we focus on First to Market","startTime":246.12,"endTime":249.12,"body":"We have a mandatory health insurance,"},{"speaker":"Today, we focus on First to Market","startTime":249.12,"endTime":253.08,"body":"which covers 68% of spending,"},{"speaker":"Today, we focus on First to Market","startTime":253.08,"endTime":257.64,"body":"and this is lower than"},{"speaker":"Today, we focus on First to Market","startTime":253.08,"endTime":257.64,"body":"the OECD average of 76%."},{"speaker":"Today, we focus on First to Market","startTime":257.64,"endTime":262.35,"body":"In contrast, out-of-pocket spending is 22%"},{"speaker":"Today, we focus on First to Market","startTime":262.35,"endTime":263.61,"body":"of health expenditure,"},{"speaker":"Today, we focus on First to Market","startTime":263.61,"endTime":267.66,"body":"which is higher than"},{"speaker":"Today, we focus on First to Market","startTime":263.61,"endTime":267.66,"body":"the OECD average of 18%,"},{"speaker":"Today, we focus on First to Market","startTime":267.66,"endTime":270.6,"body":"but the satisfaction is also high"},{"speaker":"Today, we focus on First to Market","startTime":270.6,"endTime":272.43,"body":"with the Swiss healthcare system."},{"speaker":"Today, we focus on First to Market","startTime":272.43,"endTime":275.46,"body":"So again, OECD numbers,"},{"speaker":"Today, we focus on First to Market","startTime":275.46,"endTime":279.33,"body":"94% of people are satisfied"},{"speaker":"Today, we focus on First to Market","startTime":275.46,"endTime":279.33,"body":"with the availability"},{"speaker":"Today, we focus on First to Market","startTime":279.33,"endTime":281.43,"body":"of quality healthcare,"},{"speaker":"Today, we focus on First to Market","startTime":281.43,"endTime":286.43,"body":"and only 0.5% of the population"},{"speaker":"Today, we focus on First to Market","startTime":281.43,"endTime":286.43,"body":"actually report unmet needs"},{"speaker":"Today, we focus on First to Market","startTime":287.55,"endTime":289.563,"body":"with respect to the healthcare system."},{"speaker":"Today, we focus on First to Market","startTime":290.82,"endTime":291.653,"body":"- Wow."},{"speaker":"Today, we focus on First to Market","startTime":292.74,"endTime":295.65,"body":"And what role do the"},{"speaker":"Today, we focus on First to Market","startTime":292.74,"endTime":295.65,"body":"cantons or the regions play"},{"speaker":"Today, we focus on First to Market","startTime":295.65,"endTime":297.84,"body":"in planning, delivery, and financing"},{"speaker":"Today, we focus on First to Market","startTime":297.84,"endTime":300.483,"body":"the healthcare systems and services?"},{"speaker":"Today, we focus on First to Market","startTime":301.89,"endTime":303.21,"body":"- They're really important."},{"speaker":"Today, we focus on First to Market","startTime":303.21,"endTime":305.64,"body":"There's 26 of them,"},{"speaker":"Today, we focus on First to Market","startTime":305.64,"endTime":309.09,"body":"and they can range from,"},{"speaker":"Today, we focus on First to Market","startTime":305.64,"endTime":309.09,"body":"let's say a single town,"},{"speaker":"Today, we focus on First to Market","startTime":309.09,"endTime":312.453,"body":"such as my own canton of Basel City,"},{"speaker":"Today, we focus on First to Market","startTime":313.56,"endTime":316.56,"body":"to much larger rural areas"},{"speaker":"Today, we focus on First to Market","startTime":316.56,"endTime":319.11,"body":"with a much lower population though."},{"speaker":"Today, we focus on First to Market","startTime":319.11,"endTime":323.64,"body":"So the responsibility of those 26 cantons"},{"speaker":"Today, we focus on First to Market","startTime":323.64,"endTime":328.64,"body":"in healthcare is they"},{"speaker":"Today, we focus on First to Market","startTime":323.64,"endTime":328.64,"body":"have core responsibilities"},{"speaker":"Today, we focus on First to Market","startTime":330.15,"endTime":334.503,"body":"for planning healthcare services,"},{"speaker":"Today, we focus on First to Market","startTime":330.15,"endTime":334.503,"body":"delivering, and financing."},{"speaker":"Today, we focus on First to Market","startTime":335.64,"endTime":337.413,"body":"With respect to planning,"},{"speaker":"Today, we focus on First to Market","startTime":339.45,"endTime":343.56,"body":"they're primarily"},{"speaker":"Today, we focus on First to Market","startTime":339.45,"endTime":343.56,"body":"responsible for hospital care"},{"speaker":"Today, we focus on First to Market","startTime":343.56,"endTime":345.903,"body":"and advanced medicine planning."},{"speaker":"Today, we focus on First to Market","startTime":346.98,"endTime":349.98,"body":"They're required to"},{"speaker":"Today, we focus on First to Market","startTime":346.98,"endTime":349.98,"body":"coordinate hospital planning"},{"speaker":"Today, we focus on First to Market","startTime":349.98,"endTime":353.25,"body":"with other cantons to"},{"speaker":"Today, we focus on First to Market","startTime":349.98,"endTime":353.25,"body":"avoid unnecessary treatment"},{"speaker":"Today, we focus on First to Market","startTime":353.25,"endTime":355.443,"body":"and to optimise resource use."},{"speaker":"Today, we focus on First to Market","startTime":356.73,"endTime":359.16,"body":"There are cantonal health departments"},{"speaker":"Today, we focus on First to Market","startTime":359.16,"endTime":362.64,"body":"in each canton that develop"},{"speaker":"Today, we focus on First to Market","startTime":359.16,"endTime":362.64,"body":"and implement plans,"},{"speaker":"Today, we focus on First to Market","startTime":362.64,"endTime":365.07,"body":"and they're guided by"},{"speaker":"Today, we focus on First to Market","startTime":362.64,"endTime":365.07,"body":"both federal criteria"},{"speaker":"Today, we focus on First to Market","startTime":365.07,"endTime":366.693,"body":"and regional needs."},{"speaker":"Today, we focus on First to Market","startTime":368.31,"endTime":370.23,"body":"So that covered the planning aspect."},{"speaker":"Today, we focus on First to Market","startTime":370.23,"endTime":372.51,"body":"I also mentioned two other aspects,"},{"speaker":"Today, we focus on First to Market","startTime":372.51,"endTime":375.45,"body":"which was delivering and"},{"speaker":"Today, we focus on First to Market","startTime":372.51,"endTime":375.45,"body":"financing healthcare services."},{"speaker":"Today, we focus on First to Market","startTime":375.45,"endTime":378.87,"body":"So with respect to delivery,"},{"speaker":"Today, we focus on First to Market","startTime":378.87,"endTime":382.62,"body":"the cantons are"},{"speaker":"Today, we focus on First to Market","startTime":378.87,"endTime":382.62,"body":"responsible for supervising"},{"speaker":"Today, we focus on First to Market","startTime":382.62,"endTime":386.55,"body":"and operating hospitals,"},{"speaker":"Today, we focus on First to Market","startTime":382.62,"endTime":386.55,"body":"psychiatric clinics, care homes,"},{"speaker":"Today, we focus on First to Market","startTime":386.55,"endTime":390.99,"body":"and overseeing licencing and"},{"speaker":"Today, we focus on First to Market","startTime":386.55,"endTime":390.99,"body":"the quality of institutions"},{"speaker":"Today, we focus on First to Market","startTime":390.99,"endTime":393.03,"body":"and professional standards."},{"speaker":"Today, we focus on First to Market","startTime":393.03,"endTime":395.37,"body":"They also provide direct sponsorship"},{"speaker":"Today, we focus on First to Market","startTime":395.37,"endTime":398.37,"body":"and infrastructure for hospitals."},{"speaker":"Today, we focus on First to Market","startTime":398.37,"endTime":402.36,"body":"And lastly, they're also responsible"},{"speaker":"Today, we focus on First to Market","startTime":402.36,"endTime":405.42,"body":"for financing a lot of healthcare."},{"speaker":"Today, we focus on First to Market","startTime":405.42,"endTime":407.85,"body":"So they co-finance inpatient care."},{"speaker":"Today, we focus on First to Market","startTime":407.85,"endTime":411.3,"body":"At the moment, this is typically 55%,"},{"speaker":"Today, we focus on First to Market","startTime":411.3,"endTime":413.49,"body":"together with the"},{"speaker":"Today, we focus on First to Market","startTime":411.3,"endTime":413.49,"body":"mandatory health insurance"},{"speaker":"Today, we focus on First to Market","startTime":413.49,"endTime":414.723,"body":"through premiums."},{"speaker":"Today, we focus on First to Market","startTime":415.56,"endTime":418.08,"body":"They also subsidise long-term care"},{"speaker":"Today, we focus on First to Market","startTime":418.08,"endTime":420.24,"body":"and they distribute financial support"},{"speaker":"Today, we focus on First to Market","startTime":420.24,"endTime":422.82,"body":"to low-income households."},{"speaker":"Today, we focus on First to Market","startTime":422.82,"endTime":427.82,"body":"And at the moment, outpatient"},{"speaker":"Today, we focus on First to Market","startTime":422.82,"endTime":427.82,"body":"care is primarily financed"},{"speaker":"Today, we focus on First to Market","startTime":428.07,"endTime":431.85,"body":"by insurance premiums, but"},{"speaker":"Today, we focus on First to Market","startTime":428.07,"endTime":431.85,"body":"there are changes underway"},{"speaker":"Today, we focus on First to Market","startTime":431.85,"endTime":434.97,"body":"so that cantons are"},{"speaker":"Today, we focus on First to Market","startTime":431.85,"endTime":434.97,"body":"increasingly co-financing"},{"speaker":"Today, we focus on First to Market","startTime":434.97,"endTime":436.773,"body":"outpatient treatments as well."},{"speaker":"Today, we focus on First to Market","startTime":437.94,"endTime":440.37,"body":"And lastly, the cantons set tariffs"},{"speaker":"Today, we focus on First to Market","startTime":440.37,"endTime":442.56,"body":"in collaboration with insurance companies"},{"speaker":"Today, we focus on First to Market","startTime":442.56,"endTime":445.473,"body":"and then negotiate"},{"speaker":"Today, we focus on First to Market","startTime":442.56,"endTime":445.473,"body":"budgets with institutions."},{"speaker":"Today, we focus on First to Market","startTime":446.52,"endTime":449.52,"body":"- Okay, and I know we briefly mentioned"},{"speaker":"Today, we focus on First to Market","startTime":449.52,"endTime":452.34,"body":"about the compulsory health insurance."},{"speaker":"Today, we focus on First to Market","startTime":452.34,"endTime":453.99,"body":"Could you tell me a"},{"speaker":"Today, we focus on First to Market","startTime":452.34,"endTime":453.99,"body":"little bit more about that"},{"speaker":"Today, we focus on First to Market","startTime":453.99,"endTime":456.36,"body":"and how that works as well?"},{"speaker":"Today, we focus on First to Market","startTime":456.36,"endTime":461.19,"body":"- Sure, so we've had"},{"speaker":"Today, we focus on First to Market","startTime":456.36,"endTime":461.19,"body":"compulsory health insurance"},{"speaker":"Today, we focus on First to Market","startTime":461.19,"endTime":465.93,"body":"since 1996, and that"},{"speaker":"Today, we focus on First to Market","startTime":461.19,"endTime":465.93,"body":"ensures universal coverage"},{"speaker":"Today, we focus on First to Market","startTime":465.93,"endTime":467.703,"body":"for all residents."},{"speaker":"Today, we focus on First to Market","startTime":468.54,"endTime":471.663,"body":"It covers 68% of spending."},{"speaker":"Today, we focus on First to Market","startTime":472.68,"endTime":476.37,"body":"This is a bit lower than"},{"speaker":"Today, we focus on First to Market","startTime":472.68,"endTime":476.37,"body":"the OECD average spending."},{"speaker":"Today, we focus on First to Market","startTime":476.37,"endTime":481.37,"body":"Like I mentioned before,"},{"speaker":"Today, we focus on First to Market","startTime":476.37,"endTime":481.37,"body":"out-of-pocket spending is 22%."},{"speaker":"Today, we focus on First to Market","startTime":481.5,"endTime":483.003,"body":"So how does it work?"},{"speaker":"Today, we focus on First to Market","startTime":483.84,"endTime":488.25,"body":"You purchase basic health insurance"},{"speaker":"Today, we focus on First to Market","startTime":488.25,"endTime":490.953,"body":"from private, nonprofit insurers,"},{"speaker":"Today, we focus on First to Market","startTime":491.79,"endTime":494.07,"body":"and there are no exclusions for age"},{"speaker":"Today, we focus on First to Market","startTime":494.07,"endTime":497.1,"body":"or preexisting conditions."},{"speaker":"Today, we focus on First to Market","startTime":497.1,"endTime":500.31,"body":"Premiums vary by insurer, canton,"},{"speaker":"Today, we focus on First to Market","startTime":500.31,"endTime":503.31,"body":"and a deductible choice,"},{"speaker":"Today, we focus on First to Market","startTime":503.31,"endTime":506.91,"body":"but government subsidies"},{"speaker":"Today, we focus on First to Market","startTime":503.31,"endTime":506.91,"body":"help low-income residents"},{"speaker":"Today, we focus on First to Market","startTime":506.91,"endTime":508.173,"body":"with their premiums."},{"speaker":"Today, we focus on First to Market","startTime":509.1,"endTime":512.85,"body":"Dental, adult, optometry,"},{"speaker":"Today, we focus on First to Market","startTime":509.1,"endTime":512.85,"body":"and certain therapies"},{"speaker":"Today, we focus on First to Market","startTime":512.85,"endTime":515.25,"body":"are not covered by basic insurance,"},{"speaker":"Today, we focus on First to Market","startTime":515.25,"endTime":519.21,"body":"but there are supplemental"},{"speaker":"Today, we focus on First to Market","startTime":515.25,"endTime":519.21,"body":"plans available privately."},{"speaker":"Today, we focus on First to Market","startTime":519.21,"endTime":522.3,"body":"And perhaps of interest, the"},{"speaker":"Today, we focus on First to Market","startTime":519.21,"endTime":522.3,"body":"deductible works like this,"},{"speaker":"Today, we focus on First to Market","startTime":522.3,"endTime":525.96,"body":"so the patient pays the"},{"speaker":"Today, we focus on First to Market","startTime":522.3,"endTime":525.96,"body":"first, let's say, 300 francs"},{"speaker":"Today, we focus on First to Market","startTime":525.96,"endTime":527.79,"body":"to 2,500 francs."},{"speaker":"Today, we focus on First to Market","startTime":527.79,"endTime":531.21,"body":"Francs are roughly"},{"speaker":"Today, we focus on First to Market","startTime":527.79,"endTime":531.21,"body":"equivalent to US dollars,"},{"speaker":"Today, we focus on First to Market","startTime":531.21,"endTime":535.14,"body":"so the patient pays the"},{"speaker":"Today, we focus on First to Market","startTime":531.21,"endTime":535.14,"body":"first 300 to 2,500 francs"},{"speaker":"Today, we focus on First to Market","startTime":535.14,"endTime":538.71,"body":"depending on what you"},{"speaker":"Today, we focus on First to Market","startTime":535.14,"endTime":538.71,"body":"chose as your deductible."},{"speaker":"Today, we focus on First to Market","startTime":538.71,"endTime":541.247,"body":"And then you pay, on top of that, 10%"},{"speaker":"Today, we focus on First to Market","startTime":541.247,"endTime":543.63,"body":"of all other healthcare costs beyond that"},{"speaker":"Today, we focus on First to Market","startTime":543.63,"endTime":546.033,"body":"up until you reach an annual cap."},{"speaker":"Today, we focus on First to Market","startTime":548.22,"endTime":549.053,"body":"- And you mentioned there"},{"speaker":"Today, we focus on First to Market","startTime":549.053,"endTime":551.79,"body":"about some supplementary private insurance"},{"speaker":"Today, we focus on First to Market","startTime":551.79,"endTime":554.98,"body":"that the population might also have"},{"speaker":"Today, we focus on First to Market","startTime":555.87,"endTime":557.94,"body":"can you tell me a little"},{"speaker":"Today, we focus on First to Market","startTime":555.87,"endTime":557.94,"body":"bit more about that?"},{"speaker":"Today, we focus on First to Market","startTime":557.94,"endTime":562.17,"body":"- Yeah, sure, so about"},{"speaker":"Today, we focus on First to Market","startTime":557.94,"endTime":562.17,"body":"70% of the population"},{"speaker":"Today, we focus on First to Market","startTime":562.17,"endTime":565.83,"body":"has private, supplementary"},{"speaker":"Today, we focus on First to Market","startTime":562.17,"endTime":565.83,"body":"health insurance"},{"speaker":"Today, we focus on First to Market","startTime":565.83,"endTime":568.14,"body":"in addition to that"},{"speaker":"Today, we focus on First to Market","startTime":565.83,"endTime":568.14,"body":"mandatory health coverage"},{"speaker":"Today, we focus on First to Market","startTime":568.14,"endTime":569.553,"body":"that I mentioned before."},{"speaker":"Today, we focus on First to Market","startTime":570.6,"endTime":572.94,"body":"This covers a range of"},{"speaker":"Today, we focus on First to Market","startTime":570.6,"endTime":572.94,"body":"additional services,"},{"speaker":"Today, we focus on First to Market","startTime":572.94,"endTime":575.97,"body":"such as private or"},{"speaker":"Today, we focus on First to Market","startTime":572.94,"endTime":575.97,"body":"semi-private hospital rooms,"},{"speaker":"Today, we focus on First to Market","startTime":575.97,"endTime":578.85,"body":"treatment by a more senior physician,"},{"speaker":"Today, we focus on First to Market","startTime":578.85,"endTime":581.04,"body":"complimentary medicine, dental care,"},{"speaker":"Today, we focus on First to Market","startTime":581.04,"endTime":582.66,"body":"and also certain treatments"},{"speaker":"Today, we focus on First to Market","startTime":582.66,"endTime":586.83,"body":"that are not covered by the"},{"speaker":"Today, we focus on First to Market","startTime":582.66,"endTime":586.83,"body":"mandatory health insurance."},{"speaker":"Today, we focus on First to Market","startTime":586.83,"endTime":589.59,"body":"To me, this is interesting in this context"},{"speaker":"Today, we focus on First to Market","startTime":589.59,"endTime":593.13,"body":"because perhaps it provides"},{"speaker":"Today, we focus on First to Market","startTime":589.59,"endTime":593.13,"body":"an additional access route"},{"speaker":"Today, we focus on First to Market","startTime":593.13,"endTime":595.383,"body":"that you may not have"},{"speaker":"Today, we focus on First to Market","startTime":593.13,"endTime":595.383,"body":"in all other countries."},{"speaker":"Today, we focus on First to Market","startTime":597.99,"endTime":602.19,"body":"- And the Federal Office"},{"speaker":"Today, we focus on First to Market","startTime":597.99,"endTime":602.19,"body":"of Public Health, FOPH,"},{"speaker":"Today, we focus on First to Market","startTime":602.19,"endTime":605.613,"body":"what role does that play in"},{"speaker":"Today, we focus on First to Market","startTime":602.19,"endTime":605.613,"body":"health system in Switzerland?"},{"speaker":"Today, we focus on First to Market","startTime":606.81,"endTime":608.91,"body":"- That's a super important actor"},{"speaker":"Today, we focus on First to Market","startTime":608.91,"endTime":610.653,"body":"in the health system as well."},{"speaker":"Today, we focus on First to Market","startTime":611.67,"endTime":614.07,"body":"So this is the national authority,"},{"speaker":"Today, we focus on First to Market","startTime":614.07,"endTime":617.4,"body":"which is responsible for"},{"speaker":"Today, we focus on First to Market","startTime":614.07,"endTime":617.4,"body":"setting health policy,"},{"speaker":"Today, we focus on First to Market","startTime":617.4,"endTime":620.19,"body":"overseeing public health measures"},{"speaker":"Today, we focus on First to Market","startTime":620.19,"endTime":622.65,"body":"and managing health insurance regulation."},{"speaker":"Today, we focus on First to Market","startTime":622.65,"endTime":625.92,"body":"They supervise compulsory health insurers"},{"speaker":"Today, we focus on First to Market","startTime":625.92,"endTime":627.21,"body":"and they manage data"},{"speaker":"Today, we focus on First to Market","startTime":627.21,"endTime":629.91,"body":"and national health quality initiatives."},{"speaker":"Today, we focus on First to Market","startTime":629.91,"endTime":633.63,"body":"And in our context, they set prices"},{"speaker":"Today, we focus on First to Market","startTime":633.63,"endTime":636.18,"body":"for reimbursed medicines and services"},{"speaker":"Today, we focus on First to Market","startTime":636.18,"endTime":640.383,"body":"in negotiations with insurers,"},{"speaker":"Today, we focus on First to Market","startTime":636.18,"endTime":640.383,"body":"providers, and manufacturers."},{"speaker":"Today, we focus on First to Market","startTime":642.18,"endTime":645.72,"body":"- And then the role of the"},{"speaker":"Today, we focus on First to Market","startTime":642.18,"endTime":645.72,"body":"regulator, Swiss Medic,"},{"speaker":"Today, we focus on First to Market","startTime":645.72,"endTime":647.613,"body":"how does that fit as well?"},{"speaker":"Today, we focus on First to Market","startTime":648.96,"endTime":653.043,"body":"- So we have our own"},{"speaker":"Today, we focus on First to Market","startTime":648.96,"endTime":653.043,"body":"independent national regulator."},{"speaker":"Today, we focus on First to Market","startTime":654.81,"endTime":658.05,"body":"They authorise and"},{"speaker":"Today, we focus on First to Market","startTime":654.81,"endTime":658.05,"body":"supervise drugs and devices,"},{"speaker":"Today, we focus on First to Market","startTime":658.05,"endTime":661.92,"body":"and they also supervise the laboratories"},{"speaker":"Today, we focus on First to Market","startTime":661.92,"endTime":664.173,"body":"involved in diagnostic tests."},{"speaker":"Today, we focus on First to Market","startTime":665.52,"endTime":668.07,"body":"It is independent or separate from EMA,"},{"speaker":"Today, we focus on First to Market","startTime":668.07,"endTime":670.231,"body":"the European regulator,"},{"speaker":"Today, we focus on First to Market","startTime":670.231,"endTime":673.26,"body":"although it does offer"},{"speaker":"Today, we focus on First to Market","startTime":670.231,"endTime":673.26,"body":"a regulatory pathway"},{"speaker":"Today, we focus on First to Market","startTime":673.26,"endTime":675.333,"body":"based on an EMA dossier as well."},{"speaker":"Today, we focus on First to Market","startTime":676.23,"endTime":679.48,"body":"They collaborate with"},{"speaker":"Today, we focus on First to Market","startTime":676.23,"endTime":679.48,"body":"other regulatory agencies"},{"speaker":"Today, we focus on First to Market","startTime":680.767,"endTime":683.82,"body":"to streamline and speed up access."},{"speaker":"Today, we focus on First to Market","startTime":683.82,"endTime":686.91,"body":"So for example, they're"},{"speaker":"Today, we focus on First to Market","startTime":683.82,"endTime":686.91,"body":"part of the Orbis project,"},{"speaker":"Today, we focus on First to Market","startTime":686.91,"endTime":690.0,"body":"which was initiated by the FDA,"},{"speaker":"Today, we focus on First to Market","startTime":690.0,"endTime":692.82,"body":"which has the aim of speeding up access"},{"speaker":"Today, we focus on First to Market","startTime":692.82,"endTime":694.8,"body":"for new cancer drugs."},{"speaker":"Today, we focus on First to Market","startTime":694.8,"endTime":698.07,"body":"They're also part of"},{"speaker":"Today, we focus on First to Market","startTime":694.8,"endTime":698.07,"body":"the Access Consortium,"},{"speaker":"Today, we focus on First to Market","startTime":698.07,"endTime":701.79,"body":"which is a coalition of"},{"speaker":"Today, we focus on First to Market","startTime":698.07,"endTime":701.79,"body":"mid-sized regulatory agencies,"},{"speaker":"Today, we focus on First to Market","startTime":701.79,"endTime":705.693,"body":"including Australia, Canada,"},{"speaker":"Today, we focus on First to Market","startTime":701.79,"endTime":705.693,"body":"Singapore, and the UK."},{"speaker":"Today, we focus on First to Market","startTime":707.76,"endTime":709.233,"body":"Why does that matter?"},{"speaker":"Today, we focus on First to Market","startTime":710.28,"endTime":711.9,"body":"To give you one example,"},{"speaker":"Today, we focus on First to Market","startTime":711.9,"endTime":716.52,"body":"so if you deal with the"},{"speaker":"Today, we focus on First to Market","startTime":711.9,"endTime":716.52,"body":"reimbursement of a drug"},{"speaker":"Today, we focus on First to Market","startTime":716.52,"endTime":720.633,"body":"that came through the"},{"speaker":"Today, we focus on First to Market","startTime":716.52,"endTime":720.633,"body":"Orbis project pathway,"},{"speaker":"Today, we focus on First to Market","startTime":721.95,"endTime":724.14,"body":"sometimes the indications"},{"speaker":"Today, we focus on First to Market","startTime":721.95,"endTime":724.14,"body":"are quite similar"},{"speaker":"Today, we focus on First to Market","startTime":724.14,"endTime":726.27,"body":"to EMA indications, but not always."},{"speaker":"Today, we focus on First to Market","startTime":726.27,"endTime":728.85,"body":"So if it comes through the Orbis project,"},{"speaker":"Today, we focus on First to Market","startTime":728.85,"endTime":732.84,"body":"it would have the FDA"},{"speaker":"Today, we focus on First to Market","startTime":728.85,"endTime":732.84,"body":"wording of the indication,"},{"speaker":"Today, we focus on First to Market","startTime":732.84,"endTime":736.14,"body":"and sometimes, that can make a difference"},{"speaker":"Today, we focus on First to Market","startTime":736.14,"endTime":739.2,"body":"in what your comparator"},{"speaker":"Today, we focus on First to Market","startTime":736.14,"endTime":739.2,"body":"would be to negotiate"},{"speaker":"Today, we focus on First to Market","startTime":739.2,"endTime":743.283,"body":"your Swiss pricing and reimbursement."},{"speaker":"Today, we focus on First to Market","startTime":745.68,"endTime":748.02,"body":"- Yeah, that's quite an"},{"speaker":"Today, we focus on First to Market","startTime":745.68,"endTime":748.02,"body":"interesting point, isn't it,"},{"speaker":"Today, we focus on First to Market","startTime":748.02,"endTime":750.36,"body":"around the nuance there, so it's quite..."},{"speaker":"Today, we focus on First to Market","startTime":750.36,"endTime":754.53,"body":"- Delayed, sometimes it can"},{"speaker":"Today, we focus on First to Market","startTime":750.36,"endTime":754.53,"body":"make a major difference."},{"speaker":"Today, we focus on First to Market","startTime":754.53,"endTime":758.19,"body":"- Yeah, and I guess thinking more broadly,"},{"speaker":"Today, we focus on First to Market","startTime":758.19,"endTime":760.32,"body":"what are the similarities and differences"},{"speaker":"Today, we focus on First to Market","startTime":760.32,"endTime":764.13,"body":"between Switzerland and those"},{"speaker":"Today, we focus on First to Market","startTime":760.32,"endTime":764.13,"body":"larger markets in Europe,"},{"speaker":"Today, we focus on First to Market","startTime":764.13,"endTime":765.723,"body":"like Germany, France?"},{"speaker":"Today, we focus on First to Market","startTime":768.42,"endTime":771.72,"body":"- So like Germany and France,"},{"speaker":"Today, we focus on First to Market","startTime":771.72,"endTime":774.453,"body":"Switzerland has universal coverage,"},{"speaker":"Today, we focus on First to Market","startTime":775.56,"endTime":779.82,"body":"but in contrast to those,"},{"speaker":"Today, we focus on First to Market","startTime":775.56,"endTime":779.82,"body":"to Germany and France,"},{"speaker":"Today, we focus on First to Market","startTime":779.82,"endTime":783.7,"body":"they do this through"},{"speaker":"Today, we focus on First to Market","startTime":779.82,"endTime":783.7,"body":"private insurance companies"},{"speaker":"Today, we focus on First to Market","startTime":784.8,"endTime":789.8,"body":"from nonprofit insurers at least, sorry,"},{"speaker":"Today, we focus on First to Market","startTime":790.2,"endTime":793.86,"body":"nonprofit as far as the mandatory"},{"speaker":"Today, we focus on First to Market","startTime":790.2,"endTime":793.86,"body":"health insurance element"},{"speaker":"Today, we focus on First to Market","startTime":793.86,"endTime":796.683,"body":"is concerned, not the supplementary one."},{"speaker":"Today, we focus on First to Market","startTime":797.64,"endTime":799.65,"body":"So in contrast to Germany and France,"},{"speaker":"Today, we focus on First to Market","startTime":799.65,"endTime":802.35,"body":"that means it's done"},{"speaker":"Today, we focus on First to Market","startTime":799.65,"endTime":802.35,"body":"through the private sector"},{"speaker":"Today, we focus on First to Market","startTime":802.35,"endTime":804.33,"body":"rather than being government run"},{"speaker":"Today, we focus on First to Market","startTime":804.33,"endTime":808.563,"body":"or based on employer systems."},{"speaker":"Today, we focus on First to Market","startTime":810.0,"endTime":813.42,"body":"Our premiums tend to be higher"},{"speaker":"Today, we focus on First to Market","startTime":813.42,"endTime":818.16,"body":"and residents shoulder"},{"speaker":"Today, we focus on First to Market","startTime":813.42,"endTime":818.16,"body":"greater costs themselves,"},{"speaker":"Today, we focus on First to Market","startTime":818.16,"endTime":823.05,"body":"but in return, we receive rapid access,"},{"speaker":"Today, we focus on First to Market","startTime":823.05,"endTime":827.133,"body":"high service levels, and"},{"speaker":"Today, we focus on First to Market","startTime":823.05,"endTime":827.133,"body":"broad, free provider choice."},{"speaker":"Today, we focus on First to Market","startTime":828.45,"endTime":830.1,"body":"In contrast to the UK,"},{"speaker":"Today, we focus on First to Market","startTime":830.1,"endTime":832.983,"body":"where you have single-payer"},{"speaker":"Today, we focus on First to Market","startTime":830.1,"endTime":832.983,"body":"public funding,"},{"speaker":"Today, we focus on First to Market","startTime":834.3,"endTime":837.93,"body":"the UK has lower costs and"},{"speaker":"Today, we focus on First to Market","startTime":834.3,"endTime":837.93,"body":"generally longer waiting times,"},{"speaker":"Today, we focus on First to Market","startTime":837.93,"endTime":841.53,"body":"and the market-driven approach"},{"speaker":"Today, we focus on First to Market","startTime":837.93,"endTime":841.53,"body":"adopted by Switzerland"},{"speaker":"Today, we focus on First to Market","startTime":841.53,"endTime":845.373,"body":"prioritises access and choice"},{"speaker":"Today, we focus on First to Market","startTime":841.53,"endTime":845.373,"body":"at higher personal expense."},{"speaker":"Today, we focus on First to Market","startTime":847.62,"endTime":851.37,"body":"- Thank you, thanks for"},{"speaker":"Today, we focus on First to Market","startTime":847.62,"endTime":851.37,"body":"explaining that context"},{"speaker":"Today, we focus on First to Market","startTime":851.37,"endTime":853.92,"body":"of how healthcare system"},{"speaker":"Today, we focus on First to Market","startTime":851.37,"endTime":853.92,"body":"works in Switzerland"},{"speaker":"Today, we focus on First to Market","startTime":853.92,"endTime":857.37,"body":"and some of these"},{"speaker":"Today, we focus on First to Market","startTime":853.92,"endTime":857.37,"body":"similarities and differences"},{"speaker":"Today, we focus on First to Market","startTime":857.37,"endTime":860.13,"body":"with the other markets in Europe."},{"speaker":"Today, we focus on First to Market","startTime":860.13,"endTime":861.6,"body":"So if I was a manufacturer"},{"speaker":"Today, we focus on First to Market","startTime":861.6,"endTime":865.23,"body":"and I wanted to go first into Switzerland,"},{"speaker":"Today, we focus on First to Market","startTime":865.23,"endTime":866.7,"body":"what are the opportunities"},{"speaker":"Today, we focus on First to Market","startTime":866.7,"endTime":868.803,"body":"for launching first in Switzerland?"},{"speaker":"Today, we focus on First to Market","startTime":872.43,"endTime":875.34,"body":"- So opportunities would be, first of all,"},{"speaker":"Today, we focus on First to Market","startTime":875.34,"endTime":879.75,"body":"that proper regulator,"},{"speaker":"Today, we focus on First to Market","startTime":875.34,"endTime":879.75,"body":"which is independent,"},{"speaker":"Today, we focus on First to Market","startTime":879.75,"endTime":880.923,"body":"so Swiss Medic,"},{"speaker":"Today, we focus on First to Market","startTime":885.33,"endTime":890.28,"body":"both Swiss Medic and the institutions"},{"speaker":"Today, we focus on First to Market","startTime":890.28,"endTime":894.03,"body":"through which you would negotiate"},{"speaker":"Today, we focus on First to Market","startTime":894.03,"endTime":896.553,"body":"reimbursement and pricing,"},{"speaker":"Today, we focus on First to Market","startTime":897.39,"endTime":901.35,"body":"they've made efforts to"},{"speaker":"Today, we focus on First to Market","startTime":897.39,"endTime":901.35,"body":"open up new access routes,"},{"speaker":"Today, we focus on First to Market","startTime":901.35,"endTime":903.213,"body":"to speed up access."},{"speaker":"Today, we focus on First to Market","startTime":904.95,"endTime":909.95,"body":"So for example, there's"},{"speaker":"Today, we focus on First to Market","startTime":904.95,"endTime":909.95,"body":"a new early dialogue"},{"speaker":"Today, we focus on First to Market","startTime":910.11,"endTime":914.64,"body":"slash early access pathway"},{"speaker":"Today, we focus on First to Market","startTime":910.11,"endTime":914.64,"body":"to general reimbursement,"},{"speaker":"Today, we focus on First to Market","startTime":914.64,"endTime":917.79,"body":"not to be confused with"},{"speaker":"Today, we focus on First to Market","startTime":914.64,"endTime":917.79,"body":"the existing pathway,"},{"speaker":"Today, we focus on First to Market","startTime":917.79,"endTime":919.86,"body":"which is, I guess, early access,"},{"speaker":"Today, we focus on First to Market","startTime":919.86,"endTime":923.4,"body":"which is based on individual"},{"speaker":"Today, we focus on First to Market","startTime":919.86,"endTime":923.4,"body":"patient reimbursement."},{"speaker":"Today, we focus on First to Market","startTime":923.4,"endTime":927.57,"body":"So this new pathway for early access"},{"speaker":"Today, we focus on First to Market","startTime":927.57,"endTime":931.92,"body":"to general reimbursement, that's a process"},{"speaker":"Today, we focus on First to Market","startTime":931.92,"endTime":935.82,"body":"which you can start"},{"speaker":"Today, we focus on First to Market","startTime":931.92,"endTime":935.82,"body":"submitting your pricing"},{"speaker":"Today, we focus on First to Market","startTime":935.82,"endTime":939.75,"body":"and reimbursement documents"},{"speaker":"Today, we focus on First to Market","startTime":935.82,"endTime":939.75,"body":"as soon as you submit"},{"speaker":"Today, we focus on First to Market","startTime":939.75,"endTime":942.99,"body":"for regulatory approval with Swiss Medic."},{"speaker":"Today, we focus on First to Market","startTime":942.99,"endTime":945.87,"body":"So the two processes run in parallel,"},{"speaker":"Today, we focus on First to Market","startTime":945.87,"endTime":947.85,"body":"and that means if it goes well,"},{"speaker":"Today, we focus on First to Market","startTime":947.85,"endTime":950.7,"body":"ideally, you can get general reimbursement"},{"speaker":"Today, we focus on First to Market","startTime":950.7,"endTime":952.56,"body":"through the mandatory health insurance"},{"speaker":"Today, we focus on First to Market","startTime":952.56,"endTime":955.353,"body":"immediately following"},{"speaker":"Today, we focus on First to Market","startTime":952.56,"endTime":955.353,"body":"Swiss Medic approval."},{"speaker":"Today, we focus on First to Market","startTime":957.57,"endTime":959.79,"body":"So that should cut about,"},{"speaker":"Today, we focus on First to Market","startTime":959.79,"endTime":964.79,"body":"say on average, a year"},{"speaker":"Today, we focus on First to Market","startTime":959.79,"endTime":964.79,"body":"off the time to market."},{"speaker":"Today, we focus on First to Market","startTime":966.75,"endTime":970.35,"body":"That's a second new access pathway,"},{"speaker":"Today, we focus on First to Market","startTime":970.35,"endTime":973.17,"body":"especially for ATMPs"},{"speaker":"Today, we focus on First to Market","startTime":973.17,"endTime":977.94,"body":"that are expected to cost"},{"speaker":"Today, we focus on First to Market","startTime":973.17,"endTime":977.94,"body":"more than 80,000 Swiss francs."},{"speaker":"Today, we focus on First to Market","startTime":977.94,"endTime":980.46,"body":"Again, Swiss francs similar to US dollars,"},{"speaker":"Today, we focus on First to Market","startTime":980.46,"endTime":984.333,"body":"so more than 80,000"},{"speaker":"Today, we focus on First to Market","startTime":980.46,"endTime":984.333,"body":"Swiss francs per patient,"},{"speaker":"Today, we focus on First to Market","startTime":985.77,"endTime":990.33,"body":"and that goes through hospitals,"},{"speaker":"Today, we focus on First to Market","startTime":990.33,"endTime":993.06,"body":"so that's a different"},{"speaker":"Today, we focus on First to Market","startTime":990.33,"endTime":993.06,"body":"reimbursement pathway."},{"speaker":"Today, we focus on First to Market","startTime":993.06,"endTime":996.9,"body":"And what they did for"},{"speaker":"Today, we focus on First to Market","startTime":993.06,"endTime":996.9,"body":"that is that they outlined"},{"speaker":"Today, we focus on First to Market","startTime":996.9,"endTime":1001.64,"body":"a more tightly prescribed"},{"speaker":"Today, we focus on First to Market","startTime":996.9,"endTime":1001.64,"body":"timeline and process to access,"},{"speaker":"Today, we focus on First to Market","startTime":1001.64,"endTime":1005.963,"body":"which gives you more"},{"speaker":"Today, we focus on First to Market","startTime":1001.64,"endTime":1005.963,"body":"security for your planning."},{"speaker":"Today, we focus on First to Market","startTime":1009.26,"endTime":1012.053,"body":"Other opportunities, let me think."},{"speaker":"Today, we focus on First to Market","startTime":1014.064,"endTime":1018.89,"body":"Switzerland is quite"},{"speaker":"Today, we focus on First to Market","startTime":1014.064,"endTime":1018.89,"body":"pragmatic in some respects."},{"speaker":"Today, we focus on First to Market","startTime":1018.89,"endTime":1021.533,"body":"So if they think"},{"speaker":"Today, we focus on First to Market","startTime":1018.89,"endTime":1021.533,"body":"something is worth having,"},{"speaker":"Today, we focus on First to Market","startTime":1022.67,"endTime":1025.49,"body":"you talk to them, and talking to them,"},{"speaker":"Today, we focus on First to Market","startTime":1025.49,"endTime":1029.09,"body":"them meaning whatever"},{"speaker":"Today, we focus on First to Market","startTime":1025.49,"endTime":1029.09,"body":"institutions you're negotiating,"},{"speaker":"Today, we focus on First to Market","startTime":1029.09,"endTime":1031.7,"body":"whereas talking to them, in my experience,"},{"speaker":"Today, we focus on First to Market","startTime":1031.7,"endTime":1036.44,"body":"tends to be a little easier"},{"speaker":"Today, we focus on First to Market","startTime":1036.44,"endTime":1039.11,"body":"than in some other countries."},{"speaker":"Today, we focus on First to Market","startTime":1039.11,"endTime":1041.84,"body":"So you can talk to them and"},{"speaker":"Today, we focus on First to Market","startTime":1039.11,"endTime":1041.84,"body":"you make your arguments,"},{"speaker":"Today, we focus on First to Market","startTime":1041.84,"endTime":1045.47,"body":"and it's still a bureaucratic process,"},{"speaker":"Today, we focus on First to Market","startTime":1045.47,"endTime":1049.58,"body":"but it's, in some ways,"},{"speaker":"Today, we focus on First to Market","startTime":1045.47,"endTime":1049.58,"body":"less tightly prescribed"},{"speaker":"Today, we focus on First to Market","startTime":1049.58,"endTime":1051.713,"body":"than in some other countries."},{"speaker":"Today, we focus on First to Market","startTime":1053.6,"endTime":1055.793,"body":"For example, Germany,"},{"speaker":"Today, we focus on First to Market","startTime":1057.2,"endTime":1060.99,"body":"the interaction is polite and professional"},{"speaker":"Today, we focus on First to Market","startTime":1062.12,"endTime":1066.083,"body":"and it's a totally open negotiation,"},{"speaker":"Today, we focus on First to Market","startTime":1066.92,"endTime":1071.51,"body":"so that leaves scope in"},{"speaker":"Today, we focus on First to Market","startTime":1066.92,"endTime":1071.51,"body":"cases for, let's say,"},{"speaker":"Today, we focus on First to Market","startTime":1071.51,"endTime":1074.69,"body":"pragmatic solutions that"},{"speaker":"Today, we focus on First to Market","startTime":1071.51,"endTime":1074.69,"body":"may be more difficult"},{"speaker":"Today, we focus on First to Market","startTime":1074.69,"endTime":1076.43,"body":"in other countries,"},{"speaker":"Today, we focus on First to Market","startTime":1076.43,"endTime":1080.513,"body":"and you can break off the"},{"speaker":"Today, we focus on First to Market","startTime":1076.43,"endTime":1080.513,"body":"negotiations at any time."},{"speaker":"Today, we focus on First to Market","startTime":1083.27,"endTime":1085.463,"body":"Then another opportunity,"},{"speaker":"Today, we focus on First to Market","startTime":1089.09,"endTime":1092.57,"body":"what is important is KOL support"},{"speaker":"Today, we focus on First to Market","startTime":1092.57,"endTime":1096.083,"body":"or other stakeholders"},{"speaker":"Today, we focus on First to Market","startTime":1092.57,"endTime":1096.083,"body":"depending on the situation."},{"speaker":"Today, we focus on First to Market","startTime":1097.43,"endTime":1100.91,"body":"So some Swiss KOLs are"},{"speaker":"Today, we focus on First to Market","startTime":1097.43,"endTime":1100.91,"body":"actually quite influential"},{"speaker":"Today, we focus on First to Market","startTime":1100.91,"endTime":1105.91,"body":"at the global level, and"},{"speaker":"Today, we focus on First to Market","startTime":1100.91,"endTime":1105.91,"body":"they tend to look at the US"},{"speaker":"Today, we focus on First to Market","startTime":1106.52,"endTime":1110.543,"body":"more than some other European"},{"speaker":"Today, we focus on First to Market","startTime":1106.52,"endTime":1110.543,"body":"countries in my experience,"},{"speaker":"Today, we focus on First to Market","startTime":1112.04,"endTime":1117.04,"body":"and they provide high-quality care."},{"speaker":"Today, we focus on First to Market","startTime":1117.35,"endTime":1119.09,"body":"It's a high-income country"},{"speaker":"Today, we focus on First to Market","startTime":1119.09,"endTime":1123.74,"body":"and they're willing to"},{"speaker":"Today, we focus on First to Market","startTime":1119.09,"endTime":1123.74,"body":"pay for real innovation,"},{"speaker":"Today, we focus on First to Market","startTime":1123.74,"endTime":1126.53,"body":"and the price level tends to be higher"},{"speaker":"Today, we focus on First to Market","startTime":1126.53,"endTime":1130.073,"body":"than other European countries."},{"speaker":"Today, we focus on First to Market","startTime":1132.129,"endTime":1136.07,"body":"It also comes with some"},{"speaker":"Today, we focus on First to Market","startTime":1132.129,"endTime":1136.07,"body":"challenges, I think."},{"speaker":"Today, we focus on First to Market","startTime":1136.07,"endTime":1138.011,"body":"- Yeah, I was going to ask you then,"},{"speaker":"Today, we focus on First to Market","startTime":1138.011,"endTime":1140.33,"body":"the other side of the coin,"},{"speaker":"Today, we focus on First to Market","startTime":1138.011,"endTime":1140.33,"body":"what the challenges were"},{"speaker":"Today, we focus on First to Market","startTime":1140.33,"endTime":1143.87,"body":"for launching first in Switzerland."},{"speaker":"Today, we focus on First to Market","startTime":1143.87,"endTime":1148.103,"body":"- So when I say it's"},{"speaker":"Today, we focus on First to Market","startTime":1143.87,"endTime":1148.103,"body":"easier to talk to them,"},{"speaker":"Today, we focus on First to Market","startTime":1149.18,"endTime":1151.61,"body":"you still need an evidence package."},{"speaker":"Today, we focus on First to Market","startTime":1151.61,"endTime":1154.13,"body":"It's not that you take"},{"speaker":"Today, we focus on First to Market","startTime":1151.61,"endTime":1154.13,"body":"your marketing material"},{"speaker":"Today, we focus on First to Market","startTime":1154.13,"endTime":1157.913,"body":"and you just pass it on"},{"speaker":"Today, we focus on First to Market","startTime":1154.13,"endTime":1157.913,"body":"to them and it passes."},{"speaker":"Today, we focus on First to Market","startTime":1158.78,"endTime":1159.68,"body":"They also work"},{"speaker":"Today, we focus on First to Market","startTime":1159.68,"endTime":1162.53,"body":"to international evidence-based"},{"speaker":"Today, we focus on First to Market","startTime":1159.68,"endTime":1162.53,"body":"medicine standards,"},{"speaker":"Today, we focus on First to Market","startTime":1162.53,"endTime":1165.2,"body":"and they're no pushovers."},{"speaker":"Today, we focus on First to Market","startTime":1165.2,"endTime":1168.71,"body":"If they see a product as"},{"speaker":"Today, we focus on First to Market","startTime":1165.2,"endTime":1168.71,"body":"not having the evidence"},{"speaker":"Today, we focus on First to Market","startTime":1168.71,"endTime":1171.077,"body":"that it really adds anything to the system"},{"speaker":"Today, we focus on First to Market","startTime":1171.077,"endTime":1174.953,"body":"for the patient, at least"},{"speaker":"Today, we focus on First to Market","startTime":1171.077,"endTime":1174.953,"body":"as far as they see it."},{"speaker":"Today, we focus on First to Market","startTime":1179.18,"endTime":1180.86,"body":"What is a nice thing maybe"},{"speaker":"Today, we focus on First to Market","startTime":1180.86,"endTime":1184.88,"body":"is Switzerland is not a reference country"},{"speaker":"Today, we focus on First to Market","startTime":1184.88,"endTime":1187.76,"body":"for many other countries,"},{"speaker":"Today, we focus on First to Market","startTime":1187.76,"endTime":1192.08,"body":"so I guess it gives you the opportunity"},{"speaker":"Today, we focus on First to Market","startTime":1192.08,"endTime":1196.25,"body":"with the own regulatory agency,"},{"speaker":"Today, we focus on First to Market","startTime":1196.25,"endTime":1199.92,"body":"it gives you the opportunity"},{"speaker":"Today, we focus on First to Market","startTime":1196.25,"endTime":1199.92,"body":"maybe to try something"},{"speaker":"Today, we focus on First to Market","startTime":1200.78,"endTime":1202.46,"body":"in a high-priced countries,"},{"speaker":"Today, we focus on First to Market","startTime":1202.46,"endTime":1204.83,"body":"and you can maybe test your strategy"},{"speaker":"Today, we focus on First to Market","startTime":1204.83,"endTime":1206.87,"body":"and your value messages,"},{"speaker":"Today, we focus on First to Market","startTime":1206.87,"endTime":1210.847,"body":"which might be interesting"},{"speaker":"Today, we focus on First to Market","startTime":1206.87,"endTime":1210.847,"body":"also in the light of EU JCA,"},{"speaker":"Today, we focus on First to Market","startTime":1212.389,"endTime":1214.463,"body":"the European Joint Assessment."},{"speaker":"Today, we focus on First to Market","startTime":1217.7,"endTime":1220.04,"body":"- Yeah, that sounds quite useful"},{"speaker":"Today, we focus on First to Market","startTime":1220.04,"endTime":1222.56,"body":"that it can act access this"},{"speaker":"Today, we focus on First to Market","startTime":1220.04,"endTime":1222.56,"body":"kind of test bed country"},{"speaker":"Today, we focus on First to Market","startTime":1222.56,"endTime":1225.11,"body":"before going to the larger markets,"},{"speaker":"Today, we focus on First to Market","startTime":1225.11,"endTime":1228.113,"body":"so you can shape and refine"},{"speaker":"Today, we focus on First to Market","startTime":1225.11,"endTime":1228.113,"body":"things prior to launch."},{"speaker":"Today, we focus on First to Market","startTime":1229.88,"endTime":1231.98,"body":"- And it is being used like..."},{"speaker":"Today, we focus on First to Market","startTime":1231.98,"endTime":1232.88,"body":"- Sorry."},{"speaker":"Today, we focus on First to Market","startTime":1231.98,"endTime":1232.88,"body":"- Sorry."},{"speaker":"Today, we focus on First to Market","startTime":1235.048,"endTime":1237.62,"body":"- Yeah, I want to know a bit"},{"speaker":"Today, we focus on First to Market","startTime":1235.048,"endTime":1237.62,"body":"more about the main route"},{"speaker":"Today, we focus on First to Market","startTime":1237.62,"endTime":1239.66,"body":"to reimbursement as well."},{"speaker":"Today, we focus on First to Market","startTime":1239.66,"endTime":1240.493,"body":"- Yep,"},{"speaker":"Today, we focus on First to Market","startTime":1244.1,"endTime":1248.18,"body":"so there's different"},{"speaker":"Today, we focus on First to Market","startTime":1244.1,"endTime":1248.18,"body":"route to reimbursement"},{"speaker":"Today, we focus on First to Market","startTime":1248.18,"endTime":1251.27,"body":"depending on several factors."},{"speaker":"Today, we focus on First to Market","startTime":1251.27,"endTime":1255.05,"body":"So on the one hand, what"},{"speaker":"Today, we focus on First to Market","startTime":1251.27,"endTime":1255.05,"body":"type of product you have,"},{"speaker":"Today, we focus on First to Market","startTime":1255.05,"endTime":1258.47,"body":"so for example, if you're"},{"speaker":"Today, we focus on First to Market","startTime":1255.05,"endTime":1258.47,"body":"an ATMP, a drug, a device,"},{"speaker":"Today, we focus on First to Market","startTime":1258.47,"endTime":1260.81,"body":"a diagnostic test, a digital application,"},{"speaker":"Today, we focus on First to Market","startTime":1260.81,"endTime":1264.233,"body":"or actually, a general"},{"speaker":"Today, we focus on First to Market","startTime":1260.81,"endTime":1264.233,"body":"type of health service,"},{"speaker":"Today, we focus on First to Market","startTime":1265.957,"endTime":1270.74,"body":"then the route to access"},{"speaker":"Today, we focus on First to Market","startTime":1265.957,"endTime":1270.74,"body":"differs on the sector."},{"speaker":"Today, we focus on First to Market","startTime":1270.74,"endTime":1273.65,"body":"If you're primarily an outpatient product"},{"speaker":"Today, we focus on First to Market","startTime":1273.65,"endTime":1275.063,"body":"or an inpatient product,"},{"speaker":"Today, we focus on First to Market","startTime":1276.68,"endTime":1281.68,"body":"the route to access may also"},{"speaker":"Today, we focus on First to Market","startTime":1276.68,"endTime":1281.68,"body":"be impacted by the unmet need."},{"speaker":"Today, we focus on First to Market","startTime":1283.67,"endTime":1287.36,"body":"For example, this new early access path"},{"speaker":"Today, we focus on First to Market","startTime":1287.36,"endTime":1289.043,"body":"to general reimbursement,"},{"speaker":"Today, we focus on First to Market","startTime":1290.51,"endTime":1292.88,"body":"they would prioritise things"},{"speaker":"Today, we focus on First to Market","startTime":1292.88,"endTime":1295.79,"body":"that have fast tracked"},{"speaker":"Today, we focus on First to Market","startTime":1292.88,"endTime":1295.79,"body":"designation from Swiss Medic,"},{"speaker":"Today, we focus on First to Market","startTime":1295.79,"endTime":1298.88,"body":"Orbis designation, or a number of other"},{"speaker":"Today, we focus on First to Market","startTime":1298.88,"endTime":1300.8,"body":"that fulfil the number of other criteria"},{"speaker":"Today, we focus on First to Market","startTime":1300.8,"endTime":1302.873,"body":"that relate to unmet need basically."},{"speaker":"Today, we focus on First to Market","startTime":1303.98,"endTime":1306.92,"body":"And then as a last element that matters"},{"speaker":"Today, we focus on First to Market","startTime":1306.92,"endTime":1309.11,"body":"for your reimbursement pathway"},{"speaker":"Today, we focus on First to Market","startTime":1309.11,"endTime":1313.13,"body":"is also the number of"},{"speaker":"Today, we focus on First to Market","startTime":1309.11,"endTime":1313.13,"body":"patients that are affected"},{"speaker":"Today, we focus on First to Market","startTime":1313.13,"endTime":1314.78,"body":"or that you expect to treat."},{"speaker":"Today, we focus on First to Market","startTime":1314.78,"endTime":1319.78,"body":"So obviously, that's"},{"speaker":"Today, we focus on First to Market","startTime":1314.78,"endTime":1319.78,"body":"important for early access"},{"speaker":"Today, we focus on First to Market","startTime":1319.82,"endTime":1322.64,"body":"in terms of individual"},{"speaker":"Today, we focus on First to Market","startTime":1319.82,"endTime":1322.64,"body":"patient reimbursement,"},{"speaker":"Today, we focus on First to Market","startTime":1322.64,"endTime":1327.53,"body":"or if you only expect a very"},{"speaker":"Today, we focus on First to Market","startTime":1322.64,"endTime":1327.53,"body":"small number of patients,"},{"speaker":"Today, we focus on First to Market","startTime":1327.53,"endTime":1329.81,"body":"you might negotiate with insurers"},{"speaker":"Today, we focus on First to Market","startTime":1329.81,"endTime":1332.633,"body":"or consortium of insurers directly."},{"speaker":"Today, we focus on First to Market","startTime":1335.75,"endTime":1338.0,"body":"- And I guess, what does"},{"speaker":"Today, we focus on First to Market","startTime":1335.75,"endTime":1338.0,"body":"the manufacturer then need"},{"speaker":"Today, we focus on First to Market","startTime":1338.0,"endTime":1340.91,"body":"to prepare to obtain that reimbursement"},{"speaker":"Today, we focus on First to Market","startTime":1340.91,"endTime":1342.293,"body":"for an innovative drug?"},{"speaker":"Today, we focus on First to Market","startTime":1344.78,"endTime":1347.513,"body":"- Using the example of drugs,"},{"speaker":"Today, we focus on First to Market","startTime":1350.87,"endTime":1355.07,"body":"to get covered by the"},{"speaker":"Today, we focus on First to Market","startTime":1350.87,"endTime":1355.07,"body":"mandatory health insurance,"},{"speaker":"Today, we focus on First to Market","startTime":1355.07,"endTime":1356.78,"body":"you would need to be included"},{"speaker":"Today, we focus on First to Market","startTime":1356.78,"endTime":1359.78,"body":"in a positive list of reimbursed drugs"},{"speaker":"Today, we focus on First to Market","startTime":1359.78,"endTime":1363.353,"body":"that is called the list of specialties."},{"speaker":"Today, we focus on First to Market","startTime":1365.03,"endTime":1367.97,"body":"So you would need to apply for inclusion"},{"speaker":"Today, we focus on First to Market","startTime":1367.97,"endTime":1370.28,"body":"on that list of specialties,"},{"speaker":"Today, we focus on First to Market","startTime":1370.28,"endTime":1373.55,"body":"and maybe before I go into more detail"},{"speaker":"Today, we focus on First to Market","startTime":1373.55,"endTime":1376.19,"body":"of what is required for that,"},{"speaker":"Today, we focus on First to Market","startTime":1376.19,"endTime":1378.2,"body":"I'll start with the assessment criteria"},{"speaker":"Today, we focus on First to Market","startTime":1378.2,"endTime":1383.0,"body":"because they guide what you"},{"speaker":"Today, we focus on First to Market","startTime":1378.2,"endTime":1383.0,"body":"need to put into that dossier,"},{"speaker":"Today, we focus on First to Market","startTime":1383.0,"endTime":1384.443,"body":"into that application,"},{"speaker":"Today, we focus on First to Market","startTime":1387.71,"endTime":1391.37,"body":"and those assessment criteria,"},{"speaker":"Today, we focus on First to Market","startTime":1391.37,"endTime":1394.64,"body":"they're quite broadly phrased."},{"speaker":"Today, we focus on First to Market","startTime":1394.64,"endTime":1397.7,"body":"So they would apply not just for drugs,"},{"speaker":"Today, we focus on First to Market","startTime":1397.7,"endTime":1401.06,"body":"so for this application,"},{"speaker":"Today, we focus on First to Market","startTime":1397.7,"endTime":1401.06,"body":"for a list of specialties,"},{"speaker":"Today, we focus on First to Market","startTime":1401.06,"endTime":1404.27,"body":"but also for, for example,"},{"speaker":"Today, we focus on First to Market","startTime":1401.06,"endTime":1404.27,"body":"for devices, tests,"},{"speaker":"Today, we focus on First to Market","startTime":1404.27,"endTime":1407.183,"body":"or other types of health services broadly."},{"speaker":"Today, we focus on First to Market","startTime":1409.37,"endTime":1410.87,"body":"So these three criteria"},{"speaker":"Today, we focus on First to Market","startTime":1410.87,"endTime":1415.74,"body":"are what in German would"},{"speaker":"Today, we focus on First to Market","startTime":1410.87,"endTime":1415.74,"body":"be called the WZW criteria"},{"speaker":"Today, we focus on First to Market","startTime":1417.26,"endTime":1419.78,"body":"using the German words for it."},{"speaker":"Today, we focus on First to Market","startTime":1419.78,"endTime":1422.349,"body":"So the first W would be..."},{"speaker":"Today, we focus on First to Market","startTime":1422.349,"endTime":1423.23,"body":"(Elisabeth speaking German)"},{"speaker":"Today, we focus on First to Market","startTime":1423.23,"endTime":1425.633,"body":"so that would be your efficacy and safety."},{"speaker":"Today, we focus on First to Market","startTime":1426.77,"endTime":1429.31,"body":"The second letter, the Z would be..."},{"speaker":"Today, we focus on First to Market","startTime":1429.31,"endTime":1430.49,"body":"(Elisabeth speaking German)"},{"speaker":"Today, we focus on First to Market","startTime":1430.49,"endTime":1434.06,"body":"which there's no direct"},{"speaker":"Today, we focus on First to Market","startTime":1430.49,"endTime":1434.06,"body":"English translation,"},{"speaker":"Today, we focus on First to Market","startTime":1434.06,"endTime":1438.59,"body":"but let's say usefulness or adequacy,"},{"speaker":"Today, we focus on First to Market","startTime":1438.59,"endTime":1442.4,"body":"and it covers things like"},{"speaker":"Today, we focus on First to Market","startTime":1438.59,"endTime":1442.4,"body":"unmet need in Switzerland,"},{"speaker":"Today, we focus on First to Market","startTime":1442.4,"endTime":1446.33,"body":"how something fits into"},{"speaker":"Today, we focus on First to Market","startTime":1442.4,"endTime":1446.33,"body":"the Swiss diagnostic"},{"speaker":"Today, we focus on First to Market","startTime":1446.33,"endTime":1448.043,"body":"or treatment algorithm."},{"speaker":"Today, we focus on First to Market","startTime":1449.42,"endTime":1452.63,"body":"It would also cover"},{"speaker":"Today, we focus on First to Market","startTime":1449.42,"endTime":1452.63,"body":"things like your pack size"},{"speaker":"Today, we focus on First to Market","startTime":1452.63,"endTime":1455.333,"body":"with respect to the dosage instructions."},{"speaker":"Today, we focus on First to Market","startTime":1456.68,"endTime":1459.65,"body":"It would also cover what"},{"speaker":"Today, we focus on First to Market","startTime":1456.68,"endTime":1459.65,"body":"the regulatory agencies say,"},{"speaker":"Today, we focus on First to Market","startTime":1459.65,"endTime":1463.76,"body":"not just Swiss Medic,"},{"speaker":"Today, we focus on First to Market","startTime":1459.65,"endTime":1463.76,"body":"but also EMA and the FDA,"},{"speaker":"Today, we focus on First to Market","startTime":1463.76,"endTime":1466.49,"body":"and it would cover what HTA agencies"},{"speaker":"Today, we focus on First to Market","startTime":1466.49,"endTime":1469.19,"body":"or institutions might"},{"speaker":"Today, we focus on First to Market","startTime":1466.49,"endTime":1469.19,"body":"say, not just in Europe,"},{"speaker":"Today, we focus on First to Market","startTime":1469.19,"endTime":1472.4,"body":"but also in Canada and"},{"speaker":"Today, we focus on First to Market","startTime":1469.19,"endTime":1472.4,"body":"Australia, for example."},{"speaker":"Today, we focus on First to Market","startTime":1472.4,"endTime":1474.8,"body":"And then, so we had the first W"},{"speaker":"Today, we focus on First to Market","startTime":1474.8,"endTime":1479.33,"body":"was the efficacy and safety,"},{"speaker":"Today, we focus on First to Market","startTime":1474.8,"endTime":1479.33,"body":"the second letter, that Z,"},{"speaker":"Today, we focus on First to Market","startTime":1479.33,"endTime":1481.88,"body":"was the adequacy, and the third letter,"},{"speaker":"Today, we focus on First to Market","startTime":1481.88,"endTime":1485.99,"body":"the second W would be economic efficiency."},{"speaker":"Today, we focus on First to Market","startTime":1485.99,"endTime":1489.11,"body":"And I say deliberately"},{"speaker":"Today, we focus on First to Market","startTime":1485.99,"endTime":1489.11,"body":"economic efficiency,"},{"speaker":"Today, we focus on First to Market","startTime":1489.11,"endTime":1491.3,"body":"it is not the same as cost effectiveness"},{"speaker":"Today, we focus on First to Market","startTime":1491.3,"endTime":1494.183,"body":"as you would understand"},{"speaker":"Today, we focus on First to Market","startTime":1491.3,"endTime":1494.183,"body":"it in the UK, for example."},{"speaker":"Today, we focus on First to Market","startTime":1496.04,"endTime":1500.3,"body":"So for that, you need to"},{"speaker":"Today, we focus on First to Market","startTime":1496.04,"endTime":1500.3,"body":"submit a budget impact,"},{"speaker":"Today, we focus on First to Market","startTime":1500.3,"endTime":1504.86,"body":"and then you can submit a"},{"speaker":"Today, we focus on First to Market","startTime":1500.3,"endTime":1504.86,"body":"formal cost effectiveness model,"},{"speaker":"Today, we focus on First to Market","startTime":1504.86,"endTime":1506.633,"body":"but it is not mandatory,"},{"speaker":"Today, we focus on First to Market","startTime":1507.71,"endTime":1512.71,"body":"and your economic efficiency"},{"speaker":"Today, we focus on First to Market","startTime":1507.71,"endTime":1512.71,"body":"would be determined"},{"speaker":"Today, we focus on First to Market","startTime":1513.26,"endTime":1517.793,"body":"by what they would call the"},{"speaker":"Today, we focus on First to Market","startTime":1513.26,"endTime":1517.793,"body":"economically efficient price."},{"speaker":"Today, we focus on First to Market","startTime":1521.69,"endTime":1522.74,"body":"Do you want me to explain"},{"speaker":"Today, we focus on First to Market","startTime":1522.74,"endTime":1524.78,"body":"maybe how that is calculated?"},{"speaker":"Today, we focus on First to Market","startTime":1524.78,"endTime":1527.413,"body":"- Yeah, because it sounds"},{"speaker":"Today, we focus on First to Market","startTime":1524.78,"endTime":1527.413,"body":"like it's quite different"},{"speaker":"Today, we focus on First to Market","startTime":1527.413,"endTime":1530.57,"body":"to what perhaps we're more"},{"speaker":"Today, we focus on First to Market","startTime":1527.413,"endTime":1530.57,"body":"familiar with in the UK,"},{"speaker":"Today, we focus on First to Market","startTime":1530.57,"endTime":1534.29,"body":"and this term, economic efficiency,"},{"speaker":"Today, we focus on First to Market","startTime":1530.57,"endTime":1534.29,"body":"sounds quite interesting"},{"speaker":"Today, we focus on First to Market","startTime":1534.29,"endTime":1535.89,"body":"to know a little bit more about."},{"speaker":"Today, we focus on First to Market","startTime":1536.93,"endTime":1539.52,"body":"- So this economically efficient price"},{"speaker":"Today, we focus on First to Market","startTime":1540.44,"endTime":1545.44,"body":"is calculated as a base"},{"speaker":"Today, we focus on First to Market","startTime":1540.44,"endTime":1545.44,"body":"case on a 50/50 weighting"},{"speaker":"Today, we focus on First to Market","startTime":1546.41,"endTime":1549.83,"body":"of a therapeutic cost"},{"speaker":"Today, we focus on First to Market","startTime":1546.41,"endTime":1549.83,"body":"comparison with a comparator"},{"speaker":"Today, we focus on First to Market","startTime":1549.83,"endTime":1552.713,"body":"or comparators in Switzerland,"},{"speaker":"Today, we focus on First to Market","startTime":1553.773,"endTime":1558.65,"body":"and the other 50% would be"},{"speaker":"Today, we focus on First to Market","startTime":1553.773,"endTime":1558.65,"body":"international reference pricing."},{"speaker":"Today, we focus on First to Market","startTime":1558.65,"endTime":1560.57,"body":"That generally covers a basket"},{"speaker":"Today, we focus on First to Market","startTime":1560.57,"endTime":1564.86,"body":"of nine comparable European countries."},{"speaker":"Today, we focus on First to Market","startTime":1564.86,"endTime":1568.82,"body":"However, do not be fooled, if"},{"speaker":"Today, we focus on First to Market","startTime":1564.86,"endTime":1568.82,"body":"they can use a generic price"},{"speaker":"Today, we focus on First to Market","startTime":1568.82,"endTime":1573.35,"body":"in Japan, they may do so if"},{"speaker":"Today, we focus on First to Market","startTime":1568.82,"endTime":1573.35,"body":"they don't have other prices."},{"speaker":"Today, we focus on First to Market","startTime":1573.35,"endTime":1575.3,"body":"They may also use a US price"},{"speaker":"Today, we focus on First to Market","startTime":1575.3,"endTime":1577.283,"body":"if you do not have other prices."},{"speaker":"Today, we focus on First to Market","startTime":1578.72,"endTime":1581.87,"body":"So the base case would"},{"speaker":"Today, we focus on First to Market","startTime":1578.72,"endTime":1581.87,"body":"be the 50/50 weighting"},{"speaker":"Today, we focus on First to Market","startTime":1581.87,"endTime":1585.77,"body":"of your therapeutic cost"},{"speaker":"Today, we focus on First to Market","startTime":1581.87,"endTime":1585.77,"body":"comparison within Switzerland"},{"speaker":"Today, we focus on First to Market","startTime":1585.77,"endTime":1588.8,"body":"and the international reference pricing."},{"speaker":"Today, we focus on First to Market","startTime":1588.8,"endTime":1590.42,"body":"And then you can apply"},{"speaker":"Today, we focus on First to Market","startTime":1590.42,"endTime":1594.95,"body":"on top of the therapeutic"},{"speaker":"Today, we focus on First to Market","startTime":1590.42,"endTime":1594.95,"body":"cost comparison part"},{"speaker":"Today, we focus on First to Market","startTime":1594.95,"endTime":1597.86,"body":"of the 50/50 weighting,"},{"speaker":"Today, we focus on First to Market","startTime":1594.95,"endTime":1597.86,"body":"you can apply for a maximum"},{"speaker":"Today, we focus on First to Market","startTime":1597.86,"endTime":1601.043,"body":"of a 20% innovation premium."},{"speaker":"Today, we focus on First to Market","startTime":1601.043,"endTime":1604.52,"body":"That can be applied"},{"speaker":"Today, we focus on First to Market","startTime":1601.043,"endTime":1604.52,"body":"under certain conditions."},{"speaker":"Today, we focus on First to Market","startTime":1604.52,"endTime":1608.453,"body":"You would need a head to head"},{"speaker":"Today, we focus on First to Market","startTime":1604.52,"endTime":1608.453,"body":"for it at the very least,"},{"speaker":"Today, we focus on First to Market","startTime":1610.16,"endTime":1612.86,"body":"but it is quite rare that this is granted,"},{"speaker":"Today, we focus on First to Market","startTime":1612.86,"endTime":1617.453,"body":"but innovation is still rewarded."},{"speaker":"Today, we focus on First to Market","startTime":1618.35,"endTime":1622.253,"body":"So let's say if you have"},{"speaker":"Today, we focus on First to Market","startTime":1618.35,"endTime":1622.253,"body":"a gene therapy that,"},{"speaker":"Today, we focus on First to Market","startTime":1623.18,"endTime":1625.19,"body":"for ethics reasons,"},{"speaker":"Today, we focus on First to Market","startTime":1625.19,"endTime":1629.513,"body":"you cannot have a trial"},{"speaker":"Today, we focus on First to Market","startTime":1625.19,"endTime":1629.513,"body":"against a comparator,"},{"speaker":"Today, we focus on First to Market","startTime":1632.93,"endTime":1637.93,"body":"they may give you an additional"},{"speaker":"Today, we focus on First to Market","startTime":1632.93,"endTime":1637.93,"body":"price for the innovation,"},{"speaker":"Today, we focus on First to Market","startTime":1638.15,"endTime":1642.02,"body":"not necessarily through this"},{"speaker":"Today, we focus on First to Market","startTime":1638.15,"endTime":1642.02,"body":"formal innovation premium"},{"speaker":"Today, we focus on First to Market","startTime":1642.02,"endTime":1646.94,"body":"that is more geared"},{"speaker":"Today, we focus on First to Market","startTime":1642.02,"endTime":1646.94,"body":"towards stepwise innovation"},{"speaker":"Today, we focus on First to Market","startTime":1646.94,"endTime":1650.18,"body":"rather than radical innovation"},{"speaker":"Today, we focus on First to Market","startTime":1646.94,"endTime":1650.18,"body":"like a gene therapy would be,"},{"speaker":"Today, we focus on First to Market","startTime":1650.18,"endTime":1653.42,"body":"but because it's an open negotiation"},{"speaker":"Today, we focus on First to Market","startTime":1653.42,"endTime":1656.757,"body":"where they would cover"},{"speaker":"Today, we focus on First to Market","startTime":1653.42,"endTime":1656.757,"body":"all three criteria of WZW,"},{"speaker":"Today, we focus on First to Market","startTime":1657.73,"endTime":1662.693,"body":"so the efficacy, the adequacy,"},{"speaker":"Today, we focus on First to Market","startTime":1657.73,"endTime":1662.693,"body":"and the economic efficiency,"},{"speaker":"Today, we focus on First to Market","startTime":1663.53,"endTime":1668.53,"body":"they'll put that, let's say,"},{"speaker":"Today, we focus on First to Market","startTime":1663.53,"endTime":1668.53,"body":"price increase for innovation"},{"speaker":"Today, we focus on First to Market","startTime":1670.04,"endTime":1673.01,"body":"somewhere else rather"},{"speaker":"Today, we focus on First to Market","startTime":1670.04,"endTime":1673.01,"body":"than formally giving you"},{"speaker":"Today, we focus on First to Market","startTime":1673.01,"endTime":1674.09,"body":"an innovation premium,"},{"speaker":"Today, we focus on First to Market","startTime":1674.09,"endTime":1676.733,"body":"but they have ways of making that happen."},{"speaker":"Today, we focus on First to Market","startTime":1679.01,"endTime":1683.75,"body":"When you ask about the application"},{"speaker":"Today, we focus on First to Market","startTime":1683.75,"endTime":1686.3,"body":"for the list of specialties,"},{"speaker":"Today, we focus on First to Market","startTime":1686.3,"endTime":1688.58,"body":"there are certain evidence requirements."},{"speaker":"Today, we focus on First to Market","startTime":1688.58,"endTime":1691.82,"body":"Would you like me to say"},{"speaker":"Today, we focus on First to Market","startTime":1688.58,"endTime":1691.82,"body":"something more about that?"},{"speaker":"Today, we focus on First to Market","startTime":1691.82,"endTime":1695.09,"body":"- Yeah, because you've"},{"speaker":"Today, we focus on First to Market","startTime":1691.82,"endTime":1695.09,"body":"outlined the WZW criteria,"},{"speaker":"Today, we focus on First to Market","startTime":1695.09,"endTime":1698.03,"body":"and then what actually do"},{"speaker":"Today, we focus on First to Market","startTime":1695.09,"endTime":1698.03,"body":"manufacturers need to do"},{"speaker":"Today, we focus on First to Market","startTime":1698.03,"endTime":1701.39,"body":"to meet those evidence requirement pieces,"},{"speaker":"Today, we focus on First to Market","startTime":1701.39,"endTime":1706.39,"body":"and how they would put together"},{"speaker":"Today, we focus on First to Market","startTime":1701.39,"endTime":1706.39,"body":"that SL dossier as well?"},{"speaker":"Today, we focus on First to Market","startTime":1708.74,"endTime":1712.46,"body":"- So for devices, lab tests,"},{"speaker":"Today, we focus on First to Market","startTime":1712.46,"endTime":1716.15,"body":"and general healthcare services,"},{"speaker":"Today, we focus on First to Market","startTime":1716.15,"endTime":1719.835,"body":"there's a two-step process"},{"speaker":"Today, we focus on First to Market","startTime":1716.15,"endTime":1719.835,"body":"where you would first submit"},{"speaker":"Today, we focus on First to Market","startTime":1719.835,"endTime":1724.835,"body":"a so-called notification form"},{"speaker":"Today, we focus on First to Market","startTime":1719.835,"endTime":1724.835,"body":"where you basically outline"},{"speaker":"Today, we focus on First to Market","startTime":1727.34,"endTime":1730.52,"body":"what your product is, what it"},{"speaker":"Today, we focus on First to Market","startTime":1727.34,"endTime":1730.52,"body":"does, what evidence you have,"},{"speaker":"Today, we focus on First to Market","startTime":1730.52,"endTime":1733.28,"body":"and also what price you want for it,"},{"speaker":"Today, we focus on First to Market","startTime":1733.28,"endTime":1736.61,"body":"and this is kind of"},{"speaker":"Today, we focus on First to Market","startTime":1733.28,"endTime":1736.61,"body":"used by the authorities,"},{"speaker":"Today, we focus on First to Market","startTime":1736.61,"endTime":1738.74,"body":"A, to kind of be aware of what's coming,"},{"speaker":"Today, we focus on First to Market","startTime":1738.74,"endTime":1742.7,"body":"but also they use this to guide you"},{"speaker":"Today, we focus on First to Market","startTime":1742.7,"endTime":1747.7,"body":"towards which reimbursement"},{"speaker":"Today, we focus on First to Market","startTime":1742.7,"endTime":1747.7,"body":"pathway they want you to go down"},{"speaker":"Today, we focus on First to Market","startTime":1747.71,"endTime":1750.68,"body":"so that you can fill in"},{"speaker":"Today, we focus on First to Market","startTime":1747.71,"endTime":1750.68,"body":"the proper application form"},{"speaker":"Today, we focus on First to Market","startTime":1750.68,"endTime":1752.39,"body":"and submit the proper dossier,"},{"speaker":"Today, we focus on First to Market","startTime":1752.39,"endTime":1753.983,"body":"which would be the second step."},{"speaker":"Today, we focus on First to Market","startTime":1754.85,"endTime":1759.11,"body":"And for drugs, you don't"},{"speaker":"Today, we focus on First to Market","startTime":1754.85,"endTime":1759.11,"body":"have this notification form."},{"speaker":"Today, we focus on First to Market","startTime":1759.11,"endTime":1761.873,"body":"It's very clear what"},{"speaker":"Today, we focus on First to Market","startTime":1759.11,"endTime":1761.873,"body":"application you fill in,"},{"speaker":"Today, we focus on First to Market","startTime":1763.4,"endTime":1766.55,"body":"unless you apply for"},{"speaker":"Today, we focus on First to Market","startTime":1763.4,"endTime":1766.55,"body":"this new early dialogue"},{"speaker":"Today, we focus on First to Market","startTime":1766.55,"endTime":1769.34,"body":"slash early access pathway"},{"speaker":"Today, we focus on First to Market","startTime":1766.55,"endTime":1769.34,"body":"to general reimbursement,"},{"speaker":"Today, we focus on First to Market","startTime":1769.34,"endTime":1771.95,"body":"where you also have a multi-step process"},{"speaker":"Today, we focus on First to Market","startTime":1771.95,"endTime":1774.533,"body":"because it's running in"},{"speaker":"Today, we focus on First to Market","startTime":1771.95,"endTime":1774.533,"body":"parallel with regulatory."},{"speaker":"Today, we focus on First to Market","startTime":1775.97,"endTime":1780.97,"body":"And what I think is interesting"},{"speaker":"Today, we focus on First to Market","startTime":1775.97,"endTime":1780.97,"body":"probably for the audience"},{"speaker":"Today, we focus on First to Market","startTime":1781.46,"endTime":1786.46,"body":"is this dossier that you submit"},{"speaker":"Today, we focus on First to Market","startTime":1781.46,"endTime":1786.46,"body":"to the federal government"},{"speaker":"Today, we focus on First to Market","startTime":1787.16,"endTime":1789.77,"body":"has to be in an official Swiss language,"},{"speaker":"Today, we focus on First to Market","startTime":1789.77,"endTime":1793.19,"body":"which is, in this case,"},{"speaker":"Today, we focus on First to Market","startTime":1789.77,"endTime":1793.19,"body":"German, French, and Italian."},{"speaker":"Today, we focus on First to Market","startTime":1793.19,"endTime":1794.57,"body":"That's also a fourth language,"},{"speaker":"Today, we focus on First to Market","startTime":1794.57,"endTime":1798.503,"body":"but you can't submit a dossier in this,"},{"speaker":"Today, we focus on First to Market","startTime":1799.37,"endTime":1801.26,"body":"you cannot submit a dossier in English,"},{"speaker":"Today, we focus on First to Market","startTime":1801.26,"endTime":1805.523,"body":"but the appendices can be in"},{"speaker":"Today, we focus on First to Market","startTime":1801.26,"endTime":1805.523,"body":"English or other languages."},{"speaker":"Today, we focus on First to Market","startTime":1807.71,"endTime":1812.71,"body":"I think what is stunning"},{"speaker":"Today, we focus on First to Market","startTime":1807.71,"endTime":1812.71,"body":"about a Swiss application"},{"speaker":"Today, we focus on First to Market","startTime":1813.44,"endTime":1816.86,"body":"for inclusion on this list of specialties"},{"speaker":"Today, we focus on First to Market","startTime":1816.86,"endTime":1819.05,"body":"that is different to other countries"},{"speaker":"Today, we focus on First to Market","startTime":1819.05,"endTime":1822.65,"body":"and also different to devices"},{"speaker":"Today, we focus on First to Market","startTime":1819.05,"endTime":1822.65,"body":"or lab tests, for example,"},{"speaker":"Today, we focus on First to Market","startTime":1822.65,"endTime":1826.28,"body":"is that your dossier"},{"speaker":"Today, we focus on First to Market","startTime":1822.65,"endTime":1826.28,"body":"is limited to 30 pages,"},{"speaker":"Today, we focus on First to Market","startTime":1826.28,"endTime":1830.9,"body":"not counting the appendices,"},{"speaker":"Today, we focus on First to Market","startTime":1826.28,"endTime":1830.9,"body":"so you need to be very succinct"},{"speaker":"Today, we focus on First to Market","startTime":1830.9,"endTime":1833.84,"body":"and you need to be very clear"},{"speaker":"Today, we focus on First to Market","startTime":1833.84,"endTime":1836.963,"body":"in what it is you have to"},{"speaker":"Today, we focus on First to Market","startTime":1833.84,"endTime":1836.963,"body":"offer and where you're going."},{"speaker":"Today, we focus on First to Market","startTime":1839.12,"endTime":1843.71,"body":"Yeah, so generally, the"},{"speaker":"Today, we focus on First to Market","startTime":1839.12,"endTime":1843.71,"body":"evidence that is required"},{"speaker":"Today, we focus on First to Market","startTime":1843.71,"endTime":1848.71,"body":"for one of those specialty"},{"speaker":"Today, we focus on First to Market","startTime":1843.71,"endTime":1848.71,"body":"list application form"},{"speaker":"Today, we focus on First to Market","startTime":1849.23,"endTime":1854.23,"body":"/ dossiers would be that you"},{"speaker":"Today, we focus on First to Market","startTime":1849.23,"endTime":1854.23,"body":"do not need to do an SLR,"},{"speaker":"Today, we focus on First to Market","startTime":1856.31,"endTime":1858.83,"body":"but you do need to describe broadly"},{"speaker":"Today, we focus on First to Market","startTime":1858.83,"endTime":1862.46,"body":"it's three main peer-reviewed publications"},{"speaker":"Today, we focus on First to Market","startTime":1862.46,"endTime":1865.13,"body":"regarding efficacy and safety from your"},{"speaker":"Today, we focus on First to Market","startTime":1865.13,"endTime":1867.92,"body":"phase three or phase two trials,"},{"speaker":"Today, we focus on First to Market","startTime":1867.92,"endTime":1870.05,"body":"depending on the indication."},{"speaker":"Today, we focus on First to Market","startTime":1870.05,"endTime":1872.66,"body":"And generally, for premium price,"},{"speaker":"Today, we focus on First to Market","startTime":1872.66,"endTime":1875.75,"body":"you need a head-to-head"},{"speaker":"Today, we focus on First to Market","startTime":1872.66,"endTime":1875.75,"body":"trial against a comparator,"},{"speaker":"Today, we focus on First to Market","startTime":1875.75,"endTime":1878.933,"body":"which would be part of the"},{"speaker":"Today, we focus on First to Market","startTime":1875.75,"endTime":1878.933,"body":"standard of care in Switzerland."},{"speaker":"Today, we focus on First to Market","startTime":1880.19,"endTime":1883.22,"body":"So depending what the standard of care is,"},{"speaker":"Today, we focus on First to Market","startTime":1883.22,"endTime":1884.66,"body":"and depending on the indication,"},{"speaker":"Today, we focus on First to Market","startTime":1884.66,"endTime":1887.36,"body":"a Swiss dossier would not be a copy/paste"},{"speaker":"Today, we focus on First to Market","startTime":1887.36,"endTime":1889.49,"body":"from a French or a German dossier"},{"speaker":"Today, we focus on First to Market","startTime":1889.49,"endTime":1892.613,"body":"quite apart from the"},{"speaker":"Today, we focus on First to Market","startTime":1889.49,"endTime":1892.613,"body":"limitation to the 30 pages."},{"speaker":"Today, we focus on First to Market","startTime":1894.62,"endTime":1897.98,"body":"Then what else you need to supply"},{"speaker":"Today, we focus on First to Market","startTime":1897.98,"endTime":1902.57,"body":"is you need to tell them"},{"speaker":"Today, we focus on First to Market","startTime":1897.98,"endTime":1902.57,"body":"about medical diagnostic"},{"speaker":"Today, we focus on First to Market","startTime":1902.57,"endTime":1907.37,"body":"or treatment guidelines for"},{"speaker":"Today, we focus on First to Market","startTime":1902.57,"endTime":1907.37,"body":"Switzerland, Europe, and the US."},{"speaker":"Today, we focus on First to Market","startTime":1907.37,"endTime":1911.78,"body":"You need to give them a"},{"speaker":"Today, we focus on First to Market","startTime":1907.37,"endTime":1911.78,"body":"summary of regulatory agency"},{"speaker":"Today, we focus on First to Market","startTime":1911.78,"endTime":1914.183,"body":"and HTA agency assessments."},{"speaker":"Today, we focus on First to Market","startTime":1915.47,"endTime":1920.47,"body":"Optional, you can also submit"},{"speaker":"Today, we focus on First to Market","startTime":1915.47,"endTime":1920.47,"body":"a clinical expert statement."},{"speaker":"Today, we focus on First to Market","startTime":1920.48,"endTime":1922.73,"body":"You need to tell them about unmet need"},{"speaker":"Today, we focus on First to Market","startTime":1922.73,"endTime":1925.52,"body":"and the size of the"},{"speaker":"Today, we focus on First to Market","startTime":1922.73,"endTime":1925.52,"body":"Swiss target population,"},{"speaker":"Today, we focus on First to Market","startTime":1925.52,"endTime":1930.47,"body":"and you also need a budget impact."},{"speaker":"Today, we focus on First to Market","startTime":1930.47,"endTime":1932.27,"body":"And I already told you"},{"speaker":"Today, we focus on First to Market","startTime":1932.27,"endTime":1936.383,"body":"about how the economically"},{"speaker":"Today, we focus on First to Market","startTime":1932.27,"endTime":1936.383,"body":"efficient price is calculated."},{"speaker":"Today, we focus on First to Market","startTime":1938.3,"endTime":1939.133,"body":"- Yeah."},{"speaker":"Today, we focus on First to Market","startTime":1939.133,"endTime":1943.056,"body":"- Does that cover what you"},{"speaker":"Today, we focus on First to Market","startTime":1939.133,"endTime":1943.056,"body":"would be interested in?"},{"speaker":"Today, we focus on First to Market","startTime":1943.056,"endTime":1944.87,"body":"- Yeah, I think that the main differences"},{"speaker":"Today, we focus on First to Market","startTime":1944.87,"endTime":1946.94,"body":"in how they're put together,"},{"speaker":"Today, we focus on First to Market","startTime":1944.87,"endTime":1946.94,"body":"it's quite interesting"},{"speaker":"Today, we focus on First to Market","startTime":1946.94,"endTime":1948.8,"body":"that it is only limited to 30 pages."},{"speaker":"Today, we focus on First to Market","startTime":1948.8,"endTime":1950.9,"body":"- Yes, it's a challenge sometimes."},{"speaker":"Today, we focus on First to Market","startTime":1950.9,"endTime":1955.4,"body":"- Yeah, strategic and ensure"},{"speaker":"Today, we focus on First to Market","startTime":1950.9,"endTime":1955.4,"body":"that you have the right data"},{"speaker":"Today, we focus on First to Market","startTime":1955.4,"endTime":1958.43,"body":"to support everything,"},{"speaker":"Today, we focus on First to Market","startTime":1955.4,"endTime":1958.43,"body":"it's really interesting."},{"speaker":"Today, we focus on First to Market","startTime":1958.43,"endTime":1961.16,"body":"- Yeah, what is funny"},{"speaker":"Today, we focus on First to Market","startTime":1958.43,"endTime":1961.16,"body":"about it is the formatting"},{"speaker":"Today, we focus on First to Market","startTime":1961.16,"endTime":1962.81,"body":"goes out of the window at the end"},{"speaker":"Today, we focus on First to Market","startTime":1962.81,"endTime":1965.0,"body":"because you're just"},{"speaker":"Today, we focus on First to Market","startTime":1962.81,"endTime":1965.0,"body":"trying to fit your content"},{"speaker":"Today, we focus on First to Market","startTime":1965.0,"endTime":1967.557,"body":"into those 30 pages instead of thinking,"},{"speaker":"Today, we focus on First to Market","startTime":1967.557,"endTime":1968.93,"body":"\"Oh, maybe it would look nicer"},{"speaker":"Today, we focus on First to Market","startTime":1968.93,"endTime":1970.643,"body":"if I put a space there,\" but no."},{"speaker":"Today, we focus on First to Market","startTime":1972.14,"endTime":1976.22,"body":"- Yeah, and I guess you"},{"speaker":"Today, we focus on First to Market","startTime":1972.14,"endTime":1976.22,"body":"mentioned a little bit"},{"speaker":"Today, we focus on First to Market","startTime":1976.22,"endTime":1978.32,"body":"about getting local insight"},{"speaker":"Today, we focus on First to Market","startTime":1978.32,"endTime":1980.78,"body":"into evidence generation processes"},{"speaker":"Today, we focus on First to Market","startTime":1980.78,"endTime":1984.23,"body":"and how there's some"},{"speaker":"Today, we focus on First to Market","startTime":1980.78,"endTime":1984.23,"body":"KOL interviews as well"},{"speaker":"Today, we focus on First to Market","startTime":1984.23,"endTime":1986.39,"body":"that might help support those things."},{"speaker":"Today, we focus on First to Market","startTime":1986.39,"endTime":1988.46,"body":"Can you talk a little bit more about that?"},{"speaker":"Today, we focus on First to Market","startTime":1988.46,"endTime":1989.293,"body":"- Yeah."},{"speaker":"Today, we focus on First to Market","startTime":1997.49,"endTime":2002.233,"body":"To me, local insight"},{"speaker":"Today, we focus on First to Market","startTime":1997.49,"endTime":2002.233,"body":"is absolutely crucial."},{"speaker":"Today, we focus on First to Market","startTime":2004.63,"endTime":2009.05,"body":"I have done applications"},{"speaker":"Today, we focus on First to Market","startTime":2004.63,"endTime":2009.05,"body":"where the client decided"},{"speaker":"Today, we focus on First to Market","startTime":2010.03,"endTime":2014.35,"body":"not to get local input"},{"speaker":"Today, we focus on First to Market","startTime":2010.03,"endTime":2014.35,"body":"for whatever reasons,"},{"speaker":"Today, we focus on First to Market","startTime":2014.35,"endTime":2018.343,"body":"but generally, I would say"},{"speaker":"Today, we focus on First to Market","startTime":2014.35,"endTime":2018.343,"body":"it is absolutely crucial."},{"speaker":"Today, we focus on First to Market","startTime":2019.75,"endTime":2024.523,"body":"So I would always suggest"},{"speaker":"Today, we focus on First to Market","startTime":2019.75,"endTime":2024.523,"body":"do KOL interviews."},{"speaker":"Today, we focus on First to Market","startTime":2026.2,"endTime":2029.26,"body":"In some countries, you might"},{"speaker":"Today, we focus on First to Market","startTime":2026.2,"endTime":2029.26,"body":"do those KOL interviews"},{"speaker":"Today, we focus on First to Market","startTime":2029.26,"endTime":2032.35,"body":"to confirm, let's say, an"},{"speaker":"Today, we focus on First to Market","startTime":2029.26,"endTime":2032.35,"body":"economic model structure"},{"speaker":"Today, we focus on First to Market","startTime":2032.35,"endTime":2037.0,"body":"or validating model"},{"speaker":"Today, we focus on First to Market","startTime":2032.35,"endTime":2037.0,"body":"results, but in Switzerland,"},{"speaker":"Today, we focus on First to Market","startTime":2037.0,"endTime":2039.37,"body":"I think those KOL"},{"speaker":"Today, we focus on First to Market","startTime":2037.0,"endTime":2039.37,"body":"interviews can provide you"},{"speaker":"Today, we focus on First to Market","startTime":2039.37,"endTime":2041.97,"body":"with a lot more insight, for example,"},{"speaker":"Today, we focus on First to Market","startTime":2041.97,"endTime":2045.76,"body":"on general access topics,"},{"speaker":"Today, we focus on First to Market","startTime":2041.97,"endTime":2045.76,"body":"like pain points with access,"},{"speaker":"Today, we focus on First to Market","startTime":2045.76,"endTime":2048.31,"body":"obstacles that the KOL seek to access"},{"speaker":"Today, we focus on First to Market","startTime":2048.31,"endTime":2049.603,"body":"that can really help you,"},{"speaker":"Today, we focus on First to Market","startTime":2050.86,"endTime":2054.88,"body":"and also sometimes to"},{"speaker":"Today, we focus on First to Market","startTime":2050.86,"endTime":2054.88,"body":"generate, let's say, insight"},{"speaker":"Today, we focus on First to Market","startTime":2054.88,"endTime":2057.82,"body":"into what economic"},{"speaker":"Today, we focus on First to Market","startTime":2054.88,"endTime":2057.82,"body":"arguments you might pursue."},{"speaker":"Today, we focus on First to Market","startTime":2057.82,"endTime":2061.713,"body":"And if you remember, I said"},{"speaker":"Today, we focus on First to Market","startTime":2057.82,"endTime":2061.713,"body":"cost effectiveness model,"},{"speaker":"Today, we focus on First to Market","startTime":2062.89,"endTime":2064.72,"body":"like for NICE in the UK,"},{"speaker":"Today, we focus on First to Market","startTime":2064.72,"endTime":2067.48,"body":"is not required for Switzerland."},{"speaker":"Today, we focus on First to Market","startTime":2067.48,"endTime":2069.763,"body":"You may use it, but it is not required,"},{"speaker":"Today, we focus on First to Market","startTime":2070.63,"endTime":2073.48,"body":"but they do require a budget impact model."},{"speaker":"Today, we focus on First to Market","startTime":2073.48,"endTime":2076.57,"body":"And for that you would, on the one hand,"},{"speaker":"Today, we focus on First to Market","startTime":2076.57,"endTime":2078.91,"body":"of course, compare, let's say drug costs"},{"speaker":"Today, we focus on First to Market","startTime":2078.91,"endTime":2083.14,"body":"in a list of specialties application,"},{"speaker":"Today, we focus on First to Market","startTime":2083.14,"endTime":2084.88,"body":"but you would also, if you can,"},{"speaker":"Today, we focus on First to Market","startTime":2084.88,"endTime":2087.61,"body":"try ensure certain cost offsets obviously."},{"speaker":"Today, we focus on First to Market","startTime":2087.61,"endTime":2090.89,"body":"And for that, for example,"},{"speaker":"Today, we focus on First to Market","startTime":2087.61,"endTime":2090.89,"body":"KOLs would be useful"},{"speaker":"Today, we focus on First to Market","startTime":2091.87,"endTime":2093.94,"body":"depending on the situation."},{"speaker":"Today, we focus on First to Market","startTime":2093.94,"endTime":2096.97,"body":"For example, get an"},{"speaker":"Today, we focus on First to Market","startTime":2093.94,"endTime":2096.97,"body":"insight into resource use"},{"speaker":"Today, we focus on First to Market","startTime":2096.97,"endTime":2101.683,"body":"or unit costs that you might"},{"speaker":"Today, we focus on First to Market","startTime":2096.97,"endTime":2101.683,"body":"prevent with this new product,"},{"speaker":"Today, we focus on First to Market","startTime":2102.76,"endTime":2105.37,"body":"or there might be a gap"},{"speaker":"Today, we focus on First to Market","startTime":2105.37,"endTime":2108.85,"body":"between the reimbursement"},{"speaker":"Today, we focus on First to Market","startTime":2105.37,"endTime":2108.85,"body":"value of something"},{"speaker":"Today, we focus on First to Market","startTime":2108.85,"endTime":2112.18,"body":"and the actual cost of"},{"speaker":"Today, we focus on First to Market","startTime":2108.85,"endTime":2112.18,"body":"providing that something"},{"speaker":"Today, we focus on First to Market","startTime":2112.18,"endTime":2115.36,"body":"that might give you kind of a gateway"},{"speaker":"Today, we focus on First to Market","startTime":2115.36,"endTime":2117.223,"body":"to an economic argument."},{"speaker":"Today, we focus on First to Market","startTime":2119.32,"endTime":2122.29,"body":"Another aspect to bear in"},{"speaker":"Today, we focus on First to Market","startTime":2119.32,"endTime":2122.29,"body":"mind for that local insight"},{"speaker":"Today, we focus on First to Market","startTime":2122.29,"endTime":2124.99,"body":"is that Switzerland has"},{"speaker":"Today, we focus on First to Market","startTime":2122.29,"endTime":2124.99,"body":"four official languages,"},{"speaker":"Today, we focus on First to Market","startTime":2124.99,"endTime":2127.48,"body":"so I mentioned German,"},{"speaker":"Today, we focus on First to Market","startTime":2124.99,"endTime":2127.48,"body":"French, and Italian before,"},{"speaker":"Today, we focus on First to Market","startTime":2127.48,"endTime":2130.21,"body":"and that fourth language, Romansch."},{"speaker":"Today, we focus on First to Market","startTime":2130.21,"endTime":2132.19,"body":"The majority of the population lives"},{"speaker":"Today, we focus on First to Market","startTime":2132.19,"endTime":2136.093,"body":"in that German and"},{"speaker":"Today, we focus on First to Market","startTime":2132.19,"endTime":2136.093,"body":"French-speaking regions."},{"speaker":"Today, we focus on First to Market","startTime":2137.86,"endTime":2140.23,"body":"And these language regions"},{"speaker":"Today, we focus on First to Market","startTime":2140.23,"endTime":2143.56,"body":"are also culturally quite distinct."},{"speaker":"Today, we focus on First to Market","startTime":2143.56,"endTime":2145.84,"body":"And this may be reflected"},{"speaker":"Today, we focus on First to Market","startTime":2143.56,"endTime":2145.84,"body":"in care patterns."},{"speaker":"Today, we focus on First to Market","startTime":2145.84,"endTime":2149.26,"body":"So for example, regarding the"},{"speaker":"Today, we focus on First to Market","startTime":2145.84,"endTime":2149.26,"body":"frequency of doctor visits,"},{"speaker":"Today, we focus on First to Market","startTime":2149.26,"endTime":2151.69,"body":"the French-speaking region"},{"speaker":"Today, we focus on First to Market","startTime":2149.26,"endTime":2151.69,"body":"tends to mirror more"},{"speaker":"Today, we focus on First to Market","startTime":2151.69,"endTime":2152.977,"body":"what happens in France."},{"speaker":"Today, we focus on First to Market","startTime":2152.977,"endTime":2156.19,"body":"The German region might mirror more"},{"speaker":"Today, we focus on First to Market","startTime":2156.19,"endTime":2159.403,"body":"what is culturally done in Germany,"},{"speaker":"Today, we focus on First to Market","startTime":2161.11,"endTime":2163.84,"body":"and I mentioned already that"},{"speaker":"Today, we focus on First to Market","startTime":2161.11,"endTime":2163.84,"body":"many doctors are trained"},{"speaker":"Today, we focus on First to Market","startTime":2163.84,"endTime":2168.84,"body":"in the US, so if there's"},{"speaker":"Today, we focus on First to Market","startTime":2163.84,"endTime":2168.84,"body":"no Swiss guidelines"},{"speaker":"Today, we focus on First to Market","startTime":2170.2,"endTime":2174.1,"body":"or expert statements, they"},{"speaker":"Today, we focus on First to Market","startTime":2170.2,"endTime":2174.1,"body":"may reference US guidelines"},{"speaker":"Today, we focus on First to Market","startTime":2174.1,"endTime":2178.21,"body":"far more than you might expect,"},{"speaker":"Today, we focus on First to Market","startTime":2178.21,"endTime":2180.58,"body":"but that you will only"},{"speaker":"Today, we focus on First to Market","startTime":2178.21,"endTime":2180.58,"body":"find out if you actually go"},{"speaker":"Today, we focus on First to Market","startTime":2180.58,"endTime":2184.723,"body":"and talk to them, so to me,"},{"speaker":"Today, we focus on First to Market","startTime":2180.58,"endTime":2184.723,"body":"local insight is a total must."},{"speaker":"Today, we focus on First to Market","startTime":2185.59,"endTime":2187.33,"body":"- Yeah, sounds very key."},{"speaker":"Today, we focus on First to Market","startTime":2187.33,"endTime":2189.07,"body":"And it's quite interesting"},{"speaker":"Today, we focus on First to Market","startTime":2187.33,"endTime":2189.07,"body":"that Switzerland"},{"speaker":"Today, we focus on First to Market","startTime":2189.07,"endTime":2191.74,"body":"looks to the US so much as well."},{"speaker":"Today, we focus on First to Market","startTime":2191.74,"endTime":2194.2,"body":"That's quite an interesting point as well."},{"speaker":"Today, we focus on First to Market","startTime":2194.2,"endTime":2196.33,"body":"- It depends on the indication."},{"speaker":"Today, we focus on First to Market","startTime":2196.33,"endTime":2197.23,"body":"- Yeah."},{"speaker":"Today, we focus on First to Market","startTime":2196.33,"endTime":2197.23,"body":"- But I think"},{"speaker":"Today, we focus on First to Market","startTime":2197.23,"endTime":2199.27,"body":"it reflects that it's a small country"},{"speaker":"Today, we focus on First to Market","startTime":2199.27,"endTime":2202.06,"body":"and that it has a high-income level"},{"speaker":"Today, we focus on First to Market","startTime":2202.06,"endTime":2205.0,"body":"and they value quality of the care."},{"speaker":"Today, we focus on First to Market","startTime":2205.0,"endTime":2208.96,"body":"- Yeah, and I guess we've"},{"speaker":"Today, we focus on First to Market","startTime":2205.0,"endTime":2208.96,"body":"been talking about drugs here,"},{"speaker":"Today, we focus on First to Market","startTime":2208.96,"endTime":2211.0,"body":"but what about the specific routes"},{"speaker":"Today, we focus on First to Market","startTime":2211.0,"endTime":2214.063,"body":"for diagnostics and devices as well?"},{"speaker":"Today, we focus on First to Market","startTime":2216.4,"endTime":2221.4,"body":"- So for devices, you"},{"speaker":"Today, we focus on First to Market","startTime":2216.4,"endTime":2221.4,"body":"have another positive list"},{"speaker":"Today, we focus on First to Market","startTime":2221.44,"endTime":2223.42,"body":"that is called Omega list"},{"speaker":"Today, we focus on First to Market","startTime":2223.42,"endTime":2226.3,"body":"that has a separate application procedure,"},{"speaker":"Today, we focus on First to Market","startTime":2226.3,"endTime":2228.91,"body":"this two-step procedure"},{"speaker":"Today, we focus on First to Market","startTime":2226.3,"endTime":2228.91,"body":"that I mentioned before,"},{"speaker":"Today, we focus on First to Market","startTime":2228.91,"endTime":2232.18,"body":"and for diagnostic tests,"},{"speaker":"Today, we focus on First to Market","startTime":2228.91,"endTime":2232.18,"body":"you would have the list"},{"speaker":"Today, we focus on First to Market","startTime":2232.18,"endTime":2235.333,"body":"of analysis, another positive list."},{"speaker":"Today, we focus on First to Market","startTime":2237.43,"endTime":2242.43,"body":"What distinguishes the access"},{"speaker":"Today, we focus on First to Market","startTime":2237.43,"endTime":2242.43,"body":"pathways of, for example,"},{"speaker":"Today, we focus on First to Market","startTime":2242.56,"endTime":2246.64,"body":"tests and devices from that of drugs"},{"speaker":"Today, we focus on First to Market","startTime":2246.64,"endTime":2250.03,"body":"is that the timeline to access"},{"speaker":"Today, we focus on First to Market","startTime":2246.64,"endTime":2250.03,"body":"would be very different,"},{"speaker":"Today, we focus on First to Market","startTime":2250.03,"endTime":2251.8,"body":"and also the degree of influence"},{"speaker":"Today, we focus on First to Market","startTime":2251.8,"endTime":2255.163,"body":"that the manufacturer can"},{"speaker":"Today, we focus on First to Market","startTime":2251.8,"endTime":2255.163,"body":"have on the timing of it."},{"speaker":"Today, we focus on First to Market","startTime":2256.45,"endTime":2258.55,"body":"But so for example,"},{"speaker":"Today, we focus on First to Market","startTime":2258.55,"endTime":2263.44,"body":"the drugs list would be"},{"speaker":"Today, we focus on First to Market","startTime":2258.55,"endTime":2263.44,"body":"updated more frequently"},{"speaker":"Today, we focus on First to Market","startTime":2263.44,"endTime":2266.83,"body":"than the list of analysis"},{"speaker":"Today, we focus on First to Market","startTime":2263.44,"endTime":2266.83,"body":"or the list of devices,"},{"speaker":"Today, we focus on First to Market","startTime":2266.83,"endTime":2271.3,"body":"but they seem to want to"},{"speaker":"Today, we focus on First to Market","startTime":2266.83,"endTime":2271.3,"body":"increase those updates"},{"speaker":"Today, we focus on First to Market","startTime":2271.3,"endTime":2272.563,"body":"in the future as well."},{"speaker":"Today, we focus on First to Market","startTime":2275.68,"endTime":2279.52,"body":"What is also relevant, the"},{"speaker":"Today, we focus on First to Market","startTime":2275.68,"endTime":2279.52,"body":"upfront effort required"},{"speaker":"Today, we focus on First to Market","startTime":2279.52,"endTime":2282.52,"body":"to do a dossier for"},{"speaker":"Today, we focus on First to Market","startTime":2279.52,"endTime":2282.52,"body":"the list of specialties"},{"speaker":"Today, we focus on First to Market","startTime":2282.52,"endTime":2287.52,"body":"to apply for a drug is less upfront"},{"speaker":"Today, we focus on First to Market","startTime":2287.71,"endTime":2292.71,"body":"than for a lab test or a medical device,"},{"speaker":"Today, we focus on First to Market","startTime":2293.77,"endTime":2297.523,"body":"because you need SLR for"},{"speaker":"Today, we focus on First to Market","startTime":2293.77,"endTime":2297.523,"body":"devices and lab tests,"},{"speaker":"Today, we focus on First to Market","startTime":2298.75,"endTime":2303.553,"body":"but you don't for the"},{"speaker":"Today, we focus on First to Market","startTime":2298.75,"endTime":2303.553,"body":"application for drugs."},{"speaker":"Today, we focus on First to Market","startTime":2305.47,"endTime":2307.25,"body":"The negotiation process"},{"speaker":"Today, we focus on First to Market","startTime":2308.92,"endTime":2311.5,"body":"of those three pathways is different,"},{"speaker":"Today, we focus on First to Market","startTime":2311.5,"endTime":2316.5,"body":"but I think that maybe it"},{"speaker":"Today, we focus on First to Market","startTime":2311.5,"endTime":2316.5,"body":"goes into too much detail."},{"speaker":"Today, we focus on First to Market","startTime":2317.32,"endTime":2319.81,"body":"- Yeah, it's good understanding"},{"speaker":"Today, we focus on First to Market","startTime":2319.81,"endTime":2321.13,"body":"that there's different routes"},{"speaker":"Today, we focus on First to Market","startTime":2321.13,"endTime":2324.46,"body":"and how they slightly change as well."},{"speaker":"Today, we focus on First to Market","startTime":2324.46,"endTime":2326.05,"body":"And I guess now we're kind of coming"},{"speaker":"Today, we focus on First to Market","startTime":2326.05,"endTime":2328.09,"body":"into the last few minutes of the webinar,"},{"speaker":"Today, we focus on First to Market","startTime":2328.09,"endTime":2331.21,"body":"it might be useful to understand"},{"speaker":"Today, we focus on First to Market","startTime":2328.09,"endTime":2331.21,"body":"maybe some of the changes"},{"speaker":"Today, we focus on First to Market","startTime":2331.21,"endTime":2332.59,"body":"that are happening in Switzerland"},{"speaker":"Today, we focus on First to Market","startTime":2332.59,"endTime":2335.05,"body":"and what the audience should be aware of."},{"speaker":"Today, we focus on First to Market","startTime":2335.05,"endTime":2338.03,"body":"- Yeah, so"},{"speaker":"Today, we focus on First to Market","startTime":2342.31,"endTime":2347.23,"body":"I guess regarding the Swiss institutions,"},{"speaker":"Today, we focus on First to Market","startTime":2349.3,"endTime":2351.23,"body":"they will continue to evolve"},{"speaker":"Today, we focus on First to Market","startTime":2354.19,"endTime":2359.19,"body":"regarding pricing and reimbursement."},{"speaker":"Today, we focus on First to Market","startTime":2359.2,"endTime":2363.73,"body":"On the one hand, as they observe"},{"speaker":"Today, we focus on First to Market","startTime":2359.2,"endTime":2363.73,"body":"changes in other countries,"},{"speaker":"Today, we focus on First to Market","startTime":2363.73,"endTime":2367.99,"body":"I mentioned the EU JCA,"},{"speaker":"Today, we focus on First to Market","startTime":2363.73,"endTime":2367.99,"body":"again, the joint assessment,"},{"speaker":"Today, we focus on First to Market","startTime":2367.99,"endTime":2370.6,"body":"and also as they evaluate"},{"speaker":"Today, we focus on First to Market","startTime":2367.99,"endTime":2370.6,"body":"their own experience"},{"speaker":"Today, we focus on First to Market","startTime":2370.6,"endTime":2373.66,"body":"with their own new access pathways."},{"speaker":"Today, we focus on First to Market","startTime":2373.66,"endTime":2375.58,"body":"I mentioned this early dialogue"},{"speaker":"Today, we focus on First to Market","startTime":2375.58,"endTime":2379.09,"body":"slash early access to"},{"speaker":"Today, we focus on First to Market","startTime":2375.58,"endTime":2379.09,"body":"general reimbursement pathway"},{"speaker":"Today, we focus on First to Market","startTime":2379.09,"endTime":2382.483,"body":"and the hospital ATMP pathway,"},{"speaker":"Today, we focus on First to Market","startTime":2384.94,"endTime":2386.47,"body":"so they keep evolving"},{"speaker":"Today, we focus on First to Market","startTime":2386.47,"endTime":2388.36,"body":"and looking what other"},{"speaker":"Today, we focus on First to Market","startTime":2386.47,"endTime":2388.36,"body":"countries do as well."},{"speaker":"Today, we focus on First to Market","startTime":2388.36,"endTime":2392.227,"body":"And then I think it's worthwhile"},{"speaker":"Today, we focus on First to Market","startTime":2388.36,"endTime":2392.227,"body":"for your listeners to know"},{"speaker":"Today, we focus on First to Market","startTime":2392.227,"endTime":2395.14,"body":"that there's the one major reform"},{"speaker":"Today, we focus on First to Market","startTime":2395.14,"endTime":2396.94,"body":"that is underway in Switzerland"},{"speaker":"Today, we focus on First to Market","startTime":2396.94,"endTime":2401.94,"body":"is the so-called EFAS"},{"speaker":"Today, we focus on First to Market","startTime":2396.94,"endTime":2401.94,"body":"reform, which seeks to unify"},{"speaker":"Today, we focus on First to Market","startTime":2401.947,"endTime":2406.0,"body":"the financing of healthcare services"},{"speaker":"Today, we focus on First to Market","startTime":2406.0,"endTime":2408.43,"body":"to change how healthcare is financed"},{"speaker":"Today, we focus on First to Market","startTime":2408.43,"endTime":2412.12,"body":"between cantons and insurers."},{"speaker":"Today, we focus on First to Market","startTime":2412.12,"endTime":2416.92,"body":"And the idea behind it is to remove,"},{"speaker":"Today, we focus on First to Market","startTime":2416.92,"endTime":2420.91,"body":"let's say, some perverse"},{"speaker":"Today, we focus on First to Market","startTime":2416.92,"endTime":2420.91,"body":"incentives within the system"},{"speaker":"Today, we focus on First to Market","startTime":2420.91,"endTime":2425.91,"body":"that, so far, have favoured"},{"speaker":"Today, we focus on First to Market","startTime":2420.91,"endTime":2425.91,"body":"inpatient treatment"},{"speaker":"Today, we focus on First to Market","startTime":2426.28,"endTime":2429.85,"body":"when you might as well do the same thing"},{"speaker":"Today, we focus on First to Market","startTime":2429.85,"endTime":2432.79,"body":"on an outpatient basis."},{"speaker":"Today, we focus on First to Market","startTime":2432.79,"endTime":2437.71,"body":"And this reform is currently underway,"},{"speaker":"Today, we focus on First to Market","startTime":2437.71,"endTime":2440.98,"body":"it'll start being implemented in '26,"},{"speaker":"Today, we focus on First to Market","startTime":2440.98,"endTime":2443.44,"body":"and the acute services will transition"},{"speaker":"Today, we focus on First to Market","startTime":2443.44,"endTime":2447.67,"body":"to this new financing system in 2028,"},{"speaker":"Today, we focus on First to Market","startTime":2447.67,"endTime":2450.55,"body":"and other institutions to follow later."},{"speaker":"Today, we focus on First to Market","startTime":2450.55,"endTime":2455.2,"body":"We're all kind of"},{"speaker":"Today, we focus on First to Market","startTime":2450.55,"endTime":2455.2,"body":"watching how this unfolds"},{"speaker":"Today, we focus on First to Market","startTime":2455.2,"endTime":2457.39,"body":"because there's an awful"},{"speaker":"Today, we focus on First to Market","startTime":2455.2,"endTime":2457.39,"body":"lot that is unclear,"},{"speaker":"Today, we focus on First to Market","startTime":2457.39,"endTime":2460.003,"body":"but that will become clearer"},{"speaker":"Today, we focus on First to Market","startTime":2457.39,"endTime":2460.003,"body":"in the next few months."},{"speaker":"Today, we focus on First to Market","startTime":2461.68,"endTime":2464.377,"body":"- So I guess it's a kind of"},{"speaker":"Today, we focus on First to Market","startTime":2461.68,"endTime":2464.377,"body":"watch this space for how-"},{"speaker":"Today, we focus on First to Market","startTime":2464.377,"endTime":2467.06,"body":"- Yeah, definitely."},{"speaker":"Today, we focus on First to Market","startTime":2464.377,"endTime":2467.06,"body":"- This will unfold."},{"speaker":"Today, we focus on First to Market","startTime":2467.06,"endTime":2468.52,"body":"- Yeah."},{"speaker":"Today, we focus on First to Market","startTime":2467.06,"endTime":2468.52,"body":"- Yeah."},{"speaker":"Today, we focus on First to Market","startTime":2468.52,"endTime":2471.793,"body":"But that's also relevant to"},{"speaker":"Today, we focus on First to Market","startTime":2468.52,"endTime":2471.793,"body":"drugs, devices, et cetera,"},{"speaker":"Today, we focus on First to Market","startTime":2472.66,"endTime":2474.66,"body":"but we don't know how it'll pay out yet."},{"speaker":"Today, we focus on First to Market","startTime":2476.08,"endTime":2477.94,"body":"- Interesting that"},{"speaker":"Today, we focus on First to Market","startTime":2476.08,"endTime":2477.94,"body":"they're shifting that care"},{"speaker":"Today, we focus on First to Market","startTime":2477.94,"endTime":2480.01,"body":"to the outpatient setting,"},{"speaker":"Today, we focus on First to Market","startTime":2480.01,"endTime":2481.36,"body":"and I guess we're seeing a bit of that"},{"speaker":"Today, we focus on First to Market","startTime":2481.36,"endTime":2482.823,"body":"within other countries as well,"},{"speaker":"Today, we focus on First to Market","startTime":2482.823,"endTime":2486.04,"body":"so it's quite interesting"},{"speaker":"Today, we focus on First to Market","startTime":2482.823,"endTime":2486.04,"body":"that they're following suit."},{"speaker":"Today, we focus on First to Market","startTime":2486.04,"endTime":2488.11,"body":"- I think we're quite behind in that"},{"speaker":"Today, we focus on First to Market","startTime":2488.11,"endTime":2490.0,"body":"because of these perverse incentives."},{"speaker":"Today, we focus on First to Market","startTime":2490.0,"endTime":2491.5,"body":"It's good that they're doing something"},{"speaker":"Today, we focus on First to Market","startTime":2491.5,"endTime":2495.22,"body":"because we also pay premiums."},{"speaker":"Today, we focus on First to Market","startTime":2495.22,"endTime":2498.43,"body":"We don't just help get drugs"},{"speaker":"Today, we focus on First to Market","startTime":2495.22,"endTime":2498.43,"body":"and devices, et cetera,"},{"speaker":"Today, we focus on First to Market","startTime":2498.43,"endTime":2500.71,"body":"reimburse, but we also pay premiums,"},{"speaker":"Today, we focus on First to Market","startTime":2500.71,"endTime":2503.173,"body":"and they keep increasing and it's crazy."},{"speaker":"Today, we focus on First to Market","startTime":2506.26,"endTime":2509.02,"body":"- So I guess now we ought to"},{"speaker":"Today, we focus on First to Market","startTime":2506.26,"endTime":2509.02,"body":"move to some of the questions"},{"speaker":"Today, we focus on First to Market","startTime":2509.02,"endTime":2511.48,"body":"that we've been sent in advance."},{"speaker":"Today, we focus on First to Market","startTime":2511.48,"endTime":2514.72,"body":"So we have one interesting"},{"speaker":"Today, we focus on First to Market","startTime":2511.48,"endTime":2514.72,"body":"question here for Elisabeth"},{"speaker":"Today, we focus on First to Market","startTime":2514.72,"endTime":2517.3,"body":"that was sent ahead of the webinar."},{"speaker":"Today, we focus on First to Market","startTime":2517.3,"endTime":2520.24,"body":"And the question is,"},{"speaker":"Today, we focus on First to Market","startTime":2517.3,"endTime":2520.24,"body":"\"Are Swiss payers open"},{"speaker":"Today, we focus on First to Market","startTime":2520.24,"endTime":2522.37,"body":"for confidential discounts,"},{"speaker":"Today, we focus on First to Market","startTime":2522.37,"endTime":2526.057,"body":"and what is an acceptable"},{"speaker":"Today, we focus on First to Market","startTime":2522.37,"endTime":2526.057,"body":"range from your experience?\""},{"speaker":"Today, we focus on First to Market","startTime":2527.98,"endTime":2531.973,"body":"- Ooh, they're definitely open to this."},{"speaker":"Today, we focus on First to Market","startTime":2532.9,"endTime":2537.9,"body":"This is common for high-priced new drugs,"},{"speaker":"Today, we focus on First to Market","startTime":2538.63,"endTime":2541.783,"body":"like I guess in most other countries too."},{"speaker":"Today, we focus on First to Market","startTime":2543.25,"endTime":2548.25,"body":"So a new methods guideline has come out"},{"speaker":"Today, we focus on First to Market","startTime":2549.04,"endTime":2554.04,"body":"for the drugs pathway"},{"speaker":"Today, we focus on First to Market","startTime":2549.04,"endTime":2554.04,"body":"in January this year,"},{"speaker":"Today, we focus on First to Market","startTime":2555.67,"endTime":2558.64,"body":"where they make certain"},{"speaker":"Today, we focus on First to Market","startTime":2555.67,"endTime":2558.64,"body":"things more transparent"},{"speaker":"Today, we focus on First to Market","startTime":2558.64,"endTime":2560.41,"body":"and explicit than they used to be,"},{"speaker":"Today, we focus on First to Market","startTime":2560.41,"endTime":2565.41,"body":"so anything that is"},{"speaker":"Today, we focus on First to Market","startTime":2560.41,"endTime":2565.41,"body":"below 25% as a discount"},{"speaker":"Today, we focus on First to Market","startTime":2565.42,"endTime":2568.39,"body":"basically by nature is not confidential"},{"speaker":"Today, we focus on First to Market","startTime":2568.39,"endTime":2571.15,"body":"because that will be published."},{"speaker":"Today, we focus on First to Market","startTime":2571.15,"endTime":2574.48,"body":"So in order to be a confidential discount,"},{"speaker":"Today, we focus on First to Market","startTime":2574.48,"endTime":2577.51,"body":"it has to be at least 25%,"},{"speaker":"Today, we focus on First to Market","startTime":2577.51,"endTime":2580.93,"body":"but I've encountered"},{"speaker":"Today, we focus on First to Market","startTime":2577.51,"endTime":2580.93,"body":"much higher discounts."},{"speaker":"Today, we focus on First to Market","startTime":2580.93,"endTime":2583.9,"body":"It really depends on many factors,"},{"speaker":"Today, we focus on First to Market","startTime":2583.9,"endTime":2586.63,"body":"like which payer we're talking about."},{"speaker":"Today, we focus on First to Market","startTime":2586.63,"endTime":2589.39,"body":"Are we talking about the"},{"speaker":"Today, we focus on First to Market","startTime":2586.63,"endTime":2589.39,"body":"Federal Office of Public Health"},{"speaker":"Today, we focus on First to Market","startTime":2589.39,"endTime":2593.98,"body":"that regulates what happened?"},{"speaker":"Today, we focus on First to Market","startTime":2593.98,"endTime":2596.95,"body":"What is covered by the mandatory"},{"speaker":"Today, we focus on First to Market","startTime":2593.98,"endTime":2596.95,"body":"health insurance premiums?"},{"speaker":"Today, we focus on First to Market","startTime":2596.95,"endTime":2600.52,"body":"Or are you talking to insurers directly?"},{"speaker":"Today, we focus on First to Market","startTime":2600.52,"endTime":2604.03,"body":"And other factors that matter"},{"speaker":"Today, we focus on First to Market","startTime":2600.52,"endTime":2604.03,"body":"for the confidential discounts"},{"speaker":"Today, we focus on First to Market","startTime":2604.03,"endTime":2608.26,"body":"is obviously what evidence"},{"speaker":"Today, we focus on First to Market","startTime":2604.03,"endTime":2608.26,"body":"package you have, the unmet need,"},{"speaker":"Today, we focus on First to Market","startTime":2608.26,"endTime":2610.18,"body":"and also the size of the population."},{"speaker":"Today, we focus on First to Market","startTime":2610.18,"endTime":2612.913,"body":"So I think it's difficult"},{"speaker":"Today, we focus on First to Market","startTime":2610.18,"endTime":2612.913,"body":"to give a general answer."},{"speaker":"Today, we focus on First to Market","startTime":2616.27,"endTime":2617.62,"body":"- Well, thank you for that."},{"speaker":"Today, we focus on First to Market","startTime":2618.49,"endTime":2620.32,"body":"I guess we ought to probably wrap up"},{"speaker":"Today, we focus on First to Market","startTime":2620.32,"endTime":2622.6,"body":"so that we can keep to time."},{"speaker":"Today, we focus on First to Market","startTime":2622.6,"endTime":2624.97,"body":"So thank you for a really interesting"},{"speaker":"Today, we focus on First to Market","startTime":2624.97,"endTime":2626.8,"body":"and fascinating discussion today."},{"speaker":"Today, we focus on First to Market","startTime":2626.8,"endTime":2629.29,"body":"It was really great to"},{"speaker":"Today, we focus on First to Market","startTime":2626.8,"endTime":2629.29,"body":"hear more about Switzerland"},{"speaker":"Today, we focus on First to Market","startTime":2629.29,"endTime":2631.123,"body":"and how that market operates."},{"speaker":"Today, we focus on First to Market","startTime":2632.8,"endTime":2634.63,"body":"And thank you to the"},{"speaker":"Today, we focus on First to Market","startTime":2632.8,"endTime":2634.63,"body":"audience for listening"},{"speaker":"Today, we focus on First to Market","startTime":2634.63,"endTime":2635.89,"body":"to our conversation."},{"speaker":"Today, we focus on First to Market","startTime":2635.89,"endTime":2637.75,"body":"And we will follow up"},{"speaker":"Today, we focus on First to Market","startTime":2635.89,"endTime":2637.75,"body":"with any of the questions"},{"speaker":"Today, we focus on First to Market","startTime":2637.75,"endTime":2639.22,"body":"that we didn't cover today,"},{"speaker":"Today, we focus on First to Market","startTime":2639.22,"endTime":2642.01,"body":"and we're happy to help signpost"},{"speaker":"Today, we focus on First to Market","startTime":2639.22,"endTime":2642.01,"body":"anyone to the right place"},{"speaker":"Today, we focus on First to Market","startTime":2642.01,"endTime":2644.56,"body":"if they want to continue the conversation."},{"speaker":"Today, we focus on First to Market","startTime":2644.56,"endTime":2646.153,"body":"So thank you again, Elisabeth."},{"speaker":"Today, we focus on First to Market","startTime":2647.59,"endTime":2649.69,"body":"- Thank you, Louise, and"},{"speaker":"Today, we focus on First to Market","startTime":2647.59,"endTime":2649.69,"body":"thank you for having me,"},{"speaker":"Today, we focus on First to Market","startTime":2649.69,"endTime":2652.42,"body":"and thank you to everybody"},{"speaker":"Today, we focus on First to Market","startTime":2649.69,"endTime":2652.42,"body":"for spending your lunch,"},{"speaker":"Today, we focus on First to Market","startTime":2652.42,"endTime":2653.92,"body":"breakfast, or dinner with us."},{"speaker":"Today, we focus on First to Market","startTime":2653.92,"endTime":2654.753,"body":"That was cool."},{"speaker":"Today, we focus on First to Market","startTime":2656.95,"endTime":2658.48,"body":"- [Narrator] Thank you for watching."},{"speaker":"Today, we focus on First to Market","startTime":2658.48,"endTime":2659.74,"body":"If you'd like to find out more"},{"speaker":"Today, we focus on First to Market","startTime":2659.74,"endTime":2662.5,"body":"about how we can support"},{"speaker":"Today, we focus on First to Market","startTime":2659.74,"endTime":2662.5,"body":"your market access goals,"},{"speaker":"Today, we focus on First to Market","startTime":2662.5,"endTime":2664.36,"body":"get in touch today."},{"speaker":"Today, we focus on First to Market","startTime":2664.36,"endTime":2667.933,"body":"For more market access"},{"speaker":"Today, we focus on First to Market","startTime":2664.36,"endTime":2667.933,"body":"insights, follow us on LinkedIn."}]}