2010 TTC,llc E-Newsletter, Issue 1


    
Greetings!
Check out the latest industry news and insights into clinical cost benchmarking as brought to you by GrantPlanŽ,
CRO CostProŽ, IISiS™ and Standard of Care™.
 
In This Issue
Welcome to the "Other Side" of Grant PlanŽ ...Online Negotiation
Why Apply Standard of Care in Clinical Trial Research?
From the Help Desk: Procedure Codes in Search of Non-Procedure Partners
Welcome to the "Other Side" of
Grant PlanŽ ...Online Negotiation


Online Negotiation, with investigator sites, is the 2010 trend for the industry.  Once you try it, you will never return to the telephone, paper based and fax methods again.  It is faster, easy to use and a greener way to negotiate.

TTC has documented significantly reduced times between negotiation start and budget lock.  This reduced cycle time improves the time to study start.
 
Getting started is as easy as 1, 2, 3...

1)    Prepare for negotiation by setting the study specifics
       to be forwarded to the investigator sites.

2)    Begin the negotiation by having TTC connect with and
       train your investigators on the use of the online capability.

3)    It's a lock... any changes and acceptances to the proposed
       costs are highlighted and recorded.

GrantPlanŽ retains a record of all the study budget transactions, keeping the entire study in one secure location available for your access at a later date. This feature provides for speed to budget agreement, saving time and getting to start of study quicker.  The "Other Side" is just another way GrantPlanŽ serves clients with an effortless means of negotiating budgets.

Investigators and sponsor alike, quickly adapt to the other side of GrantPlanŽ vowing never to return to their antiquated ways again.

For a demonstration of the GrantPlanŽ on-line negotiation, please contact TTC at (215) 243-4103 or email at
help@ttc-llc.com.
 
Why Apply Standard of Care
in Clinical Trial Research?

Current Payment Overlap for Standard of Care Treatment in U.S. Clinical Trials, As a Percentage of the Total Cost Per Patient


Graph

The financial aspect of standard of care in patient treatment has become a major issue for many companies conducting clinical research.  Of equal importance is the focus of legislative and regulatory agencies on all payments made to physicians from the pharmaceutical companies involved in all phases of clinical trials.  The issue of fair market value payments to physicians is called into question by these agencies.
 
It is known that subjects in later phase clinical research must have the malady being treated in the clinical trial.  Consequently many of the treatments these patients receive would and should be covered by third party payers, typically government programs as Medicare and Medicaid or by commercial insurance companies.   
 
Furthermore senior clinical development management is simply looking for better ways to contain rapidly increasing drug development costs.  The application of Standard of Care™ is one way to avoid double payments for medical procedures that are covered by third party payers.  A review of over 100 current protocols* demonstrates that, while companies are introducing standard of care considerations into their clinical grants, there remains a substantial amount of potential payment overlap.  Even where pharmaceutical sponsors have considered standard of care in their grants, analysis reveals an additional 22 percent of clinical grants, can be identified as payments by these third party payers.  Standard of care is substantiated by, what physicians are routinely paid to treat a patient for a specific indication according to actual payment records**.  Moreover, 80%, of this payment overlap take place for less expensive procedures, that is, procedures costing less than $1000. 
 
* Subscribers to GrantPlan conduct over 76% of all clinical trials, ClinicalTrials.gov; March 1, 2010.

** Trialytics payments data covering over 800 million payment records from commercial insurance companies, Medicare and Medicaid.
From the Help Desk



Procedure Codes in Search of Non-Procedure Partners


Negotiated grants TTC receives from GrantPlanŽ subscribers have identified some procedure codes in need of additional non-procedure codes. This is especially pronounced in protocols specifying procedures as longer term glucose testing, spirometries and the more complex, invasive procedures including biopsies and colonoscopies.

GrantPlanŽ highlights several options to account for additional resources at the institutions performing these procedures.  According to the type of procedure GrantPlanŽ has codes for day facility fee simple, complex and overnight simple and complex.


Users have applied simple daily facility fees used for glucose tolerance testing, spirometries lasting several hours and longer term pharmacokinetic sampling.  Complex daily facility fees can be considered when bronchoscopies and colonoscopies are performed and the subject will need a recovery room for several hours including additional attention by the staff.  In situations where there is a bone biopsy with potential bleeding or infection, an overnight facility fee might be appropriate.


Please feel free to contact us at help@ttc-llc.com with any questions. As always, happy benchmarking from the TTC team!

 
Contact TTC,llc
www.ttc-llc.com
TTC Corporate Headquarters
4548 Market Street
Suite M-20
Philadelphia, PA 19139
215.243.4103 (tel)
215.895.4001 (fax)
info@ttc-llc.com

816 West Evergreen
Suite 200
Chicago, IL 60642
773.799.9378 (tel)
773.681.7144 (fax)
info@ttc-llc.com

TTC European Headquarters
136 Delaware Road
London, W9 2LL UK
44 (0)7792 145 831 (tel)
44 (0)2086 584 033 (fax)
info@ttc-llc.com

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