The healthcare industry’s rapid evolution Patients, healthcare providers and payers are seeking higher quality care, lower costs and better outcomes Patients Becoming more knowledgeable and accountable for their own illnesses Payers Rewarding the value of care vs. the volume healthcare services delivered of More than 50% of all US physicians now work for hospitals or integrated delivery networks1 Digital health records are becoming the nerve center connecting the entire system The shape of the system is changing Healthcare providers are joining: Large Health Systems Integrated delivery networks Independent provider organizations Decision-making is changing Healthcare decision-makers — and the way they work with the pharmaceutical industry — are also evolving: More than 10 million Americans gained health coverage in 2014 3 Only 51% of prescribers are opento conversations with pharma sales teams2 Non-MD providers – estimated 60% of the health workforce – are engaging more with patients 4 GSK has adapted to this change We’ve transformed our business model to better address the needs of our customers and their patients Aligning our teams around brands and areas of therapy and the types of customers we serve Training our people more rigorously so they have deeper knowledge around specific medicines and disease states Reformulating how we incentivize our sales representatives We’ve fundamentally changed how we sell and market our medicines and vaccines Rewarding our prescriber-facing sales representatives not on how many prescriptions they generate, but on how much they know and how they work with customers Moving to discontinue payments to doctors for speaking on our behalf by 2016 Shifting our financial support of continuing medical education away from commercial providers to qualified academic medical centers and professional medical associations We’ve seen progress across the board Since 2011, there has been a 50% increase (up nearly 11 points) in the value of customers at medical centers see in our sales representatives 5 High satisfaction rates among our customers increased 6% in 2013 5 Many healthcare providers have started meeting with our sales representatives again because of these changes GSK is putting patients first. Learn more at us.gsk.com/patientfocus Kocher et al, “Hospitals' Race to Employ Physicians — The Logic behind a Money-Losing Proposition,” New England Journal of Medicine, May 2011. ZS Associates, ACCESSMONITOR™ 2014 Executive Summary. 3 Sommers, BD et al, Health Reform and Changes in Health Insurance Coverage in 2014, New England Journal of Medicine, July 2014. 4 UCSF, Advancing the Allied Health Professions, 2012. 5 Data on file. GSK proprietary survery. 1 2
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