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Consolidating clinical services

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Vertical consolidation of hospitals with physician practices, and other related services, is desired to manage patient care across the continuum of health care environments (eg, ambulatory, acute, postacute, and long-term care).

Access to the capital that comes with consolidation is needed to invest in the technology, infrastructure, and innovative delivery systems required to be competitive in a value-based care paradigm.

When facing a consolidation opportunity, it is important to have a methodology and approach to the process; after all, these are complex and impactful decisions.

We begin by referring you to a previous CFA blog post Reviewing this blog will help to frame the issues and focus on the critical questions that serve as the basis for any consolidation analysis and discussion.

Perhaps more significantly, Thermo Fisher Scientific's .2 billion acquisition of Patheon will create a contract services giant, offering pharmaceutical companies end-to-end solutions for drug development, delivery and manufacturing.

Thermo Fisher Scientific provides research, clinical trials and production support for the pharmaceutical industry, while Patheon is a leader in the contract development and manufacturing organization (CDMO) market.

“Now, this acquisition allows us to build on those services.” Wes Wheeler, president of Marken, notes that CTM management for his company encompasses some 45,000 investigator sites, hundreds of drug-development companies, and around 40 central labs around the world where, typically, biologic specimens are delivered.

Reaching this “go/no-go” decision will obviously be required before definitive planning can take place for an optimal operational entity incorporating service “A,” including what will need to happen to make this change both a reality and a success going forward. Refer to our graphic illustration: – It is critical to understand the internal and external strategy of the facilities and how any redistribution of programs or services may change (positively or negatively) overall performance in the marketplace.

An needs to focus on potential market reaction to changes in service, including target population, competitor, and payer community perceptions and potential reactions.

Although the contract research organization market is still a relatively fragmented industry, pharmaceutical companies have increasingly turned to CROs in the past five years to stay competitive, improve their efficiency and therapeutic expertise, while adding more widespread geographic capabilities.

In the last few weeks, several mergers and acquisitions were announced that continue the trend of consolidation in the contract research and development space, as demand for these services has continued to heat up.