KAMs


Disheartening to hear they’re still going after IDNs. I retired back in 2019 as a KAM. We tried a couple of different approaches with IDNs across the country and found very little…as in zero… success because of the economics they had to deal with. Too much work for too little profit either up-front or with follow-on care. If any profit at all. Told the boss but didn’t seem to have much of an affect. They’d point to another KAM who was “making progress” in another IDN….so “…keep at it and you’ll get the business.” Unfortunately “making progress” meant they had an appointment with somebody at the IDN…some time in the future. And they’d invariably get shot down over the same economics. At meetings we’d share the same saga over beer…leaders just weren’t listening. It’s possible the economics have changed…but I doubt it.
 








Disheartening to hear they’re still going after IDNs. I retired back in 2019 as a KAM. We tried a couple of different approaches with IDNs across the country and found very little…as in zero… success because of the economics they had to deal with. Too much work for too little profit either up-front or with follow-on care. If any profit at all. Told the boss but didn’t seem to have much of an affect. They’d point to another KAM who was “making progress” in another IDN….so “…keep at it and you’ll get the business.” Unfortunately “making progress” meant they had an appointment with somebody at the IDN…some time in the future. And they’d invariably get shot down over the same economics. At meetings we’d share the same saga over beer…leaders just weren’t listening. It’s possible the economics have changed…but I doubt it.
Were the kams even around in 2019?? Post is correct, though. And "limited success" you speak of us an understatement. Even their great big emergency department "success" dog and pony show is miniscule when you look at the cost. I mean what did it actually do to increase utilization? Significant increase? Marginal increase? Are we paying people $300k a year to "increase awareness", take up tbms selling time and perpetrate a false narrative of importance? Sure looks like we are.
 


Were the kams even around in 2019?? Post is correct, though. And "limited success" you speak of us an understatement. Even their great big emergency department "success" dog and pony show is miniscule when you look at the cost. I mean what did it actually do to increase utilization? Significant increase? Marginal increase? Are we paying people $300k a year to "increase awareness", take up tbms selling time and perpetrate a false narrative of importance? Sure looks like we are.


They are the biggest waste of money this company has. Going to start sending letters to the board to let them know how useless these positions are
 


They are the biggest waste of money this company has. Going to start sending letters to the board to let them know how useless these positions are

If you want to see if they’re any good or not, why don’t you put them on the lybalvi team. Lybalvi is struggling and they should be able to increase sales if they are any good. But they are useless, so good luck with that.
 


If you want to see if they’re any good or not, why don’t you put them on the lybalvi team. Lybalvi is struggling and they should be able to increase sales if they are any good. But they are useless, so good luck with that.

Every internal promotion was successful as a TBM,,,some PC winners. So we know they’re good. It’s just an over-hyped, over staffed department forcing the BS to justify positions.
 




Were they all internal emotions? There were no outside hires?

Doesn’t matter. Just TBMs and DBLs, some are good and some are bad. The real question is whether the role brings enough value for how much they cost. I believe some do, especially in CJ for VIV and some ARI. It’s KAM specific. Some are very good and some are less than good.
 


Yes there are some good ones, but many are just overpaid and useless. The one who covers CO, KS, MO, etc spends more time on vacation than anything. Have yet to find a single reason that she is worth half the money she is paid.
 


Market access leadership failure and corruption comes down to three words: Shane, Adam, Evan.
Part of the corruption done by these three is how trip winners are picked. You can have an amazing year with great feedback on your performance and yet not win. Someone else can have an average at best year and win the trip with very weak justification by these three. They only pick winners based on who are the best lap dogs and not on who actually deserved to win. This years trip winners have already been picked so what’s the point trying to finish the year strong when the trip and bonus is rigged but these three. Welcome to corruption at its finest.
 


Part of the corruption done by these three is how trip winners are picked. You can have an amazing year with great feedback on your performance and yet not win. Someone else can have an average at best year and win the trip with very weak justification by these three. They only pick winners based on who are the best lap dogs and not on who actually deserved to win. This years trip winners have already been picked so what’s the point trying to finish the year strong when the trip and bonus is rigged but these three. Welcome to corruption at its finest.
I remember when only sales people, who actually sold, and lived with hard quotas, were eligible for PC trips. Account director types had softer bonus criteria and stock options. The message to them was "You want to win a trip? Pick up a bag and outperform".
 


I remember when only sales people, who actually sold, and lived with hard quotas, were eligible for PC trips. Account director types had softer bonus criteria and stock options. The message to them was "You want to win a trip? Pick up a bag and outperform".


Slow down there partner

When you take a step back and look at the big picture, it’s pointless talking about who has the “toughest” job in pharma. The whole profession is pretty gay.

Next time you’re walking into a rundown CMHC wearing a suit and tie, toting a Panera bag in each hand, catch a glimpse of yourself in the front office window and tell me I’m wrong.
 


Slow down there partner

When you take a step back and look at the big picture, it’s pointless talking about who has the “toughest” job in pharma. The whole profession is pretty gay.

Next time you’re walking into a rundown CMHC wearing a suit and tie, toting a Panera bag in each hand, catch a glimpse of yourself in the front office window and tell me I’m wrong.
 


Slow down there partner

When you take a step back and look at the big picture, it’s pointless talking about who has the “toughest” job in pharma. The whole profession is pretty gay.

Next time you’re walking into a rundown CMHC wearing a suit and tie, toting a Panera bag in each hand, catch a glimpse of yourself in the front office window and tell me I’m wrong.
If you’re wearing a suit and tie then you are a clueless idiot
 


Slow down there partner

When you take a step back and look at the big picture, it’s pointless talking about who has the “toughest” job in pharma. The whole profession is pretty gay.

Next time you’re walking into a rundown CMHC wearing a suit and tie, toting a Panera bag in each hand, catch a glimpse of yourself in the front office window and tell me I’m wrong.

I haven’t heard someone use the word “gay” in this way since 2012.
 




Slow down there partner

When you take a step back and look at the big picture, it’s pointless talking about who has the “toughest” job in pharma. The whole profession is pretty gay.

Next time you’re walking into a rundown CMHC wearing a suit and tie, toting a Panera bag in each hand, catch a glimpse of yourself in the front office window and tell me I’m wrong.
It's not about how tough the jobs are. The point was that the PC trip used to be reserved only for sales people, who have hard quota goals (not meaning "more difficult", meaning not soft qualitative measures). But over time the forces of entitlement and participation expanded PC to include account people with qualitative goals and roles that come with stock options already. PC used to mean a reward for the top 10% in moving the units, not manager evaluations.
 





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