Blog 20

One of the major concerns we have heard in our recent discussions with many pharmaceutical companies is managing the risk of being non-compliant with the process and financial audits. The US Sarbanes-Oxley Act (SOX) requires companies to establish and adhere to internal financial controls, resulting in improved accuracy of financial reporting. The equivalent in Europe is the EFPIA code which states that qualifying Transfers of Value (ToV) are recorded and reported upon from 2016 in respect of transactions made in 2015. SOX and its equivalents also require companies to document these internal controls and proactively report on any gaps. The primary objective of compliance is to increase financial transparency and accountability by assigning responsibility to executive leadership and board members. Despite many challenges, pharma companies still largely follow the sales representative-based selling model resulting in a cost of sales (primarily due to FTE and incentive compensation costs) being one of the most important line items during both data collection and reporting. This also requires a significant amount of planning and effort being dedicated to ongoing IC process monitoring, audit reviews, and reporting these costs. When you consider that the majority of “transfer of value” takes place at the sales representative to healthcare professional (HCP) interface, it is key to ensure the integrity of all associated financial processes for compliance and audit purposes. Specific messaging is required during the plan design communication to the salesforce, and the organization needs to ensure that these elements are also a part of sales alignment and crediting processes for them to have an impact on the final sales incentive calculation. This specific 2-step process can result in ethical and transparent messaging and improve the overall motivation and quality of the interface between a sales representative and the healthcare professional.

For IC program management, a large number of pharmaceutical companies still use Excel spreadsheets or home-grown script-based solutions. These solutions are generally preferred because of existing analysts’ familiarity with these applications and perception of control without giving enough consideration to data collection, data quality and compliance requirements. These processes are generally prone to significant non-compliance risks due to a lack of audit control, inability to control access to key components and versioning complexities. As a result, such systems can expose an organization to financial and IT process non-compliance resulting in fines/penalties etc. Various studies have shown that more than 88% of spreadsheets contain errors resulting in significant output errors. In the case of Incentive Compensation, errors can either result in overpayment or underpayment of incentives. Overpayment of incentives generally goes unreported, while underpayments are reported using various field dispute reporting mechanisms. In addition to financial loss, they also result in creating an environment where plan participants distrust the set processes and spend significant time in self-tracking or shadow accounting.

    There are specific features which are desired in any incentive compensation management solution to mitigate compliance risks in addition to controlling the budget by accurate calculations and avoiding overpayments.

    • Automated and Streamlined calculation engine with an integrated quality framework which allows monthly processing with minimal manual intervention (and hence no room for human errors)
    • Integrated field reporting to provide reps with a clear and transparent progress tracking mechanism, including compliance tracking reports to assist in openness
    • Define user access at the role level (admin, operations, configuration, approval etc.) and at an individual IC plan level. This helps in mitigating compliance failure risks and results in better process discipline
    • Ability to monitor dispatched jobs along with access to historic job logs
    • Detailed log for any manual file uploads or deletions with user tags
    • Captures and tracks any payment adjustments and approval history
    • Detailed information on any system / plan configuration changes with the capability to track users
    • Clear change approval mechanism with a strong emphasis on process documentation
    • Defined Incentive payment approval framework
      • Summary reporting at different levels, along with visibility into plan effectiveness parameters and outliers
      • Workflow by function along with online issue resolution capability
    • Access to historical processing/payment information for audits as well as SPIFs, as well as year-end award processing
    • Lastly, but importantly, consistent data quality which complies with the standards required for downstream compliance reporting as a result of standardised processes, controls and formats

    All the above features will help pharma companies to address key aspects of relevant compliance guidelines and will allow them to develop an approach to control any payment leakages because of processing errors. This broader discipline will also help the company build the overall environment of trust with their customers, peers and investors, and the salesforce. This will result in the salesforce spending more time on high-value commercial activities rather than tracking financial metrics inconsistently and exposing the organisation to compliance risks.

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