{
  "docId": "019dd923-5ca1-7489-b638-f79920e0da0e",
  "docSlug": "4271f4524e03d677",
  "documentTitle": "Purdue High Impact Interventions",
  "authorId": "McKinsey",
  "authorName": null,
  "documentKindSlug": "consulting-deck",
  "documentKindLabel": "Consulting deck",
  "sourceTypeSlug": "strategy_consulting",
  "sourceTypeLabel": "Strategy consulting",
  "presentationDate": null,
  "orientation": "portrait",
  "aspectRatio": 0.773,
  "pageNumber": 15,
  "pageCount": 50,
  "prevPage": 14,
  "nextPage": 16,
  "slideType": "pain_points",
  "function": "diagnose",
  "density": "overcrowded",
  "nDataPoints": 11,
  "notes": "The slide uses a horizontal bar chart to rank barriers by frequency of mention.",
  "elementsJson": [
    "bar_chart_horizontal",
    "quote_block"
  ],
  "metadataConfidence": 1,
  "imagePath": null,
  "slideHref": "/slides/019dd923-5ca1-7489-b638-f79920e0da0e/15",
  "deckHref": "/decks/019dd923-5ca1-7489-b638-f79920e0da0e",
  "deckJsonHref": "/decks/019dd923-5ca1-7489-b638-f79920e0da0e.json",
  "deckAnchorHref": "/decks/019dd923-5ca1-7489-b638-f79920e0da0e#slide-15",
  "components": [
    {
      "bbox": null,
      "kind": "callout",
      "text": "Significant additional effort and inadequate data infrastructure are the most frequently cited barriers to implementing risk-sharing agreements.",
      "attrs": null,
      "subkind": null,
      "toolName": "Visual emphasis",
      "toolSlug": "visual-emphasis",
      "confidence": null,
      "componentId": "019dd951-cdee-73ea-b067-cc24644b2ce0",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.65,
        "w": 0.48,
        "x": 0.12,
        "y": 0.215
      },
      "kind": "chart",
      "text": "Top barriers cited in the use of risk-sharing agreements in the US",
      "attrs": null,
      "subkind": "bar-horizontal",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "46986687-ce16-4be6-96b8-624c3ef00361",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": null,
      "kind": "metric",
      "text": "Participant responses: 9",
      "attrs": null,
      "subkind": "primary",
      "toolName": "Quantification",
      "toolSlug": "quantification",
      "confidence": null,
      "componentId": "019dd951-cdee-73ea-b067-d61832f0e383",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.08,
        "w": 0.25,
        "x": 0.64,
        "y": 0.73
      },
      "kind": "quote",
      "text": "Our conversations didn't hit the point of talking about outcomes or pay for performance.",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "5176b603-d178-4ad8-a463-4904bfd0e80e",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.12,
        "w": 0.25,
        "x": 0.64,
        "y": 0.27
      },
      "kind": "quote",
      "text": "It can take the same amount of time to do 1 innovative contract as it would to do 2 or 3 standard contracts.",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "a1457c49-01d8-41cd-8b2f-190a2f4557f2",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.12,
        "w": 0.25,
        "x": 0.64,
        "y": 0.43
      },
      "kind": "quote",
      "text": "Getting the data is not easy, but it is doable, at least in the places where we have integrated medical systems.",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "b9fb2ef5-06bf-4ceb-9c5b-fd5efc4f0842",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.08,
        "w": 0.25,
        "x": 0.64,
        "y": 0.58
      },
      "kind": "quote",
      "text": "Complexity involved in these agreements ends up killing the conversation.",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "e6822475-c186-4eb3-b430-07b867d4f4ec",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": null,
      "kind": "quote",
      "text": "It can take the same amount of time to do 1 innovative contract as it would to do 2 or 3 standard contracts. (Director Specialty Pharma, PBM)",
      "attrs": null,
      "subkind": null,
      "toolName": "Authority citation",
      "toolSlug": "authority-citation",
      "confidence": null,
      "componentId": "019dd951-cdee-73ea-b067-d23850be1152",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.03,
        "w": 0.75,
        "x": 0.12,
        "y": 0.86
      },
      "kind": "source-note",
      "text": "Source: Payor, PBM interviews, Garrison, Louis P., Jr. \"Private Sector Risk-Sharing Agreements in the United States: Trends, Barriers, and Prospects.\" American Journal of Managed Care (2015)",
      "attrs": null,
      "subkind": null,
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "54445fe3-2785-4c1d-9ad1-c7cb33405b73",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.04,
        "w": 0.75,
        "x": 0.12,
        "y": 0.13
      },
      "kind": "title",
      "text": "Barriers for execution remain high in the eyes of payors/ PBMS",
      "attrs": null,
      "subkind": "headline",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "763e0327-7526-4336-ad1b-630a77b7a0be",
      "frameworkName": null,
      "frameworkSlug": null
    }
  ],
  "metrics": [
    {
      "metricRaw": "Participant responses",
      "numberRaw": "9",
      "numberKind": "plain",
      "actionTitle": "Barriers for execution remain high in the eyes of payors/ PBMS",
      "calloutText": "Significant additional effort and inadequate data infrastructure are the most frequently cited barriers to implementing risk-sharing agreements.",
      "numberScale": null,
      "numberValue": 9,
      "metricFamily": "other",
      "numberCurrency": null
    }
  ],
  "tools": [],
  "frameworks": [],
  "arcBeats": [
    {
      "to": 15,
      "from": 6,
      "beatId": "1a3ac2e9-9f33-4cb2-bee9-f10103679e84",
      "arcName": "The Consultant's Gambit",
      "arcSlug": "consultants-gambit",
      "beatName": "Problem & Complication",
      "beatSlug": "consultants-gambit-problem-complication",
      "evidence": "Barriers for execution, low number of innovative contracts",
      "position": 1,
      "confidence": 0.8,
      "parentBeatName": "Complication",
      "parentBeatSlug": "complication"
    }
  ],
  "loops": [
    {
      "to": 32,
      "from": 15,
      "name": "Cost Of Inaction",
      "slug": "27-cost-of-inaction",
      "bestFor": "Urgent budget requests, compliance, risk mitigation",
      "matchId": "e46ba4ce-8a8d-4579-a63f-34be26f97259",
      "evidence": "Barriers for execution, potential for impact at CVS Med D",
      "position": 0,
      "objective": "Highlighting the cost of inaction for Purdue",
      "structure": "The Status Quo -> The Hidden Costs Accumulating -> The Future State of Inaction -> The Tipping Point",
      "confidence": 0.7,
      "description": "Quantify what happens if the audience does nothing"
    }
  ],
  "imagePathAlt": null,
  "thumbSrc": null,
  "thumbSrcAlt": null,
  "locked": true
}