Video: Commercial Reloaded – Are We Ready for Today’s & Tomorrow’s HCPs?

How are AI engines like ChatGPT and Claude transforming the way healthcare professionals (HCPs) find medical data and information? In this “Commercial Reloaded” panel discussion from NEXT Pharma Summit in Dubrovnik, industry experts dive into the radical shifts happening in healthcare communication and why traditional engagement models are no longer enough.

Panelists:

  • Paul Tunnah (Moderator) – CEO of VuuAI
  • Barbara Albientz – Former Head of Business Innovation, Helvion Therapeutics
  • David Vanni – Customer Strategy at Novartis
  • Derek Choy – Head of Product at PharmaForceIQ

Paul Tunnah: Hey everybody. For those that don’t know me, I’m Paul Tunnah, CEO of VuuAI, a content AI startup. 

This is about reimagining the way we work, not just about making things quicker. And that’s what we’re going to talk about on this panel because if you’re going to reimagine the way you work, you want to do that around the evolving customer needs.

I’ve worked in this industry for 25 years, and I’ve seen HCP and patient needs change so dramatically. We have to be responsive and reactive to that. To set the scene, I’m going to hand over to Derek first to show us some data on exactly how HCP needs are evolving. We’re then going to chat through what that means. Derek, over to you.

Derek Choy: Thanks, Paul. Hi everyone, I’m Derek. In the last 12 years, I’ve been pioneering field next best action as part of Aktana, which got acquired by PharmaForceIQ earlier this year. I’ve been expanding my focus to thinking about how HCP preferences have been changing. 

We want to share a couple of stats today that really highlight how things have evolved. But I would say that, based on the lessons through what I’ve done, it’s really all about the individual behind the stats. As we start thinking about how HCPs are changing, we’re going to dive into that.

The first stat that we’re probably all pretty familiar with is from ChatGPT earlier this year: 320 million health queries occur on ChatGPT every single week. Behind that, when looking at what’s happening with physicians where patients visit them, they are saying, “I have my patients come in quoting AI now. So I’m using it too just to keep up.” 

What that means is that physicians are now using AI. 75% of European physicians are using it for medical reasons, and four in five are looking there for answers before they actually talk to a rep or an MSL. Furthermore, 54% even prefer it. When a tricky trial question hits at midnight, doctors are saying, “I don’t text my MSL anymore. I ask AI. Honestly, that’s my first stop now.”

It’s not just about how physicians are engaging; it’s also about who they actually are. 

When you look across HCPs at a hospital, the turnover is roughly one in five. We hear things like, “Honestly, I’m the third doctor in this role in five years. Reps keep building relationships with people who’ve already left.”

When we look at who we need to target, that’s changing as well. 25% of primary care visits in the US are now managed by nurse practitioners, who manage over 2,000 primary care patients. Yet, they note, “Honestly, I’ve never had a single pharma rep visit.” 

Lastly, we need to recognize that in the EU, people are coming from everywhere—60% of doctors are trained in another country. 

With all that in play, while we think about targeting segments, really it’s not about the segment; it’s about the individuals inside the segment. We are looking now at figuring out how we can optimize for each physician and their specific journey. 

I think that sets us up for what we need to talk about today.

Paul Tunnah: Yeah, exactly. Before we dive in, maybe just a quick nod to Aziza, who was supposed to be on this panel but sadly couldn’t be here due to travel difficulties. I know in the prep call, she raised some really important points about cultural differences with doctors and thinking more about that aspect as well. It’s a real shame that she can’t be here.

Derek, you’ve raised some important points and interesting data. It makes me think that 10 years ago we were talking about “Doctor Google” and the problems that caused. Now it’s “Doctor ChatGPT” causing problems for our HCPs, so things are really changing. David, let me start with you. Do a quick introduction of yourself, and I’d love to hear your thoughts and reflections on how those needs are changing.

David Vanni: Sure, thank you. It’s a pleasure to be here. I work at Novartis in customer strategy. As a disclaimer, the views are my own here.

How are customer needs changing? Beyond that, we live in a world where, thanks to AI, information is commoditizing. We are not going to win against that just by being smart. No strategy will win against the internet—it’s just too powerful. As a customer strategy person, I ask myself: how do I stay relevant in that change? Do I keep fighting a dying game, or do I pivot?

I think we have to pivot and be more present in the hospital, support clinical practice more, and reduce frictions. At the end of the day, that’s where science happens—it’s doctors delivering drugs to patients. That’s the way I’m positioning myself today.

Paul Tunnah: That makes sense. Barbara, same thing to you. If you could give a brief introduction, how are you most seeing HCP needs change right now?

Barbara Albientz: Sure. Thank you for the question. About myself, I work really at the crossroad of strategy and business innovation, bringing both of those parts together.

What I’m seeing is that we are in a big gap. To me, physicians are behaving exactly like we are behaving right now. We are looking for a very quick answer. Ten years ago that quick answer was probably Google, but nowadays it’s ChatGPT, Claude, or whatever it is. That’s how they get their access to information, and that’s actually what we are competing against. I’m not sure we can win that competition by simply increasing share of voice. We really have to change the way we look at it and understand how we actually add value to the physician.

Deeply rooted in how we need to change is asking: how do we add value? I am not sure that adding value simply means going for better content or using a different channel. It’s really about how we can help them and truly understand what their problems are.

Paul Tunnah: Yeah, completely agree. It’s interesting you use that term “share of voice.” I used to hear that term used a lot in the context of the competitive landscape, but now it’s about how we compete with the AI engines. Again, referencing Steph’s presentation, my worry for the industry is that if we just keep doing what we’re doing but do it quicker, cheaper, and faster, we’re not going to win. We need to change the way we do things.

Derek, coming back to you, what does this mean in terms of engagement models? How radical do we need to be?

Derek Choy: I think it’s a great question. Share of voice has evolved for the digital era with clicks and impressions, moving past just reach and frequency. But it needs to shift again. 

I think about it now as “share of answer.” Ultimately, if our brand message is not in the answer, then where does it exist?

There are different ways you can optimize for that. We’re starting to work with early adopters on a three-pronged approach to optimize share of answer. 

First, it’s looking at your websites and how you do AEO (Answer Engine Optimization) rather than just SEO. Second, it’s understanding paid media ads – some of these new chat engines offer ads, so you need to make sure you offer that where physicians are going. Third, and most importantly, how do you hyper-target so you don’t treat them all as one engine? You have to think about where each specific HCP is going so you don’t overspend, because it’s a very expensive channel. Lastly, it’s about whether or not you’re actually able to influence the answer itself by giving context to the answer engines.

Barbara Albientz: If you ask me, that’s the key question right now. It’s not necessarily about what specific content I am going to deliver to an HCP. It’s really about data stewardship. 

How do we bring the right data in the right format to those AI platforms so that when a physician looks for information, they get the right answer? Right now, I’m not sure we are looking enough at the data stewardship and formatting angles required for AI to absorb and give the most relevant answer to the physician exactly when they need it.

Paul Tunnah: So there are maybe three dimensions to this. One is taking something like websites and using GEO (Generative Engine Optimization) and AEO to optimize them for AI, not just people. The second dimension is considering what other channels we should be using that we aren’t currently. The third dimension is the field force and non-digital channels—what does this mean for them? These are big questions, but David, I’m interested to get your views on where we are heading.

David Vanni: You mentioned the key word on which we usually test and validate AI outcomes: the quality and usefulness of the outcome. What about our outcome with messaging and content? Is it driving behavioral change? That’s the outcome I want to see—behavioral change at the hospital and in clinical practice. We need to go beyond simply delivering a good message and look at the human impact to take the next step.

Paul Tunnah: To what degree are we looking at that kind of direct behavioral change, which has always been the model, versus trying to influence the AI bots so that their information drives it? Are we running the risk of becoming one step removed?

David Vanni: We can influence through the content, of course, and we’re getting better at it with AI’s support. But AI is also here to help change behaviors in the practice of medicine. To draw a parallel with AI companies like OpenAI and Anthropic who use “forward deployed engineers,” some pharma companies are now using field technical specialists. They go into the hospital and look at how to improve operations to the benefit of the physician. 

Nurses are also very important stakeholders to impact positively for the patient. This removes the frictions I mentioned earlier. That’s how you can scale the usage of your product. The prescription is almost step one, but scaling happens afterward.

Barbara Albientz: I would like to be a little bit controversial here. I love behavioral changes and I’m totally aligned with that, but what you described to me is also how we learn to add value. We have been extremely good at delivering the right message to the right person at the right time. 

But I’m not 100% convinced we have been really good at adding value. To add value, as you described, you have to truly understand what helps the physician, the nurse, and the overall functioning of that specific ecosystem.

We have to change the way we are thinking to be more about listening and understanding. We had a chat over coffee this morning noting the wealth of prompts going every day and every week into these AI systems. Wouldn’t it be worth it to really understand what those prompts are about, get those insights, and understand what the physician really wants? Derek, you have some more expertise in that space, right?

Derek Choy: Absolutely. I think we’re getting to the question of how we measure what’s working in this new world. Measuring this Share of Answer becomes very different than what we used to measure before. We have to start asking: when someone asks a question about a therapeutic area or category, is our brand mentioned? How accurate is that? Often it’s not very accurate depending on which sources it was drawn from. 

In a competitive mindset, how do we as a brand show up against competitors—favorably, unfavorably, accurately? We have to measure it continuously because it changes every week with the way models work and how citations shift.

Paul Tunnah: Right, there’s almost a whole new set of KPIs coming in as we think about AI bots. But is there a risk that we lose the human connection in that process? Are we moving to a place where there are two sets of metrics—how we engage with people versus how we engage with AI bots?

Barbara Albientz: You touch on a good point. KPIs are great to measure our performance and whether we are doing well. There definitely needs to be a set of metrics targeted to machine learning. But I also believe there is another set of measurements we need: Customer Performance Indicators. 

In my opinion, this is going to generate the link and the glue between all those different metrics. Right now we are measuring very well what we are doing, and we need to improve on measuring what is happening in this new AI space. But we fundamentally need to measure how we satisfy the customers, not just how our sales force is performing.

David Vanni: I completely agree with that point. Doctors are changing, and patients are changing as well. Patients are better educated, or at least have more access to information. They come to the doctor with questions and want to be part of the decision-making, which is a good thing if it remains HCP-led. This is new for the doctor, and we need to address it. 

Through patient activation, disease awareness campaigns, and educating on different technologies available, you can help channel patients toward having the right information. 

Otherwise, you increase the burden on the relationship between the patient and the doctor, which is detrimental to the doctor.

Paul Tunnah: There is probably a whole separate panel there on patient impact and balancing patient needs versus HCP needs responsibly. But given we’ve got a few minutes left and people are probably getting hungry, I want to come back to this balance between human engagement and AI engagement. 

AI has enormous potential, but I don’t want to lose that human piece. Let’s spend the last few minutes talking about what we should keep doing to maintain that, and what we should stop doing because it’s outdated. Barbara, do you want to pick up on that?

Barbara Albientz: What comes first to mind is the constant “push” of the message and content we want to deliver to the physician or nurse. What we have to stop doing is delivering the message we want. We have to start delivering what they need.

Derek Choy: Yeah, I love that. It takes me back to when I was first working on field next best action. The first deployments failed because we weren’t taking into account what the rep needed and wanted. I came up with this concept of “feel right”—what feels right for the rep and answers what they need at that moment? 

I think it’s the same when it comes to the adoption of AI, including for physicians. What question do they have, whether they put it into an answer engine or just have it in their mind during a conversation? Let’s answer that question. That is the human element of making it feel right for the physician.

Paul Tunnah: David, anything you think we should stop doing?

David Vanni: I’m looking at how we protect trust in this new world with AI. Sources are going to become increasingly important—not just what you think you know, but where it comes from and if that information is usable. Can you translate that medical knowledge into valuable action for doctors and patients? 

We don’t just need the credibility of medical knowledge. We also need to make ourselves visible. That’s the complexity in a world where it has never been easier to say or post something. Being right but remaining invisible is a real risk.

Paul Tunnah: Completely agree. For the last minute or so, let’s leave people with one concrete takeaway they can rethink within customer engagement as they head into lunch. Derek, what would that be?

Derek Choy: For me, it’s how do you optimize the Share of Answer.

Paul Tunnah: Share of answer. Barbara?

Barbara Albientz: It’s going to be about looking into internal governance and making sure data stewardship is there to be able to actually feed that share of answer.

David Vanni: For me, try to put yourself in the shoes of your customers. Doctors, before being doctors, are normal human beings. Try to understand their experience leveraging AI tools and engaging with these new channels, and then you will understand where you can position yourself in the future.

Paul Tunnah: I would just close by saying there has been a nice flow between the sessions today. We discussed how customer needs are evolving, and Steph talked about reimagining the way we work instead of just making things quicker. 

My plea for people here would be to keep that customer-centric view. Their needs are changing and you have to focus on that, but don’t assume you can deliver against those needs by just doing what you’ve always done. You do need to make time to reimagine.

Thank you very much to our panelists, and thank you everyone.