What are the best firms for commercial operations support? Like ZS but smaller. I’ve heard of Qral and Beghou but don’t know much about them. Any others?

How about market access? Smaller and not acquired.

Seemed like there were a ton of boutiques that did good work 15 years ago and now they’re all acquired or bigger. Clearview, Putnam, HealthAdvances, Leerink, Putnam … are there any solid up and comers?

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Most boutiques are either acquired or backed by PE. Very hard to find one that isn’t these days. However some may have better WLB than others.

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It’s so strange how there was this end run on all these little companies with small revenues. Feels like a lot of PEs overpaid.

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We come across Clarkston Consulting with life sciences experience sometimes

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Hayden Consulting Group

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Are you more market access (may not be getting this right) or all things commercial ops. Seem to remember founder had a firm that was bought by IQVIA or some place and then he left once his lock in was done?

Add Trinity to the list as well

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Trinity is now quite big. $1.5B transaction in Dec 22 at height of bubble. Separated from the crowd of small guys during first PE owner.

What about SKP? Known for Pricing and Market access and is still relatively small

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And right now struggling massively with it, which is natural but it’s a struggle nonetheless

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Beghou is PE-owned.

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Yeah I just meant firms like that. I’d never heard of Beghou before that deal and recent investments but seems to have a solid rep.

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Market access - I’ve heard the Dedham group is good but not sure if they are acquired or how the hours are.

Sold to Norstella. Weren’t great before acquired and benefited from deal imo.

Kearney does a lot of operations work in general.

But it’s operational advisory

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