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17 Reasons Why Medtech Commercial Teams Fail

Writer's picture: Ben WeitzBen Weitz

Updated: Feb 11

Medical device commercial teams can fail for a variety of reasons, many of which are linked to strategic missteps, poor alignment with market needs, or operational challenges. Here are some common reasons why medical device commercial teams struggle:


1. Lack of Clinical Understanding

Without a deep understanding of the clinical environment, commercial teams may struggle to effectively communicate the value of the device to healthcare providers. They must be able to explain how the device solves specific clinical problems, integrates into workflows, and improves patient outcomes. Teams that don't grasp these aspects may face resistance from medical professionals.


2. Inadequate Training of Sales Teams

Medical devices are often complex, requiring commercial teams to be highly knowledgeable about the product’s technical features, benefits, and regulatory requirements. Inadequate training can result in sales teams being ill-prepared to answer detailed questions or provide value in sales conversations, leading to lost deals and weak market penetration.


3. Failure to Target the Right Customer Segments

Commercial teams may target the wrong customer segments or decision-makers within healthcare organizations. For instance, focusing too much on clinicians without addressing hospital administrators, procurement teams, or financial decision-makers can hinder the sales process. The purchasing decision for medical devices is typically multi-stakeholder, requiring a broad focus on all influencers.


4. Poor Alignment with Reimbursement and Payer Strategies

Failing to align with reimbursement models is a major reason for commercial failure. If payers (insurance companies, Medicare, etc.) do not provide coverage for the device, or if the commercial team cannot clearly articulate the economic benefits (such as cost savings or efficiency improvements), hospitals and clinics may hesitate to adopt the device, even if it's clinically superior.


5. Underestimating the Sales Cycle

Medical device sales cycles are often long and complex, especially for high-cost devices. Teams that underestimate the time and effort required to educate stakeholders, obtain regulatory approval, and address procurement barriers may run out of steam before closing deals. This can lead to misaligned expectations with leadership and missed revenue targets.


6. Ineffective Marketing and Messaging

Poorly crafted marketing messages that fail to clearly convey the device's value proposition to healthcare providers can doom a product's commercial success. Commercial teams that focus too much on features and not enough on the tangible benefits for clinicians and patients can struggle to resonate with their target audience. Tailored messaging is key.


7. Lack of Post-Sale Support and Service

Failing to provide adequate post-sale support, training, and service can result in poor user experiences and reduced long-term adoption. Medical devices often require ongoing technical support, user training, and maintenance. If commercial teams neglect this, even initially successful sales may lead to customer dissatisfaction and loss of reputation.


8. Neglecting Key Opinion Leaders (KOLs)

Key opinion leaders (influential clinicians, researchers, or thought leaders) play a crucial role in promoting medical devices within the healthcare community. Failing to engage with KOLs early and effectively can limit the device's credibility and slow adoption. Commercial teams that do not build strong KOL networks may struggle to generate clinical trust.


9. Lack of Strategic Partnerships

Commercial teams often overlook opportunities to partner with complementary companies, distributors, or healthcare organizations that could help expand reach. Strategic alliances can facilitate market entry, enhance credibility, and offer access to broader customer bases. Failing to build such partnerships limits growth potential.


10. Unrealistic Sales Projections and Metrics

Overestimating market demand or setting unrealistic sales targets can put undue pressure on commercial teams. This often leads to misalignment between sales efforts and realistic market dynamics, causing frustration and burnout among sales teams. It’s important to set achievable goals based on sound market research.


11. Inefficient Territory Management

Poor management of sales territories and resources can result in unbalanced market coverage. Some regions may be neglected while others are oversaturated. Without a strategic approach to territory allocation, sales efforts can become inefficient, leading to missed opportunities and underperformance in key areas.


12. Failure to Adapt to Market Feedback

Commercial teams that do not adapt their strategies based on feedback from the market or end users may fail. Healthcare providers often provide valuable input on product performance, usability, or unmet needs. Failing to relay this information back to the development and marketing teams limits the potential for product improvements or more effective marketing strategies.


13. Poor Competitive Intelligence

Commercial teams that are unaware of their competitors’ products, pricing strategies, or market positioning can struggle to differentiate their own offerings. Without a clear understanding of how to compete on value, cost, or innovation, they may lose out to more strategically positioned competitors.


14. Weak Internal Alignment

Misalignment between the commercial team and other departments (e.g., R&D, marketing, regulatory affairs) can lead to poor execution. For example, if the commercial team isn’t closely involved with product development, they may struggle to communicate the device's strengths. Similarly, poor alignment with marketing can lead to inconsistent messaging.


15. Inadequate Use of Digital Tools

In today’s healthcare environment, digital tools like customer relationship management (CRM) systems, data analytics, and digital marketing strategies are critical for optimizing sales efforts. Teams that fail to leverage these tools may lag behind competitors in terms of market insights, customer engagement, and sales effectiveness.


16. Ignoring Global Market Nuances

For companies expanding internationally, failing to account for local regulatory environments, cultural differences, and market preferences can result in poor commercial performance. Launching a device without tailoring the approach to specific regional needs or without understanding local reimbursement systems can hinder success.


17. Overlooking Patient-Centric Value

Increasingly, healthcare systems are focusing on patient outcomes and value-based care. Commercial teams that fail to demonstrate how their device improves patient outcomes or reduces healthcare costs in a meaningful way may struggle in environments that prioritize value over technology.


By avoiding these mistakes, commercial teams in medical device companies can position themselves for stronger market penetration, better relationships with healthcare providers, and sustainable growth.



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