Patients and pricing
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Skin in the game

Talking about trust is one thing. Putting your money where your mouth is, quite another. But this is exactly what Daniel Weiss and Emmanuel Akpakwu did when they collaborated on the launch of a new financial instrument, which puts the global health commitment of Novartis to the test, financially and reputation-wise. Their collaboration is also testimony to the purpose-driven impact culture of Novartis.

Text by Goran Mijuk, illustration by Emiliano Ponzi

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“I’m always on the lookout for new ideas and meaningful innovations in financial markets.” - Daniel Weiss

Published on 01/11/2021

As a financial specialist leading the treasury unit of Novartis, which manages the company’s liquidity and balance sheet, Daniel Weiss has been responsible for the launch of new bonds, share buybacks and other financial transactions for years. While most people would falter under the pressure of handling multibillion-dollar trades, he stays calm, rational and prudent.

Executing large trades and monitoring market moves not only requires nerves of steel. Curiosity and openness to test new ground are equally important. Without these qualities, Weiss would never have collaborated with the Novartis Chief Commercial Officer for Sub-Saharan Africa, Emmanuel Akpakwu in the access to medicines arena.

“I’m always on the lookout for new ideas and meaningful innovations in financial markets,” Daniel Weiss explained when we connected with Emmanuel Akpakwu to discuss Novartis’ and the healthcare industry’s first so-called sustainability-linked bond issuance, which was aimed at underlining the company’s strong commitment to its environmental, social and governance (ESG) activities.

Sustainability-linked bonds are a new class of corporate debt instruments. In contrast to standard debt issuances, these instruments tie interest rate payments to business outcomes in areas such as environmental protection and social engagement, among others. As part of its own effort, Novartis chose to tie interest payments to its core competency – ensuring patient access to our medicines. If the selected outcomes are not achieved, investors automatically get a higher interest payment.

“I first heard about such instruments in 2012, but back then it was not a fitting vehicle for our needs,” Weiss explained. The issuance size of the instruments was too small and too narrowly focused for the needs of Novartis, which usually issues debt in the range of 3 to 5 billion US dollars for general finance requirements. “Given the size of our normal transactions, the idea to have bonds to finance a narrow project, say the installation of solar panels, was not appropriate.”

But as the market for these new instruments evolved by decoupling the bonds from a specifically defined business purpose, Weiss saw an opportunity for Novartis. “In 2019, the Italian energy company Enel launched a bond that was not linked to a specific project but was tied to other performance indicators. This is when I saw the chance for Novartis to launch such a bond and I started to discuss the idea with my peers and management.”

Go bold

While Daniel Weiss discussed his idea with a broad range of internal stakeholders, Emmanuel Akpakwu, who at the time was working in the corporate strategy team focusing on improving the company’s trust and reputation, was tackling a similar idea. Both were unaware at the time that they were digging the same tunnel from other sides and would soon meet.

“As part of our mandate to strengthen reputation and trust, we were looking for solutions that really showed that our efforts to improve access to medicines across the globe were serious and that we were prepared to go beyond just financial targets and focus on patients,” Akpakwu said, explaining how his team tackled the challenge of living up to the company’s pledge to give back more to society.

The global health efforts of Novartis are massive and span more than five decades, starting with a small training center in Ifakara, Tanzania, for healthcare staff. In the 1960s, this early engagement led to the creation of the Basel Foundation for the Promotion of Developing Nations, which was followed by a dedicated Africa Policy in the 1970s.

Since then, the company’s global health activities have grown in size and scope, including the company’s Malaria Initiative and its Leprosy Program, which were started around the turn of the millennium. Through these large drug access ventures, Novartis has reached millions of patients and helped healthcare systems in developing countries to combat some of the most crippling infectious diseases.

In recent years, Novartis has also launched an access program focusing on chronic diseases in developing countries, opened a sickle cell disease program in Africa and invested in new ways to make its innovative medicines reach developing markets much earlier than in the past. On top of that, during the pandemic, Novartis launched a comprehensive portfolio of generic drugs to treat patients with COVID-19 symptoms in low- and middle-income countries, an initiative that was led by Emmanuel and the Global Health Chief Medical Officer, Nicola Lister.

“Our stakeholders know that our global health efforts are broad. But we aimed higher and wanted not only to reach bold goals. Our thinking in the strategy team reached a point where we were prepared to put our reputation on the line if we failed to achieve these goals. We wanted more than words and to show our stakeholders that we aim to live up to our targets,” Akpakwu said.

Sometime in 2019, Akpakwu started to think about a bond issuance and presented the idea to the Global Health Leadership committee a few months later. This internal committee steers the access efforts of Novartis and includes the Head of Corporate Affairs and Global Healthcare Lutz Hegemann, and Patrice Matchaba, a company veteran who oversees a large portion of the corporate responsibility efforts of Novartis.

“When we shared the idea with the leadership group, they were not only enthusiastic. They also put me in touch immediately with Daniel, since they knew that he was working on a similar idea from the financial side,” Akpakwu said to explain the sequence of events that led to his first meeting with Weiss.

Soon after, both of them were sitting together and working on the structure of the bond, which would not only help Novartis meet its financial needs but above all also show the company’s willingness to achieve its bold global health targets and exert a major impact on healthcare systems in developing countries.

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“As part of our mandate to strengthen reputation and trust, we were looking for solutions that really showed that our efforts to improve access to medicines across the globe were serious and that we were prepared to go beyond just financial targets and focus on patients.” - Emmanuel Akpakwu

Pa­ti­ents and pri­cing

The world was in the grip of the pandemic when Weiss and Akpakwu started their venture. But paradoxically the timing could not have been better: Firstly, Novartis had refinancing needs; secondly, new sustainability-linked bonds allowed for flexible targets; and thirdly, Novartis was prepared to put its skin in the game.

In the weeks and months following their first meeting, Weiss and Akpakwu, working with Samir Shah, Head of Investor Relations, moved at high speed with their teams to clarify questions regarding the financing terms and the size of the issuance and had intensive discussions with internal and external partners about which targets to choose. After presenting their ideas to the Finance and Governance Committee in July, which included CEO Vas Narasimhan, the Novartis Board of Directors gave the green light to proceed with the bond in August.

In record time, they had everything together by September 2020 and launched a 1.85 billion euro bond with interest payments contingent on reaching two major global health goals. As part of the deal, Novartis pledged to increase patient reach with its strategic innovative therapies by at least 200 percent in low- to middle-income countries and reach 50 percent more patients with its malaria, leprosy, Chagas and sickle cell disease programs, all within the next five years.

“Thanks to the bond, we not only gave ourselves a bold goal,” said Akpakwu. “We literally put our reputation on the line. Because if we fail to live up to our goal, we will not only pay higher interest rates to our shareholders. Our credibility as well as our commitment to our global health efforts would be challenged.”

Despite the risk of failure, this is exactly what Novartis aimed to achieve: to put its money where its mouth is and show investors and stakeholders that it is serious about global health and that its environmental, social and governance activities are central to the company’s strategy. On the day of the launch, CEO Narasimhan underlined this point when he said that the bond was an “important step on our journey to integrate ESG into the core of our business, measure our progress, hold ourselves accountable, and demonstrate our dedication to making good on our promise to broaden global access to our medicines.”

Positive feedback

Investors welcomed the bond, which was oversubscribed more than twice and helped fan interest in the growing ESG bond market, which saw record bond launches totaling some 123 billion euro.

“It was certainly a success from the point of view of the launch, as investors were interested in subscribing to this new class of bonds,” said Daniel Weiss. “But we were also able to convince some of the key ESG players in the financial markets that we want to make a real impact and measure ourselves against our goals,” Emmanuel Akpakwu added.

Partly also thanks to the efforts of Weiss and Akpakwu, Novartis has seen some of its key ESG ratings rise since the bond issuance. Among other organizations, Sustainalytics, the world’s largest independent provider of ESG research and ratings, increased its rating for Novartis. Novartis also retained second place in the highly respected Access to Medicines ranking, narrowing the gap to first place in the process.

Although the company currently has no plans to issue more ESG bonds, Weiss and Akpakwu see great value in their effort, not only from a financial and global health point of view, but most importantly also from an internal cultural perspective.

“What we were able to show with our bond launch was that Novartis can achieve more if we intensify internal collaboration and bring the wealth of our expertise and experience together,” Akpakwu said. “This is really what makes the difference and Novartis has the cultural framework to make it possible, which puts a lot of emphasis on autonomy, curiosity and inspiration.”

Drawing on their own expertise and acting in an unbossed way, Weiss and Akpakwu were able to win over management. And by working together, they were able to achieve the impact they were striving for, all the time aligning their vision with the purpose of Novartis to improve and extend people’s lives and reach as many patients as possible.

“For me personally, working at Novartis under these cultural conditions is more than one can expect,” Akpakwu said. “Before joining the company, I had jobs, but with Novartis I have a career and can follow my passion.”

Weiss fully agrees. “Finance may in many ways be a technical discipline. But if we can connect it intimately to our company purpose and drive innovation and have the room to do so, there is a sense of satisfaction that goes beyond pure business success. It connects us to the patients we ultimately want to serve. That’s a culture that can make a real impact.”

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