Valid Insight Market Access
Cell and gene therapy: Are payers willing to pay for a cure?
  • May 5, 2017
  • Dominic Jones-Phillips

Finding a cure for debilitating conditions is a long-standing aspiration for many working within the pharmaceutical industry. Indeed, when news broke out of a 15-year-old boy with Sickle Cell Anaemia experiencing 15 months without symptoms and routine treatment,1 interest in the curative potential of the novel gene therapy administered to the teenager increased. However, the […]

Payer-centric post-launch studies for optimal negotiations
  • March 13, 2017
  • Valid Insight

Many healthcare stakeholders want to ensure better health outcomes for patients. However, many new and innovative therapies enter the market with evidence gaps in their value proposition. Since tracking and measuring outcomes entails cost and time, many payers decide to go with simpler and more straightforward financial-based contracting agreements, such as discounting, price-volume agreements, and […]

MEA
Co-creating the design of risk-based managed entry agreements with payers
  • March 3, 2017
  • Valid Insight

Discussions around risk-based managed entry agreements are growing, but only a few of these discussions come to fruition. Such agreements entail risks for both payers and manufacturers. Often, payers do not have the resources or capabilities to perform extensive risk evaluations and standardise value assessment across the board. Subsequently, many payers are sceptical of innovative […]

orphan drug
Patient advocacy as a strategy for orphan drug access
  • February 25, 2017
  • Valid Insight

Governments have integrated incentives to accelerate and promote the approval of orphan drugs and the interest among pharmaceutical companies to develop these products is rising. However, expedited regulatory approval is by no means an assurance that orphan drugs will succeed in the marketplace.

Understanding payer archetypes
  • January 24, 2017
  • Valid Insight

One-size-fits-all has become an outdated and non-recommendable approach in pharma business. During the period of blockbuster medical products, this approach was applicable – the wider drug developers cast their net, the greater the chances of expanding their market share. Another merit to this approach was that it made strategy development relatively less complex for pharma […]

Payer Centricity
Maximising the value story through payer-centricity
  • August 11, 2016
  • Valid Insight

Patient-centricity is a key focus for drug and device development. While they may not be the customers, the patients are the final end-users of the drug development, promotion and distribution processes. And if the patients don’t adhere to their treatment, or don’t persist in taking the drug or using the device, this can have a […]

Understanding payer strategies to control prices
  • August 3, 2016
  • Valid Insight

Pricing therapeutics is challenging. Price too low, and the pharmaceutical business model is not sustainable as R&D costs are high and few products deliver significant sales volumes. Price too high and health technology assessment (HTA) bodies will not list the drugs, payer strategies will delay reimbursement and funding, and the media and public will hit back. […]

Access Strategy
NICE and the role of scientific advice in shaping access strategy
  • July 19, 2016
  • Valid Insight

Seeking advice from a health technology assessment (HTA) body, whether alone or in combination with a regulatory body, can help companies to focus on the payer perspective at an early stage of clinical development, and shape the therapy development and access strategy based on the feedback. By ensuring that the clinical trials include the types […]

Drug affordability
The EU evaluates affordability and availability of medicines
  • July 5, 2016
  • Valid Insight

Drug prices are rising across the European Union, and in economically-difficult times this is having an impact on drug affordability and accessibility. The European Union health ministers have met to discuss the impact of the situation, and make decisions that could change the way that drugs are priced across the region. These conclusions were published […]

Market access strategy
Understanding payers’ real-world needs
  • April 27, 2016
  • Valid Insight

All of the stakeholders involved in drug development and market access would like the right treatments to be available to the right patients, but in times of increasing austerity drug costs make this challenging. Payers need to see the value of a drug outside a clinical trial and in a real-world setting, in order to […]