Pricing, reimbursment and market access strategy

Understanding the evolving market access environment from the early stages of product development is essential for successful reimbursement of health technologies. At PHMR we utilize a wealth of experience with senior staff from the pharmaceutical industry, academia and health economics consultancy. We offer a comprehensive range of scientific and industry specific services which employ in-depth, market specific knowledge of reimbursement processes and healthcare systems.

PHMR provides consulting services for all aspects of pharmaceutical and medical device pricing and reimbursement, including:

  • Product price and reimbursement strategy
  • Pricing process and infrastructure
  • P&R planning process development and implementation
  • P&R models and analytical frameworks
  • Education and training
  • Seminars and training workshops for commercial and R&D staff on the principles and pharma application of value based pricing
  • Environmental analysis, forecasting and policy
  • Country pricing systems
  • European integration
  • Parallel trade
  • International pharmacy
  • Distribution channels

Pricing strategy

Understanding the market access landscape is essential to informing effective pricing and reimbursement decisions. PHMR offer a wide range of services which utilize extensive industry specific experience of our senior staff in global pharmaceutical companies, academic positions and consultancies.

 PHMR offers a wide range of services in many aspects of pricing strategy, including:

  • Price setting
  • Price support
  • Influencing value generation

Price setting – “What should the price be?”

  • Economic evaluation and early price target development for forecast/valuation
  • Cross-market price risk evaluation and outlier management strategies
  • Launch price recommendations, including price sensitivity research and analysis
  • Global price strategy development, including price referencing, parallel trade analysis and optimisation modelling
  • Competitor reaction scenario assessment and contingency planning
  • Patent expiration strategy development and price scenario modelling

Price support“How do we support and justify the price?”

  • Product "value story" development, including practical use of economic arguments and evidence
  • Value dossier development and construction
  • Negotiating strategy development
  • Lifecycle price defence strategies

Influencing value generation"How do we align the value generation activities (clinical and marketing) to maximise the pricing opportunity?"

  • Target product profile optimisation to maximise P&R opportunity
  • Clinical development programme guidance to maximise P&R opportunity
  • Patient populations
  • Endpoints
  • Outcomes
  • Comparators
  • Cross indication pricing strategy assessment and recommendations

Innovative pricing and contracting

To make effective pricing and reimbursement decisions, attention needs to be paid to complex market access landscapes to ensure effective payer negotiation and contracting.

PHMR is an international team with expert knowledge and experience of pricing and reimbursement environments in the EU countries and globally. We offer innovative pricing and contracting solutions to suit individual client and product needs. Our senior staff have practical experience in providing innovative pricing strategies to ensure maximum market access.

Related case studies

Related case studies 

Developing Strategies - Case study

Client

Client was an international pharmaceutical client looking for key strategic insights to guide their market access strategy.

Situation

The client was looking to develop an effective market access strategy for an antifungal therapy strategy in the EU-5, Australia and USA.

Solution

PHMR proposed a targeted Health Technology Assessment and treatment guideline review, upon which a number of detailed strategic insights would be developed with consideration for both country specific market access environments and the client’s global market access strategy.

Outcome

PHMR developed an extensive report and slide deck reviewing specific HTA systems and treatment guideline reviews. They offered key strategic insights in report form and in a comprehensive slide deck. For instance, the transparency committee of the Haute Autorité de Santé (HAS) of France had specific data requirements and criticisms of previous submissions. PHMR advised on the inclusion (and exclusion) of specific information critical to gaining a higher (or lower) ASMR ranking, essential to increasing sales