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August, 2017

Pricing, Net Costs Most Important Attributes in Plan Access Decisions

Market Access Brand Value Proposition | Research Released July 2017

Health plans acknowledge that lower net pricing and impact on total cost of care are the most important drivers of access decisions in psoriasis, and predictive analysis confirms this.

The first thing is low net price compared to what's already on the market, that's number one. – National Plan Pharmacy

While efficacy demonstrated by PASI-reduction scores, as well as safety, also weigh heavily in decisions, plans most desire outcomes analysis and efficacy data tied to overall cost of care to use in product selection decisions.

I'd like to see outcomes based findings … whether it's a cap on total spend per patient or something around patients that discontinue treatment because they can't tolerate it … I'm open for more creative contracting. – Blues Plan Pharmacy

While efficacy is obviously a driving force in medical group product selection, groups indicate the most value is derived from strong safety profiles and improvements in quality of life. However, predictive analysis derived from brand ratings and preferred status, indicate that net pricing significantly drives medical group access decisions, largely from improved access for perceived lower cost brands.


Top attributes driving Psoriasis Access Decisions

Download the research slide

These and other findings can be found in Health Strategies Group’s recently released research Market Access Brand Value Proposition: Psoriasis Brand Attribute Opportunity Assessment & Outlook 2019


Key Topics covered in this research include:

  • Brand attributes that influence access decisions
  • Stakeholder perceptions of brand performance on key attributes
  • Recent clinical trial data and impact on stakeholder perceptions of brand value
  • New attributes emerging in clinical trials and potential near-term impact on access decisions
  • Perceived value of currently marketed and new entrants over the next 24 months

Download Research Agenda


Visit our Market Access Brand Value Proposition webpage to learn more about this research.



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