Skysis | CASE STUDY
Payer Landscape Assessments
01 | BACKGROUND
Skysis has worked with many emerging and large pharmaceutical clients to support product launches from a market access perspective. This scope of work includes payer landscape assessments, site of care economics analysis, payer value proposition development, launch readiness strategy development, and launch execution support.
02 | CHALLENGE
A successful market access strategy for a product launch is much broader than establishing an acceptable wholesaler average cost (WAC) price point. It entails the development of a detailed strategy aligned with the clinical and commercial planning teams, and implemented over a period of months (not weeks) to mitigate risks that can alienate both patients and prescribers. It also requires removing potential retail pharmacy blocks, specialty pharmacy blocks, and reimbursement blocks resulting from payers’ restrictive coverage or high out-of-pocket costs to patients.
03 | METHODOLOGY
Skysis leverages its proprietary panel of payer executives to provide highly relevant, real-time feedback, including payer insights into category management, possible coverage strategies, and how a product’s overall value proposition fits within this reimbursement landscape. Skysis incorporates these insights into a detailed market access plan to best position a product for broad coverage, favorable formulary positioning, and optimal net reimbursement.
04 | OUTCOME
Skysis’ clients understand the timeline for the development and execution of an effective market access launch plan; the activities, sequencing, and resourcing necessary for a successful launch; the risks associated with payer category management; and their product’s value story. Skysis recommendations and insights provide a roadmap to mitigate the risks identified in planning. While Skysis cannot guarantee a successful launch, the Skysis market access team has led or assisted our clients with successful launches in the retail pharmacy, specialty pharmacy, “buy-and-bill”, and hospital channels.
