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Valuing value: Focussing on clearing the hurdles



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The need for value propositions

In 2024 and beyond, there is critical need for highly focused value propositions to navigate through challenges being faced in the pharmaceutical industry, such as intensified regulatory scrutiny, escalating cost containment pressures and mounting barriers to patient access.

A concentrated value proposition serves to delineate the unique advantages of pharmaceutical products to payer audiences, with a blend of emotional engagement and data-driven argumentation:

Value propositions and health technology appraisals

At its core, the value proposition of pharmaceutical products is deeply entwined with their capacity to diagnose, treat, and prevent diseases – a vital consideration in health technology appraisal (HTA). In these assessments, a sharp focus is demanded on evidence demonstrating therapeutic value and economic benefits, with increasing focus on humanistic and societal value. The innovation inherent in pharmaceuticals is also a focal point during these evaluations, reflecting the industry’s commitment to introducing novel therapies and treatment modalities that align with evolving healthcare needs.

Therapeutic value is paramount in health technology appraisal. Stringent testing and adherence to regulatory standards ensure that pharmaceuticals meet safety criteria, instilling confidence in HTA bodies, healthcare practitioners, and patients. Demonstrated efficacy in clinical trials and real-world settings adds to their value by showcasing tangible health benefits, a critical aspect when undergoing evaluation processes that scrutinize clinical outcomes.

The economic benefits of pharmaceuticals, particularly in terms of healthcare cost reduction, is a significant consideration during HTA. The ability of these products to alleviate the economic burden of disease by minimising healthcare costs associated with prolonged treatments and hospitalisations becomes a compelling element in evaluations. Additionally, improved health outcomes contribute to increased productivity, a crucial aspect when assessing the broader societal and economic value of pharmaceuticals.

The humanistic and societal value of product is an important consideration when designing a value story. It may not be possible to extrapolate this story through clinical trials, and so evidence generation activities such as literature reviews, interviews with key clinicians, and the use of proxy diseases in spaces where data is sparce can go a long way in highlighting additional components to the value of the product.

Value propositions and value dossiers

In the context of value dossier development, a well-crafted value proposition provides a focal point for articulating the therapeutic efficacy, safety profile, and economic advantages of the product using all available evidence. It serves as a concise narrative that not only communicates the clinical merits but also addresses the broader healthcare landscape, considering the evolving needs of patients, payers, and healthcare providers. At the core of a value dossier lies the value proposition, which succinctly articulates the unique benefits and advantages offered by the pharmaceutical product

Crucially, a compelling value proposition contributes to the overall persuasiveness of the value dossier, influencing stakeholders such as regulatory bodies, HTA organisations, and reimbursement authorities. It enhances the chances of successful market access by clearly delineating the product’s differentiated features and its positive impact on patient outcomes, healthcare costs, and societal well-being

In conclusion

The intricate value proposition of pharmaceutical products, when viewed through the prism of HTA and reimbursement, encompasses therapeutic value, economic benefits, societal and humanistic value, and innovation. The alignment of these elements with the criteria set forth by assessment bodies and reimbursement mechanisms underscores the enduring value of pharmaceuticals in the dynamic landscape of healthcare technologies and financial considerations, and ensures that pharmaceutical solutions remain both impactful and accessible in an era marked by evolving healthcare dynamics and financial constraints.

At Initiate, we pride ourselves in being ready and prepared to help guide our clients through changing times. We have experience in all major Global markets and expertise across a wide range of disease areas. If you would like to discuss any of the developments outlined above, or any other market access or HEOR needs, get in touch at hello@initiateconsultancy.com.  




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About the Authors

Adelaide Shaw-Maguire

Adelaide Shaw-Maguire


Adelaide has 5 years of experience in market access consulting, across a wide range of countries and indications. She has particular expertise in value communication, stakeholder engagement, evidence generation, and strategic recommendations for market access. Adelaide has a MSci in Pharmacology with Study in Industry, from the University of Bristol. 

Ellie McSweeney

Ellie McSweeney


Ellie brings her skills in creating strategic marketing initiatives and building strong client relationships, with a keen eye for detail and a flare for creativity. Ellie has a First-Class Honours degree in Advertising and Marketing.