In-depth market access scan to optimize reimbursement and pricing strategy

Project background

Our client encountered significant challenges in navigating the reimbursement system for their innovative product, which targets two distinct indications. Initially, they chose an incorrect reimbursement route, putting the success of their product launch at risk. A comprehensive market access scan helped to reassess and correct their strategy, saving invaluable time and resources by redirecting their approach toward the optimal reimbursement pathway.

Challenges faced

The client aimed to secure an optimal reimbursement request supported by a compelling therapeutic value claim. However, the complexity of the Dutch reimbursement system, coupled with their limited familiarity and the pressure of tight timelines, created a high risk of overlooking critical details. This increased the likelihood of encountering rejections, delays, and missed opportunities—ultimately threatening the timely launch and success of their product in the market.

Our solution

To address these challenges, we performed a thorough market access scan, which provided deep insights into the local reimbursement landscape. This involved:

• Identifying the correct reimbursement route that would ensure the product’s eligibility for reimbursement in both indications.

• Defining a feasible reimbursement request with a clear and evidence-backed therapeutic value claim that aligned with local regulatory expectations.

• Evaluating and addressing data gaps by identifying key clinical, economic, and real-world evidence required to strengthen the submission.

• Formulating the optimal pricing strategy to complement the reimbursement approach and maximize the product’s market access potential.

Our impact

Through our in-depth market access scan, we pinpointed critical reimbursement challenges and exceptions that could have caused significant setbacks. By guiding our client toward the correct reimbursement pathway early on, we ensured they avoided unnecessary delays and costly mistakes in the process. This proactive and informed strategy allowed our client to move forward with confidence, accelerating the reimbursement request and streamlining the product’s launch—ultimately saving them valuable time and fostering a smoother path to market success.