Pharma Market Access Insights - from Petauri Evidence

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How will Most Favored Nation (MFN) pricing reshape global pharmaceutical strategy? What do emerging Centers for Medicare & Medicaid Service (CMS) models such as GENEROUS, GLOBE, and GUARD mean for launch planning, pricing corridors, and payer expectations worldwide? How should global market access teams prepare for a more transparent and tightly connected pricing environment?

MFN reform is already influencing how companies plan, price, and launch medicines around the world. While CMS proposals sit at the center of the debate, the implications extend far beyond the US. The increased transparency required in models under consideration has the potential to accelerate global price convergence, affect international reference dynamics, and place new pressures on evidence generation, launch sequencing, and global pricing corridors.

This episode was first broadcast as a live webinar on Wednesday 15th April 2026. It is designed to help global and US teams understand and anticipate the worldwide strategic implications of MFN policy. 

The session brought together four experts offering global and US perspectives on MFN:

• Steve O’Malley (President, Petauri Advisors): Moderator and contributor on US access and strategic implications
• Catherine Beecher (Director – Global Pricing and Market Access, Petauri Evidence): Bringing insight into global evidence requirements, lifecycle planning, and cross‑market pricing pressures
• Clare Foy (Director – Global Pricing and Market Access, Petauri Evidence): Bringing expertise in global pricing strategy and launch planning across international markets
• Michael Garner (Vice President, Artia Solutions – Powered by Petauri): Bringing US Medicaid expertise with a focus on CMS MFN proposals and their operational and strategic implications

Learn more at: https://petauri.com/insights/global-market-access-strategy-for-mfn/

In this webinar, we explored:

• The most recent CMS MFN policy developments and how models such as GENEROUS, GLOBE, and GUARD may evolve
• The possible effects of the recent announcement of new tariffs on pharmaceutical manufacturers
• How greater price transparency could affect international pricing corridors and global revenue forecasts
• Impacts on launched products, peri-launch assets, and early pipeline programs from both a global and US policy standpoint
• Strategic options for optimizing ex-US price potential, including evidence generation, innovative agreements, conditional reimbursement, and launch sequencing
• How global market access teams can build pricing and access strategies that remain resilient as MFN models evolve
• Wider policy developments to monitor outside the US, including proposed changes to the exclusivity period in the EU, and the growing influence of the Joint Clinical Assessment

Learn more about our pricing and market access strategy services.

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How do LATAM healthcare markets differ and what do these differences mean for Pharma and Medtech launch planning? What should global market access teams know to support affiliates in Argentina, Brazil, Colombia, and Mexico? How do evidence requirements, access routes, and payer expectations vary across the region?

For global market access teams planning for launch in Latin America (LATAM), understanding the diversity and complexity of this region is essential. Healthcare systems vary significantly between markets, regulatory and payer expectations differ, and health technology assessment (HTA) processes continue to evolve. These differences create both opportunities and challenges for Pharma and Medtech companies preparing evidence, developing global plans, and equipping local affiliates with the right materials to secure access.

In this episode, Louise Maddison (Senior Consultant – Global Pricing and Market Access, Petauri Evidence) interviewed four regional experts:

•  For Argentina: Eleonora Aiello (CEO at Ceibo Health Consulting)
•  For Brazil: Alessandra Calabró (Independent expert in market access and government affairs)
•  For Colombia: María Fernanda Escobar (Principal Advisor, InnovaSalud)
•  For Mexico: Fernando del Río (Partner at InnovaSalud, GP at XB Ventures)

Together, they unpack the access landscape in their countries, sharing experience‑based insight to help global teams refine evidence plans and align global materials to local payer expectations.

Together, they explore:

• Variation in healthcare systems, regulatory structures, and payer landscapes across LATAM
• HTA landscape in key markets and the influence of bodies such as CONITEC in Brazil, IETS in Colombia, CENETEC in Mexico, and ANEFiTS in Argentina
• Differences in evidence expectations, including clinical, economic, and real‑world data requirements
• How global dossiers, value messages, and evidence packages can better support affiliates engaging with local payers
• Opportunities and challenges for introducing Pharma and Medtech innovations into LATAM markets
• Future policy, regulatory, and reimbursement developments to monitor across the region

This episode was first broadcast as a live webinar on Thursday 19th March 2026. For more information about this webinar see: https://petauri.com/insights/latam-market-access-unlocked/

For support with market access strategy and global launch, please reach out to [email protected].

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What does the evolving NHS landscape look like through the eyes of a Chief Pharmacist, and how are integrated care system (ICS) pharmacy teams responding?

In this Petauri Evidence NHS Whispers session, we put your questions to Yousaf Ahmad (Chief Pharmacist and Director of Medicines Optimisation, Frimley ICS), as he shares how he and his colleagues are responding to the changing NHS environment. From system pressures and financial constraints to prescribing priorities and service redesign, Yousaf explored how ICS pharmacy teams are adapting, and what this means for industry partners.

This episode was first broadcast as live webinar on: Friday 24th October 2025.

Learn more about this episode at https://petauri.com/insights/evolving-nhs-ics-chief-pharmacists-perspective/

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What makes Switzerland a compelling first-launch market for Pharma? How does its healthcare system compare to other European countries? What do manufacturers need to know about reimbursement, pricing, and evidence requirements? How might the evolving Joint Clinical Assessment (JCA) landscape influence launch sequencing?

This episode explores Switzerland’s potential as an early launch market.

In this session, Louise Maddison (Senior Consultant – Global Pricing and Market Access, Petauri Evidence) interviewed Dr Elisabeth Brock (Independent expert in market access in Switzerland), who has extensive experience in Swiss healthcare, including regulatory and payer engagement, dossier preparation for the Swiss Specialities List (SL), and strategic launch planning.

Together, we explored what global market access teams need to know about launching in Switzerland – from regulatory routes and pricing frameworks to the nuances of payer expectations and evidence generation.

We discussed:
- What makes Switzerland attractive as a first-launch market
 - Key differences between Swiss and European Union (EU) market access pathways
 - How to prepare for inclusion on the SL and what “economically efficient pricing” really means
 - The role of cantonal (state) variation and decentralised healthcare in shaping access
 - How Swiss decisions may be influenced by the EU’s JCA
 - What global teams can learn from Swiss strategy to inform broader launch planning

This episode was first broadcast as a live webinar on Thursday 16th October 2025

Learn more at  https://petauri.com/insights/market-access-switzerland/

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In this NHS Whispers live Q&A webinar, Katie Mulholland (Senior Consultant, UK Market Access, Petauri Evidence) speaks to:
 - Sarah Everest Ford (Programme Director, Health and Care Partnership)
 - Patrick McGee (Deputy Programme Director for Pathology, Lancashire & South Cumbria)
 - Prof. Phil Richardson (Former Dorset ICS System Commissioning Director; now Chief Innovation Officer, Petauri Evidence)

Together, they explore the implications of changing NHS structure and policy, and what this means for your market access, stakeholder engagement, and product innovation strategies.

This episode was first broadcast as a live webinar on 19th September 2025. Some to the topics discussed may evolve over time. This session was shaped by your questions. Key themes included:
 - Evolving NHS structures, policies, and practices – and what this means for industry
 - Strategic commissioning: where will it happen, and who will lead it?
- The 10 Year Plan and its implications for innovation and access
 - How industry can adapt to new engagement models and financial constraints
 - What the shift to integrated neighbourhoods means for product rollout and service design

Learn more at: https://petauri.com/insights/evolving-nhs-landscape-policy-to-practice/

For support with navigating the evolving NHS and launching new medicines and products in England, please email [email protected]. 

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Uncover the forces driving change in global pricing and access
In this expert-led discussion we explore the latest trends, challenges, and strategic considerations shaping global pricing and market access (GPMA).

At Petauri Evidence, our Global Pricing and Market Access Team are growing to meet the increasing complexity of global launch and access, bringing together fresh perspectives and decades of real-world experience. In this episode, our experts, Clare Foy and Adam Brown, are joined by two new additions to the team, Catherine Beecher and Sam Davies, who bring extensive expertise from both consultancy and industry.

Ben Spurr (Head of Partnerships, Petauri Evidence) hosts the panel discussion with Clare, Adam, Catherine, and Sam as they explore the key issues facing Pharmaceutical and Medtech companies as they prepare for global launch, navigate payer expectations, and develop value-driven pricing strategies.

This episode was first broadcast as a live webinar. Learn more at: https://petauri.com/insights/webinar-global-pricing-market-access-strategies/

Discover our global pricing and market access services at: https://petauri.com/gpma/ 

To explore your pricing and market access strategy with our experts or to put your question to the panel, email [email protected]

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Discover a smarter way to manage and share market access resources with local affiliates

Are your global market access resources scattered, leading to inconsistencies and confusion among your affiliates? In this webinar we discussed how a centralised platform can streamline resource sharing, ensure access to nationally-relevant evidence, and put the resources your local affiliates need right at their fingertips. The webinar features a conversation with Tim Styche (Market Access & Health Outcomes Director, Smith+Nephew), who shares how his team has solved this challenge with our Global Value Platform.

Learn more at: https://petauri.com/insights/transforming-global-market-access-smarter-resource-management-with-local-affiliates-a-live-webinar/

To discuss your needs or arrange a full demo of the platform email [email protected]  

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What do global market access teams need to know about the US market? What do US payers expect to hear from Pharma and Medtech companies? What kind of value messaging resonates in the US? How do you prepare for launch in a market as diverse as the US?

In this Global Whispers episode, Louise Maddison (Senior Consultant – Global Market Access, Petauri Evidence) interviews some of our colleagues from Petauri Advisors who are either former payers, or former industry market access leads in the US. Louise puts your questions to:

 - Rory Davies – Vice President of Value and Access, Petauri Advisors, with extensive past experience in Chief Clinical roles at Cigna, Flipt and WellDyne
- Dan Vanderpoel – Executive Vice President, Strategic Payer Marketing; Head, Client Solutions, Petauri and former Manager, Trade Relations at Humana
- Shana Gunderson Hua – Vice President of Value and Access, Petauri Advisors and former Medical Affairs Executive Director at Genentech and former AVP of Pharmaceutical Strategy and Contracting at Cigna and Express Scripts (now Evernorth)

We explore what global market access teams need to know about market access and payer engagement in the US. We  explore how and why value messaging, pricing, and launch strategies are developed differently for the US market, compared to other key launch markets, and what this means for global teams preparing for US launch or taking a US-developed proposition internationally.

Learn more at: https://petauri.com/insights/communicating-value-to-us-payers-insights-for-pharma-and-medtech/

This episode was first broadcast live as a webinar in March 2025. 

Learn more about Petauri Evidence: https://petauri.com/petauri-evidence/

Learn more about Petauri Advisors: https://petauri.com/petauri-advisors/

Meet the ACE team: https://petauri.com/about-us/ace-team/

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Discover how health economics can support successful Medical Device launch, proposition development, and market access

This episode offers an insightful journey into the world of medical device market access. Specialists from our health economics and market access teams explore the hidden challenges faced by medical devices companies when taking new innovations to healthcare leaders, communicating value and demonstrating evidence, and offer tips on leveraging health economics for a successful launch.

Juliet Wallace (Senior Partnerships Coordinator) delves deep with our expert panel into the pivotal role of health economic evaluation in supporting market access for medical devices. Juliet puts audience questions to Hannah Palin (Director, Local Market Access), Calum Jones (Associate Director, Health Economics), and Evelyne Priestman (Consultant, Health Economics).

See full details at: https://mtechaccess.co.uk/launch-strategies-health-economic-modelling-medical-devices/

This episode was originally broadcast live as webinar in February 2025. 

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What clinical and economic evidence do US payers prefer to drive formulary decisions? How can you optimise your chances of preferential access in the US with the right evidence? How should evidence be generated, synthesised, and presented for the US market?

In this episode, Clare Foy (Director – Global Market Access, Mtech Access) interviews colleagues Nicole Lodowski (Managing Director, Petauri Evidence) and Bob Nordyke (Senior Advisor, Petauri Evidence) about US payer evidence challenges.

We explore the evolving evidence needs for US payers. Nicole and Bob share unique perspectives around their extensive experience of driving evidence strategies for US pharmaceutical and medical device launches. Additionally, Nicole and Bob share a ‘sneak peek’ of exclusive insights from a recent Petauri US payer insights survey conducted to better understand the evidence landscape from the US payers’ perspective.

They explore:

• The evolving payer evidence landscape in the US
• Preferences for clinical and economic evidence by US payers
• Key differences between the US and other global markets with regard to evidence, HEOR, and market access
• Opportunities and challenges when launching new medicines/medical devices/diagnostics in the US
• Innovative perspectives on evidence planning and strategy for the US market
• US payers’ perspectives, with exclusive insights from Petauri Evidence’s 2024 US payer survey

This episode was first broadcast as a live webinar in October 2024. Learn more at: https://mtechaccess.co.uk/navigating-us-payer-evidence-needs/

Explore more about launching in the US market: https://mtechaccess.co.uk/launching-healthcare-products-in-the-us/

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