Payer Market Access Services

Navigate market complexity,
empower access, elevate outcomes

One-third of U.S. drug and device launches underperform due to misaligned strategy and poor execution. Payer access is one of the most intricate challenges in the pharmaceutical industry, requiring a multi-faceted strategy that aligns clinical value with payer priorities. Success depends on navigating complex systems, building compelling value propositions, and executing seamlessly across multiple phases.

At TJP, we leverage our team’s extensive payer-side experience and network to develop tailored strategies for achieving access wins—and ensuring that access translates to successful adoption and patient uptake.

A compelling payer value proposition is the foundation of every effective market access strategy. From pre-launch information exchanges to post-launch pull-through and loss of exclusivity, we help target payers’ front-of-mind considerations every step of the way. We are proud to deliver consistent results that have nurtured lasting client relationships, with many of our engagements lasting 10, 20, and even 30 years.

Tell us about your launch needs

A deeply embedded team with 20+ years of experience developing nimble, high-impact strategies

In an industry where payer requirements and market dynamics are constantly evolving, pharmaceutical companies deserve an agency of record that can function as a trusted partner ready to guide products from pre-launch planning to loss of exclusivity.

TJP offers personalized, agile market access support, providing clients with a dedicated team and unmatched commitment.

Experienced industry perspectives:
TJP’s Market Access Council

The TJP Market Access Council is a standing resource designed to help address the complexities of market access and achieve optimal outcomes through proactive consultations and material review.

Expert perspectives that shape access strategies across the product life cycle
Actionable insights to support pre-approval planning, launch execution, and postlaunch optimization
Review of materials to align with payer expectations and evolving market dynamics
Real-world feedback to navigate complex healthcare challenges effectively

Payer Access Council Experts

Our Council includes current or former:

VP of Pharmacy at one of the leading integrated healthcare systems in the nation
Pharmacy Director at UnitedHealthcare
CMO of a division of Humana
Executive at MedImpact, Diplomat, and Kelsey-Seybold
Express Scripts clinical and contracting executive

Compelling data, authoritative payer engagement

Our team focuses on the metrics that matter most to payers and thought leaders, tapping into diverse Health Economics Outcomes Research (HEOR), Real World Evidence (RWE), and real-time analytics to articulate data-rich, authoritative value propositions for client brands.

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Evidence Synthesis

Systematic literature reviews (SLRs)

Meta-analyses

Pooled individual patent data (IPD)

Network meta-analyses

Indirect treatment comparisons (ITCs)

Health Economics and Strategy

Evidence strategy consulting

Evidence development and testing

Economic models

Healthcare costs and resource use

Dossier development

Regulatory support

Epidemiology, Health Outcomes, and Observational Studies

Real-world evidence analytics

Trial-based analytics

Treatment patterns and outcomes

Comparative effectiveness studies

Surveillance and natural history studies

Patient-Centered Research

Patient journey studies

Patient and caregiver burden

Survey development and implementation

Quality-of-life studies

Collaborative strategies, adaptable execution

We deliver payer access strategies built to adapt to the evolving formulary landscape, emerging competitive threats, and regulatory changes.

Our adaptive approach ensures value messaging evolves with real-world insights, transitioning from pre-launch hypotheses to post-launch evidence that resonates with payers.

Hands-on problem-solving, comprehensive support

We tackle access challenges by targeting specific barriers such as prior authorization challenges and formulary gaps. Our solutions are integrated as holistic value communications ecosystems, including everything from pull-through strategies that simplify access and enhance engagement, to the development of tailored solutions like cost calculators.

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Strong payer partnerships, powerful product narratives

We have the relationships needed to quickly and effectively engage key decision-makers in major payer organizations through carefully targeted product storytelling centered on payer value. Engaging with Integrated Delivery Networks (IDNs) and Group Purchasing Organizations (GPOs) demands a customized approach that balances their distinct priorities, from reducing costs to achieving better clinical outcomes.

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Research & Stakeholder Mapping

Segment Stakeholders

Provider GPOs:
Centralized purchasing, clinical differentiation, focus on compliance tools

Payer GPOs:
Formulary inclusion, rebates, cost-of-care alignment

IDNs:
Balance payer (cost) and provider (clinical, opterational) priorities focus on cost-of-care metrics (e.g., Qualys)

Strategic Messaging

Tailored Value Propositions

Administrative:
Financial savings, affordability programs

Providers/Physicians:
Patient outcomes, ease of prescribing, adherence, provider value scoring

Pharmacy Directors:
Operational fit, formulary alignment

Engagement & Outcomes

360º Approach

In-Person:
Stakeholder meetings with tailored leave-behinds

Digital Pull-Through:
Relationship management, email communications

Virtural Support:
Webinars on clinical data

RWE Outcomes:
Cost reductions, improved patient outcomes

How we execute true end-to-end payer access strategies

The foundation of our payer access services, TJP’s Wayfinding Strategic Process is an iterative, custom approach to supporting successful commercialization across the full product life cycle.

Talk to one of our experts

Discover

Uncover critical insights through rigorous research, evidence analysis, and payer interviews to lay the foundation for a winning access strategy.

Conduct insight mining, study design analysis, feasibility study reports, and evidence gap analysis.
Develop competitor assessments.
Lead in-depth interviews with payer and channel key opinion leaders.

Craft

Analyze customer needs and challenges to develop refined, payer-tested value messages and actionable strategies.

Complete customer, channel, and distribution analysis.
Review care pathway, burden of illness, and unmet medical need considerations.
Refine payer-tested value messages.

Navigate

Develop and test value-driven messaging with key stakeholders, executing strategies that address brand priorities and market demands.

Identify disease state and key brand performance drivers.
Test value messaging with payer channel decision-makers.
Optimize value messaging based on testing.

Launch

Bring strategies to life with precise execution, driving market access success and ensuring sustained impact throughout the product lifecycle.

Identify tactics through rigorous customer research and in-depth insights to deliver on developed strategies.
Support pull-through and patient access initiatives to maximize demand.
Refine strategies dynamically based on market feedback to maintain relevance and optimize outcomes.

Comprehensive pharmaceutical marketing support

TJP’s payer access services are just one piece of our holistic approach to navigating market complexities and empowering your brand’s success. From strategy development to execution, we provide tailored solutions that deliver measurable outcomes and drive meaningful impact.

Discover how our full suite of capabilities can support every stage of your product’s lifecycle:

Interested in working with our pharmaceutical marketing agency?

Our Capabilities

Payer Market Access Services

Navigate market complexity,
empower access, elevate outcomes

At TJP, we leverage our team’s extensive payer-side experience and network to develop tailored strategies for achieving access wins—and ensuring that access translates to successful adoption and patient uptake.

A deeply embedded team with 20+ years of experience developing nimble, high-impact strategies