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Payer Strategy & Access

Magnolia Market Access Blog Page

Patient Support Services Modeling, Made Actionable

A data-driven approach to patient support services modeling that helps manufacturers forecast demand, evaluate program design, and manage affordability, access, and cost with confidence.

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Where Ecosystem Mapping Becomes Strategy

Where Ecosystem Mapping Becomes Strategy

Market access ecosystem mapping helps biopharma teams move from identifying stakeholders to understanding how influence operates across the access landscape, enabling more coordinated engagement, stronger alignment, and more informed decision-making.

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Magnolia Market Access Blog Page

When Lower Prices Don’t Mean Lower Costs: How Part D Benefit Changes Are Shifting Out-of-Pocket Spending in 2026 Under the Inflation Reduction Act

The 2026 Medicare Part D redesign lowers some drug prices but shifts cost sharing. Coinsurance and higher deductibles may increase out-of-pocket costs for many beneficiaries.

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Magnolia Market Access Blog Page

Designing for Coverage, Not Just Approval

Regulatory approval does not guarantee payer coverage. As reimbursement decisions increasingly depend on comparative value, budget impact, and real-world evidence, integrating HEOR and payer considerations into clinical trial design can help biopharma teams anticipate access challenges and support stronger reimbursement discussions at launch.

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Magnolia Market Access Blog Page

Market Access as a Driver of Biotech Value in 2026

Market access is increasingly shaping biopharma decisions earlier in the lifecycle. This article explores how policy uncertainty, evidence expectations, and access strategy are influencing development, investment, and long-term value realization.

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Barriers to CAR-T Access in Medicare

Barriers to CAR-T Access in Medicare

Magnolia Market Access examines the factors shaping access to chimeric antigen receptor T-cell (CAR-T) therapies in the Medicare fee-for-service population.

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PBM Reform in the Commercial Insurance Market: Understanding the Federal Budgetary Impact

PBM Reform in the Commercial Insurance Market: Understanding the Federal Budgetary Impact

Congress is considering changes that would significantly alter how Pharmacy Benefit Managers (PBMs) are compensated in commercial insurance. See our report and full analysis.

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Case Study: Educating on Combination Product Access

Case Study: Educating on Combination Product Access

How a biotech company equipped HCPs to navigate acquisition, coding, and coverage for a dual-therapy regimen.

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Case Study: Launch Planning and Readiness

Case Study: Launch Planning and Readiness

How program management and strategic alignment prepared a biopharma company for NDA submission and launch.

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Case Study: Reimbursement & Market Access — Supporting Products with Required Imaging

Case Study: Reimbursement & Market Access — Supporting Products with Required Imaging

How a manufacturer integrated imaging requirements into its access and patient support strategy.

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  • Our Expertise
    • Policy & Access
    • Pricing & Value
    • RWE & HEOR
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  • Our Work
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    • Events
    • Market Access Briefs
  • Meet Our Team
  • Meet MKG
Contact Us