Patient flow models
Start from the total population and apply a series of attrition factors and routing nodes to explain volumes and how they evolve.
Pharmaceuticals, devices, diagnostics and consumer health each reach patients their own way. Authorities decide when and for whom, payers decide at what price. Forecasting them takes tailored models, built on inputs from every function.Each product family has its own rules. Each needs its own model.
Before a product sells, it must be authorized, assessed and priced, country by country. Each step adds an assumption with its own date, probability and owner, and a delay in one market or a price set in another reshapes the whole forecast.
Three decisions, three sets of assumptions, often owned by three teams: market research for prescribing, epidemiology and real-world data for uptake and persistence, market access for coverage. When they don't meet in one model, the forecast is wrong by design.
In consumer health, all three are often the same person, and demand-based models apply.
Three approaches, one for each type of market.
Start from the total population and apply a series of attrition factors and routing nodes to explain volumes and how they evolve.
Project volumes from sales history and market drivers such as seasonality, distribution and promotion. The method also suits legacy brands with a long track record.
Build volumes from contracts and tenders, where the market relies mostly on them. Award probabilities, contract terms and installed bases drive the forecast.
The gold standard for new medicines, before launch and across the lifecycle. Patient-based models explain volumes best when a product reaches several indications, launched one after another.
Generics and biosimilars inherit the originator's demand history; consumer products follow channels, seasons and promotions. Volumes are best projected from the market itself.
Hospitals and health systems buy through contracts and tenders, so volumes follow installed bases, procurement cycles and award rates.
Years before launch, a top-down estimate is enough to value an asset. As evidence builds, price and volume need their own models: early access and reference pricing, rebates and managed entry agreements, then patient-based, contract-based and demand-based volumes.
Companies active in several markets need patient-based, demand-based and contract-based models side by side. No off-the-shelf software covers that spectrum, so each team builds its own, and Business Analytics reconciles them by hand: a nightmare for IT and digital departments.
The result: a complex IT landscape, dominated by spreadsheets and slide decks.
Healthcare budgets are tightening, and in the United States Most Favored Nation pricing is reshaping the global business model. Operational efficiency is no longer optional.