Services

Evidence, Access & Pricing

Our team of experts works across functions to develop locally nuanced and comprehensive global strategies spanning evidence, value, access and pricing.

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The pharma-biotech landscape is rapidly evolving, creating a range of challenges for manufacturers who need to generate evidence, communicate value, and optimize their products’ pricing and access. 

Trinity’s Evidence, Value, Access and Pricing team team has unparalleled experience across geographies and therapeutic areas. We work across the product lifecycle, addressing needs at a global & local level. 

The Trinity Difference: 

  • An integrated approach across all offerings and areas of Evidence, Value, Access, and Pricing expertise 
  • In-depth therapeutic area and product modality experience, including cell and gene therapies  
  • Scientifically rigorous methodologies and real-world studies to drive impactful evidence and publications 
  • Compelling real-world data analytics and modeling expertise 
  • Deep market access expertise, leveraging extensive knowledge of access trends / policy changes  
  • Global list and net pricing methodological expertise, including in-depth U.S. payer / provider contracting 
  • First-hand negotiation experience translated into both our strategies and our negotiation training program 

Products 

We have supported the evidence, value, access & pricing strategy of the majority of innovative launches over the last decade, and have experience spanning across most therapeutic areas.

Experts

Our team consists of experts with in-depth local knowledge and native language skills that contribute towards the development of Trinity’s Geo-Knowledge Resource Hubs which span across all major geographies. 

Network

We have an extensive in-house payer network, and access to key stakeholders ranging from national government authorities to local hospital and practice administrators / executives. 

Impact

We have a vast portfolio of successful evidence generation and value demonstration studies which have translated into access and commercial success. 

Geo-Knowledge Resource Hubs

Trinity’s Geo-Knowledge Resource Hubs distill deep market knowledge, cultivate best practices, and generate thought leadership. 

  • USA

    Trinity has extensive experience across differential payer stakeholders in the US – MCOs, PBMs, MACs, Practice Managers, Pathway Vendors, etc. With a constantly evolving pricing and access landscape, we must always have a pulse on the changing policy landscape and be ready to pivot our strategies accordingly. We work with clients across the product lifecycle starting with early phase “gut checks” to thorough price analyses and contracting strategies to ensure an optimized launch.

    Questions Our Clients Ask
    • How restrictive will the payer prior authorization be for our product?
    • What is our value-based price?
    • How will access change for the follow-on indication?
    • What will payer management look like in disease state X in the next five years?
    • What are the specific access hurdles the practice is experiencing with our product?
    Specialized Markets

    USA

    The Trinity Difference
    • We have vast experience supporting the pricing and access launch strategy of high-profile brands and can help clients solve highly nuanced problems (i.e. HUB financial assistance program, differential pricing across indications, DRG-based reimbursement and NTAP considerations, etc.)
    • We have extensive experience with high profile dynamics such as: cell and gene therapy, alternative payment models, NGS testing, and portfolio contracting
  • Asia Pacific

    Trinity’s expertise spans many different healthcare systems and payer landscapes within the Asia Pacific region. We have a deep knowledge of the nuanced differences within each market of the region and understand when it is beneficial or necessary to gather insights from stakeholders beyond payers and physicians to answer our client’s questions.

    Questions Our Clients Ask
    • What is the local healthcare environment and payer landscape like in market X?
    • What are the opportunities and challenges in the public and private sectors of market X?
    • What pricing methodology will be employed in Japan? What would be the impact of any cost-effectiveness analysis?
    • What provisions exist for orphan therapies and how can I best access them?
    • What does it take to shift my specialty product from an out of pocket strategy to a reimbursed approach?
    • What are the key learnings from analogs with launch success in this market?
    Local Language Capabilities

    Mandarin, Cantonese, Japanese, Korean & Indonesian

    Specialized Markets

    China, Japan, Korea, Taiwan, Singapore & Indonesia

    The Trinity Difference
    • We partner with clients to design tailored in-depth research methodologies that help to track market dynamics and the most recent pricing and access changes in a country.
    • We are skilled at solving nuanced issues in a fast-paced landscape. We utilize insights from industry experts to provide insightful recommendations.
  • Central and Eastern Europe

    Trinity delivers unique insights for the Central and Eastern Europe region that are locally accurate with deliverable quality that matches that seen for Western Europe and the US.

    Questions Our Clients Ask
    • Which funding routes are available across national, regional, and local channels?
    • How can we provide access and support patients not covered under healthcare budget?
    • How influential are third parties in reimbursement decisions (e.g. KOLs, patient associations
    • What would be an appropriate price point for PRODUCT X for it to be successful in obtaining reimbursement listing?
    • Would PRODUCT X have an advantage if it is manufactured / packaged domestically? What are opportunities for technology transfers to ensure a certain market share?
    Local Language Capabilities

    Russian & Polish

    Specialized Markets

    Russia, Poland, Czech Republic, Hungary, Bulgaria, Greece, Romania, Ukraine, Kazakhstan, Belarus

    The Trinity Difference
    • We have a comprehensive knowledge of local market dynamics for stakeholders within key markets in Eastern Europe and the CIS region.
    • We address nuanced questions on CEE-relates issues coming from regional and global clients on topics such as: IRP dynamics implications, interpretation of policy update and overview of the reimbursement landscape.
  • EUROPE, UK, AND CANADA

    We work with clients to meet the unique local needs of health systems across Europe (EU), UK and Canada while ensuring the integrity of both their regional and commercial access objectives. We have the global expertise to engage with business unit leaders on cross-market strategy, and our in-house local expertise and experience is paired with a strong network of healthcare decision-makers across the region.

    Questions Our Clients Ask
    • What is the pricing, access, and/or commercial opportunity for my asset in the EU?
    • How can we develop a value proposition that meets the needs of customers across markets and roles?
    • Based on our pivotal trial, what HTA outcomes are likely in the EU, and how can we improve this potential? How will positive or negative outcomes in one EU market influence the others?
    • How will follow-on indications impact our pricing and access, and what does this mean for our launch and submission strategy?
    Local Language Capabilities

    German, French, Spanish, Portuguese, Italian & Dutch

    Specialized Markets

    Germany, Great Britain, France, Italy, Spain, Sweden, NetherlandsCanada 

    The Trinity Difference
    • We have active collaborations with thought leaders for conference publications and presentations
    • We run a host of different virtual and face-to-face research that is customized depending on project type and dynamics so that our clients can gain insights firsthand. Methodologies include: online quant and qual surveys, dyads & tryads, internal workshops, webinars, working sessions, mock-negotiation workshops, 1:1 telephone discussions, unblinded ad-boards, and focus groups
    • Our relationships are personal and critical to receive up-to-date and informed perspectives
    • We have experience facilitating logistically complex affiliate strategy and training workshops and meetings with upwards of 100+ cross-functional participants
  • Latin America

    Our LatAm experts have deep regional expertise across therapeutic areas. The most notable project work to date is concerned with oncology, inflammatory diseases, rare diseases, multiple sclerosis and respiratory diseases.

    Questions Our Clients Ask
    • What are the market segments with the highest opportunity at launch, and how do we unlock them?
    • How can we influence local policy to help shape the P&MA landscape?
    • What is the trade-off between price and volume by pursuing specific sub-populations and market segments?
    • How can we prepare our local teams to effectively deliver value stories that resonate with their local stakeholders?
    Local Language Capabilities

    Spanish & Brazilian Portuguese

    Specialized Markets

    Brazil, Argentina, Colombia, Mexico, Panama, Dominican Republic

    The Trinity Difference
    • Our dedicated team of LatAm experts truly understand the complexities or each major market within the region. We strive to ensure our insights are delivered with complete accuracy and by consultants who speak the local languages of our network.
    • We address nuanced questions for local teams and ensure our deliverable quality that matches that seen for Western Europe and the US.

Centers of Excellence

Cell and Gene Therapy

Cell and Gene Therapy

Cell and gene therapies (CGTs) represent the next major breakthrough in the development of innovative treatments for severe diseases, with the possibility to address the root causes of disease and provide lasting clinical value, and in some cases, a cure.

Learn More

Digital Therapeutics and Health Technology

Digital Therapeutics and Health Technology

Digital health technologies are evolving rapidly and are playing an increasingly significant role in both the companion diagnostic and treatment paradigms. Trinity’s experts draw upon their deep understanding of access and reimbursement decision-making for traditional therapeutics to identify and analyze the most impactful events and landscape shifts in the digital space.

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Latest Evidence, Value, Access and Pricing Intelligence

Annual State of Global Market Access

Annual State of Global Market Access

In 2023, the life sciences industry saw key therapeutic advances in sickle cell disease, obesity/weight management, and Duchenne muscular dystrophy, among others, and the continued approvals of therapies with cutting edge mechanisms, including the first CRISPR therapy. While 2022 was characterized by accelerated development processes and the rapid evolution of therapeutic standards, 2023 featured increased […]

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Evidence Generation in a Post-IRA World

Evidence Generation in a Post-IRA World

Since the passage of the Inflation Reduction Act (IRA) in 2022, the pharmaceutical industry has significantly altered how they approach and plan for evidence generation activities to best support product launches and pricing and access negotiations. Leading life science companies are taking proactive steps to adjust how and when they develop evidence and how they […]

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The Implementation Game: The Inflation Reduction Act Medicare Drug Price Negotiation Program Guidance 

The Implementation Game: The Inflation Reduction Act Medicare Drug Price Negotiation Program Guidance 

Trinity’s Take Introduction Since the Inflation Reduction Act (IRA) was signed into law in August 2022, biopharma stakeholders have noted the high likelihood of the legislation being challenged in court alongside many questions about how some of the new CMS programs would function. The Medicare Drug Price Negotiation Program is one IRA program expected to […]

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Priced Out: Generic Therapy Price Competition and Drug Shortages

Priced Out: Generic Therapy Price Competition and Drug Shortages

Introduction In the summer of 2023, many oncologists and cancer patients faced an impossible choice. Amidst many challenging treatment decisions, they had to determine how to proceed without two mainstays among oncology therapeutics: cisplatin and carboplatin. While it can sometimes be expected that there may be delays for the newest and most innovative treatments to […]

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Generating Robust Insights to Develop a Compelling Value Story with RWE

Generating Robust Insights to Develop a Compelling Value Story with RWE

The unprecedented availability of rich RWE data sources gives HEOR, Value and Access and Medical leaders the opportunity to be more intentional than ever before. High-quality, compelling evidence is now a necessity, not just for high-value therapies playing in the rare disease space—but also more broadly, to show reduced unmet needs, health care resource utilization […]

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Meet our Evidence, Value, Access and Pricing Experts 

Monica Martin de Bustamante

Monica Martin de Bustamante

Senior Partner &
Head of Advisory

Monica’s career has focused on pharmaceutical global pricing and market access issues for biopharmaceutical and pharmaceutical products. Her time has been apportioned between the mature and emerging markets, with deep expertise in the U.S., EU5, CAN and JPN. Monica has worked across the major therapeutic areas (oncology, cardiovascular, neurology, metabolic, autoimmune, gastrointestinal, respiratory, etc.) collaborating […]

Meet the Team

Valeria Boers Trilles

Valeria Boers Trilles

Director,
Value, Access & Pricing

Ms. Boers is a Director in Trinity’s Value, Access & Pricing practice. Prior to joining Trinity, Ms. Boers was part of the CBPartners team and focused her experience on pricing and market access engagements, proving strategic support to optimize value communication, product positioning, IRP-based launch sequence and pricing opportunity across a range of therapeutic areas, […]

Meet the Team

Christian Frois

Christian Frois

Partner,
Value, Access & Pricing

Christian is a recognized and widely published expert on pricing, contracting, market access and payer evidence strategy. He leads Trinity’s pricing, market access, reimbursement and contracting (PARC) group, and has supported the development of PARC strategies for more than 50 assets in the US and ex-US.

Meet the Team

Andrew Gould

Andrew Gould

Partner,
Value, Access & Pricing

Andrew is a Partner in Trinity’s Value, Access and Pricing practice and has over 15 years working within the Life Sciences arena. Prior to joining Trinity, he led CBPartners’ U.S. Center of Excellence and focused on managed markets strategy engagements. His experience has emphasized the development of numerous pricing and access strategies for both pre-launch […]

Meet the Team

John Greenaway

John Greenaway

Partner,
Value, Access & Pricing

John has 25 years of consulting experience and is currently a leadership team member within Trinity’s Evidence, Value, Access and Pricing (EVAP) practice. John is an expert in U.S. Reimbursement and Contracting where he focuses on Market Access Strategy through Managed Care and Provider / GPO Contract Strategies and sustainable contract structure and design. In […]

Meet the Team

Nandini Hadker

Nandini Hadker

Partner,
Evidence Strategy

An economist by training, Nandini is a Partner at Trinity Life Sciences with over two decades of experience in custom research and strategy consulting. She is an expert at helping clients identify what real-world evidence will “move the needle” and drive their product’s success, generating that evidence using publication-grade research, and pulling the insights through […]

Meet the Team

Max Hunt

Max Hunt

Partner,
Value, Access & Pricing

Max is a Partner in Trinity’s Evidence, Value, Access and Pricing (EVAP) practice. His experience as a global life sciences strategy consultant spans all stages of product development and a wide range of therapeutic areas, including oncology, inflammatory conditions, rare diseases and cell and gene therapies. Over the last decade, Max’s work has spanned a […]

Meet the Team

Miguel Martín de Bustamante

Miguel Martín de Bustamante

Partner,
Value, Access & Pricing

Prior to joining Trinity, Mr. Martín de Bustamante worked across CBPartners’s practices, with a focus on Value, Access, and Pricing. He developed expertise across many related areas, including innovative contracting and access models, strategic product / portfolio positioning, IRP and commercial opportunity based launch sequencing, as well as value positioning across various therapeutic areas. He […]

Meet the Team

Matt O'Hara

Matt O’Hara

Partner,
Evidence Strategy

Matt joins Trinity with over 20 years of life sciences consulting experience. During his career, Matt has worked with both pharmaceutical and medical device clients across business/commercial strategy (pricing, market access, product portfolio rationalization, acquisitions, Intellectual Property, and market insights), HEOR (value proposition development, evidence generation planning, and literature reviews, budget impact and comparative effectiveness […]

Meet the Team

Bami Oshinowo

Bami Oshinowo

Partner, Value, Access & Pricing
& London Office Lead

Prior to joining Trinity, Ms. Oshinowo led engagement work within the Value, Access and Pricing Practice and drove the Early VAP & CP Centre of Excellence at CBPartners. Her primary expertise is on early-stage pipeline issues related to commercial strategy, including competitive positioning, pricing, market access and trial design optimization. Her geographical expertise includes the USA […]

Meet the Team

Shinkyu Park

Shinkyu Park

Director,
Evidence, Value, Access & Pricing

Mr. Park is a Director in Trinity’s Value, Access & Pricing practice. Prior to joining Trinity, Mr. Park’s work at CBPartners was primarily focused on pricing, market access, and value demonstration engagements in support of strategic planning with a variety of biopharmaceutical clients. Mr. Park has led many global (including USA, EU, APAC and LatAm) […]

Meet the Team

Julia Pikus

Julia Pikus

Principal,
Value, Access & Pricing

Julia is a Principal in Trinity’s Value, Access & Pricing practice. Prior to joining Trinity, Julia led engagement work within the Value, Access and Pricing Practice and drove the Cell and Gene Therapy Centre of Excellence at CBPartners. In this capacity, she supported a range of qualitative and quantitative engagements to inform current and future […]

Meet the Team

Greg Berzolla

Greg Berzolla

Managing Director

Greg is a Managing Director in Trinity’s Evidence, Value, Access and Pricing practice, leading the Access Analytics team. Prior to joining Trinity, Greg was a Senior Vice President at Precision, Value and Health. Greg has 30+ years of healthcare consulting and industry experience, including ~20 years of market access and commercial strategy experience. He has […]

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Mary Fletcher-Louis

Mary Fletcher-Louis

Managing Director &
Head of Value Center of Excellence

Mary brings over 25 years of healthcare and consulting experience to Trinity. She has extensive experience in value strategy and in the development of value communication tools spanning diverse therapy areas. Mary has deep experience of the decision drivers of market access stakeholders across multiple countries and stakeholder types. Fostering a culture of innovation in […]

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Arie Grunberg

Arie Grunberg

Principal

Arie is an experienced U.S. Pricing and Market Access strategy consultant with a B.A. in Public Health and a minor in Entrepreneurship & Management from Johns Hopkins University. For almost a decade, Arie has been a trusted partner to his clients, helping them navigate the complex world of Pricing and Market Access. He’s gained valuable […]

Meet the Team

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We look forward to helping identify solutions for you.