The 2026 Pillar Guide
Market Access: Evidence, Payers & Strategy
Market access is how a therapy reaches the patients who need it: turning clinical and economic evidence into pricing, reimbursement and payer agreement.
This guide covers what market access is, the pathway to reimbursement, who decides and what they need, ahead of RWE Connect 2026 in Boston.
Free. Instant download. No obligation.
The definition
What Is Market Access?
A therapy can be approved and still not reach patients if payers will not fund it. Market access closes that gap, and real-world evidence has become central to making the case.
How it works
The Market Access Pathway
From an approved therapy to a reimbursed one, market access follows a disciplined path. Real-world evidence supports the decisions made along the way.
Who decides
The Payer Landscape
Access is won payer by payer, and each decides differently. These are the decision-makers a market access strategy must satisfy.
The proof
What Payers Want to See
Every access decision rests on evidence. These are the proof points payers weigh, and where real-world evidence increasingly leads.
The evidence comes from HEOR and real-world evidence. See the market access consultancies that deliver it.
The state of the field
The State of Market Access in 2026
Access is being reshaped by policy and payers. These are the forces in play, and themes on the agenda at RWE Connect 2026.
Who is in the room
Who Attends RWE Connect 2026
A senior, focused audience of the people who own access and the evidence behind it.
Seniority is confirmed: 150+ attendees, around 60% at Director or VP level and above. The functional mix shown is indicative; confirmed registration splits are shared with sponsors from the live delegate list.
Glossary
Key Market Access Terms
Explore
The Market Access Ecosystem
The evidence, consultancies and methods that turn value into access. Explore the landscape and meet them in Boston.
Sponsor RWE Connect 2026
Meet the Market Access Buyers in Boston
RWE Connect 2026 brings 150+ real-world evidence, HEOR and market access leaders together, around 60% at Director or VP level and above. Sponsors reach them directly.
RWE Connect 2026
Get the 2026 RWE Pipeline Report
The people, data and methods shaping real-world evidence and market access, in one download. See the landscape ahead of two days in Boston.
- The 2026 RWE vendor and data landscape
- Where access and evidence are heading
- How to take part in RWE Connect 2026
Free. Instant download. No obligation.
Market Access: Common Questions
What is market access?
Market access is the set of strategies and evidence that secure a therapy’s price, reimbursement and availability, so that approved treatments actually reach the patients who need them.
How does market access relate to HEOR?
HEOR generates the economic and outcomes evidence, and market access turns that evidence into pricing, reimbursement and payer agreement. The two work hand in hand.
What does a market access team do?
It develops the value proposition, prepares HTA submissions, sets pricing strategy, engages payers, secures reimbursement and coverage, and plans launch and ongoing access.
What is health technology assessment?
Health technology assessment (HTA) is the process payers and agencies use to evaluate a therapy’s clinical and economic value before deciding whether to fund it.
What is a formulary?
A formulary is the list of medicines a payer or health system will cover, often with tiers that affect patient cost and access.
What is a value-based agreement?
A value-based or outcomes-based agreement ties a therapy’s price or rebates to its real-world performance, sharing risk between the manufacturer and the payer.
How does real-world evidence support market access?
Real-world evidence strengthens the value story, closes evidence gaps at and after launch, supports HTA submissions, and provides the endpoints that outcomes-based agreements run on.
How is the Inflation Reduction Act changing market access?
It introduces Medicare price negotiation and inflation rebates, reshaping US pricing, launch sequencing and access strategy.
What is the EU Joint Clinical Assessment?
A centralized EU clinical assessment that feeds national HTA decisions, phasing in from 2025 to reduce duplicate evaluations across member states.
Who are payers?
The organizations that fund healthcare and decide coverage, including national HTA bodies, government programs, commercial insurers, pharmacy benefit managers and health systems.
What is RWE Connect 2026?
RWE Connect 2026 is a two-day real-world evidence summit in Boston bringing together the RWE, HEOR and market access leaders who generate and apply real-world evidence, with 40+ speakers and 150+ attendees.
When and where is RWE Connect 2026?
14 to 15 October 2026 at the Hampton Inn by Hilton, Boston Seaport District, Boston, MA.
