Payers’ Increasing Role in Shaping the U.S. and EU5 Market Access Landscapes
COPD and asthma are highly prevalent respiratory conditions, together affecting over 100 million people in the United States and the five largest European mar- kets (France, Germany, Italy, Spain, and the United Kingdom). The chronic nature of these diseases means that a significant portion of these patient populations require lifelong treatment to manage their symptoms, and combined with the high prevalence of COPD and asthma, ensures that these diseases will continue to exert a substantial financial burden on national healthcare systems and payers. Furthermore, while some market events such as the launch of inhaled generic fixed-dose combinations will help to mitigate costs, other events such as the launch of novel, premium-priced biologic therapies targeted at severe refractory asthma could place additional pressure on healthcare systems. Thus, unsurprisingly, the behavior of payers—as they seek to control costs associated with these diseases—is anticipated to play an increasingly influential role in shaping the market access land- scape for both COPD and asthma in the United States and EU5.