Market Access & Reimbursement

Market Access and Reimbursement

Decision context

This service supports decisions about reimbursement pathways, evidence positioning, pricing strategy and timing of market entry across the PBS, MBS and Prescribed List. These decisions are typically made under conditions of uncertainty, evolving HTA standards and committee judgement — so how evidence is framed and interpreted can be as important as the evidence itself.

Our role

Pulse Economics helps pharmaceutical, biotech, medtech and diagnostics sponsors navigate market access and reimbursement pathways with clarity, realism and decision-readiness.

Our advice is shaped by first-hand PBAC and MSAC submission evaluation experience, meaning we understand not only what is required, but how submissions are assessed in practice, where scrutiny is applied, and where risks typically emerge.

We work with clients to anticipate committee concerns, clarify trade-offs, and design strategies that are robust to evaluation and policy scrutiny.

What we deliver in practice

Our market access and reimbursement support includes:

  • PBAC, MSAC and Prescribed List pathway assessment and strategic advice
  • Comparator, endpoint and PICO framework strategy
  • Evidence positioning aligned to committee decision-making frameworks
  • Submission design, drafting, review and response to evaluation issues
  • Reimbursement and payer positioning across public and private markets
  • Strategic advice across pre-submission, submission and post-decision phases

All deliverables are tailored to the decision context, product maturity and evidence base.

Our approach

What differentiates Pulse Economics is not just technical capability, but how we interpret and integrate evidence for decision-making.

Our approach is:

  • Evaluator-informed: grounded in experience assessing PBAC and MSAC submissions
  • Decision-focused: built for committee deliberation, not just guideline compliance
  • Integrated: linking clinical evidence, economic modelling and policy context
  • Pragmatic: recognising uncertainty, constraints and real-world trade-offs

We focus on developing decision-ready strategies rather than technically correct but fragile submissions.

Where this service applies

This service is relevant across the full product lifecycle, including:

  • Early development and pathway planning
  • Pre-submission strategy and evidence positioning
  • Initial and resubmission support
  • Post-decision strategy and lifecycle management

We work with both early-stage innovators and established organisations, tailoring our advice accordingly.


Why Pulse Economics

  • Direct experience evaluating PBAC and MSAC submissions
  • Deep understanding of Australian HTA and reimbursement decision processes
  • Strong integration with evidence strategy and economic modelling
  • Clear, defensible advice grounded in how decisions are actually made