Global Health Economics and Outcomes Research (HEOR) Services Market Analysis Sample Report

Global Health
Economics and
Outcomes Research
(HEOR) Services Market
A sample report on
www.insights10.com
Includes Market Size, Market Segmented by Types
and Key Competitors (Data forecasts from 2022 – 2030F)

This report presents a strategic analysis of the Global Health
Economics and Outcomes Research (HEOR) Services Market and
a forecast for its development in the medium and long term. It provides a
comprehensive overview of the market value, dynamics, segmentation,
types of clinical diagnostics, point-of-care testing, main players, growth and
demand drivers, challenges & future outlook, etc. This is one of the most
comprehensive reports about the Global Health Economics and
Outcomes Research (HEOR) Services Market, and offers unmatched
value, accuracy, and expert insights

3
A Sample Report on Global Health Economics and Outcomes Research (HEOR) Services Market Analysis I Confidential
Report Scope
Report Attribute Details
Number of Pages 70-80
Base Year for Estimation 2022
Forecast Period 2023-2030
Report Coverage
Market Overview, Revenue Forecast, Market Segmentation, Growth Factors and Trends,
Competitive Landscape, Key Company Profiles, Government Policies, Regulatory Landscape,
Reimbursement Scenario
Quantitative Units Revenue in USD Million/Billion (Mn/Bn)
Research Approach Secondary Research (60%), Primary Research (40%)
Click on the icon to know the detailed methodology

4
Table of Content
CONTENT PG. NO.
1. Health Economics and Outcomes Research (HEOR) Services Overview 13-22
1.1. Overview
1.2. Global Overview
1.3. Economic Overview: Global
1.4. Health Economics and Outcomes Research (HEOR) Services Market in Global
1.5. Healthcare Services Market in Global
1.6. Healthcare Scenario in Global
1.7. Health Insurance Coverage: Global
1.8. Budget of the Government for Public Insurance
1.9. Mergers and Acquisitions
2. Market Size and Forecasting 26-32
2.1 Market size and forecasts (Excel and Methodology)

5
Table of Content
CONTENT PG. NO.
2.2. Market Segmentation
2.2.1. By Services
2.2.2. By Service Provider
2.2.3. By End User
2.2.4 By Region
3. Market Dynamics 33-37
3.1. Market Growth Drivers
3.1.1. Increasing demand for cost-effectiveness analysis
3.1.2. Government initiatives
3.1.3. Advances in technology
3.1.4 Growing emphasis on patient-centered outcomes:
3.2. Market Restraints

6
Table of Content
CONTENT PG. NO.
3.2.1. Lack of standardization
3.2.2. Complexity of models
3.2.3. High costs
3.2.4. Regulatory barriers
4. Competitive Landscape
4.1. Major Market Share 38-48
4.2. Key Company Profile
4.2.1. IQVIA
4.2.1.1. Overview
4.2.1.2. Product Applications & Services
4.2.1.3. Recent Developments
4.2.1.4. Partnerships Ecosystem

7
Table of Content
CONTENT
4.2.1.5. Financials (Based on Availability)
4.2.2. Optum
4.2.2.1. Overview
4.2.3. Parexel
4.2.3.1. Overview

8
Table of Content
CONTENT PG. NO.
4.2.4. Evidera
4.2.4.1. Overview
4.2.5. McKesson Corporation
4.2.5.1. Overview

9
Table of Content
CONTENT PG. NO.
4.2.6. Syneos Health
4.2.6.1. Overview
4.2.7. Medpace, Inc.
4.2.7.1. Overview

10
Table of Content
CONTENT PG. NO.
4.2.8. Certara Inc.
4.2.8.1. Overview
4.2.9. Analysis Group
4.2.9.1. Overview

11
Table of Content
CONTENT PG. NO.
4.2.10. The Gill Associate
4.2.10.1. Overview
5. Reimbursement Scenario
5.1. Reimbursement Regulation 49-56
5.2. Reimbursement Process for Diagnosis
5.3. Reimbursement Process for Treatment
5.4 Reimbursement Process – Medicare

12
Table of Content
CONTENT PG. NO.
5.5 Reimbursement Process - Medicaid
6. Methodology & Scope 57-62

Global Health Economics and Outcomes Research (HEOR) Services Market Analysis
1. Health Economics and Outcomes Research (HEOR) Services Overview

14
1.1 Overview of Health Economics and Outcomes Research (HEOR)
Services in the World
Top 10 HEOR Trends
▪ Please be aware that this sample report is
intended to provide you with a brief
overview of the kind of information and
analysis that will be presented in the final
report
▪ In this section you will get an
understanding of the topic, which includes
the prevalence of the disease, the
application of medical devices, new
technology, and other details related to the
topic
▪ In order to obtain access to all of the
information that you are seeking, you will
need to purchase the final report
▪ Final report will be comprehensive and
detailed, and it will include data, analysis,
trends, and other relevant information
related to the topic or subject matter of
interest
Real-World Evidence:
Using real-world evidence in
healthcare decision making
Value Assessment:
Informing value-driven
healthcare decisions
Health Equity:
Addressing disparities in
healthcare
Healthcare Financing:
Funding innovative health
technologies
Patient Engagement:
Infusing the "patient voice"
in healthcare research
Drug and Healthcare
Pricing:
Improving price transparency
Public Health:
Focusing on key priorities
Health Technology
Assessment:
Supporting cross-country HTA
cooperation
Artificial Intelligence:
Leveraging AI and advanced
analytics
Health Data:
Addressing infrastructure
and interoperability
Illustrative

15
1.1 Statistics at a Glance: Health Economics and Outcomes Research
(HEOR) Services in the World (continued)
North America
~ Market Size of
$XX Bn
Europe
~Revenue to reach
$XX Bn by 2027
Asia
-Fastest CAGR
Africa
~Market Size of
$XX Bn
Egypt Market
~$XX Mn Market
Illustrative

16
1.2 Global Overview
8 Bn
Is the population of
Global, in 2022
30
Is the median age
in Global, in 2022
25.4 Tn (US)
US has highest
Gross Domestic
Product (GDP) in
2021
$12.9 k
US has highest per
capita was the amount
of national health
expenditures in 2021
report
understanding of the demographics of the
country/region, which includes the
population, GDP, healthcare expenditure
and other details related to the topic
interest
Illustrative

17
1.3 Economic Overview: Global
XX
XX
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
Population of Global, (2020-2030)
XX
XX
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
GDP of US, (2020-2030)
Population Split (2023)
55-64
0-14
15-24
25-54
65+
Male
49%
Female
51%
By Age Group
By Gender
▪ In this section you will get an understanding of the demographics
of the country/region, which includes the population, GDP,
healthcare expenditure and other details related to the topic
▪ In order to obtain access to all of the information that you are
seeking, you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will
include data, analysis, trends, and other relevant information
related to the topic or subject matter of interest
Illustrative

18
1.4 Healthcare Services in Global
XX XX XX XX XX XX XX XX XX
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Global Healthcare Services Market Forecast, 2022-2030 (in $Bn)
▪ Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be
presented in the final report
▪ In this section you will get an understanding of the overall Healthcare Services market in Global, which includes the market size, current
trends and other details related to the topic
▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or
subject matter of interest
Illustrative

19
1.6 Healthcare Scenario in US
Cancer Drug Development Process: The process of developing a cancer drug is complex and involves many stages, from preclinical research
to clinical trials to regulatory approval. Here is a simplified diagram of the cancer drug development process:
o Preclinical Research: Researchers identify potential drug candidates and test them in the lab
o Phase 1 Clinical Trials: Small studies are conducted to test the safety and dosage of the drug in humans
o Phase 2 Clinical Trials: Larger studies are conducted to test the effectiveness of the drug in treating cancer
o Phase 3 Clinical Trials: Even larger studies are conducted to compare the new drug to standard treatments and evaluate its safety and
effectiveness
o Regulatory Approval: The drug is reviewed by regulatory agencies such as the FDA and approved for use in the US market
Fast Track
▪ Fast track is a process designed to facilitate the development, and expedite the review of drugs to treat
serious conditions and fill an unmet medical need
Breakthrough
Therapy
▪ A process designed to expedite the development and review of drugs which may demonstrate substantial
improvement over available therapy
Accelerated
Approval
▪ These regulations allowed drugs for serious conditions that filled an unmet medical need to be approved
based on a surrogate endpoint
Priority Review ▪ A Priority Review designation means FDA’s goal is to take action on an application within 6 months
FDA has developed several approaches to making drugs available as quickly as possible, while still ensuring their safety and
effectiveness. Here are four of these approaches:
Illustrative

20
1.6 Healthcare Scenario: SCD Patient Journey
Presentation Diagnosis Treatment Follow up
A suspected diagnosis is
usually made, based on
physical examination and
detailed patient and family
history
Prenatal screening/
Neonatal screening
Initial Diagnosis
Complete blood count
(evaluate number &
quality of RBCs, Hb &
WBCs)
Imaging (confirm bone
related changes or
respiratory problems)
Bacterial cultures of
blood, sputum, urine,
stool (detect any
infection)
Genetic testing (detect
the type of SCD)
Confirmatory Diagnosis
Prevention and management of
crisis:
• For VOC and Splenic
Sequestration: HU, Endari,
Adakveo, Oxbryta
• For infections: Antibiotics,
Vaccines
Prevention and management of
complications:
• Stroke: Chronic transfusions, HU
• Long term follow-up is required for
patients with SCD
• Annual assessment: CBC and
reticulocyte count, iron status, liver
and renal function tests, urinalysis,
LDH, vitamin D level and
neurocognitive assessment
• ESOD (End Stage Organ Damage)
evaluation starting from age 7
• Yearly Transcranial Doppler test to
determine risk of stroke
Stakeholders
PCP, paediatrician,
neonatologist,
haematologist and genetic
counsellor
PCP, pediatrician, medical geneticist,
hematologist, gynecologist and pathologist
PCP, pediatrician, medical geneticist,
cardiologist, hematologist,
endocrinologist, psychologist and
psychiatrist
PCP, pediatrician, neonatologist,
endocrinologist, cardiologist,
hematologist, orthopedist, psychologist
and psychiatrist
Depending on the organ complications,
the treatment involves different
specialists at different times
Illustrative

21
1.7 Health Insurance Coverage: US
1.0
18.9
18.4
35.7
2.5
3.5
10.2
54.3
66.0
91.7
8.3
VA and CHAMPVA
Medicaid
Medicare
Any public plan
TRICARE
Marketplace
Direct-purchase
Employment-based
Any private plan
With health insurance
Uninsured
▪ In 2021, most people (91.7%) had health insurance coverage at some point during 2021 and 8.3 % of people were uninsured for the entire
calendar year
▪ More people had private health insurance (66%) than public coverage (35.7%)
▪ Employer-based insurance was the most common subtype of health insurance in the civilian, noninstitutionalized population (54.3%),
followed by Medicaid (18.9%), Medicare (18.4%), direct-purchase insurance (10.2%), TRICARE (2.5%), and VA and CHAMPVA health care
(1%)
Coverage Type 2020 2021 Change %
Total 327,521 328,074
Any health plan 299,230 300,887 0.4
Any private plan 217,896 216,366 –0.6
Employment-based 178,737 178,285 –0.2
Direct-purchase 33,869 33,555 –0.1
Marketplace coverage 10,924 11,389 0.1
TRICARE 9,165 8,299 –0.3
Any public plan 112,925 117,095 1.2
Medicare 58,541 60,226 0.5
Medicaid 58,778 61,940 0.9
VA and CHAMPVA 2,967 3,151 0.1
Uninsured 28,291 27,187 –0.4
% of People by Type of Health Insurance Coverage
(2021)
Number of People By Health Insurance Coverage
Illustrative

22
1.8 Budget of Global Government for Public Insurance
Proposed Budget By Category
Outlays 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2022-31
In Billions Of Dollars
Medicare $769 $709 $766 $841 $840 $947 $1,014 $1,085 $1,227 $1,178 $1,325 $1,412 $10,633
Medicaid $458 $521 $571 $582 $616 $645 $674 $698 $734 $768 $801 $837 $6,926
As % Of GDP
Medicare 3.7% 3.2% 3.3% 3.4% 3.3% 3.6% 3.7% 3.8% 4.1% 3.8% 4.1% 4.2% 3.7%
Medicaid 2.2% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.5% 2.5% 2.5% 2.5% 2.4%
▪ National Health Expenditures (NHE) grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP)
▪ Medicare spending grew 8.4% to $900.8 billion in 2021, or 21% of total NHE
▪ Medicaid spending grew 9.2% to $734.0 billion in 2021, or 17% of total NHE
▪ Private health insurance spending grew 5.8% to $1,211.4 billion in 2021, or 28% of total NHE
▪ Out of pocket spending grew 10.4% to $433.2 billion in 2021, or 10% of total NHE
▪ Other Third Party Payers and Programs and Public Health Activity spending declined 20.7% in 2021 to $596.6 billion, or 14% of total NHE
▪ Hospital expenditures grew 4.4% to $1,323.9 billion in 2021, slower than the 6.2% growth in 2020
▪ Physician and clinical services expenditures grew 5.6% to $864.6 billion in 2021, slower growth than the 6.6% in 2020
▪ Prescription drug spending increased 7.8% to $378.0 billion in 2021, faster than the 3.7% growth in 2020
▪ Largest shares of total health spending were sponsored by the federal government (34%) and the households (27%). The private business share of health
spending accounted for 17% of total health care spending, state and local governments accounted for 15%, and other private revenues accounted for 7%

23
1.9 Mergers and Acquisitions
$6.0
$7.7
$10.5
$16.7
$6.8
$11.7
1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022
82
112 107 107
89
110
1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022
57% of the total deal volume are done by strategic buyers and the rest 43% are done by financial buyers in 2020
RCM M&A Deal Value Trend ($Bn) RCM M&A Deal Volume Trend
Buyer Composition: Strategic Vs Financial (2020)
59%
41% 41%
59% 58%
42%
61%
39%
$0- $25 $25-$50 $50-$100 $100+
Strategic Buyers
Financial Buyers
Buyer Type by Deal Size
($Mn)
Illustrative

24
1.9 Mergers and Acquisitions (continued)
Company Name Type
Amount /
Duration
Year Key Pointers
Optum and Change
Healthcare merges
Merger - April 2022
▪ Optum and Change Healthcare agreed to extend their merger
agreement through December 31, 2022
▪ Through this agreement, Optum and Change Healthcare will
connect and simplify the core clinical, administrative, and
payment processes that healthcare providers and payers rely on
to serve patients
Fishawack Health,
acquisition of Policy
Analysis Inc.
Acquisition - March 2022
▪ Fishawack Health (FH), a leading commercialization partner for
biopharmaceutical, medical technology, and wellness companies,
acquired the US-based health economics and outcomes research
(HEOR) consultancy Policy Analysis Inc. (PAI) as part of its
expanding Value, Evidence, and Access (VEA) capability
Latest Deals In Global

25
1.9 Mergers and Acquisitions(continued)
Company Name Type
Amount /
Duration
Year Key Pointers
Merger March 2023
Merger Jan 2023
Latest Deals In Global
Illustrative

2. Market Size and Forecasting

27
2.1 Market size and forecasts (Excel and Methodology)
XX
XX
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Global HEOR Services Market Forecast, 2022-2030 (in $Bn)
▪ Please be aware that this sample report
is intended to provide you with a brief
analysis that will be presented in the
final report
understanding of the overall Healthcare
Insurance market in Malaysia, which
includes the market size, current trends
and other details related to the topic
information that you are seeking, you
will need to purchase the final report
detailed, and it will include data,
analysis, trends, and other relevant
information related to the topic or
Click on the icon to know the
methodology and assumption
2023 2024 2025 2026 2027 2028 2029 2030
Major Markets Patient
(Mn)
2.74 2.82 2.90 2.94 2.98 3.02 3.07 3.12
Patient Size (Bn) 0.51 0.61 0.68 0.69 0.70 0.71 0.72 0.73
% of US Patients 18.75% 21.70% 23.56% 23.45% 23.42% 23.39% 23.34% 23.45%
Global Market Size (Bn $) 3,620 3,780 3,950 4,128 4,314 4,508 4,711 4,937
Market Size (Bn $) 61 74 84 87 91 95 99 106
Illustrative

28
2.2 Snapshot of HEOR Services Market Segmentation
By Service By Service Provider By End Use By Region
Economic Modelling/
Evaluation
Real-World Data
Analysis &
Information Systems
Clinical Outcome
Market Access
Solutions&
Reimbursement
Others By Service
Consultancy
Contract Research
Organizations
(CROs)
Healthcare Providers
Healthcare Payers
Biotech/Pharma
Companies
Government
Organizations
Others
North America
Europe
APAC
Africa
Middle East
Latin America
▪ In this section you will get an understanding of the segmentations which will cover the Global Health Economics and Outcomes
Research (HEOR) Services Market
▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report

29
Global HEOR Services Market Share, By Service (2022)
Economic
Modelling/
Evaluation
Real-World Data Analysis &
Information Systems
Clinical Outcome
Market Access
Solutions&
Reimbursement
Others
▪ Economic Modelling/ Evaluation market
in Global is a significant component of
the overall HEOR Services market
final report
2.2.1 Market Segmentation: By Service
Illustrative

30
Global HEOR Services Market Share, By Service Provider (2022)
2.2.2 Market Segmentation: By Service Provider
▪ Consultancy market in Global is a
significant component of the overall
cancer market
final report
Consultancy
Contract Research
Organizations (CROs)
Illustrative

31
Global HEOR Services Market Share, By End User (2022)
Healthcare
Providers
Healthcare
Payers
Biotech/Pharma
Companies
Government
Organizations
Others
2.2.3 Market Segmentation: By End User
▪ Healthcare providers have the
maximum market share in Global
HEOR Services market with
approximately xx%
final report
Illustrative

32
Global HEOR Services Market Share, By region (2022)
North America
Europe
APAC
Africa
Middle East
Latin America
2.2.4 Market Segmentation: By Region
▪ North America have the maximum
market share in Global HEOR Services
market with approximately xx%
final report
Illustrative

3. Market Dynamics

34
3.1 Market growth drivers
▪ Incidence of cancer is increasing in Global, with more than 1.8 Mn new
cancer cases expected to be diagnosed in 2023
▪ This is driving the demand for cancer treatments and creating
opportunities for growth in the cancer market
▪ Please be aware that this sample report is intended to provide you with a
brief overview of the kind of information and analysis that will be
presented in the final report
▪ In order to obtain access to all of the information that you are seeking,
you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will include data,
analysis, trends, and other relevant information related to the topic or
2010 2022 2030
3.1.1 Incidence of cancer is increasing in Global, with more than 1.8 Mn new cancer cases expected to be diagnosed
in 2023
Incidence of Cancer in Global
Illustrative

35
3.1 Market growth drivers (continued)
Top countries that are leveraging
technology in their fight against cancer
United States
Japan
Germany
South Korea
China
United Kingdom
France
Canada
Australia
Israel
Switzerland
Singapore
Sweden
Netherlands
Italy
Spain
Belgium
Denmark
Austria
Norway
3.1.2 Death rate from cancer in Global has declined by 31% from 1992 to 2022, largely due to advances in
technology and treatment options
▪ Global has a long history of investing in cancer research and
treatment, and as a result, has become a world leader in the
field
▪ IT has a robust healthcare infrastructure, including world-
renowned research institutions, hospitals, and clinics, that
are dedicated to cancer treatment and research
▪ One of the key factors that has allowed Global to stay ahead
in the field of cancer research and treatment is the high level
of investment in cancer-related research
Illustrative

36
3.1 Market growth drivers (continued)
Fundings from government and other
organizations
3.1.3 In 2021, the National Cancer Institute (NCI) received $6.4 Bn in funding from Global federal government to
support cancer research and training programs
▪ Global government provides significant support and funding
for cancer research and treatment, which is driving
innovation and growth in the cancer market
▪ Please be aware that this sample report is intended to
provide you with a brief overview of the kind of information
and analysis that will be presented in the final report
Source Year Fund ($)
National Cancer
Institute (NCI)
2021 $ 6.4 Bn
Centers for Disease
Control and
Prevention (CDC)
2021 $ 501 Mn
American Cancer
Society (ACS)
2020 $ 150 Mn
Susan G. Komen 2020 $ 98 Mn
Illustrative

37
3.2 Market restraints
3.2.1 In 2020, the
average cost of a new
cancer drug was over
$150,000 per year
▪ Cancer treatments can be very
expensive and can lead to
financial burden for patients and
healthcare systems
▪ Cost of cancer treatment varies
depending on the type of cancer,
stage of cancer, and treatment
options
▪ Some common cancer
treatments, such as
chemotherapy and radiation
therapy, can cost tens of
thousands of dollars
3.2.2 Average cost of
developing a new cancer
drug that is ultimately
approved by the FDA is over
$2.6 Bn
▪ Regulatory requirements for
cancer treatments can be very
stringent, which can slow down
the approval process and limit
access to new treatments
▪ Regulatory bodies, such as
Global Food and Drug
Administration (FDA), require
extensive clinical trials and
safety data before approving
new cancer treatments
▪ This can be a lengthy and costly
process, which can delay the
availability of new treatments for
patients
3.2.3 Demand for cancer care is
expected to increase by 42% by
2025, while the supply of
oncologists is only expected to
increase by 28%
▪ There is a shortage of
oncologists in Global, which can
limit access to cancer treatments
and create barriers to growth in
the cancer market
▪ Oncologists are physicians who
specialize in the diagnosis and
treatment of cancer
▪ With the aging population and
the increasing incidence of
cancer, there is a growing
demand for oncologists
▪ However, the supply of
oncologists is not keeping pace
with the demand
Our analysis will thoroughly investigate the key restraints that may significantly impact business
operations and growth.
Illustrative

4. Competitive Landscape

39
4.1 Major Market Share
XX
Other
▪ Global cancer market is a highly
competitive space, with many companies
developing and marketing cancer
treatments
▪ Some of the top companies in Global
cancer market based on revenue and
market share include
▪ Roche is a Swiss multinational healthcare
company that develops and markets
cancer treatments, including targeted
therapies and immunotherapies
▪ In 2020, Roche's oncology sales were
approximately $24 Bn, making it one of the
largest players in Global cancer market
Revenue of Major players in Global Cancer Market ($ Mn)
Illustrative

40
4.2 Key Company Profile
▪ Here is the list of top 10 companies which
will cover in the final report
▪ Each company will have slides for
o Overview
o Key details
o Offerings
o Name of products
o Recent activities/ Press Coverage
o Distribution and Vendor Partners
o Mergers, Acquisitions and
Collaboration
o Financials
▪ If there are specific companies that you
would like to be included in the report,
please let us know via email
1 IQVIA
3 Parexel
5 McKesson Corporation
7 Medpace, Inc.
9 Analysis Group
2 Optum
4 Evidera
6 Syneos Health
8 Certara, Inc.
The Gill Associates
10
Key Note:

41
4.2.1 IQVIA
Founded in: 1896
HQ: Durham, North Carolina, US
Type: Private
Revenue: $12.9 Bn
Website: www.iqvia.com.
▪ IQVIA, formerly known as QuintilesIMS, is a leading global provider
of Health Economics and Outcomes Research (HEOR) services
▪ IQVIA offers a wide range of HEOR solutions to support
pharmaceutical, biotechnology, and medical device companies, as
well as healthcare organizations and government agencies
▪ IQVIA combines its expertise in HEOR with advanced analytics,
data science, and technology capabilities to deliver comprehensive
solutions that inform healthcare decision-making, optimize resource
allocation, and support evidence-based medicine
Solutions offered by Roche
➢ Clinical Development and
Consulting
➢ Patient Engagement and Health
Technology
➢ Pharmacovigilance and Drug
Safety
➢ Regulatory and Compliance
Economic Modeling and Health Technology Assessment
Real-World Evidence (RWE) Generation
Comparative Effectiveness Research
Patient-Reported Outcomes (PROs)
Market Access and Pricing Strategy
Health Economic Analysis
HEOR services provided by IQVIA Recent Activity / Press Coverage
• Revenue for the first quarter of $3,652 Mn increased 2.4% on a reported
basis and 4.7% at constant currency, compared to the first quarter of
2022
• Technology & Analytics Solutions (TAS) revenue of $1,444 million grew
0.3% on a reported basis and 2.9% at constant currency
• IQVIA Selected as a 2022 Shanghai Global Investment Partner
• IQVIA Named a Leader in Everest Group Life Sciences Customer
Experience Platforms PEAK Matrix® Assessment 2023

42
4.2.1 IQVIA (continued)
Partnerships Ecosystem
Blue Mountain Quality Resources, Inc.View Company
Blue Mountain Quality Resources, Inc
OWNBACKUP
Mavens
SnapLogic
Chronicled
Advarra
MuleSoft
Model N
Box
Accenture
Illustrative

43
Company Name Type
Amount /
Duration
Year Key Pointers
Collaboration - Jan 31, 2023
▪ IQVIA in Collaboration with Alibaba Cloud to Deliver Commercial
& Clinical Solutions in China
▪ IQVIA and Alibaba Cloud, the digital technology and intelligence
backbone of Alibaba Group, will be providing solutions hosted in
Mainland China leveraging Salesforce on Alibaba Cloud
▪ This will enable customers with a path to begin using or
extending their investments on the best-in-class platform for
engaging with their customers
Contract Service
Agreement
- Jan 27, 2023
▪ Forma Therapeutics Inc Enters Phase II Clinical Trial Agreement
with IQVIA Holdings Inc for etavopivat, hydroxyurea
(GDCT0457049)
Contract Service
Agreement - Dec 26, 2022
▪ Calico Life Sciences LLC Enters Phase I Clinical Trial Agreement
with IQVIA Holdings Inc for ABBVCLS-628 (GDCT0474932)
Latest Deals - Mergers and Acquisitions

44
XX
XX XX
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Revenues ($Bn), 2020-2030
▪ According to IQVIA’s 2020 financial report,
the company had sales of $XX Bn in 2020
▪ This is equivalent to approximately $XX Bn
USD, based on exchange rates at the end
of 2020
▪ Revenue generated by IQVIA in 2020
reflects the company's continued growth
and success in the healthcare industry
Breakdown of Net Revenue by Segment, 2022
1 2 3 4
Illustrative

45
4.2.2 Company 2
Founded in:
HQ:
Type:
Revenue:
Website:
Solutions offered by Company
Drugs Indications
Drugs for Cancer Recent Activity / Press Coverage
Illustrative

46
4.2.2 Company 2 (continued)
Major Distribution Partners Major Vendor Partners
Partnerships Ecosystem
Illustrative

47
Company Name Type
Amount /
Duration
Year Key Pointers
Latest Deals - Mergers and Acquisitions
Illustrative

48
xx xx xx
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Revenues ($Bn), 2020-2030
report
▪ In this section you will the understating of
financial overview of the company, which
includes revenue forecasting, segment
revenue and other key details as per
availability
interest
Breakdown of Net Revenue by Segment, 2022
1 2 3 4
Illustrative

5. Pricing and Reimbursement Scenario

50
5.1 Reimbursement Regulation
The reimbursement scenario in the US cancer market is complex and can vary
depending on the specific treatment, setting of care, and insurance coverage.
Here are some key points to consider:
▪ Medicare:
o Medicare is a federal health insurance program for people aged 65 and
older, as well as people with certain disabilities or health conditions
o Medicare covers many cancer treatments, including chemotherapy,
radiation therapy, and some immunotherapies
o However, coverage can be subject to strict guidelines and restrictions,
such as the requirement for prior authorization
▪ Medicaid:
o Medicaid is a joint federal-state program that provides health insurance
for people with low incomes
o Medicaid coverage for cancer treatments can vary by state, and may be
subject to limits on the amount and type of treatment covered
▪ Private Insurance:
o Private insurance coverage for cancer treatments can also vary widely
depending on the insurer and the specific policy
o Some policies may have high out-of-pocket costs, such as deductibles
and co-pays, while others may have more comprehensive coverage
Medicare and Medicaid together provide
health insurance coverage for more than
4 in 10 Americans
Medicare
17%
Medicaid
and CHIP
21%
Employer-Sponsored
49%
Other Private
3%
Other Public
1%
Uninsured
9%
Health Insurance Coverage, 2022
Illustrative

51
5.1 Reimbursement Regulation (continued)
▪ Affordable Care Act:
o Affordable Care Act (ACA) includes provisions to help improve access to cancer treatments by requiring insurers to cover
certain preventive services, including cancer screenings, without co-pays or deductibles
o It also includes protections for people with pre-existing conditions, such as cancer
▪ Reimbursement for New Treatments:
o Reimbursement for new cancer treatments can be a complex and lengthy process, as insurers and government programs
often require evidence of safety and effectiveness before providing coverage
o This can create challenges for companies developing and marketing new treatments
▪ Value-Based Care:
o There is a growing trend towards value-based care, which aims to improve outcomes and lower costs by focusing on the
value of treatments rather than simply the volume of treatments
o Value-based care models can include payment models that tie reimbursement to outcomes or performance metrics
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the
topic or subject matter of interest
Illustrative

52
5.1 Reimbursement Regulation (continued)
Coverage Penetration (% Total Population) Source of Funding
Spend on Healthcare (%of Current Health Expenditure)
Reimbursement Market Trends
 Public healthcare coverage is provided by the government and includes programs like
Medicare and Medicaid
 Medicare is a federal program that provides healthcare coverage to individuals who
are 65 years of age or older, as well as certain younger people with disabilities
 Medicaid is a joint federal-state program that provides healthcare coverage to
individuals with low income and limited resources
▪ Shift towards value-based care has been a significant trend in the US healthcare system, with payers and providers increasingly focused on improving patient
outcomes and reducing costs
▪ This has led to the development of alternative payment models such as accountable care organizations (ACOs) and bundled payment arrangements, which
incentivize providers to deliver high-quality, cost-effective care 38.9%
37.1%
35.6%
32.5%
31.5%
44.0%
46.0%
47.7%
51.0%
51.8%
2017 2018 2019 2020 2021 2022 2023
Government Expenditure
Private Health Insurance
Out of Pocket
Other
NA NA
100% 100% 100% 100% 100%
xx xx xx xx xx
2012 2013 2014 2015 2016
Public Healthcare
Coverage
Private Coverage
6.3% 4.08% 5.1% 3.8% 2.2% 2.4% 3.6% GDP Growth (yoy)
14.7% 11.3% 15.5% 7.5% 4.2% NA NA HC Spend Growth (yoy)
Illustrative

53
5.2 Reimbursement Process for Diagnosis of Cancer
The reimbursement process in the US healthcare system can be complex and can vary depending on the type of healthcare service,
the healthcare provider, and the insurance coverage. Here are the general steps involved in the reimbursement process:
▪ Service or Treatment Provided: The healthcare provider performs a service or treatment for the patient
▪ Billing: The healthcare provider submits a claim to the insurance company or other payer, requesting reimbursement for the
service provided
▪ Adjudication: The insurance company or other payer reviews the claim to determine whether it meets the criteria for
reimbursement. This can involve verifying the patient's eligibility, reviewing the treatment provided, and checking for any potential
errors or fraud
▪ Payment: If the claim is approved, the insurance company or other payer reimburses the healthcare provider for the service
provided, based on the negotiated payment rates or fee schedule
▪ Patient Responsibility: Depending on the patient's insurance coverage, they may be responsible for paying a portion of the cost
of the service, such as deductibles, co-payments, or co-insurance
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the
topic or subject matter of interest
Illustrative

54
5.3 Reimbursement Process for Treatment of Cancer
The reimbursement process in the US healthcare system can be complex
and can vary depending on the type of healthcare service, the healthcare
provider, and the insurance coverage. Here are the general steps involved
in the reimbursement process:
▪ Service or Treatment Provided: The healthcare provider performs a
service or treatment for the patient
▪ Billing: The healthcare provider submits a claim to the insurance
company or other payer, requesting reimbursement for the service
provided
▪ Adjudication: The insurance company or other payer reviews the claim
to determine whether it meets the criteria for reimbursement. This can
involve verifying the patient's eligibility, reviewing the treatment
provided, and checking for any potential errors or fraud
▪ Payment: If the claim is approved, the insurance company or other
payer reimburses the healthcare provider for the service provided,
based on the negotiated payment rates or fee schedule
FDA
Private Payers Public Payers
Health Technology Assessment
Payment
Coverage
Coding
Coding depends on availability code while coverage and
payment process decisions are made through an HTA.
Market Authorization
1 3
2
Illustrative

55
5.4 Reimbursement Process - Medicare
Medicare
Population Covered
▪ 100% population is covered under this scheme
▪ Citizen’s contribute to this scheme which then earns an interest. There is Basic Healthcare Sum (BHS) cap which limits the maximum contribution to an
individuals Medicare account
Provider Restrictions/
Selection
Services can be claimed from Medicare-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
Services Covered
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ
transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits
▪ Patients above 65 years of age can claim under Flexi-Medicare and further reduce their out-of-pocket expenses by using up to $200 per patient per year from
their Medicare account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicare account; Drugs used for cosmetic purposes such as slimming pills
and hair loss pills cannot be claimed from this account
Level of Coverage/ Assurance
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicare up to $500 per account per year, however
a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month
per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
Mechanism of Coverage
▪ DRG with Activity Based Funding for public providers
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility ▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account
Illustrative

56
5.5 Reimbursement Process - Medicaid
Medicaid
Population Covered
▪ 38% population is covered under this scheme
▪ Medicare covers individuals who are aged 65 and older, as well as those with certain disabilities or end-stage renal disease
Provider Restrictions/
Selection
Services can be claimed from Medicaid-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
Services Covered
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ
transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits
▪ Patients above 65 years of age can claim under Flexi-Medicaid and further reduce their out-of-pocket expenses by using up to $200 per patient per year from
their Medicaid account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicaid account; Drugs used for cosmetic purposes such as slimming pills
and hair loss pills cannot be claimed from this account
Level of Coverage/ Assurance
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicaid up to $500 per account per year, however
a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month
per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
Mechanism of Coverage
▪ DRG with Activity Based Funding for public providers
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility ▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account
Illustrative

6. Methodology & Scope

Research Methodology
▪ Insights 10’s research methodology delves deeper into the market, covering the macro and micro aspects of the industry. We identify the
key growth drivers, opportunities, and restraints that might promote or hinder the future industry growth along with an expansive
overview of the competitive landscape to help our clients make informed strategic decisions
▪ We implement a mix of primary and secondary research for our market estimate and forecast. The secondary research forms the initial
phase of our study where we conduct extensive data mining, referring to verified data sources such as independent studies, government
and regulatory published material, technical journals, trade magazines, and paid data sources
▪ For forecasting, the following parameters are considered:
❑ Market drivers and restraints along with their current and expected impacts
❑ Technological scenario and expected developments
❑ End use industry trends and dynamics
❑ Trends in the consumer behavior
❑ Regulatory scenario and expected developments
❑ Current capacity and expected capacity additions up to 2030
▪ We assign weights to these parameters and quantify their market impacts using the weighted average analysis to derive the expected
market growth rate
▪ We appoint data triangulation strategies to explore different areas of the market. Our qualitative and quantitative assessments are time-
sensitive, reflecting the most recent value and volume of the market across regions
▪ All our estimates and forecasts are verified through exhaustive primary research with the Key Industry Participants (KIPs)
▪ Currency used in the report is the US dollar (USD), with the market size indicated in USD million/billion (Mn/Bn)

Analysis Methodology
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Market Trends
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Insights
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Reporting
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Proprietary
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Data Triangulation & Data Validation
Bottom Up Approach
Summarization of revenue
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Revenue generated by products &
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Validation from
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Final
Market
Size
Top Down Approach
Final Market size break up to
rest of segmentation
Arriving at market size
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Validation from
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Final
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Key Benefits for Stakeholders from this Report
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