Insights

Fifteen+ years of
healthcare thinking.

Several hundred perspectives on the questions facing payers, providers, biopharma, medtech, and digital health — plus our running read on the clinical literature. Start with our sharpest work, or filter to your world.

ESSENTIAL READING

Oncology Development Update: Winners, Losers, and the Ones Still in Play

  • Biopharma
In our previous analyses (2023[1] and 2024[2]), we tracked two oncolog…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q3 of 2025

  • NEJM
Exercise with cancer: it’s about more than fitness Retrospective obser…

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AJMC: More frequent visits to primary care can save net $30-40 PMPM for top 20% highest risk commercial members

  • Payers , 
  • Providers
A new AJMC study from consulting firm Recon Strategy is the first to s…

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Phase 1 Licensing Deals Realized Value

  • Biopharma
Download a PDF of this paper here. A comprehensive slide-deck (includi…

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Realized value of platform-based biotech: a retrospective analysis of 220 companies

  • Biopharma
We explore four hypothesized value drivers of platform-based companies and evaluate the actual value achieved 10-15 years out from initial capital raise. We found that discovery platforms showed the highest lead asset success rates, significantly more out-licensing activity than non-platforms, and accounted for nearly all multi-asset approvals within our cohort. All platform types showed increased survivability and more licensing opportunities.

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Outcomes of mid-size biopharma “revenue” acquisitions

  • Biopharma
Merck's acquisition of Verona is the latest in a long line of "revenue acquisitions". How have prior mid-size biopharma revenue acquisitions fared? We found that forecasts at the time of deal are often optimistic, with many transactions missing their projected sales trajectories.

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The New England Journal of Medicine

It was bioengineering at its best: An opinionated take on NEJM highlights for Q2 of 2025

  • NEJM
The first porcine kidney transplant (in a live recipient) It’s been a …

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Biopharma Product Strategy: Lessons from Over- and Under-performing Launches

  • Biopharma
Introduction It has become a truism in the pharmaceutical industry th…

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A few thoughts about navigating biopharma macro scenarios

  • Biopharma
Planning biopharma strategies against a robust set of macro-scenarios will be crucial to mid- and long-term success. While historically these scenarios have revolved around targeted issues, the current challengescall for a more expansive - and likely more difficult - set of questions to be asked.

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SELECTED ENGAGEMENTS

Insight, put to work

Our published thinking is one half of the picture. These are representative client engagements, anonymized — each tagged by sector, so you can trace the path from perspective to practice.

Strategy for Statewide Health Information Exchange

A non-profit health information exchange was facing financial struggles and needed a new strategy that would keep it financially sustainable

HIE, Health IT,

Growth strategy for point-of-care testing

Post pandemic an innovative diagnostics platform company wanted to dramatically increase its market by targeting retail clinics for its point-of-care diagnostics platform

Growth, product market fit, value proposition

University Trials

Large university wanting to dramatically increase its clinical research footprint

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